UK Data Archive Study Number 1263 - Experiences of Childbearing, 1975-1976 : the Dignity of Labour?

l .. tUute for Soolal Studl .. -1-In Modi 00 I Care.

18 Vlatorl. P.rk Squa .... LDndonE2.

Childbearing Exp.rl.noaa

1IotI. 81rth Questlom.l ..

"' .... , \ " S ".....-..,'\" \) I I. We ... you or tho baby .. It ted to. ho.pltal or

...... Ing hotoo .fta ..... rde - I ••• In the ten dayo • fter tho birth?

Yea, lIO'Uwr only ••••• Y •• , bab)' only.... ••• 2 Both •••••••••• , •••••• 3 Neither •••••••••••••• 0

If I. 2 or 3 a) Iohy woo that?

b) Iohot w .. tho n .... of the

hollpltal or ...... ln9 h_?

0) How aoon .fter tho bl rth? Within 24 houra •.•..•.•. I day < 2 days ••••••••• 2 2 dey. < 3 ~)'a ••••••••• 3 3 daya < I we.k ••••••••• 4 I week < II days •••••••• 5

d) How long w ... you/wa. tho b.by In hospital?

Mothor Baby No. of dayo

Stili In 9 9

f\; 2> II IF N)TI£R ACIoUmO WITHIN FIRST M DAYS PROCEED WITH THIS QUESTIOItIAIR€ TO Q.99 THEN GO TO Q.I03 ON MAIN QUESTIONNAIRE. IF N)THER I.a.Umo 3-/0 DAYS AFTER 81RTH PROCEED WITH THIS QUESTIONNAIRE TO Q.I08 THEN GO TO Q./09 IF LIVE BABY. Q.124 IF STILL BIRTH OR BAIJ\' DIED.

GROIJ' __ _

2. Iohan you flrlt trl.d to 0011 the .Idwlf. or dootor did you h .... U1Y dlffle.llty geU11III In

tGuah .~ all? V ••••••••••• No •••••••••• 2 Quallfl.d ... 3

IF YES OR QUALIFIED Could you tall ••• bout It?

3. 00 you h ..... telephone? Y .......... . No •••••••••• 2

IF M) (2) la tharo a pub I 10 telOflho .. within .ooy ... ch of your heao?

Vea ••••••••• 3

No •••••••••• 4 Qualified ... 5

Aftar youl d atarted haying oon~otlo ... and

bafore tho .Idwlf. or doctor .rrl ... d. w .... you

alone .t .11 (aport fron other ohlldran)?

IF YES How did you f .. 1 aI>out that?

V •••• 6 No ••• 7

5. OMIT IF M) OTHER CliILOREN Ioho look.d .fter tho other chlldl ...... ) Whll. you were having tho baby?

6. Ioho .ttended your I.bour and delivery? Woo It.-

Attended Arrived

flrat

OOOE Your own G.P. I

ALL Ana th.r G.P. 2 2 A .. Idwlfe .- 4

THAT Other lopoolty)

APPLY No prof ... lonal 0 0

IF N)RE THI>.N {)NE And who arrl ... d flrat?

OOOE AOOVE.

,

-2-

49. W .. thoro any tilIng \he\ happ.ned w you or tIIo\

you dId before YOU ~\ Inw labour tIIa\ you

tI1ough\ .19M he .. halpocf w brIng It on? I don'\ ..., ony\hlng tho d:>oWr or ... ra. dId afW ... \\hOY ca.. for your labour:/ V ••••• I

No •••• 2 IF YES lhal?

~. Old you go Inw I.bour of your own aooord or did

til. doowr or .Idolfo do anytl1lng 0\ .11 whelp !.!!a \h. I ........ ?

""t. t"to labour on own ••••• Induced ••••••••••••••••••••• 2

IF ON O~ Can I Jua\ _ok tho\ \hey dId 110\ do al1)' of tI1ea. till nga ~ your wat.er. broke or the ooml"'act.lona o\arled:

IF IKlUCED ~ your wawro broko or \ha oon\racUono o\arlod dId \hoy:

Vea No Break .ambrane. ••••••••••••••••••••••• J 0 GI .. you an InJ.o~lon

GI"" you .. dIal"" or

~~

(Othor opoalfY)

) whelp ) alert

)~

3

IF IKJECTION OR MEDICINE a) Do you know wh.\

wea In It?

b) Do you tIIlnk I~

o

.lgIIt ha .. beon, V.. No O.K.

L ( ... ~!... __ ~Oxytooln •••••••• 3 0 7 '.)'11-' \ - Proolaglandlna.. 4 0 a

or lohat? opoolfy

51. IIlTERVIEWER'S ASSESSMENT. Labour Induoed by drug. only •••••••••••••••• Labour Induced by broken ,,8mbre,.. only ••••• 2 Labour Induoed by both .: •••••••••••••••••••• 3 Labour not Induoed •••••••••••••••••••••••••• 0 Unoertaln If labour Induoed ••••••••••••••••• 9

N.B. IF JUST GIVEN ENEMA to !!!!I ODUNT AS INDUCED.

IF KlT IMlUCfD (0) SKIP TO Q.57

52. loha\ .... ona, I f any, dl d til.

IF OIllORllUE (2) How o .. rdu. w ... you reokoned w

be at ~. tI .. ? La .. than I wo.k GIIIlO NO. OF DAYS -7, S, 9 dey. ••••••••••••••••••••••••••••• 7 10, II, 12 dey ••••••••••••••••••••••••••• e 13, 14, 15 day. ••••••••• ,., •••••••••••••• 9 16, 17, 18, 19, 20 daya •••••••••••••••••• 0 Three weeka or .are •••••••••••••••••••••• I

IF CON\€NIEIlT (3) a) Could you oay a bH .0" about tIIaU

b) 50 would )'OU .ay H w .. oon .. nl.nt for you, the doator or .1000Ife, or both you and t .... ,

I Mother •••••••••• Prof ... tonaJ •••• 2 Both •••••••••••• 3

54. Old you r ... 1 you could he ... rofuaod to Induction I f you hod not wentod one?

- 3 -

ha-VG an V ... . No ... 2

I F YES loho t do you th I nk _I d haw happened If

57. OMit IF INDUCE!. Can I Juat _ok, bofore tho baby w.. born w" I t over 10119_ ted that you might have an Induotlon (wi th drugo or brok4n _bra,..)? Y ••••

)"OU had r.fuaed? No ••• 2

1Ft() Itly not?

540. 50 wou I d you •• y you had a eIlo) co about bo I"g Induood or not?

In _t way?

Had chotce ••••••••••••• No ChOice •••••••••••••• 2 Qualified •••••••••••••• 3

55. How long bofors you woro I ncilood did you kn:>ot that that .,.. going to hoppan?

Old not know ••••••••••• 0 Leaa than a day .,. ..... . I I day < ~ dey5 •••••••• 2 :5 clay. < I week •••••••• :5 I week < 2 week. ••••••• 4 2 wk •• < :5 week& ••••••• ~ 3 wk •• < 1 month ••••••• 5 I IIOnth < 2 IIOntha ••••• 7 2 IIOnths or .nora ••••• _. B

56. How did you r •• 1 about (not) bolng told thon'

IF YES (I) a) Itly wu that?

b) How long b.for. tho birth wei that auggelted?

L.eaa than I day •••••••• 1 day < 3 day. ••••••• 2 !day.-'C.l'W1 .. k ••••••• 3

I week < 2 WllMka •••••• 4 2 .... k.y didn't you?

d) OiECK 50 w .. It boo ..... '-You wont Into labour

flr.t •••..••••••••••••• You dlcln't want on lndu~lon •••••••••••••• 2

or ItIat?

58. Old th. '*>cWr or .1"'lfa '*> anything at all .!!!:!!: your It up?

labo .... had .1.arted - \0 try \0 hurry

Yea ••••••• ~. I No •••••••••• 2 t.n08rte.ln ••• 3

IF YES DR lJiCERTAIN

\

al \!hat did tho)l '*>? Broke .-.branea ••••••••••••••••••••• 5 Gave Injection •••••••••••••••••••••• 7 Gave .adtoln. or tablet. •••••••••••• 8 E~ ............................... 9 Ot.hor apoolfy

IF IftJECTION OR TAIl.£1S (7 or 81 II 00 you know Wlat woo In It?

II) 00 you think It .lgM he.,. been.: yoa no

Oxytooln ••••••••••• 3 0 Proataglandlna ••••• 4 0

or \\hat?

O.K. 7 8

b) \!het r._ .... If any. did they glv. for

~t1"l9 H up-? No- "."CM 9~¥Wf. ... ..- Q

c) So do you think It w .. boe ..... ' V •• No Uncertain

Thoy wore worrlad about the bab1 ••••••••••••• 0 5

You wore getting very tired •••••••••••••••• 2 0 6

So tho t tho baby wou I d bel born at III

oonvenlent tl.e •••••• 4 0 7 or Waa there eny (oth.r)

reaaon

IF CONVENIENT (4 or 7) (I J Could )Iou •• )1 a bIt more obout that?

(II) So would you • IIlY It wae convenient for you, the doctor or mIdwIfe, or boUl?

Mother ••••••••• Profe.alonel ••• 2 Both ••••••••••• 3

-4-

59. DurIng your labour _re you gIven anything at

""'

60.

all \0 rollo"" delIvery?

the pain bofore tho aot.lal

Ye& •• Mi:) ••• 0

IF NO al Would you ha.,. IIk.d \0 he ..... b ...

gIven OOItOthlng? V .... 2

No ••• 3

bl SKIP TO Q.65.

Old you havo, V •• No An Injoc~lon ......... 2 0

\ So.othlng \0 Inhal ••• 3 0 \-\y

T.bleta •••••••••••••• 4 0 Other apocl fy ........ 0

IF 2. 3 Or 4 00 you know .nat It woo? Oon't kn:lW' •••• 9 P.~ldlne ••••• 6

IF INHALANT Old you haYO any probl_ with It? \!hat? No ••• 0

\lhat happened?

IF GI \£II toORE THAN ONE TYPE: a) \lhl"" wore you given flrat? Firat

InJ.a~lon •••••••••••••••• 2 SQa,thlng to Inhale •••••• 3 Tabl.t. •••••••••••••••••• 4 Other opacIfy

Equel ••••••••••••••••••••

b) \Ihlen did )IOu find .. ot holpful? CODE ABOVE.

Iobat h.lpfUl

2 3 4

5

61. Do you f.,1 you were !.l.!::!!: gIven ICIIII.thlrra at. the right. U.e or would you rath.r you'd been given It ooonor or later or not at all?

At right tt.e •••••••••• Rather loaner •••••••••• 2 Rath.r later ••••••••••• 3 Rath.r not at. all •••••• 4 Other opecl f)l

-5-

62. 00 you think you wore given onough (of tho dlff .... nt thlngal or ,""uld you haw liked .ore or w.,.. you 9 r yen too 1M.KIh?

