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