Table 3. Overview of typical pregnancy surveillance data elements collected.

Pregnancy detection
Current pregnancy	•  Is <Name>/are you pregnant (now)? ¥
Expected delivery date	•  What is the expected date of delivery? ¥ Ѫ   •  When was your (her) last menstrual period (date)? § Ѱ   •  What is the estimated date of conception? Θ   •  Approximate number of months pregnant? Ѫ
Pregnancy confirmation	•  Was the pregnancy confirmed by any of the following? Ѱ            Pregnant belly visually apparent;            Pregnant woman has felt fetal movement;            Positive pregnancy test at home;            Physical exam;            Auscultation of fetal heart tones;            Ultrasound;            Positive pregnancy test at a facility;
Follow-up	•  From today's date, what is the current status? Ѫ            Still pregnant;            Already delivered;            Had an abortion;            Had a stillbirth
Pregnancy history
Past pregnancies	•  Have you/Has the woman ever been pregnant (including the current)? Ѱ   •  How many times have you/she been pregnant, including livebirth, stillbirth and miscarriages/ abortions? Ѱ   •  Have you given birth in the past 4 weeks? §   •  How many alive children do you have? §
Past births	•  While pregnant have you/has the woman ever given birth? Ѱ   •  How many live births have you had in your life? Ѫ   •  I would like to ask if you gave birth to any children in the last 5 years. How many? Ѯ   •  Are you less than 6 months postpartum or fully breastfeeding and free from menstrual bleeding since you had your child? §
Past losses	•  How many times have you had pregnancies that resulted in a miscarriage/unexpected abortion (abortion=less than 20 weeks of gestation)? Ѫ   •  Number of miscarriages or stillbirths (including the current), if any. Ѫ   •  Have you had miscarriage or abortion the past 7 days? §   •  Have you ever given birth to a boy or girl who was born alive but later died before age 5 years? Ѯ
Other	•  Have you been using a reliable contraceptive (pills, injectable, IUCD and Norplant) method consistently and correctly? §   •  How many pregnant women slept in this household yesterday? Ѫ

¥ Siaya-Karemo and Manyatta HDSSs, Kenya

§ Kersa and Harar HDSSs, Ethiopia

Ѫ Manhiça HDSS, Mozambique

Ѱ Baliakandi HDSS, Bangladesh

Ѯ Soweto and Thembelihle HDSSs, South Africa

Θ INDEPTH Network Sample Pregnancy Registration Form ( http://www.indepth-network.org/Resource%20Kit/INDEPTH%20DSS%20Resource%20Kit/LinkedDocuments/Sample%20DSS%20Pregnancy%20Registration%20Form.pdf)