GIven enough (of all) ••••••••••••••••••••• Llked.ore (of all) ••••••••••••••••••••••• 2 Glvon \00 .uGh or did not want any (of aliI :s Enou!tl of 0,. II ked eore of others •••••••• 4 Enough of one t.oo auah of others •••••••••• 5 Lt ke .ore of Onl 9 I VIIn wo .uoh 01 oth.,.... 6 Other opeolfy

IF 4, 5 or 6 Which OnN? Liked Too Enough "" .... .uoh

InJection •••••••• 4 5 6 Inhalant ••••••••• 7 8 9

\~'0~ Tableta •••••••••• 0 I 4 Other •••••••••••• 2 7 0

62a. Old you find what you were glvon holpod tho painc..- A lot ••••••••••••••• I

A little •••••••••••• 2 Not. at all •••••••••• 3 (MIxed affect) •••••• 4

IF MIXED Whloh holped a lot, 0 little, not at oil? Lot Llttlo Not

InJeotlon •••• 4 5 6 Inhalent ••••• 7 Tablets •••••• 0 Other •••••••• 2

8

I 7

9 4

o

6:s. On bolonoo oro you glad you had "'at you did or ,""uld you rath.r you'd had nothing at all or ~ other lort. of pain reliever:

65.

Glad had what. did ••••••••••••••• R.~.r nothing •••••••••••••••••• 2 Rather acn.thlng ela •••••••••••• 3 Glad one" rather not. oUler •••••• 4 (Other opoolfy)

\ ~J\'VJ~ \

00 you k.- If thoy wore ohecklng tho baby'o haart at, all while you were In labour?

Don't k~ ••••••••••• 9 Vas - they were •••••• I No - ware not •••••••• 2

IF YES (II flow did th.y do thl.? Stethoacop ••••••••••• 3 Horn or tru.p.\ •••••• 5 Othor (opeolfyl Don't know ••••••••••• 6

66. I'd Ilk. to aok you _0 qu ... Uona about tho till. the dlfforont thing. happened:

-'-0\

al When did you flrot otort having labo ... oontraoUona? (OMIT 'PRACTICE' CONTRACTIONSI

Day n .. USE 24 HOUR CLOCK Can't ooy 9

bl 4nd "'on did you 001 I tho .1~lf. or dootor? Day TI_

el At ..,at tl.o did _/he arrlw?

Day TI ••

dl And when did you atart puahlng _?

Day n ... Can't. .ay 9

01 And whon w .. tho baby bornlbl rth?

Day TIne

fl So can juat recap - It w.. 'I ~\.\\"aftar you oalled tho dootor/.I~lro that holohe arrived?

flow did you f •• 1 about that? Do you f •• 1 that he/ahe _e very quickly, __ In a

reaaoneble U •• , took rather e long U •• , or took an unre .. onably long tl .. ?

Ver,y qu1ckly ••••••• I Raaaonabl. tl ...... 2 Rather long •••••••• 3 Unroooonably long •• 4

67. For how long, If at all, during your labour would you aay you had bad pain:

Not at all ••••••••• 0 L •• a than 15 .Ina •.. I 15 .In •• < 30 .Ina •• 2 30 1Ift1na. < 45 .Ina •• 3 45 aina. < 60 IIlna •• 4 I hour < 2 houra .. 5 2 hour. < 3 houre.. 6 3 hours < 4 hour... 7 4 hours < 6 hour... 8 6 hour. or longer ••• 9

68. During your labour did you haw eny word .. or en>et w .... thay?

b) Old you talk to anyone ebout th ...

et the till.? V .... 3 ~ ••• 4

IF YES (3) Il ~?

Husband ••••••••• 5 Dootor •••••••••• 6

~ M~lf8 ••••••••• 7 OU;r spoolfy

II) Would you aay they

wera:-Vory holpful ..... S Fairly holpful •• 6

Not vary hoi pful 7 (Other apaol fy)

IF NO (4) lf1y nett

- 6 -

65. W .. your _band with you during tho first otago 0( lebour - bafo .... you atartad puahlng down:-

All the tiM ...... . 15oMo 0( tho tl.a ••• 2

I'!\C '"'Not at ell ••••••••• 0

70. W .. ha there:- V .. a) durIng the •• oond .tage •••••••• 4 b} at the aotual birth •••••••••••• 6

No

5 7

71. How did you fo.1 about thl.?

72.

\ \

IF HUSBAND THfRE AT Au.. 50 we ... you V lad he

waa Uwre or ...ould you rather he'd not. boon tho ... - or not there at aorteln _tag .. ?

Glad there ••••••••••••••••••• I Rather not there ••••••••••••• 2 Rather rot t.here at tl ...... 3

IF 2 or 3 lf1y waa the.,

~

I

50 would you hove IIkad hi .. to bo thoro (for

.ore of the tl •• - or wu h. wIth you 'I"0Il bevlnnlng to .... d)?

V •• would have liked him (.ore) •••••••••• ~ No ••••••••••••••••••••••••••••••••••••••• 6 There f~ beginnIng to end •••••••••••••• 7

IF" YES 00 you thrnk the .ra.rro/'doctor wcul

76. During )'OUr lobo ..... aU.r the doctor or .1001fo flr .. t arrlv.d. did they I.avo you alone at all?

Yea •• I No ••• 2

IF YES (a) Old you have any dlffloulty g.ttlng In touoh with tt.., Y .... 3

No ••• 4

Wera you .ntl .... ly a10n0 at any otago aftor tho dootor or .10.1,. f1rot arrlvod? Y .... 5

No ••• 6 IF YES Old you .Ind - or would you

rathor _118 had been with you?

Didn't .lnd •••••••••••••• 7

79. Itlo. or ""at. waa the greatest help during tho fl rat .togoo of your labour - bofore you otortod puohlng -..?

Hu.band ••••••••••••••••••

MIdWife •••••••••••••••••• 2 alOE Dooto,. ............................ 3 ~ Student •••••••••••••••••• 4 OM.Y Preperetlon ola.aeN •••••• .5

Othor - opaolfy Moth I ng or no-oM ......... ••• 0

t) ~~'\ V 0-. ........ ~ IF IC)f!E ntAN Ot£: Itlo or what holped ""ot?

-7-

80. Wou I d you deacr I bo tho 0110.1 fa a..r I ng your labour ~ Vary helpful •••••••••••

Fairly helpful ••••••••• 2 Not very helpful ••••••• 3 (Other opaolfy) No .lcWtf. prea..n ••••• 0

81. Regarding your paino a..rlng labour. did you f •• I the dootor and/or .lo.lf. waalwera.-

~ry unde .. a\andlng •••••••••••••• 4

r-r .... 'y\ FaIrly understanding •••••••••••• 5 , or Hot W)der&tandlng ••••••••••••••• 6

''- " _\~ , (0ttl.r .pacl,'1) ,j

GROll' H In "'at way7

82. During your I.bo ..... -Old you feel .Iok at all .........

We .. you eotuelly .Iok ••••••••• DId you have e headache ••••••••••

Was It a bad headache •••••••••• Was It an eyerage h •• daaha ••••• We. It a mild headeohe •••••••••

Old you hoi thl~ty ••••••••••••• Old you f .. 1 hungry •••••••••••••• Old you have baokache •••••••••••• Old you have any other prebl_

or a)'lllpt_ et ell? Iohat?

V .. I 2 A

4 5

6 7 8

9

No o o o

o o o

o

~t~l -8-84.

\ CoIling on to the aotual do II very, ...... any lno\runoenta .... d to help tho baby out?

Y .......... . Me:. •••••••••• 2 Don' to kt'oiII .... 9

GROJP A I\ow did ~u f.ol abcut tha\?

I F YES Do ~u knc>ot -,y that "' .. _ .. ary'! Wny? Oonl1. know .... 9

85. Do ~u knew If the baby _0 cu\ hoad fl rat - or waa U. a breed'! or ...nat.? Don't. kr1awt ••••••••• 9

Heed flra~ ••••••••• I Breech ••••••••••••• 2

86.

Other opeol fy

Old th.y give ~u oxygon before to help tho baby?

tho baby wsa born Yea ••••••••• I No •••••••••• 2 Doni to know •• 9

frI. For tho dollvery woro ~u gl_ any (.xtra) thing to help the pain? Yea •• , 9

No •••• 0 IF YES a) Wnat? InJeot.lon ................ 2

~othlng to Inhale •••• :5 Tabl.t. or .adloin ••••• 4 Oth.r opeelfy

eo.plet.ly •••••• 6 Partially ••••••• 7 Not at all •••••• 8

c) On balanco ore you g lad you had -,at you did or would ~u rather ~uld had nothing at all or eOM other for'll of pain rillevir then?

Glad had whet did •••••••••••••• Rather nothing ••••••••••••••••• 2 Rather .a.ethlng .le8 •••••••••• 3

IF /I) Would ~u heve IIkod to have boon glvon a ... othlng?

88. Old they out you at all?

GROLP S How dId ~u f .. 1 about that?

Yes •• 4 No ••• 5

Y •••• 3 No ••• 4

89. Who actually dollverod the baby - woo It a dootor or I .ldoIlfo? Dootor ••••••••••••••

Nldwlf./Nurae ••••••• 2 Oth.r (apoolfy)

IF OOClUR OR rtJRSEiMIDWIFE Do you k_ If thoy ere atu

-9-

96. Old )'Ou ~ the baby atral!#1t after birth was d.llver.d?

away - before the Yes •• 3

No ••• 4 How dl d you feol about that?

IF YES (31 Wor. )'OU abl. to hold hllllhor aa IOn;! sa )'Ou wanted - or did thoy hko hi..! hor .... llor or I .. ve hlal'hor with )'Ou longor than )'Ou wonted?

Aa long ea wan~ ••••••••••••••• 5 Took baby away too .oon .......... 6 Left baby too long •••••••••••••• 7 Other apoalfy

IF NO {41 or 1'00 SOON (61 How long waa 1\ befo .. you w_re able to: a) a .. hlm/hor again? Sea Hold

There all tl.e ••••••••••• 0 Within 5 .lnute •••••••••• I .5 1I1r,., < 10.lne ••••••• 2 2 10 IIIl"s. < 20 .1 nee •••••• 3 3 20 .Ina. < 30 111r ......... 4-30 .Ins. < I hour •••••••• 5 _ber of houN - .poalfy _

bl hold hl""".r? ODDE AOO'IE.

4 5

97 • How long .aa tho.... betwe.n tho de II wry of tho baby end th. delivery of tho after birth?

Don1t know •••••••••••••• 9 Laaa than .5 .Ina •••••••• I 5 .Ina. < 10 .Ina •••••• 2 10 .lna. < l~ mina •••••• 3 15 .1 ... < 30 .1,. ...... .. 30 .1 •• < J hour ........ !5 I hour + •••••••••••••••• G

96. Old )'Ou he"" to he"" eny atltcho.? v .. " 9 No ••• 0

IF YES .1 How long .aa It betw •• n the .fter birth _In;! away and _n the atltohsa .....

Polio In? leas than 15 alna ••••••••••• 15.1"". < 30 llina • 30 .1,.. < 45 .Ina.

••••••••• 2 ......... 3

~ .Ins. < BO .1n1 ••• ~ •••••• 4 I hr. < Ii hra ••••••••••• ~ Ii hr.. < 2 hr. •••••••••••• 6 2 hra. < 3 hrs •••••••••••• 7 3 hoUr. or longer ••••••••••• 8

b) How dld)'Ou fHI about that?

