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alspac_91_yp
YOUR PREGNANCY
This questionnaire asks about how you are now feeling and some questions about your background, and about your plans and preparations for the baby.
Your answers are confidential. Your name will not be on the questionnaire and none of the doctors or nurses you see will know your answers.
Please answer all the questions you can. If there are any you cannot answer or do not wish to answer that is fine. Just leave them blank.
THANK YOU VERY MUCH FOR YOUR HELP
SECTION A: PLANS AND EXPECTATIONS
Information about pregnancy

Before you became pregnant this time did you read a lot about pregnancy and becoming a parent?

1
yes, a lot
2
yes, some
3
yes, a little
4
no, I didn't want to
5
no, I didn't have time
6
no, I didn't need to

Do you have friends or relatives who have children with whom you can discuss your pregnancy?

1
yes, many
2
yes, some
3
no

How would you describe the knowledge you have about having a baby? before you became pregnant this time

1
I knew nothing
2
I knew a little
3
I knew quite a lot

How would you describe the knowledge you have about having a baby? now

1
I know nothing
2
I know a little
3
I know quite a lot

Have you attended childbirth preparation classes in this pregnancy?

1
yes
2
no, but intend to
3
no, and don't intend to
4
haven't decided

Did you attend classes in a previous pregnancy?

1
Yes
2
No
7
Never been pregnant before
How much do you want to know about what might happen during labour?
-

1 - Yes

2 - No

I'd rather not know anything
I just want to know the basics
I want to know most things but not things that will upset or worry me
I'm happy to let the staff decide how much I ought to know
I want to know as much as possible

Which of these options would you prefer ideally?

1
the most pain-free labour that drugs/epidural can give me
2
the minimum amount of drugs to keep the pain manageable
3
no pain killers at all
9
don't have any opinion
4
other (please describe)
Other

Would you like someone you know (husband/partner/mother/friend) with you at all times throughout your labour?

1
yes, I want this very much
2
yes, I would quite like this
3
I don't mind
4
no, I would prefer not to have this
5
no, I definitely do not want this

Assuming that there are no complications, who do you think should make the decisions about your labour?

(tick one only)

1
doctors
2
midwives
3
doctors and midwives
4
doctors, midwives and me together
5
me
6
midwives and me together
9
don't know

How important is it to you that giving birth will be a wonderful experience?

1
very important
2
quite important
3
not very important
4
not at all important
9
I don't know

Do you intend to start work after you have the baby?

1
Yes
2
No
If no go to B1.
If yes,
qc_A9_a == 1

about how old do you expect the baby will be when you go back to work?

1
less than 6 weeks
2
6 weeks - 5 months
3
6 months - 12 months
4
over 12 months

Have you decided what sort of child care you will have?

1
Yes
2
No
If yes,
qc_A9_c == 1

what sort of child care do you expect to use? nanny/childminder in your home

1
Yes
2
No
9
Don't know

what sort of child care do you expect to use? childminder outside your home

1
Yes
2
No
9
Don't know

what sort of child care do you expect to use? partner

1
Yes
2
No
9
Don't know

what sort of child care do you expect to use? family

1
Yes
2
No
9
Don't know

what sort of child care do you expect to use? nursery/creche

1
Yes
2
No
9
Don't know

what sort of child care do you expect to use? other (please describe)

1
Yes
2
No
9
Don't know
Generic text
SECTION B: YOUR PRESENT HEALTH

How would you describe your health in the last two weeks:

1
always fit and well
2
usually fit and well
3
sometimes unwell
4
often unwell
5
always unwell

In the last 3 months have you had any of the following: nausea

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: vomiting

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: diarrhoea

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: vaginal bleeding

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: jaundice

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: urinary infection

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: a cold

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: influenza (flu)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: rubella (german measles)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: thrush (candida)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: genital herpes

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: other infection (please describe)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Other

In the last 3 months have you had any of the following: injury or shock to you (please describe)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Generic text

In the last 3 months have you had any of the following: sugar in urine

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: x-ray

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: amniocentesis (amnio)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: chorionic villus sampling (CVS)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: AFP test (spina bifida test)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: ultrasound scan

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: headache

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: backache

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

In the last 3 months have you had any of the following: varicose veins

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know

Have you been admitted to hospital in the last 3 months?

1
Yes
2
No
If no, go to B4.
If yes,
qc_B3_a == 1
give reason for each admission:
Reason Date admitted Number of 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
In the last 3 months have you used any medicines, pills or ointments for the following:
-

1 - Yes, in last 3 months

2 - No, not in last 3 months

9 - Don't know

nausea
heartburn
vomiting
anxiety
infection
migraine
difficulty going to sleep
pain
allergies
skin condition
bleeding
depression
piles
constipation
cough

In the last 3 months have you used any medicines, pills or ointments for the following: other reason (please describe)

1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Other

In the last three months have you been taking any of the following? iron

1
Yes
2
No

In the last three months have you been taking any of the following? zinc

1
Yes
2
No

In the last three months have you been taking any of the following? calcium

1
Yes
2
No

In the last three months have you been taking any of the following? folic acid/folate

1
Yes
2
No

In the last three months have you been taking any of the following? vitamins (please describe)

1
Yes
2
No
Generic text

In the last three months have you been taking any of the following? other supplements or diet foods (please describe)

1
Yes
2
No
Other

Do you ever take homeopathic medicines?

