SECTION PG: PREGNANCY
|___|___| : |___|___|
Time
This section is about pregnancy and the times you (or your partner) have been pregnant.
PG1. How many times have (you been/gotten someone) pregnant, including current pregnancies, abortions, still births, |____|____|
miscarriages, or live births in which the baby later died? # OF TIMES
IF 00, GO TO WHAT I AM LIKE.
ASK ALL OF COLUMN a, THEN ALL OF COLUMN b, ETC.
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a. PREGNANCY #1 |
b. PREGNANCY #2 |
c. PREGNANCY #3 |
d. PREGNANCY #4 |
e. PREGNANCY #5 |
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PG2. |
In what month and year did the most recent pregnancy begin? |____|____| MONTH |____|____|____|____| YEAR |
In what month and year did the pregnancy before that begin? |____|____| MONTH |____|____|____|____| YEAR |
In what month and year did the pregnancy before that begin? |____|____| MONTH |____|____|____|____| YEAR |
In what month and year did the pregnancy before that begin? |____|____| MONTH |____|____|____|____| YEAR |
In what month and year did the pregnancy before that begin? |____|____| MONTH |____|____|____|____| YEAR |
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PG3. What are the initials of your partner from this pregnancy? |
|____|____|____| INITIALS |
|____|____|____| INITIALS |
|____|____|____| INITIALS |
|____|____|____| INITIALS |
|____|____|____| INITIALS |
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PG5. Was this a planned pregnancy? |
YES 01 NO 02 |
YES 01 NO 02 |
YES 01 NO 02 |
YES 01 NO 02 |
YES 01 NO 02 |
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PG6. How did this pregnancy end? READ CATEGORIES IF NECESSARY |
MISCARRIAGE 01 ABORTION 02 STILL BORN 03 LIVE BIRTH 04 STILL PREGNANT 05 GO TO NEXT COLUMN IF CURRENTLY PREGNANT |
MISCARRIAGE 01 ABORTION 02 STILL BORN 03 LIVE BIRTH 04 STILL PREGNANT 05 GO TO NEXT COLUMN IF CURRENTLY PREGNANT |
MISCARRIAGE 01 ABORTION 02 STILL BORN 03 LIVE BIRTH 04 STILL PREGNANT 05 GO TO NEXT COLUMN IF CURRENTLY PREGNANT |
MISCARRIAGE 01 ABORTION 02 STILL BORN 03 LIVE BIRTH 04 STILL PREGNANT 05 GO TO NEXT COLUMN IF CURRENTLY PREGNANT |
MISCARRIAGE 01 ABORTION 02 STILL BORN 03 LIVE BIRTH 04 STILL PREGNANT 05 GO TO SECTION C IF CURRENTLY PREGNANT |
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PG*1. DO NOT ASK PG*1 OR PG7 IF PG6 IS MISCARRIAGE, ABORTION, OR STILL BORN. CODE AS N/A How old (were you/was the child’s mother) at this birth? |
|___|___| YEARS |
|___|___| YEARS |
|___|___| YEARS |
|___|___| YEARS |
|___|___| YEARS |
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PG7. How many children did you (or your partner) have in this birth? PROBE: READ CATEGORIES IF NECESSARY |
|___|___| # OF CHILDREN IN THIS BIRTH |
|___|___| # OF CHILDREN IN THIS BIRTH |
|___|___| # OF CHILDREN IN THIS BIRTH |
|___|___| # OF CHILDREN IN THIS BIRTH |
|___|___| # OF CHILDREN IN THIS BIRTH |