Start
alspac_91_mamb
ME AND MY BABY
This questionnaire asks you how you are feeling, whether you are getting enough sleep and how you reacted to the actual birth of your baby.
All the answers you give are confidential. Your name and address will not be on the questionnaire.
We would be grateful if you would help us by answering as many of these questions as possible but if there is any question you do not want to answer that is fine. Just leave it blank.
THANK YOU VERY MUCH FOR YOUR HELP
SECTION A: LABOUR AND DELIVERY

Where did you have your baby?

1
At home
2
Southmead
3
Weston General
4
BMH
5
Other (please describe)
Other

How did you feel when you first went into labour (or to have your caesarean section)? afraid

1
Not at all
2
A little
3
Moderately
4
Very much so

How did you feel when you first went into labour (or to have your caesarean section)? uncertain

1
Not at all
2
A little
3
Moderately
4
Very much so

How did you feel when you first went into labour (or to have your caesarean section)? calm

1
Not at all
2
A little
3
Moderately
4
Very much so

How did you feel when you first went into labour (or to have your caesarean section)? excited

1
Not at all
2
A little
3
Moderately
4
Very much so

How did you feel when you first went into labour (or to have your caesarean section)? happy

1
Not at all
2
A little
3
Moderately
4
Very much so

How did you feel while you were having the baby:

1
neglected
2
Okay
3
warmly supported
4
other (please describe)
Other
Please make sure you answer the opposite page

In general, did you feel in control of what the doctors and midwives were doing to you during labour?

1
yes, always
2
yes, most of the time
3
only some of the time
4
no, hardly at all
5
did not have doctor or midwife
7
didn't have any labour

During labour, when you needed assistance did you:

1
feel unable to ask
2
feel you could ask, but didn't
3
ask for help
7
didn't have any labour

Who delivered your baby?

1
not sure
2
doctor
3
midwife
4
medical student
5
student midwife
6
other (please describe)
Other

How did the equipment used on you during labour make you feel:

1
very confident
2
did not effect me
3
upset me
4
no equipment was used
5
I was unaware of equipment used
6
something else (please describe)
7
didn't have any labour
Generic text

Did you have any form of pain relief in labour?

1
Yes
2
No
7
Did not have any labour

Who decided whether or not you had any pain relief? doctors

1
Yes
2
No
9
Don't know

Who decided whether or not you had any pain relief? midwives

1
Yes
2
No
9
Don't know

Who decided whether or not you had any pain relief? me

1
Yes
2
No
9
Don't know

Who decided whether or not you had any pain relief? my partner

1
Yes
2
No
9
Don't know

Who decided whether or not you had any pain relief? other (please describe)

1
Yes
2
No
9
Don't know
Other

Were you happy with this decision?

1
Yes
2
No
9
Unsure

Were any of the following types of pain relief used? general anaesthetic

1
Yes
2
No
9
Don't know

Were any of the following types of pain relief used? epidural anaesthetic

1
Yes
2
No
9
Don't know

Were any of the following types of pain relief used? pethidine injection

1
Yes
2
No
9
Don't know

Were any of the following types of pain relief used? gas and air

1
Yes
2
No
9
Don't know

Were any of the following types of pain relief used? other (please describe)

1
Yes
2
No
9
Don't know
Other

Did you have a caesarean section?

1
Yes after being in labour
2
No
3
Yes and never had any labour
If yes to this go to A16 on page 7
qc_A8_e == 3
Else

How was the pain? in labour

1
worse than I expected
2
what I had expected
3
better than I expected
4
did not feel any pain
5
I did not know what to expect
6
other (please describe)
Other

How was the pain? during delivery

1
worse than I expected
2
what I had expected
3
better than I expected
4
did not feel any pain
5
I did not know what to expect
6
other (please describe)
Other

Were you able to get into the positions that were most comfortable for you during labour and delivery? in labour

1
no, hardly at all
2
yes, some of the time
3
yes, all of the time

Were you able to get into the positions that were most comfortable for you during labour and delivery? during delivery

1
no, hardly at all
2
yes, some of the time
3
yes, all of the time

In the first stage of labour what was your position? lying

1
All the time
2
Most of time
3
Sometimes
4
Never

In the first stage of labour what was your position? sitting

1
All the time
2
Most of time
3
Sometimes
4
Never

In the first stage of labour what was your position? standing/walking

1
All the time
2
Most of time
3
Sometimes
4
Never

In the first stage of labour what was your position? other (please describe)

1
All the time
2
Most of time
3
Sometimes
4
Never
Other

What position were you in at delivery?

1
lying on back
2
lying on side
3
standing
4
kneeling
5
crouching
6
other position (please describe)
9
not known
Other
Who did you have with you?
in labour during delivery

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

my husband/partner
my mother
other friend or relative

Were there lots of different staff coming in and out of the room while you were in labour?

1
yes a lot
2
yes, quite a few
3
no, hardly any
4
other (please describe)
Other
If no, go to A15 on page 7
If yes,
qc_A14_a == 1 || qc_A14_a == 2 || qc_A14_a == 4

how did you feel about this?

1
distressed/annoyed
2
not bothered by it
3
pleased
4
other (please describe)
Other

Did you feel that you lost control of the way you behaved during labour and delivery? in labour

1
yes, most of the time
2
yes, for some of the time
3
no, not at all
7
not applicable (unconscious)

Did you feel that you lost control of the way you behaved during labour and delivery? during delivery

1
yes, most of the time
2
yes, for some of the time
3
no, not at all
7
not applicable (unconscious)

Was the birth a wonderful experience for you?