0) Old thoy give )'Ou anything to help the pain ""'en they put tha aUtohea In - or "" tho pain roll.f for tho d.II •• ry .tlll working - or .naU

Peln rell.f for delivery ••••••••••••• Ex~re patn relIef •••••••••••••••••••• 2 Neither •••••••••••••••••••••••••••••• 3

99. Looking beak now, do )'Ou oonaldar your labour .eo,-A pl ... urablo exporlonoo (OMIT FOR STILI. BIRTHI I Rather unplaaean\ but endurable ............... 2 A nlgh~ere ••••••••••••••••••••••••••••••••••• 3 (Oth.r - .poatfy)

1("

IF IIJTliER Al*llTED TO HOOPITAL IIITliIN FIRST TID DAYS AFTER BIRlH 00 TO BASIC QU£STlOtflo\IRE. Q.I03.

,,:>.Y\ 1''2> () 101. After tho birth "" .. )'OU obi. to roat In bed aa

llUah aa you wanted or would you have preferred to get up aoonar or to rut In bod for a longor tl .. ?

Able to ru\ as long aa wanted ••••••••••••• :5 Prefer ~ get up eooner •••••••••••••••••••• _1 Prefer to reat longer •••••••••••••••••••••• 2

IF (II or (21 Why wa. that not poaalblo?

,'J fY\ ,r::,:2... 103. !low IN did U. baby _19\ ..-. ...., ..... _ born?

Lea. then 5 lba. (ap.olfy) ••••••••••• -~ lba. < &l lba •••••••••••••••••••••••••• 1 S; lba. < & lba ••••••••••••••••••••••••••• 2 6 aba. < 6i lbe •••••••••••••••••••••••••• 3 6i lba. < 7 lba ••••••••••••••••••••••••••• 4 7 lba. < 7; lbe •••••••••••••••••••••••••• 5 7; lb •• < 8 lba ••••••••••••••••••••••••••• 6 8 lba. < Bi lba •••••••••••••••••••••••••• 7 8. lb •• < 9 lba ••••••••••••••••••••••••••• 8 9 lb.. < 9; lb& .......................... 9 it lba. or .are ••••••••••••••••••••••••••• 0

104. IF STILL BIRTH OR BABV OlEO AFTER BIRTH a) Do you _ why the baby diad/v .. atlll bom?

""y?

b) IF BABY DIED AFTER BIRTH How long did heloha

live?

.'0 8, 0) SKIP TO Q.I25 ON !(lIE BIRTH QUESTIONNAIRE OR

Q.124 ON BASIC QUESTlON'l/>.IRE IF IoIlTHER AIlMITTED

3-10 DAYS AFTER BIRTH.

I:)S -"'- 1 0 i:' 107. After ~ha baby voa born, during tho flrat two day.

waa the baby:- Vfth you art the 'U.a ••••••• t WUh you durl ng the day ••••• 2 With you JUlt for , •• da ••••• 3

~ ___ ?thor epeol f~_~(

~- ~\~(~ / IF 2 or 3 'lh ..... woa hel'oh. whon h~.ha woen't ) ,_ with you? -

/~

lOB. So during tho fl ro~ 2 day. would you .ay you .aw.-Aa .uch of your baby .. you wanted to •••••• 1

or Too 11~tl • •••••••••••••••••••••••••••••••• 2 or Would you rathor ha ... not .a.n hloolhar (or

had hl.Jher with you) .0 .uoh , •••••••••• 3

IF (1l 101 .... ~ ..... In)' oooaalona wh.n you would rath.r not ha... had hloalh.r wi th you

when you did? V •••• 4 No ••• .5

IF YES (4) 'lhan woo that?

10 -

IF IoIlTHER AIlMITTED 3-10 DAYS AFTER BIRTH 00 TO MAIN QUESTIONNAIRE, Q.I09 IF LI\€ BIRTH

Q.124 IF STILL BIRTH OR BABY J 109. 101 ..... tho .... any different arran_onte abou~ tho baby

baing with you after tho fI ... t Wo da)" up ~\l1 tha t.enth day? (\l.J-:J (\ Yea •• 9

Mo ••• 0 IF YES _~, Baby vlth '""th ... all ~. tl ....... I

Baby with .othe .. during da)' •••••••• 2 Baby vlth .o~.r J .. t for f •• do .... 3 Baby no~wlth .a~ ... et all •••••••• , Othor (.poolfy)

IF (4) ~ .... th.~? ........ woe hal.he?

110. So after ~. flr.t two day. ""'uld you aay you .avl-la .uGh of the baby aa you want.ad 'to ••••••••••

or Too I't-tl ••••••••••••••••••••••••••••••••••••• 2 or Would you ... ~er have ..,t ..... hlalhar (or

hid hl.lher with you) 10 .uGh ••••••••••••••• 3

IF (I) 101 ..... ~.r. any oo_lona when you would r.~or no~ havo had hlNhar vlth you vt.!

you did? Vea .. 4 No ••• 5

IF YES (4) "".n wee tha~?

III. Old tho baby have In)' perUaul.r probl .... "'" ... -V .. No

Jaundl Ole • •••••• •••••• I 0 Being pr.awre •••••• 2 0

or Any ebnc:tNalltl ...... 3 0

IF YES (lor 3) a) Could you tell • abou~ th.d

b) 00 )IOU think t.ho ... va. ony

perUaular reason or 08 ... '

""an

112. Before you had the baby .. _ u...... &rill dl ....... lo ... or were you g1ven any help or preparat,lon about.

- 1\

f .. dln; tho baby? Voa ••

No ••• 2 IF YES (II Old thoy Juat .. k .nothor you want-d to

br ... t or bottlo f .. d or did they dl ....... Ithor or both of theae wIth you? Asked which wanted •••••••••••• I

Ot&oua •• d breaat feeding •••••• 2 Oiaoue •• d bottle , .. dIng •••••• 3 01aouaaed both •••••••••••••••• 4

IF BREAST 2 or 4 Old thoy ouggeat you do anything In preparet\on for that?

y~ •• 5 No ••• 6

IF YES What?

113. And before you had tho baby dId you think you would try to bre .. t rood hl""'or at flrot or not?

Yea - brea.t. feed •••••••••••• No ••••••••••••••••••••••••••• 2 uncertain •••••••••••••••••••• 3

And did you try to br ... t f.od th

119. Duolng tho f1o.t ten day. do )'Ou know If tho baby .Iopt very woll, faloly woll DO not .t .11 wall at night? At night Duolng cloy

Oon'1. know •• •••••••• 9 9 Very well ••••••••••• Fairly well ••••••••• 2 Not. a\ all wall ••••• :3

120. ~.t .bout duolng tho day? CODE AOOIof:.

121. And do y"" k_ If he/aha Doled. lot, aaount DO a Iittia .t night?

At night Oon1t know •••••••••• 9 A lot ••••••••••••••• I AV8r8ge ••••••••••••• 2 • little •••••••••••• ~

4 5 6

en ayerag8

During day 9 4

5 6

121.) 'm.t .bout duolng tho day? CODE AOOVE.

122. ..... t .bout tho b.by'. weight ohOngo - do )'Ou know 11 that wea nomal - or what.?

Donlt. know ••••••• 9 termel ••••••••••• Othao (apeolfy)

123. Old )'Ou hel/O any (othoo) probl .. a DO .""Iotl .. .bout tho baby and tho 0 .... ho/.ha got In the fI""t ton daya? V ••••

No ••• 0

IF YES ..... t? Anything ol.o?

12 -

125 ...... t about youo.olf - did you h ... any pl'obl_ or ~lloaUo .. In tho float ton d.y. aftao tho blothlb.by w .. boon? V.a " B

No ••• 9 IF YES llhat? Anything ol.a?

126. During that tl ... would )'Ou '.'1 )'Ou wo ... ,-Vary oo.for\abl ••••••• Fairly oo.fort.abl ••••• 2

or UnOOllfortable ••••••••• 3 IF 2 or 3 In "".t way? .... '1 woo th.U

121. OMIT IF If:) STITOIES 'oh.t .bout youo ath_, would )'Ou "'1 that .ftao they'd been put In

I

they oa .. od you: A lot of pain DO dlaoo.ro.t •• 4 A little pain 00 dl .... foot •• 5

or No pain or dlaoo.fort ••••••• 6

128. Duolng tho \

float ton day. \ould )'Ou .. y that you _-.J Very well ••••••• 4

Fairly wall ••••• 5 or Not. w&11 •••••••• 6

' .. Iopt.-

129. W.,.. )'Ou offoood DO glyen DO did )'Ou .. k for any pili. to holp you alaep? V .. , off .... d 00 given 7

Yaa, a.~d for •••••• 8 No •••••••••••••••••• 0

IF YES, 7 or B, Old you take thai?

V .......... . No •••••••••• 2

, I~.' During the ton day. after tho bl.th, did )'Ou

\t.e. weepy at 811'1 _J V ••••

No ••• 2 Cotament:

- 13-

131. Thinking now obout ~he Infol'lllOtlon you "",.. glwn. Would you how liked 110,.. Info .... oUon abou~ any of

lhaa. ~hlng6 - or would you ha"" liked Infol'l1latlon about then .arller? Iohat about: Moat

Y .. No Starting labour ••• A................ I 0 Prooea. of labour •••••••••••••••••• 2 Caeaartan operation. ••••••••••••••• 3 Induction •••••••••••••••••••••••••• 4 EpIdural or aplnel ane .. thetlo ••••• 5

Other fonu of pain Nil., ••••••.•• 6 The push 1 ng or •• oond • taga •••••••• 7

Actual d811y.~ •••••••••••••••••••• 8 Baing out •••••••••••••••••••••••••• 9 Being atltohed ••••••••••••••••••••• I The after bIrth •••••••••••••••••••• 2 Th. gadget. they USQ ••••••••••••••• 3 The baby1a progreaa before labour.. 4

OMIT In.. baby" progre .. during labour •• 5 FOR I n.. baby', progr .. a around dollyery 6 STiLLI The baby'. progreol In fl rst 2 days 7 BIRTHITho baby's prog .... later on

OR ( In the fIrst ten day. •••••••••••• B BABY (Breaat feeding the beby •••••••••••• 9 DIED (Bottle feeding the baby ••••••••••••

(loOking 8fter the baby ••••••••••••• 2

Your own progreaa efter the baby was born ••••••••••••••••••••••••• 3

Drying up the milk ••••••••••••••••• 4 G.t.U~ dd- g, tla &Utcn ... _ •• _ •.• :; Anything olo.? Ioha~?

o o o o o o o o o o o o o o o

o o o o

o o o

Ilip. I 2 :3 4

5 6

7 B

9 I 2 3 4 5 6

7

B 9

I 2

:3 4 5

132. During labour or delivery or the first hn days

aftar birth were you 91'18" any advloe or Infomatlon by a dootor or IIldwlf. which waa

dlff.rent fron what you hid boon told by anoUler dootor or III cWlfe?

IF YES (7) a) What about?

b) Who told you thlo?

YIN •• 7 No ••• 8

Two dootor •••••••••••••••••• I

Two mldwlv8a •••••••••••••••• 2 Doctor and mldwlf ••••••••••• 3 Other - opoalfy

IF STILL BIRTH OR BABY DIED OR BABY STILL IN HOSPITAL SKIP TO Q.I35.