1
Yes often
2
Yes sometimes
3
No
If yes,
qc_B6 == 1 || qc_B6 == 2

please list any you have taken this pregnancy:

Generic text
Please indicate how often you have taken the following pills in the last three months
-

1 - Every day

2 - Most days

3 - Sometimes

4 - Not at all

aspirin
paracetamol
codeine/anadin
mogadon, or other sleeping tablets
valium, or other tranquillisers
Please describe all pills, medicines and ointments you have taken or used in the past 3 months, including those listed above.

Check Have you included the contraceptive pill, iron tablets, laxatives, vitamins, sleeping tablets, aspirin, cough mixture, pain killers, indigestion tablets, herbal medicine?

What did you take: (give exact name if you can) About how many days did you take or use it? How many weeks pregnant were you?
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many
1
2
3
4
5
6
7
8
9
10
If you need more room continue on page 40.
SECTION C: YOUR DIET
We are interested in your diet. How many times nowadays do you eat:
-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1 - 3 times a week

4 - 4 - 7 times a week

5 - More than once a day

Sausages, Burgers
Pies, Pasties (pork pie, steak/meat pie etc.)
Meat (beef, lamb, pork, ham, bacon etc.)
Poultry (chicken, turkey etc)
Liver, liver pate, kidney, heart
White fish (cod, haddock, plaice, fish fingers etc)
Other fish (pilchards, sardines, mackerel, tuna, herring, kippers, trout, salmon etc)
Shellfish (prawns, crab, cockles, mussels etc)
Eggs, quiche
Cheese
Pizza
Chips
Roast potatoes (cooked in fat)
Boiled, mashed, jacket potatoes
Rice (boiled)
Pasta (eg. spaghetti, Pot Noodles, lasagna)
Crisps
Fried foods (eg. fried fish, eggs, bacon, chops etc)

Do you eat the fat on meat?

1
yes, all of it
2
yes, some of it
3
no
4
never eat meat
How many times a week nowadays do you eat:
-

1 - Never or rarely

2 - Once in 2 weeks

3 - 1 - 3 times a week

4 - 4 - 7 times a week

5 - More than once a day

Baked beans
Peas, sweetcorn, broad beans
Cabbage, brussel sprouts, kale and other green leafy vegetables
Other green vegetables (cauliflower, runner beans, leeks etc)
Carrots
Other root vegetables (turnip,swede,parsnip etc)
Salad (lettuce, tomato, cucumber etc)
Fresh fruit (apple, pear, banana, orange, bunch of grapes etc)
Tinned juice (including tomato juice)
Pure juice not in tin
Pudding (eg fruit pie, crumble, cheesecake, milk pudding, mousse, gateaux)
Oat cereals (eg porridge, Ready Brek, muesli)
Wholegrain or bran cereals (eg. All Bran, Bran Flakes, Weetabix, Wheatflakes, Fruit & Fibre)
Other cereals (eg Cornflakes, Rice Krispies, Special K, Frosties)
Cakes or buns (fruit cake, sponge, teacake, buns, doughnut, flapjack, scone, custard tart, cream cake etc)
Crispbreads (Ryvita, crackerbread etc)
Biscuits (digestive, shortcake, Hob Nobs, Rich Tea, Nice, Marie, chocolate biscuits, Penguin, Club, Kit Kat etc)
Chocolate bars (Mars, Twix, Wispa, Bounty, Creme Egg etc)
Pulses - dried peas, beans, lentils, chick peas
Nuts, nut roast
Bean Curd (eg. Tofu, miso)
Tahini
Soya 'Meat', T.V.P., Vegeburgers
Chocolate (dairy milk or plain, nut, fruit filled etc)
Sweets (peppermints, boiled sweets, toffees etc)

When you have a soft drink, how often do you choose low calorie or diet drinks?

1
always
2
sometimes
3
not at all
7
don't drink soft drinks

How many pieces of bread, rolls or chappatis do you eat on a usual day ?

1
less than 1
2
1-2
3
3-4
4
5 or more

How many times in a month do you eat take-away foods for your main meal?