1
Yes
2
No
3
Not sure

Space for any comments you might like to make about the delivery of your baby:

Long text
DENTAL CARE

Did you go to the dentist during this pregnancy?

1
Yes
2
No
If yes
qc_A18 == 1

how many fillings did you have?

(If none put 00)

How many

how many months pregnant were you when you had the first one? ... months

How many
SECTION B: YOUR HEALTH AND LIFESTYLE IN PREGNANCY

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- nausea/feeling sick

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- vomiting

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- diarrhoea

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- vaginal bleeding

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- jaundice

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- urinary infection

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- influenza

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- rubella (german measles)

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- thrush (candida)

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- genital herpes

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- other infection (please describe)

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
Other

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- injury or shock to you (please describe)

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
Generic text

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- sugar in urine

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- x-ray

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- ultrasound scan

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- something else (please describe)

1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
Other

During pregnancy, before you went into labour, were you admitted to hospital?

1
Yes
2
No
If no, go to B3 below
If yes,
qc_B2 == 1
give for each admission:
REASON DATE ADMITTED NO.DAYS STAYED
Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text
1
2
3
4
5

How would you describe your health during the last 4 weeks of pregnancy:

1
always fit and well
2
mostly felt well and healthy
3
often felt unwell
4
hardly ever felt really well

On a normal week nowadays how many cans do you have: of decaffeinated cola ... cans

How many

On a normal week nowadays how many cans do you have: of ordinary cola ... cans

How many

On a normal day, how many cups do you drink: of decaffeinated tea ... cups

How many

On a normal day, how many cups do you drink: of ordinary tea ... cups

How many

On a normal day, how many cups do you drink: of decaffeinated instant coffee ... cups

How many

On a normal day, how many cups do you drink: of ordinary instant coffee ... cups

How many

On a normal day, how many cups do you drink: of decaffeinated real coffee (not instant) ... cups

How many

On a normal day, how many cups do you drink: of ordinary real coffee ... cups

How many
Did you smoke regularly in the last 2 months of pregnancy and since having the baby?
Last 2 months of pregnancy Since having the baby

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

cigarettes
pipe
cigar
other

How many cigarettes (pipes or cigars) per day did you smoke - in the last 2 months of pregnancy? per day:

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
not at

How many cigarettes (pipes or cigars) per day did you smoke - in the past week? per day:

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
not at

If you smoke cigarettes what brand and type of cigarette do you usually smoke? brand (give full name):

Generic text

If you smoke cigarettes what brand and type of cigarette do you usually smoke? type:

1
filtered
2
Unfiltered
3
roll-your-own

If you smoke cigarettes what brand and type of cigarette do you usually smoke? please give tar content and colour of your packet

Generic text
Please send us an empty packet/carton with your questionnaire.

How many cigarettes (pipes or cigars) per day did your partner smoke, in the last 2 months of your pregnancy? per day

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
not at all
99
don't know

How many cigarettes (pipes or cigars) per day did your partner smoke, in the past week? per day

30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
not at all

Did you smoke at all when you were in labour?

1
Yes
2
No
7
Did not go into labour

Please indicate how often you smoked marijuana/grass/cannabis/ganja - In the last 2 months of pregnancy

1
Every day
2
2-4 times a week
3
Once a week
4
Less than once a week
5
Not at all

Please indicate how often you smoked marijuana/grass/cannabis/ganja - Since you had the baby

1
Every day
2
2-4 times a week
3
Once a week
4
Less than once a week
5
Not at all

How often did you use the following in the last 2 months of pregnancy? amphetamines

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? barbiturates

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? crack

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? cocaine

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? heroin

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? methadone

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? ecstasy

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often did you use the following in the last 2 months of pregnancy? other (please describe)

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other

How often have you used the following since having the baby? amphetamines

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? barbiturates

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? crack

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? cocaine

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? heroin

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? methadone

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? ecstasy

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all

How often have you used the following since having the baby? other (please describe)

1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other

How often have you drunk alcoholic drinks? Please indicate for each of the following times: Last 2 months of pregnancy

1
Not at all
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
At least 3-9 glasses every day
6
At least 10 glasses every day

How often have you drunk alcoholic drinks? Please indicate for each of the following times: Since you had the baby

1
Not at all
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
At least 3-9 glasses every day
6
At least 10 glasses every day
[By glass we mean a pub measure of spirits, half a pint of lager or cider, a wine glass of wine, etc]

How many days in the past month have you drunk the equivalent of 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?

5
everyday
4
more than 10 days
3
5-10 days
2
3-4 days
1
1-2 days
0
none

Did you attend antenatal or parentcraft classes during your pregnancy?

1
Yes
2
No
If no, go to Section C on page 14
If yes,
qc_B11_a == 1

were they run by the: hospital

1
Yes
2
No

were they run by the: health centre or local antenatal clinic

1
Yes
2
No

were they run by the: NCT (National Childbirth Trust)

1
Yes
2
No

were they run by the: other (please describe)

1
Yes
2
No
Other

how many times did you go? ... times

How many

did your partner ever go with you?

1
Yes
2
No
SECTION C: YOUR HEALTH NOW
Since having the baby have the following occurred?
-

1 - Almost all the time

2 - Sometimes

3 - Not at all

painful stitches
backache
headaches or migraines
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
infected nipple(s)
other breast problem
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed

Since having the baby have the following occurred? Since having the baby: other problem (please describe)

1
Almost all the time
2
Sometimes
3
Not at all
Other

Since having the baby, have you had to stay in hospital again for any reason?

1
Yes
2
No
If no, go to C3 on page 16
If yes,
qc_C2_a == 1

What was the reason for admission

Generic text

How old was the baby? ... days

How many

Was the baby admitted with you?