I 133, Iohon you were left t.o look artor your baby

( alone for tho first tim. did you f •• 1 ""ry aonfldont. fairly confldont or not vory oonfldent about It? \v..ry oonfldent ••••••••

~atrly confident •••••• 2 Not very oonfldent •••• 3 Other opoc I fy

134. Old the eldwlfo or anyone 01 •• glv. you any

advloe or lna't.ruotlon about oaring for the

baby In tho tin days afhr ho/.he woo bom? IF IClRE THAN 01£ - Which 2 W1I& _t leportsnt to

you - would you rather hi ... boon told about l-1-'~C~ Yea •• 4

No ••• 5 _ U roOE AIIlIlE.

OBTAIN DETAILS AIIlUT THE ONE (IClST IIf'ORTt.'ir) 1-

IF YES (4) Old you find thl., very helpful •••••••••••• I

Fairly helpful •••••••••• 2

Not very helpful •••••••• 3 (Other - opeolfy)

GROUP 0 In loIho t way?

IF NO (5) Would you "" ... Ilkod 50110 advloo or Instruotlon? Yea •• 4

No ••• 5

135. Ai flrot afhr the baby wea

ha .. any help fl'01ll'-

- 14 -

born/the bIrth dId you 138. LI\£ BABIES. Sinoe the birth who have you talked to ... Inly aboui having the baby and aboui looking afl.ar the baby?

Yeo No

your hu.bend •••••••••••••••••• I 0 YOUr' Il1O ther ••••••••••••••••••• 2 0 your .oth.r-l~law •••••••••••• 3 0 at.ter or .Iater-In-Iaw ••••••• 4 0 any other relatlv ............. 5 0 friends or neighbour •••••••••• 6 0 a local authorlt.y .... help ••• 7 0 a privata hONe help ••••••••••• B 0 a~ne .1 •• - .paclfy

IF KlRE THAN 01£ - Who wee .. oot helpful? axlE AIllVE.

Moat helpful

I 2 3 4 5 6

7 B

IF HlJS6ANO HE1J'EO AT ALL Wee that Juot before and eftor he went to werle or .nat?

Before or after wof"',( only.... I Took holiday ••••••••••••••••• 2 Took time wl~ut pay •••••••• 3 Given tt.e off ••••••••••••••• ~ Unemployed ••••••••••••••••••• 5 Other apeolfy

136. Would you haVe liked any (more) holp or IIOre .kllled help with anything? Veo •• 9

No ••• 0 IF YES ~.i with?

137. 50 would you oay you had any probl._ or

dlfflcultl .. at fIrst or not? Ye. - aoma problens ••• J No •••••••••••••••••••• 2

STIU. BIRTHS OR BABY DIED. Sinoa the birth who

he .. you talked to .alnly about your oxporl.nos? Moot

holpful o No-one •••••••••••••••••••••••• 0

Huabend ••••••••••••••••••••••• I Mo~r •••••••••••••••••••••••• 2 Mgther-In-lew ••••••••••••••••• 3 Sister or alater-In-Iaw ••••••• 4 Other relatlvea ••••••••••••••• 5 Friande or nelghboura ••••••••• 6 Health vlalter •••••••••••••••• 7 Nurae or .Idwlfe •••••••••••••• 8 Doctor •••••••••••••••••••••••• 9 Other apoolfy

Anyone .I •• ?

I 2 S 4

5 6 7 8 9

IF IoIJRE THAN 01£ OOOEO - Who t ve you found _ t

helpful to talk to? CODE ABOVE.

139. Would you IIko to have talk.d to _no/anyono

010. about thlo (aort of thing)? Yea ••••••••••• I No •••••••••••• 2 Unoertaln ••••• 3

IF YES OR UNCERTAIN Can you oay .nat aort of a person - ...auld you prefer lSI friend, e relative, or aomeona like a doctor or

Friend ••••••••••••• I Relative ••••••••••• 2 Doctor ••••••••••••• 3 Nur.e •••••••••••••• 4 Othor - .poc I fy

FOR EACIi 01£ SEEN IF J«lT SEEN Would you have lI .... d to call and aeo you?

Soan Since tho bl rth ha.. you 088111

Va. No

A general practitIoner I o

Health vial tor •••••••• ! o

o

a) Old they b) Old you find -, 00.. to see V.ry Fal~ly Not v. you ai _a? help- holp- holp-V ... No ful ful ful

11 0 6 7 8

5 0 6 7 8

5 0 6 _7 8

I F YES: I. thore al1)'thlng pertlouJar you'd have liked

Voo No to 0 •• th ... about?

2 3

, 7

8 9

IF STILL BIRTH OR BABY DIED OR STILL IN fl)5PITAl. SKIP 10 Q.I46.

141. SI_(th. I.an da)'ll after ~h. bl~h.W ~u hod any probl .... wi th tho baby abou\:- Ever Stili

Sleeping at night •••••••••••••••••• I I Crying ••••••••••••••••••••••••••••• 2 2 Feeding or wind •••••••••••••••••••• 3 3 Not. gaIning enout;;l weight •••••••••• 4 4 Gaining too auch weight •••••••••••• 5 5 Anything .1 •• - .poolfy 5

None 01 thea. •••••••••••• ••••••• ••• 0 0

IF ANY PROBLEMS I. th.~ .tlll • probl .. or hao holsh. go~ ovor I~ now? (DOE ABOVE.

142. Taking tho I ... ~ •• von nlgh\O - on hoW .. ny of thoaa nigh" ha. the baby woken you or your huaband up?

IF mY _~ ~ I .... would tha~ b.?

Every nlgM 7 6

5 4

3 2 I o

Before m1dnlght ••••••••••••••• MIdnight - before 2 e._, ...... 2 2 e._. - before 4 8.m ••••••••• 3 4 .~. - before 6 a.m ••••••••• 4 6 a.lI, or after ............... 5

143. \hat I. the longe.~ \1 ... hol.he has .I.p~ at nlgh~ dur."g the !aat. 7 deya? Laa. than 2 hour •••••• I

2 hoy,.. < 4 houra •••• 2 4 hours < 6 hou ....... 6 hours < 8 hou'" •••• S hours < 10 hour. ••• 10 hours < 12 hour. ... 12 hours < 14 hours ... 14 hours < 16 hour. ...

3 4

5

6 7 B

16 hours or .ore •••••• 9

144. So dooa tho baby owr need w ba pi oIcod up a~ nlgh~? Ve ••• 9

No ••• 0 IF YES lIho uo"ally dooa It?

Mother II I~ya ••••••••• Mother u.uelly •••••••• 2 HaJf and helf ••••••••• 3 Fe~r usuelly •••••••• 4 Fether elwey •••••••••• 5 Other .poolfy

15

145.

146.

1

I F NOT BEEN PREGNANT EEFORE - SKIP TO Q.I53. I'd Ilk. )'Ou to oomparo your o~erlenoeo In thl. pregnancy and childbirth with )'Our e"Perlen_ I .. t t 1.. \!!hen we.a born or you had

(FROM Q.4 & 5).

148. ~ld)'Ou .. y )'OIIr pregnanoy thl. U~e WOl'-Eaalar •••••••••••••••••••• More dIfficult •••••••••••• 2 About the .am ••••••••••••• ~ E .. lo. In ."" • .-yo and

.or. difficult In Oth'ro 4 IF I, 2 Or 4 In..t>at way?

149. And wh ..... did you haw the baby/ ______ _

tho tl ... before?

In hO$pltal/~atarnlty hOGS ••••••••••••••• 1 At ho~e - .~~e one 8S thl. tl ••••••••••• 2 At r~~e - different. from thl. tlme •••••• 3 Other .p6~; fy

150. So t.~ot was:- T"'e 6&119 aa this t 1118 ••••••••• Ol'''''''' ... ..e"lt ••••••••••••••••••••• 2

IF DIFFERENT a) "'1 I..!-. dId you prefer?

Thl. t..ae ••• :3 La&t. tillS ••• 4 Both equAl •• 5

b) IF 3 or 4 ...,y I. that?

S51. The tillG t-efore dId you go Into labour of your own accord or d~d the dootora or nuraea do anything at a II to help !.!:!!:l: the labour - or dl d you haw a Cassarlan.2!!2.!:! you went Into labour?

Went Into labour on own •••••••••••••••••• Induced 0 ••••••••••••••••••••••••••••••••• 2 C~asarJw' be~o~Q labour .tarted •••••••••• 3

--~--IF ON ~ Can I Juct check tha~ thoy did not do

any of these thing • .2!!.2!:!. your ~/r-::c'"S broke or the oontraotlo ... .tarted:-

IF INIlJCED ~ your waters broke or the oontractions e;urted did th.y:-

Yaa No Break easbranaa ••••••••••••••••••••••• I 0 Glv. you a drIp •••••••••• ) Give you an InJ.otlon ••••• ) Give you .edlalr,e or )

table~ •••••••••••••••• l (Other - opaolfy)

io

help atart labour

2 3

4

o o

o

16 -

152. How did your labour loat time OOIaparo with thl. tl ... In to ..... of.

a) L.ngth? Thl. tI ... woo It ohortar, longor or about tho ._?

Thl_ tine .horte~ ••••• Thl. 1.1. longer _ .... 2 Sana ••••••••••••••••• ~ ~

IF I or 2 OI>y do )'Ou think that wa.?

Induced thl. \1 ....... . I nOJoed tl ... before ••• 5 o thor .poe I fY

b) Pain? Thla tI .. wa. It better, wo ..... or about tho o ..... ?

lhl. tIme better •••••• this time worse ••••••• 2 Sene •••••••••••••••••• 3

IF I or 2 Why do you think that woo? Induood thlo U •• Induoed loot tl .. Other .paol fy

••••• 4

••••• 5

0) Tho way you we ra I coked aftar? Th I. t I.. weo 1\ better, WOrM or about the ... 1

lhi. tI .. better ..... . This time ~rs8 ••••••• 2 Same ••••••••••••••• _. ~

IF I or 2 In what way?

d) Altogothor? Thl. tl.o woo It bettor, wor .. or about. the .eme'1

This time bett..r •••••• 4 Thle tlme wor ••••••••• 5 Same •••••••••••••••••• 6

IF 4 or 5 In .nat way?

- 17 -

153. If there Ie eny doubt. about. which of t.wo thlnga

a doctor ahould do for YOLi woLild you prefer him to deCide Without telling you or would you rether he explained Bnd let. you chooae?

Doctor deolde ••••••••••••••••••••• Explain and let mother cho08e ••••• 2 Other op.clfy

GROUP E Can)'O\l oay why you f •• 1 like that?

154. I'd like to uk you 0 f!!IW queotlona about ""at you1d like to happen 1f you were going t.o have another baby and there were no medical

OOmplioettons.

If tho doctor .ald that If you liked he would

lIak. you unoonacloua for t.he aotual delivary-would you want that or not?

Prefer to be unoonloloua •••• .5

Pl"efer to be COnsCIOUA •••••• 6 Other opoclfy

GROUP F Why wou I d you chao.. tho t?

155. If for your labour you were given a choioe about. having an epidural - that Is a aplnal InJe~~j~n whl-h mesn& YOu do not flal any pain 1:. •• ."1' !:",:.~ I ... :or; t lut the cbctor or .100001fe 1118y need to help tile baby out - would you ohoo.e to ~a\e an ect&_~el or not?