1
never or rarely
2
1 - 2
3
3 - 4
4
5 - 9
5
10 or more

What types of bread do you eat most days? white bread

1
Yes
2
No

What types of bread do you eat most days? brown/granary bread

1
Yes
2
No

What types of bread do you eat most days? wholemeal bread

1
Yes
2
No

What types of bread do you eat most days? chappatis, nan bread

1
Yes
2
No

What types of bread do you eat most days? don't usually eat any bread

1
Yes
2
No
What sort of fat do you mainly use:
On bread or vegetables For frying

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

Butter, Ghee, Dripping Lard, solid cooking fat
Hard or soft margarine e.g. Blue Band, Stork, supermarket own brand
Polyunsaturated margarine e.g. Flora, sunflower, Vitalite
Low fat spread e.g. Outline, Delight, St.Ivel Gold
Sunflower, soya, corn, olive oil
Other vegetable oil
Other (please describe)

What sort of fat do you mainly use: Other (please describe)

Other

How many slices of bread (or rolls) spread with fat do you eat each day? (include bought sandwiches) ... slices

How many

What type(s) of milk do you use? Full fat (silver or gold top)

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Semi Skimmed (red stripe)

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Skimmed (blue stripe)

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Sterilised

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Dried milk

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Goat/sheep milk

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Soya milk

1
Yes usually
2
Yes sometimes
3
No not at all

What type(s) of milk do you use? Other (please describe)

1
Yes usually
2
Yes sometimes
3
No not at all
Other

How often do you have milk: In tea

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: In coffee

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: On breakfast cereal

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: As pudding (custard,rice)

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: To drink on its own

1
Yes usually
2
Yes sometimes
3
No not at all

How often do you have milk: As a milky drink (Horlicks, cocoa, all milk coffee)

1
Yes usually
2
Yes sometimes
3
No not at all

How many cups of tea do you drink in a day? (do not include herbal teas) ... cups

How many

How many spoons of sugar in each cup? ... spoons

How many

How many of the cups of tea you drink each day are decaffeinated? ... cups

How many

How many cups of coffee do you drink in a day? ... cups

How many

How many spoons of sugar in each cup? ... spoons

How many

How many of the cups of coffee you drink each day are decaffeinated? ... cups

How many

How many of the cups of coffee you drink each day are made using real coffee (ie. not instant)? ... cups

How many

How many of these are decaffeinated? ... cups

How many

How many drinks of cola do you have in a week? ... drinks

How many

How many of these drinks are decaffeinated? ... drinks

How many

Do you drink herbal teas at all?

1
yes, often
2
yes, occasionally
3
no, not at all
If no, go to C15.
If yes,
qc_C14_a == 1 || qc_C14_a == 2

how many cups/mugs of herbal teas have you drunk in the past week? ... cups/mugs

How many

Please list the types of herbal teas you have drunk in the past 3 months:

Generic text

Do you buy organic foods? fruit

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic

Do you buy organic foods? vegetables

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic

Do you buy organic foods? meat

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic

Do you buy organic foods? other (please describe)

1
Yes, usually organic
2
Yes, sometimes organic
3
No, never organic
Other

Apart from herbal teas, are there any other health foods (whether or not bought from a health food shop) that you often eat or drink?

1
Yes
2
No
if yes,
qc_C16 == 1

please describe below:

Generic text

Have you been on a diet this pregnancy?

1
Yes
2
No
If yes,
qc_C17_a == 1

please describe the type of diet:

Generic text

Apart from this pregnancy have you ever gone on a diet to lose weight?

1
Yes
2
No
If yes,
qc_C17_b == 1

how often?

1
1-2
2
3-5
3
6-10
4
more than 10 times

how long do your diets usually last?

1
under 1 month
2
1-3 months
3
more than 3 months

Are you, or have you ever been a vegetarian?

1
yes, I am now
2
yes,in past not now
3
no,never
If yes,
qc_C18_a == 1 || qc_C18_a == 2

how many years of your life have you been vegetarian? ... years

(If less than one year put 00)

How many

Are you, or have you ever been, a vegan (i.e. do not eat meat, poultry, fish, eggs, butter, milk or cheese)?

1
yes, I am now
2
yes,in past not now
3
no,never
if yes,
qc_C19_a == 1 || qc_C19_a == 2

how many years of your life have you been vegan? ... years

(If less than one year put 00)

How many

Do you now feel you've put on too much weight?

1
Yes, most of the time
2
Yes, occasionally
3
No, not at all

Do you feel uncomfortable seeing your body in the mirror?

1
Yes, most of the time
2
Yes, occasionally
3
No, not at all

Have you had a strong desire to lose weight at any time during this pregnancy?

1
Yes, most of the time
2
Yes, occasionally
3
No, not at all

Do you feel dissatisfied about your shape?

1
Yes, most of the time
2
Yes, occasionally
3
No, not at all

Have you experienced any loss of control over eating during this pregnancy?

1
Yes, most of the time
2
Yes, occasionally
3
No, not at all

Are you concerned about losing any extra weight you've gained in this pregnancy?

1
Yes, most of the time
2
Yes, occasionally
3
No, not at all

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
At present how much of the following do you usually drink in a day:
Weekday Weekend day
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
beer or lager (half-pints)
wine (glasses)
spirits (pub-measures)
other alcoholic drinks (pub measures)
SECTION D: YOUR OWN CHILDHOOD
Please indicate if any of the following events happened to you before you were 17 and how much it affected you.