1
Yes
2
No

If you have had to stay in hospital apart from the birth, how long did you stay? ... days

How many

What treatment were you given?

Generic text

How would you describe your health now?

1
always fit and well
2
mostly fit and well
3
often unwell
4
hardly ever well

Since having the baby how often have you taken any of the following pills, medicines or ointments? contraceptive pill

1
Almost every day
2
Sometimes
3
Not at all

Since having the baby how often have you taken any of the following pills, medicines or ointments? iron

1
Almost every day
2
Sometimes
3
Not at all

Since having the baby how often have you taken any of the following pills, medicines or ointments? vitamins

1
Almost every day
2
Sometimes
3
Not at all

Since having the baby how often have you taken any of the following pills, medicines or ointments? pills for depression

1
Almost every day
2
Sometimes
3
Not at all

Since having the baby how often have you taken any of the following pills, medicines or ointments? pain killers

1
Almost every day
2
Sometimes
3
Not at all

Since having the baby how often have you taken any of the following pills, medicines or ointments? others

1
Almost every day
2
Sometimes
3
Not at all
Please name all the pills, medicines or ointments you are currently using or have used since the baby was born.

Check: Have you included herbal remedies, sleeping pills, vitamins, cough medicines, pain killers, iron tablets, homeopathic medicines, the contraceptive pill.

What did you take: About how many days did you take or use it?
How manyGeneric textHow manyGeneric text How manyGeneric textHow manyGeneric text
1
2
3
4
5
6
7
8
9
10

Have you had a postnatal check-up yet?

1
Yes
2
No

How much do you weigh at the moment (write NK if you do not know) (Please state whether st. lbs. or Kg.)

Generic text
SECTION D: YOUR FEELINGS
The questions in this section ask you about your feelings. You may have already answered questions like this during your pregnancy. Please do so again. This is so that we can see how having a baby may have changed the way you feel.

Do you feel upset for no obvious reason?

1
Very often
2
Often
3
Not very often
4
Never

Do you get troubled by dizziness or shortness of breath?

1
Very often
2
Often
3
Not very often
4
Never

Have you felt as though you might faint?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel sick or have indigestion?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel that life is too much effort?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel uneasy and restless?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel tingling or prickling sensations in your body, arms or legs?

1
Very often
2
Often
3
Not very often
4
Never

Do you regret much of your past behaviour?

1
Very often
2
Often
3
Not very often
4
Never

Do you sometimes feel panicky?

1
Very often
2
Often
3
Not very often
4
Never

Do you find that you have little or no appetite?

1
Very often
2
Often
3
Not very often
4
Never

Do you wake unusually early in the morning

1
Very often
2
Often
3
Not very often
4
Never

Do you worry a lot?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel tired or exhausted?

1
Very often
2
Often
3
Not very often
4
Never

Do you experience long periods of sadness?

1
Very often
2
Often
3
Not very often
4
Never

Do you feel strung-up inside?

1
Very often
2
Often
3
Not very often
4
Never

Can you get off to sleep alright?

1
Very often
2
Often
3
Not very often
4
Never

Do you ever have the feeling you are going to pieces?

1
Very often
2
Often
3
Not very often
4
Never

Do you often have excessive sweating or fluttering of the heart?

1
Very often
2
Often
3
Not very often
4
Never

Do you find yourself needing to cry?

1
Very often
2
Often
3
Not very often
4
Never

Do you have bad dreams which upset you when you wake up?

1
Very often
2
Often
3
Not very often
4
Never

Do you lose the ability to feel sympathy for others?

1
Very often
2
Often
3
Not very often
4
Never

Can you think quickly?

1
Very often
2
Often
3
Not very often
4
Never

Do you have to make a special effort to face up to a crisis or difficulty?

1
Very often
2
Often
3
Not very often
4
Never
Your feelings in the past week.

I have been able to laugh and see the funny side of things:

1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all

I have looked forward with enjoyment to things:

1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all
Your feelings in the past week.

I have blamed myself unnecessarily when things went wrong:

1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
No never

I have been anxious or worried for no good reason:

1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, often

I have felt scared or panicky for no very good reason:

1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all

Things have been getting on top of me:

1
Yes, most of the time
2
Yes, sometimes
3
No, hardly ever
4
No, not at all

I have been so unhappy that I have had difficulty sleeping:

1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
Your feelings in the past week.

I have felt sad or miserable:

1
Yes, most of the time
2
Yes, quite often
3
Not very often
4
No, not at all

I have been so unhappy that I have been crying:

1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
No, never

The thought of harming myself has occurred to me:

1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never

Have you been feeling at all depressed?

1
No, not at all
2
Only mildly depressed
3
Yes, quite depressed
4
Yes, very depressed

On the whole are there more good days than bad?

1
Yes, more good days
2
About half and half
3
No, more bad days
SECTION E: LIFE EVENTS
Listed below are a number of events which may have brought changes in your life. Have any of these occurred since the middle of your pregnancy? If so, please assess how much effect it had on you.

Since the middle of pregnancy: Your partner died

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: One of your children died

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: A friend or relative died

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: One of your children was ill

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner was ill

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: A friend or relative was ill

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were admitted to hospital - including to have your baby

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were in trouble with the law

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were divorced

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You found that your partner didn't want your child

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were very ill

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner lost his job

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner had problems at work

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You had problems at work

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You lost your job

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner went away

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner was in trouble with the law

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You and your partner separated

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your income was reduced

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You argued with your partner

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You had arguments with your family or friends

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You moved house

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner hurt you physically

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You became homeless

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You had a major financial problem

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You got married

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner hurt your children physically

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You attempted suicide

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were convicted of an offence

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were bleeding and thought you might miscarry

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You started a new job

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You had a test to see if your baby was abnormal

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You had a result on a test that suggested your baby might not be normal

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You were told that you were going to have twins

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You heard that something that had happened might be harmful to the baby

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You tried to have an abortion

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You took an examination

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner was emotionally cruel to you

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your partner was emotionally cruel to your children

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: Your house or car was burgled

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Since the middle of pregnancy: You had an accident

1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen

Having a baby is an important event. How much did this affect you?

