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Protocol - Reproductive History - Female

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Protocol Name from Source:

Women’s Interview Study of Health and Pregnancy Risk Assessment Monitoring System (PRAMS)

Availability:

Publicly available

Description:

The female participant is first asked how many pregnancies she has had. If none, the protocol is complete. For each pregnancy she reports, she is asked a series of questions (e.g., whether pregnancy was a live birth, how long the pregnancy lasted, when did the pregnancy end, whether the participant had frequent nausea or vomiting). The participant is also asked about smoking and drinking during pregnancy.

Protocol:

1. Including live births, stillbirths, miscarriages, abortions, and tubal and other ectopic pregnancies, how many times have you been pregnant? Be sure to count this pregnancy if you are currently pregnant.

______

# PREGNANCIES

NONE............................................................... 00

Now I will ask some detailed questions about (each of your pregnancies / that pregnancy). (ASK QUESTIONS 2-10 FOR ONE PREGNANCY BEFORE ASKING ABOUT THE NEXT.)

1ST PREGNANCY

2ND PREGNANCY

2. Was your (1st, 2nd, etc.) pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy? (CIRCLE ALL THAT APPLY.)

LIVE BIRTH...............................................

STILLBIRTH..............................................

MISCARRIAGE.........................................

ABORTION ...............................................

ECTOPIC/TUBAL .....................................

CURRENTLY PREGNANT......................

OTHER (SPECIFY) ..................................

 

 

.............1

.............2

.............3

.............4

.............5

.............6 (skip to end)

............96

 

 

.............1

.............2

.............3

.............4

.............5

.............6 (skip to end)

............96

3. How many weeks or months did that pregnancy last?

____

WEEKS

OR

____

MONTHS

____

WEEKS

OR

____

MONTHS

4. On what date did that pregnancy end?

USING B4 AND B5, PUT "PG" ON CALENDAR FOR EACH MONTH OF THAT PREG.

__/__/____

MO DAY YR

PUT PG. ON CAL.

__/__/____

MO DAY YR

PUT PG. ON CAL.

5. During that pregnancy, did you have frequent nausea or vomiting? (CIRCLE ALL THAT APPLY.)

YES, NAUSEA ..................................................

YES, VOMITING ...............................................

NO......................................................................

.......................1

.......................2

.......................3 (7)

.......................1

.......................2

.......................3 (7)

6. In which months of the pregnancy did you have frequent nausea or vomiting? (CIRCLE ALL THAT APPLY.)

MONTHS 1-3 (FIRST TRIMESTER) .......

MONTHS 4-6 (SECOND TRIMESTER) ……..

MONTHS 7-9 (THIRD TRIMESTER).......

.......................1

.......................2

.......................3

.......................1

.......................2

.......................3

7. During that pregnancy, did you ever develop.......

a. Hypertension or high blood pressure? ........

b. Toxemia? .........................

c. Diabetes or high blood sugar?....................

d. Any other pregnancy-related complications?

Yes

1

1

1

1

No

2

2

2

2

Yes

1

1

1

1

No

2

2

2

2

8. Was the baby a boy or a girl? (MULTIPLE BIRTH WORDING: How many boys did you have? How many girls did you have?)

____

# BOYS

____ # GIRLS

____

# BOYS

____ # GIRLS

9. In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.)

[ ] 41 cigarettes or more

[ ] 21 to 40 cigarettes

[ ] 11 to 20 cigarettes

[ ] 6 to 10 cigarettes

[ ] 1 to 5 cigarettes

[ ] Less than 1 cigarette

[ ] None (0 cigarettes)

10. In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.)

[ ] 41 cigarettes or more

[ ] 21 to 40 cigarettes

[ ] 11 to 20 cigarettes

[ ] 6 to 10 cigarettes

[ ] 1 to 5 cigarettes

[ ] Less than 1 cigarette

[ ] None (0 cigarettes)

11. During the 3 months before you got pregnant, how many alcoholic drinks did you have in an average week?

[ ] 14 drinks or more a week

[ ] 7 to 13 drinks a week

[ ] 4 to 6 drinks a week

[ ] 1 to 3 drinks a week

[ ] Less than 1 drink a week

[ ] I didn’t drink then => Go to Question 15

12. During the 3 months before you got pregnant, how many times did you drink 4 alcoholic drinks or more in one sitting? A sitting is a two-hour time span.

