Start
nshd_46_tms
MATERNITY SURVEY
ROYAL COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS AND THE POPULATION INVESTIGATION COMMITTEE
69, ECCLESTON SQUARE, LONDON, S.W.1
Ring with a soft pencil the code number opposite the mother's answer.

Mother's name

Generic text

Address

Generic text

If she has transferred since delivery to another M. and C.W Authority, what is her present address?

Generic text

If mother not interviewed because she refused, was ill, etc., give reasons

Generic text
Details of this Birth.
(To be filled in by Health Visitor, if possible, before interview.)

Date of baby's birth

Generic date

Date of birth of last baby (whether alive or dead) preceding this one.

Generic date
0
NO OLDER CHILD

Result (If baby died, at what age did he die?) DIED AGED ... DAYS

1
BABY LIVING
2
STILL-BORN
Age in days

Sex.

1
MALE
2
FEMALE
3
TWINS (BOTH MALE)
4
TWINS (BOTH FEMALE)
5
TWINS (DIFFERENT SEX)

Legitimate or illegitimate.

1
LEGITIMATE
2
ILLEGITIMATE
The Mother and her work.

Mother's age ... YEARS ... MONTHS

Age
Age in months
Ask married women only.
qc_5 == 1

Mother's age at (first) marriage ... YEARS ... MONTHS

Age
Age in months
Ask all mothers.

What was the last school or other place of education you attended?

1
ELEMENTARY
2
PRIVATE, SECONDARY OR PUBLIC
3
TECHNICAL OR OTHER COLLEGE
4
UNIVERSITY
OTHER, NAMELY
X
NO ANSWER
Other

Were you working when you started this baby?

1
YES
2
NO
X
NO ANSWER
If "Yes,"
qc_9_a == 1

was it a whole or a part-time job?

1
WHOLE TIME
2
PART-TIME
X
NO ANSWER
Ask working mothers only.
qc_9_a == 1

What was your occupation at the time you started this baby?

Generic text

How many weeks before baby came did you stop working? ... WEEKS

How many
YY
DOESN'T KNOW
XX
NO ANSWER

Were you given leave of absence from work because this baby was coming?

1
YES
2
NO
X
NO ANSWER
If "Yes,"
qc_12_a == 1

was it with full pay, part pay, or no pay at all?

1
FULL PAY
2
PART PAY
3
UNPAID
X
NO ANSWER
If you had leave of absence,
qc_12_a == 1

how many weeks in all were you given? ... WEEKS

How many
XX
NO ANSWER

Do you intend to return to work?

1
YES
2
NO
Y
UNCERTAIN
X
NO ANSWER
Ask mothers who intend to return to work.
qc_14 == 1

In how many months after the birth of your baby do you intend to return to work? ... MONTHS

How many
YY
UNCERTAIN
X
NO ANSWER
This Mother's Children.
(Include this baby - exclude miscarriages and adopted or step-children.)
Ask all mothers.

Number of children born to this mother who are still alive and under five years old?

How many

Number of children born to this mother who are still alive and five years or older?

How many

Number of children born alive to this mother who have since died?

How many

Number of children still-born to this mother?

How many

Total number of children (alive and dead) born to this mother?

How many
The Care of this Baby

Baby's weight at birth? (If twins, give weight of each separately. Please check weight from records.) ... POUNDS ... OUNCES

lbs
Ozs
YY
UNCERTAIN
XX
NO ANSWER

How are you feeding baby?

1
BREAST ONLY
2
BREAST AND BOTTLE
3
BOTTLE ONLY
X
NO ANSWER
Ask mothers who are wholly or partly bottle feeding their babies.
qc_18 == 2 || qc_18 == 3

How old was this baby when you started bottle feeding? ... DAYS

Age in days
YY
UNCERTAIN
XX
NO ANSWER

Why are you wholly or partly bottle feeding him?

Generic text
Ante-Natal Care.
Ask all mothers.

Who gave you ante-natal care and advice?

0
NOBODY AT ALL
1
HOSPITAL ANTE-NATAL CLINIC
2
OTHER ANTE-NATAL CLINIC
3
MUNICIPAL MIDWIFE AT HER OR MOTHER'S HOME
4
PRIVATE MIDWIFE
5
DOCTOR BY ARRANGEMENT WITH LOCAL AUTHORITY
6
OWN PRIVATE DOCTOR
7
OBSTETRIC SPECIALIST
OTHER
X
NO ANSWER
Other

How many weeks before baby was born did you first go to a doctor, midwife, or clinic? ... WEEKS

How many
YY
UNCERTAIN
XX
NO ANSWER

Have you had any difficulties in the care of yourself and your baby which you feel could have been avoided if you had been able to have more ante-natal advice.