1
a lot
2
moderately
3
mildly
4
not at all

Is there anything else which is not on the list which has concerned you or required additional effort from you to cope since becoming pregnant?

1
Yes
2
No
If no, go to Section F on page 25
If yes,
qc_E43_a == 1

please describe :

Generic text

How did this affect you?

1
a lot
2
moderately
3
mildly
4
not at all
SECTION F: LOOKING AFTER YOUR BABY

When did you come home from the maternity ward? ... days after baby was born

(if same day put 00, if never went into hospital put 77)

How many

Since coming home with my baby I have found it:

1
easier than expected
2
about as difficult as I expected
3
more difficult than I expected
4
does not apply (baby not home yet)

How many hours sleep do you get altogether now? during an average night

1
0 - 1 hours
2
2 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
more than 7 hours

How many hours sleep do you get altogether now? during an average day

1
0 - 1 hours
2
2 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
more than 7 hours

Do you feel that you are getting enough sleep?

1
Yes
2
No

Do you manage to go out (eg. shopping, visiting friends) now you have the baby?

1
yes, as much as I always did
2
yes, but a bit less now
3
very much less now
4
no, not at all

What is the present job situation of yourself and your partner? Yourself

1
working for an employer full-time (more than 30 hours a week)
2
working for an employer part-time (one hour or more a week)
3
self-employed, employing other people
4
self-employed, not employing other people
5
on paid maternity leave
6
on a government employment or training scheme
7
waiting to start a job already accepted
8
unemployed and looking for a job
9
at school or in other full-time education
10
unable to work because of long-term sickness or disability
11
retired from paid work
12
looking after the home or family
13
other (please describe)
Other

What is the present job situation of yourself and your partner? Your partner

1
working for an employer full-time (more than 30 hours a week)
2
working for an employer part-time (one hour or more a week)
3
self-employed, employing other people
4
self-employed, not employing other people
6
on a government employment or training scheme
7
waiting to start a job already accepted
8
unemployed and looking for a job
9
at school or in other full-time education
10
unable to work because of long-term sickness or disability
11
retired from paid work
12
looking after the home or family
77
don't have a partner
13
other (please describe)
Other
If you are not doing paid work at present then go to F9 below.
Else

How many weeks old was your baby when you began to work? ... weeks

How many

How many hours per week do you work? ... hours

How many
Who regularly looks after your baby when you are not there?

(Please answer for each person regularly involved.)

- If yes, give hours per week and Age of baby when this began (in weeks)
Hours per week

1 - No

2 - Yes

Age in weeksHours per week

1 - No

2 - Yes

Age in weeks

1 - No

2 - Yes

Age in weeksHours per week
Hours per week

1 - No

2 - Yes

Age in weeksHours per week

1 - No

2 - Yes

Age in weeks

1 - No

2 - Yes

Age in weeksHours per week
Hours per week

1 - No

2 - Yes

Age in weeksHours per week

1 - No

2 - Yes

Age in weeks

1 - No

2 - Yes

Age in weeksHours per week
partner
baby's grandparent
other relative
friend/neighbour
paid person outside your home (e.g. child minder)
paid person in your home (eg. nanny, baby sitter)
day nursery (creche)
other (please describe)

Who regularly looks after your baby when you are not there? other (please describe)

(Please answer for each person regularly involved.)

Other
If you have had no other children, go to F11 below.
Else

Before you had this baby had you ever used any of the following for child care? partner

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? baby's grandparent

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? other relative

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? friend/neighbour

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? childminder (outside baby's home)

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? babysitter, nanny (in baby's home)

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? day nursery

1
Yes
2
No

Before you had this baby had you ever used any of the following for child care? other (please describe)

1
Yes
2
No
Other
If you are currently in paid work go to F12 on page 29
Else

If you are not now in paid work do you think you will start work before your baby is one year old?

1
yes
2
no
3
don't know
If no, or don't know go to F12 on page 29
If yes,
qc_F11_a == 1

how old do you think your baby will be when you start work? ... months

How many

What arrangements have you made about looking after your baby when you begin work? partner

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? baby's grandparent

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? other relative

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? friend/neighbour

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? childminder (outside baby's home)

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? babysitter, nanny (in baby's home)

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? day nursery

1
Yes
2
No
9
Don't know

What arrangements have you made about looking after your baby when you begin work? other (please describe)

1
Yes
2
No
9
Don't know
Other

Whether or not you go back to work, are you planning to use any form of these in the next few months? paid help in your home (nanny, baby sitter)

1
Yes
2
No
9
Don't know

Whether or not you go back to work, are you planning to use any form of these in the next few months? child minder (outside your home)

1
Yes
2
No
9
Don't know

Whether or not you go back to work, are you planning to use any form of these in the next few months? other (please describe)

1
Yes
2
No
9
Don't know
Other
SECTION G: SUPPORT AND HELP
The following statements are about the help and support you have. You may have already answered questions like this during your pregnancy. Please do so again. This is so that we can see how having a baby may have changed the way you feel.