[ ] 6 or more times

[ ] 4 to 5 times

[ ] 2 to 3 times

[ ] 1 time

[ ] I didn’t have 4 drinks or more in 1 sitting

13. During the last 3 months of your pregnancy, how many alcoholic drinks did you have in an average week?

[ ] 14 drinks or more a week

[ ] 7 to 13 drinks a week

[ ] 4 to 6 drinks a week

[ ] 1 to 3 drinks a week

[ ] Less than 1 drink a week

[ ] I didn’t drink then ≥ Go to Question 15

14. During the last 3 months of your pregnancy, how many times did you drink 4 alcoholic drinks or more in one sitting? A sitting is a two-hour time span.

[ ] 6 or more times

[ ] 4 to 5 times

[ ] 2 to 3 times

[ ] 1 time

[ ] I didn’t have 4 drinks or more in 1 sitting

15. During this pregnancy, did you receive help with an alcohol or drug problem?

[ ] Yes

[ ] No

Personnel and Training Required

Women’s Interview Study of Health (WISH) is an interviewer-administered survey. The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt participants further if a "don’t know" response is provided.

The Pregnancy Risk Assessment Monitoring System (PRAMS) is a mail (self-administered) survey with telephone follow-up.

Equipment Needs

Pencil and paper

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

If the participant answers with a number greater than zero to question 1, the interviewer should complete the rest of the protocol. If the participant answers "none" then the protocol is deemed complete.

For question 3 (gestational age) the Working Group (WG) notes that a term pregnancy is 40 weeks.

As noted above, this measure can also be used for estimating certain in utero exposures if the research subject is an infant. In that instance, the questions would be asked of the mother regarding her exposures to smoking and alcohol while pregnant with this child. The PhenX WG recommends that for that purpose, use only questions 3-15 (and only for that pregnancy).

For question 4, the interviewer should supply the respondent with a calendar.

The PhenX Reproductive Health WG suggests adding the word "preeclampsia" to question 7 so that it reads, "Preeclampsia/Toxemia." The PhenX Reproductive Health WG notes that for question 7, vaginal bleeding is a common, potentially important complication and should be asked specifically in 1st, 2nd and/or 3rd trimester.

The WG removed the Women’s Interview Study of Health (WISH) question regarding pregnancy weight gain as it is included in the PhenX Toolkit, Anthropometric measure (Pregnancy Weight Gain).

The original text for question 15 was placed below to provide Toolkit users with its original format:

V12. During your most recent pregnancy, did you receive any of the following services?

For each one, circle Y (Yes) if you received the service or N (No) if you did not receive

the service. Did you receive:

No

Yes

a.

Money to buy food, food stamps, or WIC vouchers

N

Y

b.

Help with an alcohol or drug problem

N

Y

c.

Help to reduce violence in your home

N

Y

d.

Counseling information for family and personal problems

N

Y

e.

Help to quit smoking

N

Y

f.

Help with or information about breastfeeding

N

Y

g.

Other

N

Y

Please tell us: [BOX]

Below are some definitions excerpted from the Mayo Clinic website that may assist researchers in using the toolkit:

  • Preeclampsia is a condition of pregnancy marked by high blood pressure and excess protein in the mother’s urine after 20 weeks of pregnancy. Preeclampsia often causes only modest increases in blood pressure. Left untreated, however, preeclampsia can lead to serious-even fatal-complications for both the mother and the baby. (Mayo Clinic. http://www.mayoclinic.com/health/preeclampsia/DS00583, accessed February 15, 2010.)
  • Gestational diabetes is a type of diabetes that occurs only during pregnancy. Like other forms of diabetes, gestational diabetes affects the way the mother’s body uses sugar (glucose)-the body’s main source of fuel. (Mayo Clinic. http://www.mayoclinic.com/health/gestational-diabetes/DS00316, accessed February 15, 2010.)