Epidural ••••••••••••••

No epidural ••••••••••• 2

O~".r opoclfy

eROUP G k,'r,.J' "'=l"d you choose that?

157. If thA dootor 8fttd t.hat .hartly before the

baby waa due If you II ked you 001.1 I dOD ... Into hosplt81 on a partloular day and he would put you on a drip that would .tart your labour and mean that the baby would arrive ~ra quickly - would you like him to do thl. or not? Prefer InductIon ••••• 5

Prlfer no Induotlon •• 6 Other .poelfy

..... y would you 01100 •• that?

158. Would you rather heye the baby at. hOrle or In

a _pltal or Natomity home? Prefer at haae •••••••••••••••••••••• 3 Prefer hoapltel or .. aternlty home •••• 4 Othor .poelfy

GROUP H ..... y I. that?

159. Would you stl J I meke U1a aama cholc •• about

being unoonaoloua or not for the delivery" havl n9 an epIdural or not. for your labour" having a d..-ip to .tart your labour or not, and having your baby at haNO or In he.pltal, If that .. eant there W1!5 a sllg,tiy Inoreaaed risk to tho baby'. lifo and h •• 1 th1

Ve." would .ake aama ehoJoea •••••••• 8 No, would not ••••••••••••••••••••••• 9 Other .poelfy

IF YES, WOLLO MAKE SAlE OlOI CES Could)'O\l .ay a bIt .. ore st:out that?

,

160. OMIT IF STIll BIRlH OR BASV OlEO Haw you t.ak.n

tho baby to a w.11 baby clinIc - or to 0 G.P. for a dleck-up when the baby waa well? Yea •• 9

No ••• 0 IF YES (9) a) How many \lm8O?

b) Old you find thai: Very helpful •••••• Fairly helpful •••• 2 No\ very holpful •• 3 (Other opec I fy)

0) W.re you able \0 find ou\ all you wan\ed \0 k_ obou\ tho baby'o

hea I~, progre&S and osre1 V •••• 4

No ••• ~ IF NO iIoha\ .1 .. would you haw

Ilk.d \0 know abou\?

IF til (0) Why Ia thaU

161. Hove you been \0 • hcoplt.al a\ all? Yea ••

IF YES (Il Why w .. tha\? No ••• 2

Post natal ••••••• 3 Ib_ """, .. U __ 4

Baby unwell •••••• 5 Other opaolfy

IF 4 or 5 Who\ woo \h •• ott.ar?

162. So have} (",.1 l.,d Y00Jr poat. natel eXM yet.?

IF YES (Z) ~no did It?

Yea .,.. 3

No •••• 4

IF NO :~) .) Wh.re aro you .... nt \0 haw It?

Huapltal ••••••••••••••

Cilnlc •••••••••••••••• 2

General pr8o~ltloner •• 3 Other (specIfy) ••••••• 4

b) ~.y havon't you had It?

IB -

163. Have en)' of the doctors, health visitors, I'IJraea, or 1I1cWivu you've a88n, either ciJrlng your pregneno)" labour and delivery or alnos the

birth .. k.d If you would Ilk. any ao.l .. or h.lp about birth control - or he"" you aoked th .. about It? Vo •••

No ••• 0 IF YES (I) a) Who rlrot ralood tha ou~Jeot _ you

or thom?

Mo~r rel •• d It. ••••••••••••• Profeaatonal ral •• d It ••••••• 2 Other - opeolfy

b) Who did you dloou .. 1\ wIth?

OODE -All. -lHAT -

Doctor at ho.pital ••••••••••• Doctor at ollnlo ••••••••••••• 2 General preotltlonar ••••••••• 3 Nurooldldwlf. at hoopltal •••• 4 Nuraalmldwlfe at ollnlo ••••• ~ 5

~ Health vlaltor ••••••••••••••• 6 MIdWife a~ ho.e •••••••••••••• 7 Other (opoolfy)

0) Whorl? DurIng pregnancy ••• OOOE All.

lHAT APPLY During labour •••••• 2 After birth •••••••• 4

d) Old they ... ntlon any partloular

... thode or blr\h control? Whet?

No •• ~od. •••••••••••• 0 F ... er •• tartl'tz.tton •• y Mala atarlllzation •••• 9 Pill •••••••••••••••••• I cap ••••••••••••••••••• 2 COll •••••••••••••••••• 3 Sheath •••••••••••••••• 4 Other (opaolfy)

IF y or 9 iIoha\ happened?

F .... I. ot.arlllzatlon oorr.O

165. OMIT IF M)lliER OR HUSBAND STERILIZED. A ...

you and your huabe.nd ua 'ng any .. thod of birth cont.rol now - Wu.t lbout.s-SHCM CARD

ANJ START READING OUT NAIo£S OF EAQi IN TlR'l

- I~ -

Ewr

Ualng In pea~

.- Y .. No lhoplll ..........•...•... I I Cap - diaphragm ••••••••••• 2 2 Coll-ioop-Introu~rlno

ring-IUD •••••••••••••••• 3 3 Sheath-rubber-ooncbro

Ourex or French le~~.r

•

172. I'd Ilk. to .. k you about tho pain you had at dlffo ...... t otago. of your labour. Would you put

-20-

a .ar\< right at tho botto. of tho II .. If you had .." pain a t that .togo and right at tha top If you felt It .... tho ..orot pain you oould po .. lbly I .. gl.... Flrot Of all.

I) ltIan thoy broke your ... bfoenea.

MMbranea not broken ....... '1

II) Then during your labour - but bofo ... you atortad puahlng down.

'\ III) _ .t tho .ooon::! .toga - of tor you atortod ,~\. pushing _no

Iv) And .t tho •• tual dellvory.

v) ltIen they put the atHchoa In. No a\ltohaa •••• a ••••••••••• y

"- (":, A.s,1

, t

=

,

179. W1en did yoGI atop work - before the baby waa

born or haw you worked all the t.1 .. apart. ff'Olll .ateml\y I.ave? Laa\ SWpped

.topped full-\I ... 'IIor1

I .. Utute for Soolal Studl .. In Medlaal Ca ... - 1-OO~ I DENT I AL

18 Vlctcr~a Par~ Square, Lon:lon E2.

Childbaartrg Experlenoea

Questionnaire for mothers

I I GROlJ' __ _

INTROOOCTlON; I'. fl'Otl a aoclal r .... rah organl.a~lon, tho I .. Utute for Soolal S~udl .. In Modlool Ca.... w. are

2 3 4 5 6 7 e 9 10 II 12 13 '. 14 15

8. \!hen wu It. thet. you flret aaw a motor about. your pregnanoy - or about the peaol bIll ty tha t

you .Ight be p ... g .... nt? Can you oay how ... ny weke you ware pregnant then - U\a\ la, how 10"13 was It slnoo your lut porlod?

Under 5 ••••••••• 1 5 < 6 •••••••••• 6 < 7 ........... 7 < 8 •••••••••• 8 < 9 •••••••••• 9< 10 •••••••••

10 < II •....•..• 11< 12 ••••••••• 12 < 16 ••••••••• 16 < 20 ••••••••• 2Qo. apaolfy

IF NJ ESTIMATE alIa It that you know at tha Urle and have forgotten now or dl d you not know then?

2 3 4

5 6 7 B

9

0

Forgotten sino. •••• 7 Old not know then •• 8

bl Could you oay how .any parlado

you had .Ia.ed then? ~~bor _____ _

Cantt re.eaber ••••• 9

I F LEFT FOR NINE WEEKS OR MORE Was tharo any

reason "*'y you didn't go before tMn? \hat?

9. \It\an tha doctor ra.II.ed you were pregnant VIh.t arrang .. enta were .. ~ about where you should M" tM baby?

In NHS hDeplt.a'/matarnlt.y homa ••• In privata nurelng home •••••••••• 2 At. no.. •••.••.•••••........•..••• 3 Other (opoalfyl

'I

-2-

10. We ... you heppy about that or dId you f_1 than that "au would rather ha ... the baby at hoa';ln anoth.r haapltal/ln heapltal or "'at?

Happy about It •••••••••••••• I Pr.far dlff .... nt haapltal ••• 2

• hoapltal ••••••••••••• 3 • ha.a ••••••••••••••••• 4

Other apaclfY ••••••••••••••• S

IF PREFER ELSE'lMERE (2,3,4 or 51 al \hy waa that?

bl \hy wasn't that arrangod?

I F HAPPY AOOur I T (I I al Why dId you profor It thore?

bl Old you fo.1 you had a

ahaloo about thla?

v •••••••••• 6 No ••••••••• 7 Quallfhd •• B

In ""'at way? Why was that?

II. ~.re did you get. your antA-natal care?

ODDE ALL llIAT

APPLY

No ante-natal care ••••••••••••• 0 Hoapltal ••••••••••••••••••••••• I G.P. aurgary or haalth cent.re •• 2 HOMe ••••••••••••••••••••••••••• 4 Other opaalfy

IF IIlNE al Why waa that? (PROBE FULLYI

b) SKIP TO QUESTION 26, PAGE 5.

12. So at. hOw .any dIfferent plaaes did you gat your ante-natal oara? IF MORE THAN TWO \hlah we ... tha _ you went

to _t afton?

13. ""an dId you go for your flrat an_tal vl.lt - how .any .. eke were you pregnant then?

IF NJ ESTIMATE Can you a. how .. ny parlado you had .Iaaed ~n?

DDlf'LETE Q.14 - Q.2.5 FOR 22!. OF TWO MAIN SOURCES OF ANTE-NATAL CARE.

3

2 4 6 7 8 9 10 • II 12 13 14

I'd Ilk. w .. k you a _r of quMU_ abou~ the a_~1 oare you go~ a~ ________ -:-

CODE IF, Hoapl4al ••••••••••••••••••••••••• General praatltlone,.l •• urgel")' ••• 2

Hoa. - SKIP to Q.19 •••••••••••••• 4 Other ............................ 8

14. FI .. ~, hQw long did I~ ~ke you w 9.~ ther.? le&a than 10 .,,._ •••••••••• 10 .tne_ < 20 .lna_ ••••••••• 2 20 .lna_ < 30 .tn. •••••••••• 3 30 .t,._ < 40 .tne •••••••••• 4 40 a'ne_ < ~ .Ine_ ••••••••• 5 ~ .lna. < 60 .Ina_ ••••••••• 6 I hour or more (op.olfy) •••• 7

15. _ did you ueually go? Publlo tranaport •••••••••••• I Own cer ••••••••••••••••••••• 2 Walk al' way •••••••••••••••• 3 Other ( • .,.clfy)

16. .) How long WBra you usually at. the aurgerylhcJ....

17.

pl~l/h.alth oon~? A~ hDopl~11 Altog-aurg.ry eth ...

Le.e ~.n I~ .ina •••••••••••• I I 15 •. na. < 30 alna. .......... 2 2 30 .1,.. < 00 .1 ... _ •....••... 3 3 45 .'na_ < I hour •••••••••••• 4 4 I hour < Ii hour ••••••••••• S S Ii hours < 2 houra •••..•.•... 6 6 2houre < 3 hour. ........... 7 7 3 houre < 4 hou ... ..........• B 8 4 houra or IIOr. (ap.olfy) ••••• 9 9

b) And _ long did ~a whol. vl.1t t ... fro.

the tI .. you I.ft hoM or work until the ~I_ you go~ baok? COOE ABOVE.