Before you were 17: Your parent died

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

Before you were 17: A brother or sister died

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

Before you were 17: A relative died

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

Before you were 17: A friend died

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

Before you were 17: A parent had a serious illness

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

Before you were 17: A parent was in hospital

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

Before you were 17: You had a serious physical illness

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

Before you were 17: You were in hospital

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

Before you were 17: Brother or sister had a serious illness

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

Before you were 17: Brother or sister was in hospital

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

Before you were 17: A parent had a serious accident

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

Before you were 17: You had a serious accident

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

Before you were 17: Brother or sister had a serious accident

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

Before you were 17: You acquired a physical deformity

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

Before you were 17: You became pregnant

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

Before you were 17: A parent was imprisoned

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

Before you were 17: A parent was physically cruel to you

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

Before you were 17: Your parents separated

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

Before you were 17: Your parents divorced

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

Before you were 17: A parent remarried

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

Before you were 17: A parent 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
5
No did not happen

Before you were 17: Your parents had serious arguments

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

Before you were 17: You were sexually abused

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

Before you were 17: A parent was mentally ill

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

Before you were 17: You discovered you were adopted

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

Before you were 17: Your family moved to a new district

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

Before you were 17: You were in trouble with the police

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

Before you were 17: You were expelled or suspended from school

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

Before you were 17: You failed an important exam

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

Before you were 17: Your family's financial circumstances got worse

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

Before you were 17: You acquired a stepbrother or stepsister

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

Before you were 17: Other important happening (please tick & describe)

1
Yes affected me a lot
2
Yes moderately affected
3
Yes mildly affected
4
Yes but did not affect me
5
No did not happen
Other

How many schools did you attend between the ages of 5 and 16?

How many
Looking back would you call your childhood happy? Please indicate for each age range:
-

1 - Yes very happy

2 - Yes moderately happy

3 - Not really happy

4 - No quite unhappy

5 - No very unhappy

6 - Can't remember

0-5 years
6-11 years
12-15 years
How many brothers and sisters did you have:
Brothers Sisters
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
older than you
younger than you

did you have a twin?

1
yes, twin brother
2
yes, twin sister
3
no
If you had a twin sister:
qc_D35_c == 2

were you identical twins?

1
yes
2
no
3
not sure

did you usually dress alike?

1
yes, usually
2
yes, sometimes
3
no, not at all
SECTION E: YOUR ENVIRONMENT AND LIFESTYLE

Are you living in the same home that you were in at the start of your pregnancy?

1
Yes
2
No
If no,
qc_E1_a == 2

how many times have you moved?

How many

Have you been homeless at any time during this pregnancy?

1
Yes
2
No

Have we sent this questionnaire to your correct address?

1
Yes
2
No
If no, please telephone Bristol 256260 or send a card with your new address, quoting your contact number.

Are you intending to move house in the near future?

1
Yes
2
No
If yes, please let us know your new address on the back cover

Please indicate how often during the day you are in a room or enclosed place where other people are smoking: Weekdays

1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all

Please indicate how often during the day you are in a room or enclosed place where other people are smoking: Weekends

1
all the time
2
more than 5 hours
3
3-5 hours
4
1-2 hours
5
less than 1 hour
6
not at all

How many cigarettes per day are you yourself smoking at the moment ... cigarettes

How many

Are you currently in paid work?

1
Yes
2
No
If yes, go to Question E5.
qc_E4_a == 1
Else

Have you worked at all during this pregnancy?

1
Yes
2
No
If no, go to E6.
qc_E4_b == 2
Else

What date did you stop work?

Generic date

What was the main reason?

1
ill health
2
tiredness
3
company rules
4
to prepare for the baby
5
other (please describe)
Other

Are you now on paid maternity leave?

1
Yes
2
No

If you are working, how many hours per week do you work? ... hours

How many

Do you do shift work?

1
Yes
2
No
If yes,
qc_E5_b == 1

does this include night shift?

1
Yes
2
No

Which of the following statements best applied to you, in the last 3 months and now: in the last 3 months

1
Very energetic
2
Quite energetic
3
Lacking in energy

Which of the following statements best applied to you, in the last 3 months and now: nowadays

1
Very energetic
2
Quite energetic
3
Lacking in energy

Compared with other pregnant women of your age, would you consider yourself to be:

1
much more active
2
somewhat more active
3
about the same
4
somewhat less active
5
much less active

Nowadays, at least once a week do you engage in any regular activity like brisk walking, gardening, housework, jogging, cycling, etc. long enough to work up a sweat?

1
Yes
2
No
If yes,
qc_E6_d == 1

how many hours a week: ... hours

How many
In a normal day now, whether at home or not, do you:
-

1 - Yes often

2 - Yes sometimes

3 - No not at all

lift and carry young children
lift and carry heavy objects (more than 10kg or 20lb)
bend and stoop
have rest periods
use vibrating machinery
How difficult at the moment do you find it to afford these items:
-

1 - Very difficult

2 - Fairly difficult

3 - Slightly difficult

4 - Not difficult

Food
Clothing
Heating
Rent or mortgage
Things you will need for the baby
SECTION F: YOUR FEELINGS
The questions in this section ask you about your feelings and the way you behave nowadays Please indicate 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 as quickly as you used to?

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
In the past week.

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

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
SECTION G: INFANT FEEDING
Below are some attitudes about infant feeding often expressed by mothers. What do you feel?