Ectopic pregnancy: Pregnancy begins with a fertilized egg. Normally, the fertilized egg attaches itself to the lining of the uterus. With an ectopic pregnancy, the fertilized egg implants somewhere else. An ectopic pregnancy nearly always occurs in one of the tubes that carry eggs from the ovaries to the uterus (fallopian tubes). This type of ectopic pregnancy is known as a tubal pregnancy. Rarely, an ectopic pregnancy occurs in the abdomen, ovary or neck of the uterus (cervix). (Mayo Clinic. http://www.mayoclinic.com/health/ectopic-pregnancy/DS00622, accessed February 15, 2010.)

Research Domain Information

Release Date:

April 11, 2017

Definition

Question to assess both males’ and females’ pregnancy history. Females are asked about the number of pregnancies, description of pregnancies, and smoking during pregnancy. Males are asked whether they have ever fathered a pregnancy and, if so, the description of the pregnancy.

Purpose

The purpose of this measure is to assess the demonstrated fecundity and fertility of the individual. This measure can also be used for estimating certain in utero exposures if the research subject is an infant.

Selection Rationale

Vetted against other pregnancy history questions, the Women’s Interview Study of Health (WISH) was the most comprehensive. The PhenX Reproductive Health Working Group added questions on smoking from the Pregnancy Risk Assessment Monitoring System (PRAMS) questionnaire.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Reproductive History3007491CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Testes development proto62676-2LOINC

Process and Review

The [link[www.phenx.org/node/110|Expert Review Panel #5]] (ERP 5) reviewed the measures in the Reproductive Health domain.

Guidance from ERP 5 includes:

• No significant changes to measure

Back-compatible: no changes to the Data Dictionary.

Source

National Cancer Institute. (n.d.). Women’s Interview Study of Health. Question numbers B1-B8, B10 (questions 1-9). Centers for Disease Control and Prevention. (2009). Pregnancy Risk Assessment Monitoring System (PRAMS). Phase 6 Core Questionnaire. Questions 26 (question 9), 27 (question 10), 31a (question 11), 31b (question 12), 32a (question 13), 32b (question 14). Centers for Disease Control and Prevention. (2004-08). Pregnancy Risk Assessment Monitoring System (PRAMS). Phase 5 Standard Questions. Question V12 (question 15).

General References

Centers for Disease Control and Prevention. (2009). Pregnancy Risk Assessment Monitoring System (PRAMS). Phase 6 Core Questionnaire. http://www.cdc.gov/PRAMS/References/Phase6MailCore_FINAL.doc

National Cancer Institute. (n.d.). Women’s Interview Study of Health. http://seer.cancer.gov/studies/epidemiology/study15.html

Protocol ID:

101301

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX101301_Number_PregnancyPX101301010000Including live births, stillbirths, miscarriages, abortions, and tubal and other ectopic pregnancies, how many times have you been pregnant? Be sure to count this pregnancy if you are currently pregnant.4Variable Mapping
PX101301_Pregnancy_1PX101301020101Was your (1st, 2nd, etc.) pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy?4N/A
PX101301_Pregnancy_Specify_1PX101301020102Specify your (1st, 2nd, etc.) pregnancy.4N/A
PX101301_Pregnancy_2PX101301020201Was your (1st, 2nd, etc.) pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy?4N/A
PX101301_Pregnancy_Specify_2PX101301020202Specify your (1st, 2nd, etc.) pregnancy.4N/A
PX101301_Pregnancy_Last_Weeks_1PX101301030101How many weeks or months did that pregnancy last?4Variable Mapping
PX101301_Pregnancy_Last_Months_1PX101301030102How many weeks or months did that pregnancy last?4N/A
PX101301_Pregnancy_Last_Weeks_2PX101301030201How many weeks or months did that pregnancy last?4Variable Mapping
PX101301_Pregnancy_Last_Months_2PX101301030202How many weeks or months did that pregnancy last?4N/A
PX101301_Pregnancy_End_Date_1PX101301040100On what date did that pregnancy end? (mm/dd/yyyy)4Variable Mapping
PX101301_Pregnancy_End_Date_2PX101301040200On what date did that pregnancy end? (mm/dd/yyyy)4Variable Mapping
PX101301_Frequent_Nausea_Vomiting_During_Pregnancy_1PX101301050100During that pregnancy, did you have frequent nausea or vomiting?4N/A
PX101301_Frequent_Nausea_Vomiting_During_Pregnancy_2PX101301050200During that pregnancy, did you have frequent nausea or vomiting?4N/A
PX101301_Frequent_Nausea_Vomiting_Months_1PX101301060100In which months of the pregnancy did you have frequent nausea or vomiting?4N/A
PX101301_Frequent_Nausea_Vomiting_Months_2PX101301060200In which months of the pregnancy did you have frequent nausea or vomiting?4N/A
PX101301_Pregnancy_Hypertension_High_Blood_Pressure_1PX101301070101During that pregnancy, did you ever develop Hypertension or high blood pressure?4Variable Mapping
PX101301_Pregnancy_Preeclampsia_Toxemia_1PX101301070102During that pregnancy, did you ever develop Preeclampsia/Toxemia?4Variable Mapping
PX101301_Pregnancy_Diabetes_High_Blood_Sugar_1PX101301070103During that pregnancy, did you ever develop Diabetes or high blood sugar?4Variable Mapping
PX101301_Pregnancy_Related_Complications_1PX101301070104During that pregnancy, did you ever develop Any other pregnancy-related complications?4Variable Mapping
PX101301_Pregnancy_Hypertension_High_Blood_Pressure_2PX101301070201During that pregnancy, did you ever develop Hypertension or high blood pressure?4Variable Mapping
PX101301_Pregnancy_Preeclampsia_Toxemia_2PX101301070202During that pregnancy, did you ever develop Preeclampsia/Toxemia?4Variable Mapping
PX101301_Pregnancy_Diabetes_High_Blood_Sugar_2PX101301070203During that pregnancy, did you ever develop Diabetes or high blood sugar?4Variable Mapping
PX101301_Pregnancy_Related_Complications_2PX101301070204During that pregnancy, did you ever develop Any other pregnancy-related complications?4Variable Mapping
PX101301_Baby_Number_Boy_1PX101301080101Was the baby a boy or a girl? (MULTIPLE BIRTH WORDING: How many boys did you have? How many girls did you have?)4Variable Mapping
PX101301_Baby_Number_Girl_1PX101301080102Was the baby a boy or a girl? (MULTIPLE BIRTH WORDING: How many boys did you have? How many girls did you have?)4Variable Mapping
PX101301_Baby_Number_Boy_2PX101301080201Was the baby a boy or a girl? (MULTIPLE BIRTH WORDING: How many boys did you have? How many girls did you have?)4Variable Mapping
PX101301_Baby_Number_Girl_2PX101301080202Was the baby a boy or a girl? (MULTIPLE BIRTH WORDING: How many boys did you have? How many girls did you have?)4Variable Mapping
PX101301_Cigarettes_3_Months_Before_PregnancyPX101301090000In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day?4N/A
PX101301_Cigarettes_Last_3_Months_PregnancyPX101301100000In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day?4N/A
PX101301_Alcohol_3_Months_Before_PregnancyPX101301110000During the 3 months before you got pregnant, how many alcoholic drinks did you have in an average week?4N/A
PX101301_Heavy_Alcohol_3_Months_Before_PregnancyPX101301120000During the 3 months before you got pregnant, how many times did you drink 4 alcoholic drinks or more in one sitting?4N/A
PX101301_Alcohol_Last_3_Months_PregnancyPX101301130000During the last 3 months of your pregnancy, how many alcoholic drinks did you have in an average week?4N/A
PX101301_Heavy_Alcohol_Last_3_Months_PregnancyPX101301140000During the last 3 months of your pregnancy, how many times did you drink 4 alcoholic drinks or more in one sitting?4N/A
PX101301_Receive_Help_Alcohol_Drug_ProblemPX101301150000During this pregnancy, did you receive help with an alcohol or drug problem?4N/A