.) _ long did you ueually have W ... It thare ...,., you w.re not being ... n by anyone?

Leaa \han 5.1n. •••••••••••• 5 .1,.. < 10 .1,.. • ••••••••• 2

......... :s 10 .1,.. < IS .In.. 15 .1,. .. < 30 .In. • 30 .Ina .. < 45 .1 ....

••••••••• 4-......... S

45 .1,... < I nou~ ••••••••••• 6 I hour < Ii hours ••••••••• 7 Ii ~ra < 2 hour. •••••••••• 8 2 houra < 3 houra •••••••••• 9 3 hour. or long.r (opeolfy) •• 0

b) 00 you thl"" ~Ia w .. r ... o.-bl. or noU R • ..anabl ••••••••• Not reaaoMble •••• 2 Other • .,.olfy

18. Dl d you go every t I •• you WN .. ant \.o? Yea •••••••• 0 No ••••••••• 9 Unoerte In •• 8

IF PO (9) a) _ .... y tI_ did you .1 .. , _

b) Illy w .. thaU

-'3 -

19. ....~ abou~ ~he Mdloal and ... relllll care you __ given thire - _Id you _orl ... _~ .. .

GROUP A In.nat way?

¥ary good .......... . Fairly good ••••••••• 2 Nat \.00 good •••••••• 3 (Oth.r - apeolfy)

20. Would you da.orl ... the _y they ~ .. _ you !!.! person .. I Very good ............ 5

FaIrly goad ••••••••• S Not \00 good •••••••• 7 (O~her - apeolfy)

GRllP B In.na~ way?

21. Were _y very good, fairly good or no~ We good abou~ a""lalnlllll ~hlnga W you?

GROUP C I n ""a~ way?

Very good ••••••••••• Fairly good ••••••••• 2 Not too goad •••••••• 3 (Oth.r - apeolfy)

22. Old you feal you wa .. abl. to dl ....... the thing. you wanted W wi th thea fully or not?

23.

GROlP 0 In ...,at way?

V.a ••••••••••••••••• 5 No •••••••••••••••••• 6 Oth.r - • .,.olfy

Old you 9a~ _~ of your oare there fro. OM or too> peopl. the~ you go\ w k_ or did you ~nd W aa. different poopla .. oh tiM?

One or ~o ••••••••••••••••••• Dlff.rent plopl ••• ah \1 •••• 2 Other apeolfy

GROlP E _ dl d you f.al about tho U

24. Old you heve .11Y (other) probl_ .bou~ going fo,. ant.-nttal 0.,... auat. ear V.. No

the ollnloo ... 1l1li at _ord ~I_. I 0 ct4IT IF FIRST 1lAB'( or I~ ... 1l1li

dlffloul~ W arrang. abou~ your oth.r ohlld( .. n)

or U1)'th11lll al •• - • .,.olfy 2

25. 10 thar. al1Ythlllll ala. you'd like w aq .-the an_~1 oa .. you go~ the .. ?

o o

5

2 3 4 5 6 7 a 9 10 II 12 13 14

. 6

SKIP 10 PAGE 5 IF O~V OlE SOtJlCE (F ANTE-NATAL CARE

Now I'd Ilk. to .. k you a I'Ulber a( qu~otlo .. about tho ante-notal oa .. you got .t ________ ~

CODE IF: Hoapltal ••••••••••••••••••••••••• General practitIoner'. aurgery ••• 2 Ha.. - SKIP to Q.19 •••••••••••••• 4 Other •••••••••••••••••••••••••••• a

14. FI ... t. '- long did It take you to g.t thar.? la&a than 10 .tna ••••••••••• 10 .1,.. < 20 .Ina. ......... 2 20 .Ins. < JO .1 ... . ........ 3 30.Ins. < 40 mtna. ......•.. 4 40 III ... < 50 .Ine. •........ .5 &l .1 ... < 60 .Ina. .•..•.... 6 I hour or IIOro (apoolfy' .... 7

15. How did you uoually go? Publto tranaport •••••••••••• Own car ••••••••••••••••••••• 2 Walk all way •••••••••••••••• 3 Othor (opacify'

16. .) How long wore you usual I)' at the aUI"90ry/ho ....

17.

pltal/hoalth oontro? At hoopltall AI tog-aurgery ether

Le •• than 15 .'M. .•...••.... I I~ .Ina. < 30 .tna. .......... 2 2 30 Illna. < 45 .1 ... .......... 3 3 45 .,na. < I hour •••••••••••• 4 4 I hour < Ii houro •....•...• 5 5 Ii houro < 2 hou ... •......•... 6 6 2 _co < 3 hour. .•......... 7 7 3 houre < 4 hour. •..•.•.•..• 8 8 4 hour. or .or. (.p.olfy) ••••• 9 9

bl And '- long did tho whol. vlalt take fl'Cll the tI .... you I.ft holM or work untU the tl .. you got back? COIlE A~)vE.

a' How long did you uouallY ha .. to walt there ...,.., you w.re not being a88n by anyone?

L ... than 5 mlns •••••••••••• 5 min.. < 10 mine • 10 .'n&. < I~ .In. • 15 .Ina. < 3CI .lna • 30 .1,.. < ~ lline.

••••••••• 2 ••••••••• 3

.e .lna. I hour

••••••••• 4 ......... 5

< I hOur ••••••••••• 6 < Ii hour •••••••••• 7

Ii hour. < 2 houra •••••••••• 8 2 houra < 3 hour. •••••••••• 9 3 hour. or longer (opoclfyl •• 0

b) 00 you t.htnk till. waa reaao .. ble or not.? Reeaonabl ••••••••• I Not. r.aaonab I. .... 2 Other apeo I fy

18. Old you go every t, •• you were meant t.o? Yea •••••••• 0

No ••••••••• 9 Uncerta In •• 8

IF NJ (9' a' How .any ti_ did you .I .. ? _ b' .... y w .. that?

4-

19. lTf1at. about. i~ "dtaal and nJratng oare you we,.. given there - would you daaorlbe that sal

GROll' A In wha t way?

Very good ••••• _ .....

Fairly good ••••••••• 2 Not t.oo good ......... 3 (Othor - opacify'

20. Would you doocrlbe tho way they tro.ted you ,=...! person UI Very good ........... 5

Fairly good ••••••••• 6 Not too good •••••••• 1 (Other - opaolfy'

GROll' 8 In what way?

21. Were they very good, fairly good or not too good

about oxplalnlng thlngo to you?

GROUP C I n what way?

Very good ••••••••••• Fairly good ••••••••• 2 Not too good •••••••• 3 (Othor - opacify'

22. Old you '0.1 you w.re abl. to dlocu .. tho thing. )'Ou wanted to with t .... fully or not?

23.

24.

25.

Vea ••••••••••••••••• 5 No ••••••••••••••••• 6 Other - opoo I fy

GROll' 0 I n what way?

Old you gat .oat of your oare th.,.. fro. 0 .... or two peopl. that you got to know or did you tend to aae different people .ach t1ll .. .,

One or two ••••••••••••••••••• Different people each tl ..... 2 Other opoolfy

GROll' E How did you fo.1 about that?

Old you haw al\)' (othor' probl_ .bout going tor ante-natal oare, auGh sa: V .. No

the ollnlo. being at awkward tI .. e. I 0 OMIT 'F FIRST BABY cr It being

difficult to arrange about your othor chlld( ... n' 2 0

or anything 0100 - op.olfy 3 0

10 thoro anything al •• you'd Ilk. to •• y about the ant.e-natal car. you got the,..?

':/

, »\'

: ! . I

I I

2 3 4 6 7 8 9 10 " 12 13 14 15

.....

-5-

Old you go to any p ... per.tlon 01 ..... for ""lldbl MIl or tOOthorer.ft? V .... 9

No ••• 0

IF YES .1 Old thoy oowrl V ... No P ... par.tlon for birth ,.,theroraft.

I 0 2 0

.nfthlng .1 •• - op.olfy o

b) Would you •• y tIwy w .... :

v.~ helpful •••••••••••••••••••• 4 Fairly helpful •••••••••••••••••• 5 Not. very helpful •••••••••••••••• 6 (Olhor .peolfyl

GRO'..P F In .... t w.y?

0) Were there any classes that husbanda ooul d a"t.t.end? v ••••

No ••• 2 IF YES (I) Old you ... go? Yae •• 3

No ••• 4 IF NO (4) \II .. that booau .. :

H. didn't went to •• 5 They were at

ewkward tl~ •• •••• 6 Or .... t?

I F PI) Were there any a lusas you ODU I d have gone to If you had wanted~? Yea •••••••••• 4

No ••••••••••• 5 Donlt know ••• 6

IF YES ...,y dIdn't you go?

IF NJ OR DON'T KNJ\tI \IIou I d you h."" II ked to haw bee" able to go to ."y 01 ..... I Ike that? Ve •••••••••• 7

No •••••••••• 8 Uncertain ••• 9

'0. Before tn. baby was born had you •• t any or tn • • taff VItIo looked after you wring your aotual labour and delivery? Y .... I

No ••• 2

IF YES Who did you •• ot? MldWlf ••••••••••• 3 G.P •••••••••••••• 4 Itoop I tel dootor 5 Othor (apeolfy)

IF NJ Would you ho •• IIk.d to? Y •••••••••••••••• 6 No~ didn't .Ind •• 7

31.

29.

Would you uy you hodl-A very ... y pregnancy ••••••••• • fairly .88Y pregnanoy ••••••• 2 A rather dlffloult pregnan~ •• 3 A vary difficult prognanoy •••• 4 (Other opoolfy)

Durlrc;J yo ... pregnancy did you he .. any prob'l_

wlth:-Bolhorod

V .. No _t F.ellng alok •••••••••••••••• I 0 I Wero you aotu.lly .Iok? ..... 2 0 2 G.lnlng too .uch weight ..... 3 0 3 High blood pre.aun

or toxn .. la ••••••••••••••• 4 0 4 Headache. .......•..........• 5 0 5 Nerve. or depre •• lon •••••••• 6 0 6 Swollen ankl ................ 7 0 7 Undue tlredneaa ••••••••••••• 8 0 8 Vogln.1 bleedIng •••••••••••• 9 0 9 Vaginal d1.Oharge ••••••••••• 0 Backache •..•...•...•..••..• 2 0 2 Troubl. olooplng •...•....... 3 0 3 Troubl. wi th your water

or kIdney. •••••••••••••••• 4 0 4 Th. boby not growl ng

feat enough ••••••••••••••• 5 0 5 Varlooae velnt •••••••••••••• 6 0 6 Constipation •••••••••••••••• 7 0 7 Piles ••••••••••••••••••••••• 8 0 8 Laak of aexual f.ellng •••••• 9 0 9 Painful or unoo.fortable

Intercourse ••••••••••••••• 0 Indlge.t1on or heartburn .... 2 0 2 • ~thlng .1 •• (op.clfy)

IF NJRE THl.N 01£ 10111"" ona thing would you _t r.th.r~t hove hod? WDE AIICM.

9

I 2 3 6 7 8 9 10 II 12 13 14

-yu.