I have no one to share my feelings with

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

My partner provides the emotional support I need

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
Have no partner

There are other mothers with whom I can share my experiences

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

I believe in moments of difficulty my neighbours would help me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

I'm worried that my partner might leave me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
Have no partner

There is always someone with whom I can share my happiness and excitement about my baby

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

If I feel tired I can rely on my partner to take over

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way
7
Have no partner

If I was in financial difficulty I know my family would help if they could

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

If I was in financial difficulty I know my friends would help if they could

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

If all else fails I know the state will support and assist me

1
This is exactly how I feel
2
This is often how I feel
3
This is how I sometimes feel
4
I never feel this way

How much help would you say you have had with the following since having your baby? shopping

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all

How much help would you say you have had with the following since having your baby? cleaning the home

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all

How much help would you say you have had with the following since having your baby? preparing meals

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all

How much help would you say you have had with the following since having your baby? washing up

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all

How much help would you say you have had with the following since having your baby? changing nappies

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all

How much help would you say you have had with the following since having your baby? washing the clothes

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all

How much help would you say you have had with the following since having your baby? other tasks (please describe)

1
A lot of help
2
Some help
3
Hardly any help
4
No help at all
Other

Do you feel you received:

1
too much help
2
the right amount of help
3
too little help

Who has helped with the housework or the baby since your baby was born? partner

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person

Who has helped with the housework or the baby since your baby was born? your mother

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person

Who has helped with the housework or the baby since your baby was born? other relative

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person

Who has helped with the housework or the baby since your baby was born? neighbour

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person

Who has helped with the housework or the baby since your baby was born? friend

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person

Who has helped with the housework or the baby since your baby was born? paid help

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person

Who has helped with the housework or the baby since your baby was born? other (please describe)

1
Yes, helped a lot
2
Yes, helped a bit
3
No, help at all
4
Not able/available to help
7
No such person
Other
SECTION H

Please put the date of completing this questionnaire:

Generic date

Please give the date of birth of: Yourself

Generic date

Please give the date of birth of: Your baby

Generic date
If you smoke, please remember to send back an empty cigarette packet.

Space for any comments you might like to make:

Long text
VERY MANY THANKS FOR ALL YOUR HELP
Please remember, because this is strictly confidential, the people who look at this booklet will not know your name. They will be unable to give you any help or contact anyone after reading what you have written. If you feel you need advice, please feel free to contact our special hot line (Bristol 256260 during office hours).Alternatively your General Practitioner should be able to advise you. If you would like to talk to someone about how you are feeling, contact your health visitor, or Mothers for Mothers, Tel: (Bristol) 232360 between 9 30am and 2 30pm.
When completed, return the questionnaire to: Dr. Jean Golding, Children of the Nineties - ALSPAC, Institute of Child Health, 24, Tyndall Avenue, Bristol. BS8 1BR.
End

alspac_91_mamb

ME AND MY BABY
This questionnaire asks you how you are feeling, whether you are getting enough sleep and how you reacted to the actual birth of your baby.
All the answers you give are confidential. Your name and address will not be on the questionnaire.
We would be grateful if you would help us by answering as many of these questions as possible but if there is any question you do not want to answer that is fine. Just leave it blank.
THANK YOU VERY MUCH FOR YOUR HELP

SECTION A: LABOUR AND DELIVERY

Where did you have your baby?
1
At home
2
Southmead
3
Weston General
4
BMH
5
Other (please describe)
Other
How did you feel when you first went into labour (or to have your caesarean section)? afraid
1
Not at all
2
A little
3
Moderately
4
Very much so
How did you feel when you first went into labour (or to have your caesarean section)? uncertain
1
Not at all
2
A little
3
Moderately
4
Very much so
How did you feel when you first went into labour (or to have your caesarean section)? calm
1
Not at all
2
A little
3
Moderately
4
Very much so
How did you feel when you first went into labour (or to have your caesarean section)? excited
1
Not at all
2
A little
3
Moderately
4
Very much so
How did you feel when you first went into labour (or to have your caesarean section)? happy
1
Not at all
2
A little
3
Moderately
4
Very much so
How did you feel while you were having the baby:
1
neglected
2
Okay
3
warmly supported
4
other (please describe)
Other
Please make sure you answer the opposite page
In general, did you feel in control of what the doctors and midwives were doing to you during labour?
1
yes, always
2
yes, most of the time
3
only some of the time
4
no, hardly at all
5
did not have doctor or midwife
7
didn't have any labour
During labour, when you needed assistance did you:
1
feel unable to ask
2
feel you could ask, but didn't
3
ask for help
7
didn't have any labour
Who delivered your baby?
1
not sure
2
doctor
3
midwife
4
medical student
5
student midwife
6
other (please describe)
Other
How did the equipment used on you during labour make you feel:
1
very confident
2
did not effect me
3
upset me
4
no equipment was used
5
I was unaware of equipment used
6
something else (please describe)
7
didn't have any labour
Generic text
Did you have any form of pain relief in labour?
1
Yes
2
No
7
Did not have any labour
Who decided whether or not you had any pain relief? doctors
1
Yes
2
No
9
Don't know
Who decided whether or not you had any pain relief? midwives
1
Yes
2
No
9
Don't know
Who decided whether or not you had any pain relief? me
1
Yes
2
No
9
Don't know
Who decided whether or not you had any pain relief? my partner
1
Yes
2
No
9
Don't know
Who decided whether or not you had any pain relief? other (please describe)
1
Yes
2
No
9
Don't know
Other
Were you happy with this decision?
1
Yes
2
No
9
Unsure
Were any of the following types of pain relief used? general anaesthetic
1
Yes
2
No
9
Don't know
Were any of the following types of pain relief used? epidural anaesthetic
1
Yes
2
No
9
Don't know
Were any of the following types of pain relief used? pethidine injection
1
Yes
2
No
9
Don't know
Were any of the following types of pain relief used? gas and air
1
Yes
2
No
9
Don't know
Were any of the following types of pain relief used? other (please describe)
1
Yes
2
No
9
Don't know
Other
Did you have a caesarean section?
1
Yes after being in labour
2
No
3
Yes and never had any labour
How was the pain? in labour
1
worse than I expected
2
what I had expected
3
better than I expected
4
did not feel any pain
5
I did not know what to expect
6
other (please describe)
Other
How was the pain? during delivery
1
worse than I expected
2
what I had expected
3
better than I expected
4
did not feel any pain
5
I did not know what to expect
6
other (please describe)
Other
Were you able to get into the positions that were most comfortable for you during labour and delivery? in labour
1
no, hardly at all
2
yes, some of the time
3
yes, all of the time
Were you able to get into the positions that were most comfortable for you during labour and delivery? during delivery
1
no, hardly at all
2
yes, some of the time
3
yes, all of the time
In the first stage of labour what was your position? lying
1
All the time
2
Most of time
3
Sometimes
4
Never
In the first stage of labour what was your position? sitting
1
All the time
2
Most of time
3
Sometimes
4
Never
In the first stage of labour what was your position? standing/walking
1
All the time
2
Most of time
3
Sometimes
4
Never
In the first stage of labour what was your position? other (please describe)
1
All the time
2
Most of time
3
Sometimes
4
Never
Other
What position were you in at delivery?
1
lying on back
2
lying on side
3
standing
4
kneeling
5
crouching
6
other position (please describe)
9
not known
Other