1
YES
2
NO
X
NO ANSWER
If "Yes,"
qc_23_a == 1

give details (Write in exactly what the mother says)

Generic text

How many times did you attend for ante-natal care or advice:- During the first seven months of pregnancy?

How many

How many times did you attend for ante-natal care or advice:- During the last two months of pregnancy?

How many

How many times did you attend for ante-natal care or advice:- Total number of attendances during pregnancy?

How many
Ask mothers who did not attend an ante-natal clinic (even if they had other ante-natal care)
qc_24_iii == '0'

What were your reasons for not attending an ante-natal clinic? (Write in exactly what the mother says.)

Generic text
The Confinement.
Ask all mothers.

Where was this baby born?

1
DOMICILIARY. OWN HOME
2
DOMICILIARY. OTHER HOME
3
INSTITUTIONAL. MUNICIPAL MATERNITY HOME
4
INSTITUTIONAL. EMERGENCY MATERNITY HOME
5
INSTITUTIONAL. HOSPITAL (PUBLIC WARD)
6
INSTITUTIONAL. HOSPITAL (PRIVATE WARD)
7
INSTITUTIONAL. HOSPITAL (EMERGENCY CASE)
8
INSTITUTIONAL. PRIVATE NURSING HOME
OTHER, NAMELY
X
NO ANSWER
Other

Why did you have your baby there? (Write in exactly what the mother says)

Generic text

If you have another baby would you like to have him in the same place as this one?

1
YES
2
NO
3
DOESN'T WANT ANOTHER BABY
Y
UNCERTAIN
X
NO ANSWER
If "No,"
qc_28_a == 2

where would you like to have him?

1
OWN HOME
2
OTHER HOME
3
HOSPITAL
4
PRIVATE NURSING HOME
OTHER
Y
UNCERTAIN
X
NO ANSWER
Other
Ask mothers delivered in any institution, including nursing home.
qc_26_b > 2 && qc_26_b < 9

How long before baby was born did you book your bed? ... WEEKS

How many
YY
UNCERTAIN
XX
NO ANSWER

How many days before the baby was born were you admitted? ... DAYS

How many
YY
UNCERTAIN
XX
NO ANSWER
Ask all mothers admitted more than three days before baby was born.
qc_30 > '3 days'

Why were you admitted more than three days before baby was born?

Generic text
Ask all mothers.

Who was in charge of your confinement?

1
OBSTETRIC SPECIALIST
2
HOSPITAL DOCTOR (NOT SPECIALIST)
3
OWN DOCTOR BY PREVIOUS ARRANGEMENT
4
DOCTOR CALLED IN FOR EMERGENCY
5
MUNICIPAL MIDWIFE
6
PRIVATE MIDWIFE
OTHER PERSON, NAMELY
X
NO ANSWER
Other

Who actually delivered you baby?

0
BORN BEFORE ATTENDANT ARRIVED
1
OBSTETRIC SPECIALIST
2
HOSPITAL DOCTOR (NOT SPECIALIST)
3
OWN DOCTOR BY PREVIOUS ARRANGEMENT
4
DOCTOR CALLED IN FOR EMERGENCY
5
MEDICAL STUDENT
6
MUNICIPAL MIDWIFE
7
PRIVATE MIDWIFE
8
PUPIL MIDWIFE
OTHER PERSON, NAMELY
Y
DOESN&#39;T KNOW
X
NO ANSWER
Other

Were you given anything during childbirth to relieve the pain?

1
YES
2
NO
Y
DOESN&#39;T KNOW
X
NO ANSWER
If "No,"
qc_34_a == 2

was anything offered to you?

1
YES
2
NO
Y
DOESN&#39;T KNOW
X
NO ANSWER
Ask mothers given or offered anything to relieve pain.
qc_34_a == 1 || qc_34_b == 1

What were you given or offered? (Health Visitors please check if possible.)

1
GAS AND AIR
2
CHLOROFORM
3
GAS AND AIR, AND CHLOROFORM
OTHER, NAMELY
Y
DOESN&#39;T KNOW
X
NO ANSWER
Other
Ask all mothers.

Do you think that anything more could have been done to make your delivery or confinement more satisfactory? If so, give details. (Write in exactly what the mother says)

Generic text
Getting Up, etc.

