ANNEXURE-I Women Death First Information ... - Nrhmharyana.org

If no, reason: Lack of awareness □ Lack of accessibility □ Lack of funds□Lack of attendee□ family problems □If Yes, Type of Care Provider (mark all):College/Tertiary Hosp□S/C ANM □ M/O PHC□ M/O CHC □ Specialist SDH □ Specialist D/H □ SpecialistPrivate Hosp □ (Please Specify Type of Doctor/Nurse)If yes, was she told she has risk factors? Yes□ No □ Don’t know □Type ofComplicationPrevious C/SectionAbnormalPresentation/lieAnaemiaGlycosuriaHypertension withProteinuriaHypertensionTwins etcAPHEctopic/pain inabdomenOther ( Pleasespecify)Yes No Don’t know Other