- 6 -

30. Old you heve tq go Into heapltal .. on I "Po !.Iont at 01\)' a tag. dur I ng your pregnanay1

Yee •• 9 No ••• 0

bl At ""at ata90 In tho p .. gnancy were you In hoapltal?

Ft ret thr .. .anthl. ••••• I Second thre. MIntha •••• 2 Th I rd (three I ""nthe ••• 3

01 IbI lang wera you In hoapltal for altogether - before you had the baby?

L.a. than I week •••••• 0 I week < 2 we.~ •••.• I 2 weelea < :5 .Hb ••••• 2 3 weeka < I IIOnth ••••• 3 I .,nth < :5 .ontha •••• 4 3 IIOnUw or longer •••• 5

IF I£SS THAN A \lEEK IbI mOl\)' dmy.? __ _

dl So wero you In hoopltal up until you had the baby? Yea •• 6

No ... 7

IF YES ANl IN HOSPITAL lORE THAN ONCE Haw lang were you In hoopltal

thet J .. t. tI_ before you had the baby?

L ... than I week •••••• I I week or ~re •••••••• 2

IF I£SS THAN A IoEEK Haw .ony daya1 __ _

.) W1at w .. the trouble?

31. Old you have 011'/ .... rrl .. or o""lotl .. ...,110 you w.re pregnant - about tho baby or about having tho baby? Y .... 9

No ••• 0 IF YES (91 01 Wa .. you worried about the baby

or about hev I ng the baby - or both - or ""at?

1he baby •••••••••• Hoving tho baby ••• 2 80~ •••••••••••••• 3 Oittor .paolfy

bl Wa .. you ...... I.d about .I\)'thlng In portloular? lIhat? No ••• 0

01 Con you aoy ""y you ..... ..,rrl.d (about thatl? 1Ihy?

dl Old you die .... thlal_ wi til a doctor, .IOtlf., nUN. or eaoJe' work.r or anyone Ilk. thet at ell? V ....

No •• , 2 IF YES( II II 1I>o?

G.P • •••••••••••• ~. :5 Dooter at hoaplta. , NurseI.ldwlf •••••• 5 Soolal worker ••••• 6 Other apeolfy

III liNt did he/aha .ay?

1111 So would you aay hal aha weal ~ry helpful •••••• 7 Fairly helpful •••• 8 Not very holpful •• 9 (Other 'paolfyl

I F I'll 121 lIhy not?

11

, I

2 3 4 5 6 7 8 9 10 II 12 13 " 14 IS

. t .

-7-

32. DI.regardlng "'at you know .- and looking be .. 10 tho ~I ... beforo you w.nt InlO lobo ... (thl. lo.t tl •• ) - at thot tiM did you fo.1 you k_ • nough about ..,.t \0 oxpeat ar'dld you foal you would like 10 _ ..... ar did you f .. 1 you _Id

rathor not know whot 1D ""1'00" F.lt knew enough ••••••••••••••• Fait _Id Ilk. 10 know .. ra _. 2 Rather not know •••••••••••••••• 3 (Othor .p .. lf~)

IF (2) \het oart af thing did ~ou f •• 1 unoerteln abaut?

33. And looking boak now I. thera anything you wloh

34.

35.

36.

you had beln to 1 d or warned about want InlO labour?

b8fo~ you

IF VES (4) \hat?

V .... 4 No ••• 5

IF NJ (5) I. that beoo .. e you raalload _t 1\ would b. like ar beoo ... you think n'. beU.r not \0 know?

Rlelt.ed ••••••••••••• 6 Better not "to know ••• 7

IF NJT FIRST BIRTH SKIP TO Q.37. Baforo you had tIIo beby wh .... dl d you get _t of your ldeu tl'"Ql about. .,at the aotual prooaa. would be like? .... t

h.lpful Dlacue.lan with poopl. ........ I Boob, ,..,.papere, .agadn ••• 2 2 Clea, ......................... 3 3 FillY ••••••••••••••••••••••••• 4 4 T.V ••••••••••••••••••••••••••• 5 5 Radio ••••••••••••••••••••••••• 6 5

Other .poal ty 7

Hed you dlo_ .. d It wi tII.- V .. No Your .ather •••••••••••• I 0 I Your husband ••••••••••• 2 0 2 Other relat.lvee ••••••••• 3 0 3 Frlonda ar nalghbouro •• 4 0 4 G.p. . ................• 5 Q 5 Dootor a~ hoepltal ••••• 6 0 6 Nur •• or .1~lfa ••••••• 7 0 7 Haalth vt.ltor ••••••••• B 0 B Anyon. 01 •• (ap.alty) 0 9

Looking baok now - ...., or what w .. _t holpful? DOllE ABOVE AT Q .34 ar Q.33.

~. H.d you OIly portl .. lar raeoon far wanting UIa boby \0 arrl ... at • perU .. lor U .. ar befare • oertal ft ,I .. , V ....

No ••• 2 IF YES (II \hat?

38. OMIT IF STIUBIRTH. lIould you rath.r tho beby had arrIved III bit. .... Uar, a bit. htar. or wh_ he/aha did? Rathar •• rll.r •••• I

Rathar later •••••• 2 When did •••••••••• 3 QUlar ap.alf),

If I a~ 2. \h)' 10 that?

39. Can I recap, when the baby waa bom, how .any 'II.aka pragnent were you? Mother'. Caloulet-ton

.. tl.ato QI & Q6 ..... Ulan 36 ... ka lopoalf)')_

36 ••••••••••••••••••••••••• I 37 ....•.........•.......... 2 2 38 •.................•.....• S 3 39 ........•.....•.........• 4 4 40 •........................ 5 5 41 ......................... 6 6 42 . .............•........•. 7 7 43 ......•.....•............ B B 44 • •••••••••••••••••••••••• 9 9 43 or .ara I.p.alry) - -IF ANY DISCRePANCY - Aooording 10 .y

ooloula\lon It w .. ____ ... ka. How

do you ..... on It w .. ~,"",_~ __ ka? OODE REASON FOR OISCREPANCY

w ... takan r ..... oonaeptlon ••••••• Dootor' ... tl.ete ••••••••••••••••• 2 Irregular perloda ••••••••••••••••• 3

Period during pregnanoy ••••••••• 4 Nlo .. d porlod befare pregnancy •• 5

MI.oaloulatlon •••••••••••••••••••• , Other (.paalfy)

13

2 3 4 6 7 8 9 10 II 13 14 ,~

\ ,

j A ~

--- -------------

-B-

40. At. any etag. of your pregnanc)' did you have any discussion wl1h a doctor, r.n .... or ,,1ct.ttfe about

Induot.lon - U1at'e atartl"g the labour bafor. It hepp_ on I ta own? Vee •• 9

No ••• 0 IF YES al _ did you talk to about. It?

Dootor at hospital ••••••••••••••• General praotltloner ••••••••••••• 2 Nur.e or .tdwl, •••••••••••••••••• 4 Other prof ... lo",,1 .peclfy

bl _ flr.t ral •• d the qUNtlon - you or the dootor/nur •• ? Mothe ............ 5

Prof ... lonal •••• 6 Other spoclfy

IF NO (01 Would you ha .... Ilkod to talk about It wi th ao.80.,.' Y.. •• I

No ••• 2

41, Boforo you had \he baby did you have any f.otlng. about Inductlcn? lotI.t?

42. So In ganel"l!l were you In favour of It, against It or did you hay •• Ixed feallng. or no YI~.?

In favour •••••••••••• Agalnat •••••••••••••• 2 Mixed feelings ••••••• 3 No view •••••••••••••• 4 Other spoclfy

IF I, 2 cr 3 .1 Could you .ay why?

bl I. that ba •• d on: Y •• Na Personal .~erl.na. .... 6 0 Other wasen'. experience 7 0 T.V. or redia progrea. .. B 0 Saoothlng you'v. read •• 9 D

or "'ot1

cl Old you de .nythlng to try ond arrange that. you would or would net h ..... an I nciJction1

Yee to have one •••••••• ~ Yee - t.o ~ hava one •••• 6 No ••••••••••••••••••••••• 7

IF 5 or 6 lotI.t did you de?

43. At any otago of your prognanoy did you h ...... ny dl.cua. ton wIth a doctor. nure. or .1 dwt fa about. aptdurala - that 1. a spinal anaaathetlo, or about. any .ort of p.ln relief ciJrll1\l I.bour?

IF YES .1 _ did you talk to .bout. It?

Va •• 9 No ••• 0

Doctor at. hoapltal •••••••••••• General practItioner •••••••••• 2 Nur.e or .Idwlfe •••••••••••••• 4 Other prof ... lo ... 1 opacify

b) Who first ral.ad tile CfJMtlorr - you or the doctor/nuNs? Mother ••••••••• 5

Profe ... lona I ••• 6 Other opacify

01 Old you dlooueo any particular type cf pain rollef1 IotIot?

No particular type mentioned ••••• 0 Epidural, aplnsl InJeotlon ••••••• I Other Injection •••••••••••••••••• 2 Sootothll1\l to Irh.lo (9" and alrl 4 Othor apeclfy

IF NO (01 Would you h.vo IIkod to talk about I~ wi th 80111801W1 Yea •• I

No ••• 2 IF YES (Il lotIy didn't ycu?

438. Old you have any vi .... about want.l ng or not. wonting any typo of pain roll.n ...,.t?

Epidural wanted ••••••••••••••••••••••••••• " not wanted ••••••••••••••••••••••• 2

Something slsa apaolflo wanted •••• 1 ••••••• 3 " • ft not wanted •••••••• 4

Wantad aomethlng - unspecified •••••••••••• 5 Old not want anything ••••••••••••••••••••• 6 No view ••••••••••••••••••••••••••••••••••• 7 Other speolfy ••••••••••••••••••••••••••••• 8

IF 3 or 4 1otIot?

IF HAD VIEWS (1-6, Bl Why did you fo.1 that?

15

2 3 4 5 6 7 8 9 10 II 12 13 14 IS

~I: i

16 .. ~

- ~ -44. DurIng your prognenoy dId 0 dootor ougg .. t that you ~. Bofor. you -.1. Into hospItal had.

~uld have a ea..arlan operation? V ••••• I Your watera broken: V ........... . No •••• 2

IF YES 0) lt1y was thoU

b) How .any .... ka pregnant war. you ..nen that was auggootod?

45. Old you aotually ha ... a ea .. arian operation -~ ,you went Into labour? Vea ••• 3

No •••• 4 IF YES .) Aft) t() DISO.JSSION BEFOREHAND lt1y ...

th.U

b) QiEQ( 50 you .ont. Into hospItal !l!!2.!:! )'Our water. broke or your oontraotlona _'Wried or you had a ahew? V ...... 8

No •••• 9 1Ft() 00 B.Q( AND SORT OUT.

46. And .... 1'9 .as tho boby baNl'-In NHS hoapltal/.eternlty ha.e •••••••• I In private nurelng home ••••••••••••••• 2 At ho ................................. 3 Other (opoolfy)

CHEQ( Wore you 0 prlvote or ftotS potl.nt? Prlvote -(Old you poy for tho dootor) 5 N.H.S ••••••••••••••••••••••••••••••••• 6

IF BABY BORN IN t«lSPITAL .to. Wo .. you In 0 dlfferont hoopltal or nur.lng _0 at .ny otogo of your labour?

