|
1. Age in years on your last birthday
|
1. Gender
|
|
16–20
|
7
|
29
|
Male
|
0
|
0
|
|
21–30
|
12
|
50
|
Female
|
12
|
100
|
|
31+
|
05
|
21
| | | |
|
2. Parity:
|
2. Qualifications
|
|
Primigravida
|
13
|
54
|
Registered midwife
|
10
|
83
|
|
Para 2–3
|
07
|
29
|
Advanced midwife
|
02
|
17
|
|
Para 4+
|
04
|
17
| | | |
|
3. Delivery outcome (exclude fetal deaths
|
3. Duration of allocation in labour ward - years
|
|
Normal vaginal delivery
|
19
|
79
|
2–4
|
06
|
50
|
|
Forceps or vacuum extraction delivery
|
0
|
0
|
5–6
|
04
|
33
|
|
Caesarian section (not elective)
|
05
|
21
|
> 7
|
02
|
17
|
|
4. Duration of labour (hours)
|
4. Cultural/ Ethnic group
|
|
2–4
|
2
|
8
|
Northern Sotho
|
9
|
75
|
|
5–8
|
4
|
17
|
Tsonga
|
2
|
17
|
|
> 9
|
18
|
75
|
Venda
|
1
|
8
|
| | | |
Others
|
0
|
0
|
|
5. Pain relief during labour
|
5. Religious affiliation
|
|
Pharmacological
|
03
|
13
|
Protestants
|
4
|
33
|
|
Non-pharmacological
|
21
|
87
|
Apostolic church
|
2
|
17
|
| | | |
Zion Christian church
|
2
|
17
|
| | | |
Others
|
4
|
33
|
|
6. Cultural/ Ethnic group
| |
|
Northern Sotho
|
15
|
63
| |
|
Tsonga
|
4
|
17
|
|
Venda
|
3
|
12
|
|
Others
|
2
|
08
|
|
7. Family status
|
|
Married
|
10
|
42
|
|
Single
|
14
|
58
|
|
Divorced
|
0
|
0
|
|
Widow
|
0
|
0
|
|
8. Religious affiliation
|
|
Protestants
|
14
|
58
|
|
Apostolic church
|
3
|
13
|
|
Zion Christian church
|
7
|
29
|
|
Others
|
0
|
0
|
|
9. Educational status
|
|
Never literate
|
2
|
8
|
|
Primary school literate
|
5
|
21
|
|
Secondary school literate
|
9
|
38
|
|
Tertiary institution
|
8
|
33
|
|
10. Companion present?
|
|
Yes
|
0
|
0
|
|
No
|
24
|
100
|
|
11. Participation in childbirth preparation classes
|
|
Yes
|
1
|
4
|
|
No
|
23
|
96
|
|
12. Transfer from another hospital
|
|
Yes
|
5
|
21
|
|
No
|
19
|
79
|