Who did you have with you?

in labour during delivery

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

my husband/partner
my mother
other friend or relative
Were there lots of different staff coming in and out of the room while you were in labour?
1
yes a lot
2
yes, quite a few
3
no, hardly any
4
other (please describe)
Other
If no, go to A15 on page 7
how did you feel about this?
1
distressed/annoyed
2
not bothered by it
3
pleased
4
other (please describe)
Other
Did you feel that you lost control of the way you behaved during labour and delivery? in labour
1
yes, most of the time
2
yes, for some of the time
3
no, not at all
7
not applicable (unconscious)
Did you feel that you lost control of the way you behaved during labour and delivery? during delivery
1
yes, most of the time
2
yes, for some of the time
3
no, not at all
7
not applicable (unconscious)
Was the birth a wonderful experience for you?
1
Yes
2
No
3
Not sure
Space for any comments you might like to make about the delivery of your baby:
Long text

DENTAL CARE

Did you go to the dentist during this pregnancy?
1
Yes
2
No
how many fillings did you have?
How many
how many months pregnant were you when you had the first one? ... months
How many

SECTION B: YOUR HEALTH AND LIFESTYLE IN PREGNANCY

During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- nausea/feeling sick
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- vomiting
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- diarrhoea
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- vaginal bleeding
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- jaundice
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- urinary infection
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- influenza
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- rubella (german measles)
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- thrush (candida)
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- genital herpes
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- other infection (please describe)
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
Other
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- injury or shock to you (please describe)
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
Generic text
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- sugar in urine
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- x-ray
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- ultrasound scan
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
During the last months of pregnancy (from 7 months onwards) did you experience any of the following:- something else (please describe)
1
Yes, in last months of pregnancy
2
No, not in last months of pregnancy
9
Don't know
Other
During pregnancy, before you went into labour, were you admitted to hospital?
1
Yes
2
No
If no, go to B3 below

give for each admission:

REASON DATE ADMITTED NO.DAYS STAYED
Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text Generic textHow manyGeneric dateGeneric textHow manyGeneric dateHow manyGeneric dateGeneric text
1
2
3
4
5
How would you describe your health during the last 4 weeks of pregnancy:
1
always fit and well
2
mostly felt well and healthy
3
often felt unwell
4
hardly ever felt really well
On a normal week nowadays how many cans do you have: of decaffeinated cola ... cans
How many
On a normal week nowadays how many cans do you have: of ordinary cola ... cans
How many
On a normal day, how many cups do you drink: of decaffeinated tea ... cups
How many
On a normal day, how many cups do you drink: of ordinary tea ... cups
How many
On a normal day, how many cups do you drink: of decaffeinated instant coffee ... cups
How many
On a normal day, how many cups do you drink: of ordinary instant coffee ... cups
How many
On a normal day, how many cups do you drink: of decaffeinated real coffee (not instant) ... cups
How many
On a normal day, how many cups do you drink: of ordinary real coffee ... cups
How many

Did you smoke regularly in the last 2 months of pregnancy and since having the baby?