How many days after baby was born were you able to get up and dress? ... DAYS

99
NOT UP YET
XX
NO ANSWER
How many
Ask mothers delivered in any institution, including nursing home.
qc_26_b > 2 && qc_26_b < 9

How many days after baby was born did you leave the hospital or nursing home? ... DAYS

99
NOT LEFT YET
XX
NO ANSWER
How many
Ask all mothers.

How many days after baby was born did you start doing a full day's work in the house again? ... DAYS

99
NOT STARTED YET
XX
NO ANSWER
How many

Have you been examined by a doctor since your baby was born?

1
YES
2
NO
X
NO ANSWER
If "No,"
qc_40_a == 2

have you made arrangements to be examined?

1
YES
2
NO
X
NO ANSWER

Are you taking your baby to a baby clinic?

1
YES
2
NO
X
NO ANSWER
If "No,"
qc_41_a == 2

have you made arrangements to take him to one?

1
YES
2
NO
X
NO ANSWER
Ask mothers who do not intend to take baby to baby clinic.
qc_41_a == 2 && qc_41_b == 2

What are your reasons for not intending to take baby to a baby clinic? (Write in exactly what the mother says)

Generic text
The House and those who live in it.
Ask all mothers.

How many bedrooms and living rooms (excluding kitchen and scullery) are there in the part of this dwelling occupied by your household (including relations and lodgers living with you)?

How many
How many people are there living with you in these rooms?
Number
THIS MOTHER, FATHER, AND THEIR CHILDREN?
RELATIONS AND FRIENDS?
LODGERS AND DOMESTICS?
TOTAL IN HOUSEHOLD?
Occupation of Father
(If husband is temporarily in the Forces, retired, unemployed or dead, these answers should refer to his previous occupation. All these questions relate only to mother's present husband.)
Ask married mothers.

What does your husband do?

Generic text

In what trade or industry does he work?

Generic text

Is he:-

1
AN EMPLOYER OF TEN OR MORE PEOPLE
2
WORKING FOR HIMSELF OR EMPLOYING LESS THAN TEN PEOPLE
3
EMPLOYED AND EARNING A MONTHLY SALARY
4
EMPLOYED AND EARNING A WEEKLY OR OTHER WAGE
X
NO ANSWER

If your husband is not an employer, or working for himself, what is his employer's business?

Generic text

Date of interview

Generic date

Time taken for interview ... minutes

Minutes
End

nshd_46_tms

MATERNITY SURVEY
ROYAL COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS AND THE POPULATION INVESTIGATION COMMITTEE
69, ECCLESTON SQUARE, LONDON, S.W.1
Ring with a soft pencil the code number opposite the mother's answer.
Mother's name
Generic text
Address
Generic text
If she has transferred since delivery to another M. and C.W Authority, what is her present address?
Generic text
If mother not interviewed because she refused, was ill, etc., give reasons
Generic text

Details of this Birth.

(To be filled in by Health Visitor, if possible, before interview.)
Date of baby's birth
Generic date
Date of birth of last baby (whether alive or dead) preceding this one.
Generic date
0
NO OLDER CHILD
Result (If baby died, at what age did he die?) DIED AGED ... DAYS
1
BABY LIVING
2
STILL-BORN
Age in days
Sex.
1
MALE
2
FEMALE
3
TWINS (BOTH MALE)
4
TWINS (BOTH FEMALE)
5
TWINS (DIFFERENT SEX)
Legitimate or illegitimate.
1
LEGITIMATE
2
ILLEGITIMATE

The Mother and her work.

Mother's age ... YEARS ... MONTHS
Age
Age in months
qc_5 == 1
Mother's age at (first) marriage ... YEARS ... MONTHS
Age
Age in months
Ask all mothers.
What was the last school or other place of education you attended?
1
ELEMENTARY
2
PRIVATE, SECONDARY OR PUBLIC
3
TECHNICAL OR OTHER COLLEGE
4
UNIVERSITY
OTHER, NAMELY
X
NO ANSWER
Other
Were you working when you started this baby?
1
YES
2
NO
X
NO ANSWER
qc_9_a == 1
was it a whole or a part-time job?
1
WHOLE TIME
2
PART-TIME
X
NO ANSWER
qc_9_a == 1
What was your occupation at the time you started this baby?
Generic text
qc_9_a == 1
How many weeks before baby came did you stop working? ... WEEKS
How many
YY
DOESN&#39;T KNOW
XX
NO ANSWER
qc_9_a == 1
Were you given leave of absence from work because this baby was coming?
1
YES
2
NO
X
NO ANSWER
qc_9_a == 1
qc_12_a == 1
was it with full pay, part pay, or no pay at all?
1
FULL PAY
2
PART PAY
3
UNPAID
X
NO ANSWER
qc_9_a == 1
qc_12_a == 1
how many weeks in all were you given? ... WEEKS
How many
XX
NO ANSWER
qc_9_a == 1
Do you intend to return to work?
1
YES
2
NO
Y
UNCERTAIN
X
NO ANSWER
qc_9_a == 1
qc_14 == 1
In how many months after the birth of your baby do you intend to return to work? ... MONTHS
How many
YY
UNCERTAIN
X
NO ANSWER