IF YES (7) al lt1y wo .. you IOOv.d?

v .... 1 No ••• 8

b) \II1at wee the ..... e 01 t-h. hoeplt.al/ nura t ng h0ll8 wh.... you we ... Initially?

47.. W.. the baby born I n the pi aoe tha t waa arNngad? CHECK IottETI£R SAME t«lSP ITAL oto. AS ARI!~GED.

V •• , ••••••••• No, dIfferent •• 2

IF DIFFERENT lt1y woo thaU lt10t happ.nod? PROBE FOR FULL DErA I LS.

IF BABY BORN AT HOME OR IN BUS ETC. GO TO l ~H:aE::\=B=IR:~==~==:T:I:O~:::IRE::.::::::::::::::~===~ [iF" CAESARI~ BEFORE LABOUR STARTED SKIP TO Q.IOO I

No •••••••••• 0 Unoe,.t,a In ••• 2

Your oonveatlo .. atarted, v ........... S No •••••••••• 0 lkloertaln ••• 6

or Had you had a .hCIw(dlaoharg.) V ........... 9 No •••••••••• 0 Unoe,.1.aln ••• 1

49. W .. thoro onythlng that happened to you or that you dId bofore you wont Into 10_ that you thougltt .Ight hove helpod to bring It on? - I don't •• on anything \.hat the doow,.. or ,.,...e. did !!l:!t you w.,.. ea.t tted. Ve •••

No ••• 2 IF YES .... t?

50. 50 did you 90 Into labour of your own aooord or did the dootor. or ...,,.. •• em anything at a'i to help ~ the labour' Went Irna labour on Q1tn ••••

Induoed •••••••••••••••••••• 2 IF ON I10N Can I Just chock thot they did ",t do

al1)' 01 th... th I nga ~ your •• \er. broke or the aontreotloM atart.d,-

IF I NlUCEO ~ ,our wateN broke or th. oont.raotlo,," .tarted dl d thoy'-

Y .. No

Break .esbranea •••••••••••••••••.••••• I 0 Give you a drip to help 2 0

• • an InJ.otlon ~ 3 0 • • •• dlalno or hbl.te) labour 4 0

(Other - .poolfy)

IF DRIP, INJECnON, IEDICINE .) Do you k_ .... t woo In It?

bl 00 you think It .Ight have b.en,-Yoo No D.1t.

Blood ........................ lOS Oextroe. or aallne ••••••••••• 2 0 6 O.ytooln ar a Plt-drlp ••••••• 3 0 7 Proataglandlna ••••••••••••••• 4 0 B or .... U opoelfy

51. I NTERVI EWERS ASSESSIENT. Labour Induced by druga only ••••••••••••••••••

" • by broken ... branee only ••••••• 2 • • ~ bath ........................ 3

Labour not Induced •••••••••••••••••••••••••••• 0 Uncertain If labour tnduoed ••••••••••••••••••• 9

N.B. IF JUST GI VEN ENEMA OR CASTDR OIL 00 !!!!. COUNT AS I NOUCEI.

IF I.ABOlJl t()T INIllCED (0) SKIP TO Q.57.

1~

2 3 4 s 6 7 8 9 10 II 12 13 '. 14 IS

.

U

- 10-

52. 'ItIat l"'''Onl, If any, did the dootor give why you should be Inducad? No "'uo,. given •• 0

53. So do you thl'" you we,.. hlduood beoe .... :-Vea No Uncertain

You wanted It •••••••••••••• I 0 I You ware overdue ••••••••••• 2 0

Vou had hili! blood p .... ure 3 0 They though~ the baby w ..

gatting too big •••••••••• 4 0 Thay Wire wol"'l"'lad about.

the baby................. 5 0 Vou had rheeue neg.~lye blood 6 0 You had a long Jou .... y W

hoepttal ••••••••••••••••• o th. baby .Igh~ oo~e on H.

awn too quickly tor you to gat to hoapi tal • •••••• 2 0

50 that the baby wou I d be

2 3

4

5 6

2

born et a oonwnlent. t.1.e 3 0 :5 50 you oould ha .. an epidural 4 0 4 Were the MIl any other l"'euoM?

Spaolfy:

IF O~ROUE [2) How o""rduo wera you rad

2 3 4 6 7 8 9 10 II 12 13 14 15

"I (I '" !

11-

58. Old the dooto ... or ........ do a!\)'thing ot all

~ your labour had at.arted - to t.ry to hun")' It. up? VM ••••••••

No ••••••••• 2 Unoertaln •• 3

IF YES OR lfiCfRTAIN

oj \hot did they do?

ea .. arlen •••••••••••••••••••• 4 Broke ... branee •••••••••••••• ~ Gave drip •••••••••••••••••••• 6 Gave I~J.o~lon ••••••••••••••• 7 Gave .. dlaln. or tablets ••••• 8 Enana •••••••••••••••••••••••• 9

Other epool'y

IF DRIP, INJECTION OR TABLETS (6,7 or 81 II 00 you know what w .. In It?

III 00 you think It .Ight ha .. been.-Vas No O.K.

Blood •••••••• ~ •••••••• 0 5 Oextroa. or Sa I 'ne .... 2 0 6 Oxytocin or , Pit. drip 3 0 7 Proe tag landl no ........ 4 0 8

b) What reaaon., If any, did they give for hurrying It up? No reeaona given ••••• 0

01 So do you think It w .. booa_. V •• No Unoertaln

They were worried about the baby............... 0 5

You were 9.t\.I"9 very tired 2 0 6 So that the baby would bo

born at. a oonvenl.nt. 'LI .. 4 0 7 or Was there any (0 the,.) reuon

IF (X)N\IENIENT (4 or 71 (II Could you .. y 0

bit. 1101". about the t?

(III So would you ooy It w .. convenient. for you, the people at. the ho.patal or both? Moth ....... .

Hoaplt.al •••• 2 Both •••••••• 3

S9. During your labour wre you gl..,en anything at. all to roll ... tho pain botore tho octual

60.

61.

dollyery (Co .. arlonl? Y .... I No ••• 0

IF NO 01 Waul d you ho .. liked to ho .. -. gl_ &OII&thlng? Y .... 2

No ••• 3

bl SKIP TO Q.64.

Old you ho ... - Y .. Ho An epidural or eplnal aMeathet.la •• I 0 Another type of InJect.lan •••••••••• 2 0 Sa.ethlng to Inhale •••••••••••••••• 3 0 Tablet. ••••••••••••••••••••••••••••• 4 0 Other - opool'y 0

IF 2, 3 or 400 you know what It woo? Whet? Oo"lt know ••• g

Pethld.n. •••• 6

IF I NHALANT(S I Old you ho .. ony pl'Obl_ "'th It? \hot? Ho •• 0

IF GIVEN IoIlRE THAN ONE TYPE oj which wero you glYen flrot? Noet

Flrot Epldurol or oplnal •••••• I

helpful

I Other InJect.lon ••••••••• 2 2 &.t.hlng to Inhale ••••• 3 3 Tablets ••••••••••••••••• • 4 Other Equal •••••••••••••••••••

bl ""'ch did you rind _t halp'ul? CODE AIDVE.

00 you , .. 1 you wera !!£!! given oa.athlng ot the rIght. tl •• , or would you rather you1d bean gl..,en It 800Mr or later or not. at. all?

At. right t.t ......... . Rather eooner •••••••• 2

• latar ••••••••• 3 • not at all 4

Other .peolfy

21

, I I

2 3 4 6 7 8 9 10 II 12 13 14 IS

- 12-

62. Do you think you wo .... gl""" onough (of tI10 dlff ..... nt th Inga) or -.Id you haw lIIeed.ore or were you glyen too .uGh?

Given enough 'of all) ••••••••••••••••••• Liked more (of all) ••••••••••••••••••••• 2 Given ~ much or did not want

any (01 all) •••••••••••••••••••••••••• 3 Enough of one. liked ..ore of othera ••••• 4-

" n - ~ .uch of other. ••••••• 5 L I ked IftOre of 0 ..... 9 I..,." too "uGh

of other .............................. 6 Othor opeolfy

IF 4, ,5 or 6 \It11ch on.1 Liked Too

Enough .oro .uoh

Epldural/opl",,1 ....... 2 3 Other Injection ....... 4 5 6 Inhalant •••••••••••••• 7 8 9 Tablets ••••••••••••••• 0 4 Other ••••••••••••••••• 2 7 0

620) Old you find whot you wore glvon hoi pod the patna:- • lot ••••••••••••••

• Iitti •••••••••••• 2

Not at .11 ••••••••• 3 (MIxed .ffeat) •••••• 4

IF MIXEO 1Ih1,*, helpod IS lot .. a IIUI., not at all? Lot Llttla Not

Epldural/oplnal ....... I 2 3 Other InJeotion ....... 4 5 6 Inhalant •••••••••••••• 7 8 g

Tableta ••••••••••••••• 0 I 4

Other ••••••••••••••••• 2 7 0

63. On balance are you glad you had what you did or would you rather you'd had nothing at all or so.e other aort of pain rallever:

Glad had what did •••••••••••••• Rather nothing ••••••••••••••••• 2 Rather aa.ethlng elae •••••••••• 3 Glad ona. rather not othar ••••• 4

(Other apaolfy)

I 64. Can I oh.oIc. - wera you attaahed to a11Y .. ohlna or a drIp cUring your labour? Vea ••• 8

,., •••• 0

IF YES a) ...,1,*" ....ahlne ... I DrIp ••••• 2 Both ••••• 3

b) _ did you f.al about that?

Oldn't .and •• 4

0) So would you rather have baen able to mOve around .ore freely or dl d1' t you .Ind? Prefer t.o .ave •••• 5

Oldn't .lnd ••••••• 6

d) Do you know what I tlthay wa .. for' ihat.? Don't know ••• 9

CODE Meaaura contractlone ••••••••••• I ALL Speed or Induce labour ••••••••• 2 THAT Monitor baby'_ heart ••••••••••• 3 AI't'LY Othar opaolfy

65. OIoIIT IF SAIO llAom£ WAS I«lNITORING BABY'S HEART OR IF SAIO FOETUS KNlIrtl TO 8E OEAO. 00 you know If they were attacking the baby'. heart at all whll. you wa ... In labour?

Don't know •••••••• 9 Yea - thay ........ I

No - were not ••••• 2

IF YES (I) How did they do thl.? Stethosoopa ••••••• 3

Maahlne ••••••••••• 4

Horn or trumpet Othor (opacify)

... 5 Don't know •••••••• 6

23

I 2 3 4 6 7 8 9 10 II 12 13 14 IS

,,-06. lid like to uk you aOite queatlo ... about the

time tho different thlngo happoned: 01 loI1.n did you flrot otart havll"ll lobour

oontraoUono? lOMIT 'PRACTICE' CONTRACTIONS I

oay_~=_~=~=_ TI ____ _ USE 24 HOL!l ClOCK Cen't ooy ••• 9

bl And whon wa. It that you went Into hoapltal?

OOy _________ Tlmo, ___ _

01 And when did you ltart pUlhlng down lor were gl .... n an aMeathetia lind bea_ unoo ... olou.} OOy _________ TI .. __ _

Cen't. asy ••• 9

dl And '*>on woo \he baby born?

oay, _________ Tlmo ___ _

67. For how long, If st all, during your labour would you aay you h