Last 2 months of pregnancy Since having the baby

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

1 - Yes

2 - No

cigarettes
pipe
cigar
other
How many cigarettes (pipes or cigars) per day did you smoke - in the last 2 months of pregnancy? per day:
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
not at
How many cigarettes (pipes or cigars) per day did you smoke - in the past week? per day:
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
5
5-9
1
1-4
0
not at
If you smoke cigarettes what brand and type of cigarette do you usually smoke? brand (give full name):
Generic text
If you smoke cigarettes what brand and type of cigarette do you usually smoke? type:
1
filtered
2
Unfiltered
3
roll-your-own
If you smoke cigarettes what brand and type of cigarette do you usually smoke? please give tar content and colour of your packet
Generic text
Please send us an empty packet/carton with your questionnaire.
How many cigarettes (pipes or cigars) per day did your partner smoke, in the last 2 months of your pregnancy? per day
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
not at all
99
don't know
How many cigarettes (pipes or cigars) per day did your partner smoke, in the past week? per day
30
30+
25
25-29
20
20-24
15
15-19
10
10-14
05
5-9
01
1-4
00
not at all
Did you smoke at all when you were in labour?
1
Yes
2
No
7
Did not go into labour
Please indicate how often you smoked marijuana/grass/cannabis/ganja - In the last 2 months of pregnancy
1
Every day
2
2-4 times a week
3
Once a week
4
Less than once a week
5
Not at all
Please indicate how often you smoked marijuana/grass/cannabis/ganja - Since you had the baby
1
Every day
2
2-4 times a week
3
Once a week
4
Less than once a week
5
Not at all
How often did you use the following in the last 2 months of pregnancy? amphetamines
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? barbiturates
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? crack
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? cocaine
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? heroin
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? methadone
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? ecstasy
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often did you use the following in the last 2 months of pregnancy? other (please describe)
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other
How often have you used the following since having the baby? amphetamines
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? barbiturates
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? crack
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? cocaine
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? heroin
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? methadone
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? ecstasy
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
How often have you used the following since having the baby? other (please describe)
1
Nearly every day
2
At least once a week
3
At least once a month
4
Not at all
Other
How often have you drunk alcoholic drinks? Please indicate for each of the following times: Last 2 months of pregnancy
1
Not at all
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
At least 3-9 glasses every day
6
At least 10 glasses every day
How often have you drunk alcoholic drinks? Please indicate for each of the following times: Since you had the baby
1
Not at all
2
Less than once a week
3
At least once a week
4
1-2 glasses every day
5
At least 3-9 glasses every day
6
At least 10 glasses every day
[By glass we mean a pub measure of spirits, half a pint of lager or cider, a wine glass of wine, etc]
How many days in the past month have you drunk the equivalent of 2 pints of beer, 4 glasses of wine or 4 pub measures of spirit?
5
everyday
4
more than 10 days
3
5-10 days
2
3-4 days
1
1-2 days
0
none
Did you attend antenatal or parentcraft classes during your pregnancy?
1
Yes
2
No
If no, go to Section C on page 14
were they run by the: hospital
1
Yes
2
No
were they run by the: health centre or local antenatal clinic
1
Yes
2
No
were they run by the: NCT (National Childbirth Trust)
1
Yes
2
No
were they run by the: other (please describe)
1
Yes
2
No
Other
how many times did you go? ... times
How many
did your partner ever go with you?
1
Yes
2
No

SECTION C: YOUR HEALTH NOW

Since having the baby have the following occurred?

-

1 - Almost all the time

2 - Sometimes

3 - Not at all

painful stitches
backache
headaches or migraines
urinary infection
nausea
vomiting
diarrhoea
haemorrhoids or piles
infected nipple(s)
other breast problem
feeling weepy/tearful
feeling irritable
feeling exhausted
varicose veins
passing urine very often
problem holding urine when you jump, sneeze etc
indigestion
feeling dizzy/fainting
flashing lights/spots before eyes
shoulder ache
tingling in hands/fingers
tingling in feet/toes
neck ache
feeling depressed
Since having the baby have the following occurred? Since having the baby: other problem (please describe)
1
Almost all the time
2
Sometimes
3
Not at all
Other
Since having the baby, have you had to stay in hospital again for any reason?
1
Yes
2
No
If no, go to C3 on page 16
What was the reason for admission
Generic text
How old was the baby? ... days
How many
Was the baby admitted with you?
1
Yes
2
No
If you have had to stay in hospital apart from the birth, how long did you stay? ... days
How many
What treatment were you given?
Generic text
How would you describe your health now?
1
always fit and well
2
mostly fit and well
3
often unwell
4
hardly ever well
Since having the baby how often have you taken any of the following pills, medicines or ointments? contraceptive pill
1
Almost every day
2
Sometimes
3
Not at all
Since having the baby how often have you taken any of the following pills, medicines or ointments? iron
1
Almost every day
2
Sometimes
3
Not at all
Since having the baby how often have you taken any of the following pills, medicines or ointments? vitamins
1
Almost every day
2
Sometimes
3
Not at all
Since having the baby how often have you taken any of the following pills, medicines or ointments? pills for depression
1
Almost every day
2
Sometimes
3
Not at all
Since having the baby how often have you taken any of the following pills, medicines or ointments? pain killers
1
Almost every day
2
Sometimes
3
Not at all
Since having the baby how often have you taken any of the following pills, medicines or ointments? others
1
Almost every day
2
Sometimes
3
Not at all

Please name all the pills, medicines or ointments you are currently using or have used since the baby was born.

What did you take: About how many days did you take or use it?
How manyGeneric textHow manyGeneric text How manyGeneric textHow manyGeneric text
1
2
3
4
5
6
7
8
9
10
Have you had a postnatal check-up yet?
1
Yes
2
No
How much do you weigh at the moment (write NK if you do not know) (Please state whether st. lbs. or Kg.)
Generic text