This Mother's Children.

(Include this baby - exclude miscarriages and adopted or step-children.)
Ask all mothers.
Number of children born to this mother who are still alive and under five years old?
How many
Number of children born to this mother who are still alive and five years or older?
How many
Number of children born alive to this mother who have since died?
How many
Number of children still-born to this mother?
How many
Total number of children (alive and dead) born to this mother?
How many

The Care of this Baby

Baby's weight at birth? (If twins, give weight of each separately. Please check weight from records.) ... POUNDS ... OUNCES
lbs
Ozs
YY
UNCERTAIN
XX
NO ANSWER
How are you feeding baby?
1
BREAST ONLY
2
BREAST AND BOTTLE
3
BOTTLE ONLY
X
NO ANSWER
qc_18 == 2 || qc_18 == 3
How old was this baby when you started bottle feeding? ... DAYS
Age in days
YY
UNCERTAIN
XX
NO ANSWER
qc_18 == 2 || qc_18 == 3
Why are you wholly or partly bottle feeding him?
Generic text

Ante-Natal Care.

Ask all mothers.
Who gave you ante-natal care and advice?
0
NOBODY AT ALL
1
HOSPITAL ANTE-NATAL CLINIC
2
OTHER ANTE-NATAL CLINIC
3
MUNICIPAL MIDWIFE AT HER OR MOTHER&#39;S HOME
4
PRIVATE MIDWIFE
5
DOCTOR BY ARRANGEMENT WITH LOCAL AUTHORITY
6
OWN PRIVATE DOCTOR
7
OBSTETRIC SPECIALIST
OTHER
X
NO ANSWER
Other
How many weeks before baby was born did you first go to a doctor, midwife, or clinic? ... WEEKS
How many
YY
UNCERTAIN
XX
NO ANSWER
Have you had any difficulties in the care of yourself and your baby which you feel could have been avoided if you had been able to have more ante-natal advice.
1
YES
2
NO
X
NO ANSWER
qc_23_a == 1
give details (Write in exactly what the mother says)
Generic text
How many times did you attend for ante-natal care or advice:- During the first seven months of pregnancy?
How many
How many times did you attend for ante-natal care or advice:- During the last two months of pregnancy?
How many
How many times did you attend for ante-natal care or advice:- Total number of attendances during pregnancy?
How many
qc_24_iii == '0'
What were your reasons for not attending an ante-natal clinic? (Write in exactly what the mother says.)
Generic text

The Confinement.