Breast-feeding stops a mother from having the freedom to do what she wants

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Breast-feeding gives the mother a special relationship with her baby

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Bottle-feeding allows the father to share the child more

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Breast milk is better for the baby

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Bottle-feeding is more convenient for the mother

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

A mother who does not breast feed is inferior

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

Breast-feeding is difficult

1
Strongly agree
2
Agree
3
Unsure
4
Disagree
5
Strongly disagree

How are you going to feed your baby: in the first week

1
Breast
2
Bottle
3
Both
4
Uncertain

How are you going to feed your baby: in the first month

1
Breast
2
Bottle
3
Both
4
Uncertain

How are you going to feed your baby: in the next 3 months

1
Breast
2
Bottle
3
Both
4
Uncertain

How does your partner want you to feed the baby?

1
don't know
2
no strong feelings
3
undecided
4
wants me to breast feed
5
wants me to bottle feed
7
don't have a partner

Were you breast fed as a baby?

1
Yes
2
No
9
Don't know
SECTION H: EDUCATION AND OCCUPATION
What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Yourself
-

1 - Yes

CSE or GCSE (D, E, F or G)
O-level or GCSE (A, B or C)
A-level
Qualifications in shorthand/typing/or other skills, e.g. hairdressing
Apprenticeship
State enrolled nurse
State registered nurse
City & Guilds intermediate technical
City & Guilds final technical
City & Guilds full technical
Teaching qualification
University degree
No qualifications
Qualifications not known
Not applicable, no such person

What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Yourself Other (please describe)

1
Yes
Other
What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Your partner
-

1 - Yes

CSE or GCSE (D, E, F or G)
O-level or GCSE (A, B or C)
A-level
Qualifications in shorthand/typing/or other skills, e.g. hairdressing
Apprenticeship
State enrolled nurse
State registered nurse
City & Guilds intermediate technical
City & Guilds final technical
City & Guilds full technical
Teaching qualification
University degree
No qualifications
Qualifications not known
Not applicable, no such person

What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Your partner Other (please describe)

1
Yes
Other
What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Your mother*
-

1 - Yes

CSE or GCSE (D, E, F or G)
O-level or GCSE (A, B or C)
A-level
Qualifications in shorthand/typing/or other skills, e.g. hairdressing
Apprenticeship
State enrolled nurse
State registered nurse
City & Guilds intermediate technical
City & Guilds final technical
City & Guilds full technical
Teaching qualification
University degree
No qualifications
Qualifications not known
Not applicable, no such person

What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Your mother* Other (please describe)

1
Yes
Other
What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Your father*
-

1 - Yes

CSE or GCSE (D, E, F or G)
O-level or GCSE (A, B or C)
A-level
Qualifications in shorthand/typing/or other skills, e.g. hairdressing
Apprenticeship
State enrolled nurse
State registered nurse
City & Guilds intermediate technical
City & Guilds final technical
City & Guilds full technical
Teaching qualification
University degree
No qualifications
Qualifications not known
Not applicable, no such person

What educational qualifications do you, your partner, your mother, and your father have? Please tick all that apply. Your father* Other (please describe)

1
Yes
Other
[* by this we mean the mother figure or father figure who was mostly responsible for bringing you up]
What is the present employment situation of yourself and your partner? Yourself

Please tick all that apply.

-

1 - Yes

Working for an employer full-time (more than 30 hours a week)
Working for an employer part-time (one hour or more a week)
Self-employed, employing other people
Self-employed, not employing other people
On a government employment or training scheme
Waiting to start a job already accepted
Unemployed and looking for a job
At school or in other full-time education
Unable to work because of long-term sickness or disability
Retired from paid work
Looking after the home or family

What is the present employment situation of yourself and your partner? Yourself Other (please describe)

Please tick all that apply.

1
Yes
Other
What is the present employment situation of yourself and your partner? Your partner

Please tick all that apply.

-

1 - Yes

Working for an employer full-time (more than 30 hours a week)
Working for an employer part-time (one hour or more a week)
Self-employed, employing other people
Self-employed, not employing other people
On a government employment or training scheme
Waiting to start a job already accepted
Unemployed and looking for a job
At school or in other full-time education
Unable to work because of long-term sickness or disability
Retired from paid work
Looking after the home or family

What is the present employment situation of yourself and your partner? Your partner Other (please describe)

Please tick all that apply.

1
Yes
Other

If your partner is not currently in paid employment when did his last job end? Date your partner stopped working

(If you are unsure, put an approximate date, e.g March 1988)

Generic date
The questions below ask about your current occupation and that of your partner.
As far as you can, please describe the actual job, occupation, trade or profession. (Use precise terms such as radio mechanic, woodworking machinist, tool-room foreman. If the occupation is known by a special name, please use that name. If in H.M. Forces, give the rank in addition to the actual job. Please also describe the type of industry or service given: i.e. Give details of what is made, materials used, or services given).

Your present job or last main job. Actual job, occupation, trade or profession

Generic text

Your present job or last main job. Hours worked per week:

How many

Your present job or last main job. Please tick which of the following apply to you:

1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these

Your present job or last main job. Type of industry or service given (main things done in job):

Generic text

Your partner - present job or last main job. Do you currently have a partner?