SECTION D: YOUR FEELINGS

The questions in this section ask you about your feelings. You may have already answered questions like this during your pregnancy. Please do so again. This is so that we can see how having a baby may have changed the way you feel.
Do you feel upset for no obvious reason?
1
Very often
2
Often
3
Not very often
4
Never
Do you get troubled by dizziness or shortness of breath?
1
Very often
2
Often
3
Not very often
4
Never
Have you felt as though you might faint?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel sick or have indigestion?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel that life is too much effort?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel uneasy and restless?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel tingling or prickling sensations in your body, arms or legs?
1
Very often
2
Often
3
Not very often
4
Never
Do you regret much of your past behaviour?
1
Very often
2
Often
3
Not very often
4
Never
Do you sometimes feel panicky?
1
Very often
2
Often
3
Not very often
4
Never
Do you find that you have little or no appetite?
1
Very often
2
Often
3
Not very often
4
Never
Do you wake unusually early in the morning
1
Very often
2
Often
3
Not very often
4
Never
Do you worry a lot?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel tired or exhausted?
1
Very often
2
Often
3
Not very often
4
Never
Do you experience long periods of sadness?
1
Very often
2
Often
3
Not very often
4
Never
Do you feel strung-up inside?
1
Very often
2
Often
3
Not very often
4
Never
Can you get off to sleep alright?
1
Very often
2
Often
3
Not very often
4
Never
Do you ever have the feeling you are going to pieces?
1
Very often
2
Often
3
Not very often
4
Never
Do you often have excessive sweating or fluttering of the heart?
1
Very often
2
Often
3
Not very often
4
Never
Do you find yourself needing to cry?
1
Very often
2
Often
3
Not very often
4
Never
Do you have bad dreams which upset you when you wake up?
1
Very often
2
Often
3
Not very often
4
Never
Do you lose the ability to feel sympathy for others?
1
Very often
2
Often
3
Not very often
4
Never
Can you think quickly?
1
Very often
2
Often
3
Not very often
4
Never
Do you have to make a special effort to face up to a crisis or difficulty?
1
Very often
2
Often
3
Not very often
4
Never

Your feelings in the past week.

I have been able to laugh and see the funny side of things:
1
As much as I always could
2
Not quite so much now
3
Definitely not so much now
4
Not at all
I have looked forward with enjoyment to things:
1
As much as I ever did
2
Rather less than I used to
3
Definitely less than I used to
4
Hardly at all
Your feelings in the past week.
I have blamed myself unnecessarily when things went wrong:
1
Yes, most of the time
2
Yes, some of the time
3
Not very often
4
No never
I have been anxious or worried for no good reason:
1
No, not at all
2
Hardly ever
3
Yes, sometimes
4
Yes, often
I have felt scared or panicky for no very good reason:
1
Yes, quite a lot
2
Yes, sometimes
3
No, not much
4
No, not at all
Things have been getting on top of me:
1
Yes, most of the time
2
Yes, sometimes
3
No, hardly ever
4
No, not at all
I have been so unhappy that I have had difficulty sleeping:
1
Yes, most of the time
2
Yes, sometimes
3
Not very often
4
No, not at all
Your feelings in the past week.
I have felt sad or miserable:
1
Yes, most of the time
2
Yes, quite often
3
Not very often
4
No, not at all
I have been so unhappy that I have been crying:
1
Yes, most of the time
2
Yes, quite often
3
Only occasionally
4
No, never
The thought of harming myself has occurred to me:
1
Yes, quite often
2
Sometimes
3
Hardly ever
4
Never
Have you been feeling at all depressed?
1
No, not at all
2
Only mildly depressed
3
Yes, quite depressed
4
Yes, very depressed
On the whole are there more good days than bad?
1
Yes, more good days
2
About half and half
3
No, more bad days

SECTION E: LIFE EVENTS

Listed below are a number of events which may have brought changes in your life. Have any of these occurred since the middle of your pregnancy? If so, please assess how much effect it had on you.
Since the middle of pregnancy: Your partner died
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: One of your children died
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: A friend or relative died
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: One of your children was ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner was ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: A friend or relative was ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were admitted to hospital - including to have your baby
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were in trouble with the law
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were divorced
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You found that your partner didn't want your child
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were very ill
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner lost his job
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner had problems at work
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You had problems at work
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You lost your job
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner went away
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner was in trouble with the law
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You and your partner separated
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your income was reduced
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You argued with your partner
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You had arguments with your family or friends
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You moved house
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner hurt you physically
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You became homeless
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You had a major financial problem
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You got married
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner hurt your children physically
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You attempted suicide
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were convicted of an offence
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were bleeding and thought you might miscarry
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You started a new job
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You had a test to see if your baby was abnormal
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You had a result on a test that suggested your baby might not be normal
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You were told that you were going to have twins
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You heard that something that had happened might be harmful to the baby
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You tried to have an abortion
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You took an examination
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner was emotionally cruel to you
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your partner was emotionally cruel to your children
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: Your house or car was burgled
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Since the middle of pregnancy: You had an accident
1
Yes & affected me a lot
2
Yes, moderately affected
3
Yes, mildly affected
4
Yes, but did not affect me at all
5
No did not happen
Having a baby is an important event. How much did this affect you?
1
a lot
2
moderately
3
mildly
4
not at all
Is there anything else which is not on the list which has concerned you or required additional effort from you to cope since becoming pregnant?
1
Yes
2
No
If no, go to Section F on page 25
please describe :
Generic text
How did this affect you?
1
a lot
2
moderately
3
mildly
4
not at all

SECTION F: LOOKING AFTER YOUR BABY

When did you come home from the maternity ward? ... days after baby was born
How many
Since coming home with my baby I have found it:
1
easier than expected
2
about as difficult as I expected
3
more difficult than I expected
4
does not apply (baby not home yet)
How many hours sleep do you get altogether now? during an average night
1
0 - 1 hours
2
2 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
more than 7 hours
How many hours sleep do you get altogether now? during an average day
1
0 - 1 hours
2
2 - 3 hours
3
4 - 5 hours
4
6 - 7 hours
5
more than 7 hours
Do you feel that you are getting enough sleep?
1
Yes
2
No
Do you manage to go out (eg. shopping, visiting friends) now you have the baby?
1
yes, as much as I always did
2
yes, but a bit less now
3
very much less now
4
no, not at all