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Protocol - Pregnancy Status - Mother and Baby Health

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

These six questions from the Pregnancy Risk Assessment Monitoring System (PRAMS) assess problems during pregnancy and after childbirth.

Protocol:

1. Did you have any of the following problems during your most recent pregnancy? For each item, circle Y (Yes) if you had the problem or circle N (No) if you did not. No Yes
a. Vaginal bleedingNY
b. Kidney or bladder (urinary tract) infectionNY
c. Severe nausea, vomiting, or dehydrationNY
d. Cervix had to be sewn shut (cerclage for incompetent cervix)NY
e. High blood pressure, hypertension (including pregnancy-induced hypertension [PIH]), preeclampsia, or toxemiaNY
f. Problems with the placenta (such as abruptio placentae or placenta previa)NY
g. Labor pains more than 3 weeks before my baby was due (preterm or early labor)NY
h. Water broke more than 3 weeks before my baby was due(premature rupture of membranes [PROM])NY
i. I had to have a blood transfusionNY
j. I was hurt in a car accidentNY

The next questions are about the time since your new baby was born.

2. After your baby was born, was he or she put in an intensive care unit?

[] No

[] Yes

[] I don’t know

3. After your baby was born, how long did he or she stay in the hospital?

[] Less than 24 hours (less than 1 day)

[] 24 to 48 hours (1 to 2 days)

[] 3 to 5 days

[] 6 to 14 days

[] More than 14 days

[] My baby was not born in a hospital

[] My baby is still in the hospital

4. Is your baby alive now?

[] No

[] Yes

5. Is your baby living with you now?

[] No

[] Yes

6. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time?

[] No

[] Yes

7. Did you quit smoking for 7 days or longer during your pregnancy with your last child?

[] Yes

[] No

[] Refused

[] Don’t know

8. [If yes:] In what month of your pregnancy did you first quit for 7 days or longer?

[] First

[] Second

[] Third

[] Fourth

[] Fifth

[] Sixth

[] Seventh

[] Eighth

[] Ninth

[] Refused

[] Don’t know

9. Did you start smoking again during that pregnancy or did you stay off cigarettes for the rest of the pregnancy?

[] Stayed off rest of pregnancy

[] Started again

[] Never started again

[] Refused

[] Don’t know

Personnel and Training Required

None

Equipment Needs

None

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:

Women who have given birth

Specific Instructions:

None

Research Domain Information

Release Date:

February 20, 2015

Definition

These questions look at the health of new mothers and babies.

Purpose

To determine health status of new mothers and babies.

Selection Rationale

Although it is difficult to collect tobacco effects on pregnancy because pregnancy outcomes are related to so many factors, PRAMS includes reliable measures for pregnancy-related events. It has been used extensively for decades and is updated regularly.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Pregnancy Risk Assessment Monitoring System (PRAMS) questionnaire Assessment Text4719212CDE Browser

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

Pregnancy Risk Assessment Monitoring System, Phase 6 Core Questions, 2009

Questions 24, 41, 42, 43, 44, & 45

www.cdc.gov/prams/questionnaire.htm#core

2005 National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)

General References

Dillman, D. A. (2000). Mail and Internet surveys: The tailored design method. New York: John Wiley and Sons.

Protocol ID:

720901

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX720901_Pregnancy_Problem_Vaginal_BleedingPX720901010000Did you have any of the following problems during your most recent pregnancy? - Vaginal bleeding4N/A
PX720901_Pregnancy_Problem_Kidney_Bladder_InfectionPX720901020000Did you have any of the following problems during your most recent pregnancy? - Kidney or bladder (urinary tract) infection4N/A
PX720901_Pregnancy_Problem_Nausea_DehydrationPX720901030000Did you have any of the following problems during your most recent pregnancy? - Severe nausea, vomiting, or dehydration4N/A
PX720901_Pregnancy_Problem_Cervix_Sewn_ShutPX720901040000Did you have any of the following problems during your most recent pregnancy? - Cervix had to be sewn shut (cerclage for incompetent cervix)4Variable Mapping
PX720901_Pregnancy_Problem_Hypertension_ToxemiaPX720901050000Did you have any of the following problems during your most recent pregnancy? - High blood pressure, hypertension (including pregnancy-induced hypertension [PIH]), preeclampsia, or toxemia4N/A
PX720901_Pregnancy_Problem_PlacentaPX720901060000Did you have any of the following problems during your most recent pregnancy? - Problems with the placenta (such as abruptio placentae or placenta previa)4N/A
PX720901_Pregnancy_Problem_Labor_Pain_3weeksPX720901070000Did you have any of the following problems during your most recent pregnancy? - Labor pains more than 3 weeks before my baby was due (preterm or early labor)4N/A
PX720901_Pregnancy_Problem_Water_Broke_3weeksPX720901080000Did you have any of the following problems during your most recent pregnancy? - Water broke more than 3 weeks before my baby was due (premature rupture of membranes [PROM])4N/A
PX720901_Pregnancy_Problem_Blood_InfusionPX720901090000Did you have any of the following problems during your most recent pregnancy? - I had to have a blood transfusion4N/A
PX720901_Pregnancy_Problem_Car_AccidentPX720901100000Did you have any of the following problems during your most recent pregnancy? - I was hurt in a car accident4N/A
PX720901_Baby_Hospital_Stay_PeriodPX720901110000After your baby was born, how long did he or she stay in the hospital?4N/A
PX720901_Baby_Intensive_CarePX720901120000After your baby was born, how long did he or she stay in the hospital?4N/A
PX720901_Baby_Alive_NowPX720901130000Is your baby alive now?4N/A
PX720901_Baby_Living_With_YouPX720901140000Is your baby living with you now?4N/A
PX720901_Ever_Breastfeed_PumpPX720901150000Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time?4Variable Mapping
PX720901_Quit_Smoking_During_PregnancyPX720901160000Did you quit smoking for 7 days or longer during your pregnancy with your last child?4N/A
PX720901_Pregnancy_Month_Quit_SmokingPX720901170000[If yes:] In what month of your pregnancy did you first quit for 7 days or longer?4N/A
PX720901_Pregnancy_Start_Smoking_AgainPX720901180000Did you start smoking again during that pregnancy or did you stay off cigarettes for the rest of the pregnancy?4N/A