Ask all mothers.
Where was this baby born?
1
DOMICILIARY. OWN HOME
2
DOMICILIARY. OTHER HOME
3
INSTITUTIONAL. MUNICIPAL MATERNITY HOME
4
INSTITUTIONAL. EMERGENCY MATERNITY HOME
5
INSTITUTIONAL. HOSPITAL (PUBLIC WARD)
6
INSTITUTIONAL. HOSPITAL (PRIVATE WARD)
7
INSTITUTIONAL. HOSPITAL (EMERGENCY CASE)
8
INSTITUTIONAL. PRIVATE NURSING HOME
OTHER, NAMELY
X
NO ANSWER
Other
Why did you have your baby there? (Write in exactly what the mother says)
Generic text
If you have another baby would you like to have him in the same place as this one?
1
YES
2
NO
3
DOESN&#39;T WANT ANOTHER BABY
Y
UNCERTAIN
X
NO ANSWER
qc_28_a == 2
where would you like to have him?
1
OWN HOME
2
OTHER HOME
3
HOSPITAL
4
PRIVATE NURSING HOME
OTHER
Y
UNCERTAIN
X
NO ANSWER
Other
qc_26_b > 2 && qc_26_b < 9
How long before baby was born did you book your bed? ... WEEKS
How many
YY
UNCERTAIN
XX
NO ANSWER
qc_26_b > 2 && qc_26_b < 9
How many days before the baby was born were you admitted? ... DAYS
How many
YY
UNCERTAIN
XX
NO ANSWER
qc_26_b > 2 && qc_26_b < 9
qc_30 > '3 days'
Why were you admitted more than three days before baby was born?
Generic text
Ask all mothers.
Who was in charge of your confinement?
1
OBSTETRIC SPECIALIST
2
HOSPITAL DOCTOR (NOT SPECIALIST)
3
OWN DOCTOR BY PREVIOUS ARRANGEMENT
4
DOCTOR CALLED IN FOR EMERGENCY
5
MUNICIPAL MIDWIFE
6
PRIVATE MIDWIFE
OTHER PERSON, NAMELY
X
NO ANSWER
Other
Who actually delivered you baby?
0
BORN BEFORE ATTENDANT ARRIVED
1
OBSTETRIC SPECIALIST
2
HOSPITAL DOCTOR (NOT SPECIALIST)
3
OWN DOCTOR BY PREVIOUS ARRANGEMENT
4
DOCTOR CALLED IN FOR EMERGENCY
5
MEDICAL STUDENT
6
MUNICIPAL MIDWIFE
7
PRIVATE MIDWIFE
8
PUPIL MIDWIFE
OTHER PERSON, NAMELY
Y
DOESN&#39;T KNOW
X
NO ANSWER
Other
Were you given anything during childbirth to relieve the pain?
1
YES
2
NO
Y
DOESN&#39;T KNOW
X
NO ANSWER
qc_34_a == 2
was anything offered to you?
1
YES
2
NO
Y
DOESN&#39;T KNOW
X
NO ANSWER
qc_34_a == 1 || qc_34_b == 1
What were you given or offered? (Health Visitors please check if possible.)
1
GAS AND AIR
2
CHLOROFORM
3
GAS AND AIR, AND CHLOROFORM
OTHER, NAMELY
Y
DOESN&#39;T KNOW
X
NO ANSWER
Other
Ask all mothers.
Do you think that anything more could have been done to make your delivery or confinement more satisfactory? If so, give details. (Write in exactly what the mother says)
Generic text

Getting Up, etc.

How many days after baby was born were you able to get up and dress? ... DAYS
99
NOT UP YET
XX
NO ANSWER
How many
qc_26_b > 2 && qc_26_b < 9
How many days after baby was born did you leave the hospital or nursing home? ... DAYS
99
NOT LEFT YET
XX
NO ANSWER
How many
Ask all mothers.
How many days after baby was born did you start doing a full day's work in the house again? ... DAYS
99
NOT STARTED YET
XX
NO ANSWER
How many
Have you been examined by a doctor since your baby was born?
1
YES
2
NO
X
NO ANSWER
qc_40_a == 2
have you made arrangements to be examined?
1
YES
2
NO
X
NO ANSWER
Are you taking your baby to a baby clinic?
1
YES
2
NO
X
NO ANSWER
qc_41_a == 2
have you made arrangements to take him to one?
1
YES
2
NO
X
NO ANSWER
qc_41_a == 2 && qc_41_b == 2
What are your reasons for not intending to take baby to a baby clinic? (Write in exactly what the mother says)
Generic text

The House and those who live in it.

Ask all mothers.
How many bedrooms and living rooms (excluding kitchen and scullery) are there in the part of this dwelling occupied by your household (including relations and lodgers living with you)?
How many

How many people are there living with you in these rooms?

Number
THIS MOTHER, FATHER, AND THEIR CHILDREN?
RELATIONS AND FRIENDS?
LODGERS AND DOMESTICS?
TOTAL IN HOUSEHOLD?

Occupation of Father

(If husband is temporarily in the Forces, retired, unemployed or dead, these answers should refer to his previous occupation. All these questions relate only to mother's present husband.)
What does your husband do?
Generic text
In what trade or industry does he work?
Generic text
Is he:-
1
AN EMPLOYER OF TEN OR MORE PEOPLE
2
WORKING FOR HIMSELF OR EMPLOYING LESS THAN TEN PEOPLE
3
EMPLOYED AND EARNING A MONTHLY SALARY
4
EMPLOYED AND EARNING A WEEKLY OR OTHER WAGE
X
NO ANSWER
If your husband is not an employer, or working for himself, what is his employer's business?
Generic text
Date of interview
Generic date
Time taken for interview ... minutes
Minutes
Name

The Maternity Services Study