1
Yes
2
No
If no, go to H5.
If yes,
qc_H4_b_i == 1

Your partner - present job or last main job. what is/was his actual job, occupation, trade or profession?

Generic text

Your partner - present job or last main job. Hours worked per week:

How many

Your partner - present job or last main job. Please tick which of the following apply to him:

1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these
9
not known

Your partner - present job or last main job. Type of industry or service given (main things done in job):

Generic text

Your partner - present job or last main job. Is he in contact with particular fumes or chemicals in his job? If yes, please describe:

1
always
2
often
3
sometimes
4
rarely
5
never
9
don't know
If yes,
qc_H4_b_v >= 1 && qc_H4_b_v <= 4

please describe:

Generic text

The main job your mother or mother figure did at around the time you left school. (Please put HW if she was a housewife) Actual job, occupation, trade or profession:

Generic text

The main job your mother or mother figure did at around the time you left school. (Please put HW if she was a housewife) Type of industry or service given (main things done in job):

Generic text

How old was your natural mother when you were born? (If you don't know, put 99) ... years

Age

Is your natural mother still alive?

1
Yes
2
No
9
Don't know

The main job your father or father figure did at around the time you left school. (If not known put NK) Actual job, occupation, trade or profession:

Generic text

The main job your father or father figure did at around the time you left school. (If not known put NK) Please tick which of the following applied to him:

1
foreman
2
manager
3
supervisor
4
leading hand
5
self-employed
6
none of these

The main job your father or father figure did at around the time you left school. (If not known put NK) Type of Industry or service given (main things done in job):

Generic text

How old was your natural father when you were born? (If you don't know, put 99) ... years

Age

Is your natural father still alive?

1
Yes
2
No
9
Don't know
Problems
Do you think you have been unfairly/unjustly treated in the last 12 months because of:
-

1 - Yes often

2 - Yes sometimes

3 - No not at all

your sex
your skin colour
the way you dress
your family background
the way you speak
your religion

Do you think you have been unfairly/unjustly treated in the last 12 months because of: other (please describe)

1
Yes often
2
Yes sometimes
3
No not at all
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Yourself

1
white
2
black/caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
any other ethnic group (please describe)
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Partner

1
white
2
black/caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
any other ethnic group (please describe)
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Your mother*

1
white
2
black/caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
any other ethnic group (please describe)
Other

How would you describe the race or ethnic group of yourself, your partner and your parents? Your father*

1
white
2
black/caribbean
3
black/African
4
black/other (please describe below)
5
Indian
6
Pakistani
7
Bangladeshi
8
Chinese
9
any other ethnic group (please describe)
Other
(*by this we mean the mother or father figure who was mostly responsible for bringing you up)
SECTION I: BEING A PARENT
Below are a number of statements about how some people think a parent should behave with a baby. Please indicate how much you agree with them.

Babies should be picked up whenever they cry

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

It is important to develop a regular pattern of feeding and sleeping with a baby

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies should be fed whenever they are hungry

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies need to be stimulated if they are to develop well

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies need quiet secure surroundings and should not be disturbed too much

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Parents need to adapt their lives to the baby's demands

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

A baby should fit into its parents routine

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Babies should be left to develop naturally

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Talking, to even a very young baby, is important

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

Cuddling a baby is very important

1
Yes, I agree
2
I'm unsure but probably agree
3
I'm unsure but probably disagree
4
No, I disagree

What is the youngest age at which you think it is alright for a mother to leave her child regularly in the care of another person during the day?

1
0 - 5 months
2
6 - 11 months
3
1 - 2 years
4
3 - 4 years
5
5 years or more
6
never
9
don't know
SECTION J

Please put the date of completing this part of the questionnaire:

Generic date

Please give your date of birth:

Generic date
Thank you for your help so far.
These next pages are concerned with early sexual experience.
IF YOU WOULD RATHER NOT ANSWER THEM, WE QUITE UNDERSTAND. JUST STOP NOW AND SEND THE QUESTIONNAIRE BACK AS USUAL.
But it is possible that whether or not such events have taken place they may be a vital clue in understanding some of the problems we are trying to solve - even though they may appear to be unconnected. If you feel you can help, we would be very grateful.
SECTION K
As we are growing up we all have sexual experiences. These are a normal part of development and learning. Some people also have unwanted experiences to which they do not agree. These experiences can be important and may affect how you feel about yourself, your partner and your baby. Below are questions which ask about your sexual experiences from childhood until the present time.

Did anyone ever purposefully expose/flash themselves to you before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K1 == 1 || qc_K1 == 2

Who was involved? boy friend

If yes,
qc_K1_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? girl friend

1
No
2
Yes
If yes,
qc_K1_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? parent or parent figure

1
No
2
Yes
If yes,
qc_K1_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother or sister

1
No
2
Yes
If yes,
qc_K1_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K1_e_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K1_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

1
No
2
Yes
If yes,
qc_K1_g_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K1_h_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

how old were you when this first happened: ... years

Age

Did anyone masturbate in front of you before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K2 == 1 || qc_K2 == 2

Who was involved? boy friend

1
No
2
Yes
If yes,
qc_K2_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? girl friend

1
No
2
Yes
If yes,
qc_K2_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? parent or parent figure

1
No
2
Yes
If yes,
qc_K2_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother or sister

1
No
2
Yes
If yes,
qc_K2_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K2_e_i == 2

did you want this to happen with this person?

