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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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