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K2_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

If yes,
qc_K2_g_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K2_h_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

how old were you when this first happened: ... years

Age

Did anyone ever touch or fondle your body, including your breast or genitals, or attempt to arouse you sexually before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K3 == 1 || qc_K3 == 2

Who was involved? boy friend

1
No
2
Yes
If yes,
qc_K3_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? girl friend

1
No
2
Yes
If yes,
qc_K3_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? parent or parent figure

1
No
2
Yes
If yes,
qc_K3_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother or sister

1
No
2
Yes
If yes,
qc_K3_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K3_e_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K3_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

1
No
2
Yes
If yes,
qc_K3_g_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K3_h_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

how old were you when this first happened: ... years

Age

Did anyone try to have you arouse them, or touch their body in a sexual way before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K4 == 1 || qc_K4 == 2

Who was involved? boy friend

1
No
2
Yes
If yes,
qc_K4_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? girl friend

1
No
2
Yes
If yes,
qc_K4_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? parent or parent figure

1
No
2
Yes
If yes,
qc_K4_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother or sister

1
No
2
Yes
If yes,
qc_K4_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K4_e_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K4_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

1
No
2
Yes
If yes,
qc_K4_g_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K4_h_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

how old were you when this first happened: ... years

Age

Did anybody rub their genitals against your body in a sexual way before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K5 == 1 || qc_K5 == 2

Who was involved? boy friend

1
No
2
Yes
If yes,
qc_K5_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? girl friend

1
No
2
Yes
If yes,
qc_K5_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? parent or parent figure

1
No
2
Yes
If yes,
qc_K5_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother or sister

1
No
2
Yes
If yes,
qc_K5_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K5_e_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K5_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

1
No
2
Yes
If yes,
qc_K5_g_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K5_h_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

how old were you when this first happened: ... years

Age

Did anyone have sexual intercourse with you before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K6 == 1 || qc_K6 == 2

Who was involved? boy friend

1
No
2
Yes
If yes,
qc_K6_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? girl friend

1
No
2
Yes
If yes,
qc_K6_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? parent or parent figure

1
No
2
Yes
If yes,
qc_K6_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother or sister

1
No
2
Yes
If yes,
qc_K6_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K6_e_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K6_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

1
No
2
Yes
If yes,
qc_K6_g_i == 2

did you want this to happen with this person?

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K6_h_i == 2

did you want this to happen with this person?

how old were you when this first happened: ... years

Age

Did anyone ever try to put their penis into your mouth before you were 16?

1
Yes, happened once only
2
Yes, happened more than once
3
No, did not happen
If yes,
qc_K7 == 1 || qc_K7 == 2

Who was involved? boy friend

1
No
2
Yes
If yes,
qc_K7_a_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? father or father figure

1
No
2
Yes
If yes,
qc_K7_b_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? brother

1
No
2
Yes
If yes,
qc_K7_c_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other relative

1
No
2
Yes
If yes,
qc_K7_d_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? family friend

1
No
2
Yes
If yes,
qc_K7_e_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? stranger

1
No
2
Yes
If yes,
qc_K7_f_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

Who was involved? other person (please describe)

1
No
2
Yes
Other
If yes,
qc_K7_g_i == 2

did you want this to happen with this person?

1
No
2
Yes
9
Unsure

how old were you when this first happened: ... years

Age

Thank you for answering these questions which we realise may be difficult to answer. If there are any comments you'd like to make please write them below.

Generic text
VERY MANY THANKS FOR ALL YOUR HELP
When completed, put in the envelope provided and either bring to the clinic or post to: Dr Jean Golding, Children of the Nineties - ALSPAC, Institute of Child Health, 24 Tyndall Avenue, Bristol. BS8 1BR.
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 information line (Bristol 256260 during office hours). Alternatively your Midwife or General Practitioner should be able to advise you.
End

alspac_91_yp

YOUR PREGNANCY
This questionnaire asks about how you are now feeling and some questions about your background, and about your plans and preparations for the baby.
Your answers are confidential. Your name will not be on the questionnaire and none of the doctors or nurses you see will know your answers.
Please answer all the questions you can. If there are any you cannot answer or do not wish to answer that is fine. Just leave them blank.
THANK YOU VERY MUCH FOR YOUR HELP

SECTION A: PLANS AND EXPECTATIONS

Information about pregnancy
Before you became pregnant this time did you read a lot about pregnancy and becoming a parent?
1
yes, a lot
2
yes, some
3
yes, a little
4
no, I didn't want to
5
no, I didn't have time
6
no, I didn't need to
Do you have friends or relatives who have children with whom you can discuss your pregnancy?
1
yes, many
2
yes, some
3
no
How would you describe the knowledge you have about having a baby? before you became pregnant this time
1
I knew nothing
2
I knew a little
3
I knew quite a lot
How would you describe the knowledge you have about having a baby? now
1
I know nothing
2
I know a little
3
I know quite a lot
Have you attended childbirth preparation classes in this pregnancy?
1
yes
2
no, but intend to
3
no, and don't intend to
4
haven't decided
Did you attend classes in a previous pregnancy?
1
Yes
2
No
7
Never been pregnant before

How much do you want to know about what might happen during labour?

-

1 - Yes

2 - No

I'd rather not know anything
I just want to know the basics
I want to know most things but not things that will upset or worry me
I'm happy to let the staff decide how much I ought to know
I want to know as much as possible
Which of these options would you prefer ideally?
1
the most pain-free labour that drugs/epidural can give me
2
the minimum amount of drugs to keep the pain manageable
3
no pain killers at all
9
don't have any opinion
4
other (please describe)
Other
Would you like someone you know (husband/partner/mother/friend) with you at all times throughout your labour?
1
yes, I want this very much
2
yes, I would quite like this
3
I don't mind
4
no, I would prefer not to have this
5
no, I definitely do not want this
Assuming that there are no complications, who do you think should make the decisions about your labour?
1
doctors
2
midwives
3
doctors and midwives
4
doctors, midwives and me together
5
me
6
midwives and me together
9
don't know
How important is it to you that giving birth will be a wonderful experience?
1
very important
2
quite important
3
not very important
4
not at all important
9
I don't know
Do you intend to start work after you have the baby?
1
Yes
2
No
If no go to B1.
about how old do you expect the baby will be when you go back to work?
1
less than 6 weeks
2
6 weeks - 5 months
3
6 months - 12 months
4
over 12 months
Have you decided what sort of child care you will have?
1
Yes
2
No
what sort of child care do you expect to use? nanny/childminder in your home
1
Yes
2
No
9
Don't know
what sort of child care do you expect to use? childminder outside your home
1
Yes
2
No
9
Don't know
what sort of child care do you expect to use? partner
1
Yes
2
No
9
Don't know
what sort of child care do you expect to use? family
1
Yes
2
No
9
Don't know
what sort of child care do you expect to use? nursery/creche
1
Yes
2
No
9
Don't know
what sort of child care do you expect to use? other (please describe)
1
Yes
2
No
9
Don't know
Generic text

SECTION B: YOUR PRESENT HEALTH

How would you describe your health in the last two weeks:
1
always fit and well
2
usually fit and well
3
sometimes unwell
4
often unwell
5
always unwell
In the last 3 months have you had any of the following: nausea
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: vomiting
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: diarrhoea
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: vaginal bleeding
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: jaundice
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: urinary infection
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: a cold
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: influenza (flu)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: rubella (german measles)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: thrush (candida)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: genital herpes
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: other infection (please describe)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Other
In the last 3 months have you had any of the following: injury or shock to you (please describe)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Generic text
In the last 3 months have you had any of the following: sugar in urine
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: x-ray
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: amniocentesis (amnio)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: chorionic villus sampling (CVS)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: AFP test (spina bifida test)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: ultrasound scan
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: headache
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: backache
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
In the last 3 months have you had any of the following: varicose veins
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Have you been admitted to hospital in the last 3 months?
1
Yes
2
No
If no, go to B4.

give reason for each admission:

Reason Date admitted Number of days stayed
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1
2
3
4
5

In the last 3 months have you used any medicines, pills or ointments for the following:

-

1 - Yes, in last 3 months

2 - No, not in last 3 months

9 - Don't know

nausea
heartburn
vomiting
anxiety
infection
migraine
difficulty going to sleep
pain
allergies
skin condition
bleeding
depression
piles
constipation
cough
In the last 3 months have you used any medicines, pills or ointments for the following: other reason (please describe)
1
Yes, in last 3 months
2
No, not in last 3 months
9
Don't know
Other
In the last three months have you been taking any of the following? iron
1
Yes
2
No
In the last three months have you been taking any of the following? zinc
1
Yes
2
No
In the last three months have you been taking any of the following? calcium
1
Yes
2
No
In the last three months have you been taking any of the following? folic acid/folate
1
Yes
2
No
In the last three months have you been taking any of the following? vitamins (please describe)
1
Yes
2
No
Generic text
In the last three months have you been taking any of the following? other supplements or diet foods (please describe)
1
Yes
2
No
Other
Do you ever take homeopathic medicines?
1
Yes often
2
Yes sometimes
3
No
please list any you have taken this pregnancy:
Generic text

Please indicate how often you have taken the following pills in the last three months

-

1 - Every day

2 - Most days

3 - Sometimes

4 - Not at all

aspirin
paracetamol
codeine/anadin
mogadon, or other sleeping tablets
valium, or other tranquillisers

Please describe all pills, medicines and ointments you have taken or used in the past 3 months, including those listed above.

What did you take: (give exact name if you can) About how many days did you take or use it? How many weeks pregnant were you?
How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHow many How manyHow manyGeneric textHow manyHow manyGeneric textHow manyGeneric textHo