Protocol - Mode of Delivery - Interview

Description

A woman who gave birth is asked several questions about how the baby was delivered.

Specific Instructions

The maternal interview should be administered if the obstetric medical record (Mode of Delivery - Medical Record Abstraction protocol) with information about the delivery is unavailable. The maternal interview may yield inaccurate information due to potential recall bias. Information from the maternal interview may supplement the information in the medical record.

Availability

Available

Download PDF

Protocol

1. Before you had your new baby, did you ever have a baby by cesarean delivery or c-section (when a doctor cuts through the mother’s belly to bring out the baby)?

1[ ]No

2[ ]Yes

2. How was your new baby delivered?

[ ] Vaginally (if yes, then skip to question 5)

[ ] Cesarean delivery (c-section)

3. Which statement best describes whose idea it was for you to have a cesarean delivery (c-section)?

Check ONE answer

[ ] My health care provider recommended a cesarean delivery before I went into labor

[ ] My health care provider recommended a cesarean delivery while I was in labor

[ ] I asked for the cesarean delivery

4. What was the reason that your new baby was born by cesarean delivery (c-section)? Check ALL that apply

[ ] I had a previous cesarean delivery (c-section)

[ ] My baby was in the wrong position (such as breech)

[ ] I was past my due date

[ ] My health care provider worried that my baby was too big

[ ] I had a medical condition that made labor dangerous for me (such as heart condition, physical disability)

[ ] I had a complication in my pregnancy (such as preeclampsia, placental problems, infection, preterm labor)

[ ] My health care provider tried to induce my labor, but it didn’t work

[ ] Labor was taking too long

[ ] The fetal monitor showed that my baby was having problems before or during labor (fetal distress)

[ ] I wanted to schedule my delivery

[ ] I didn’t want to have my baby vaginally

[ ] Other Please tell us ____________________________

5. Did your doctor, nurse, or other health care worker try to induce your labor (start your contractions using medicine)?

1[ ]No → Skip Item 6

2[ ]Yes

[ ] I don’t know → Skip Item 6

6. Why did your doctor, nurse, or other health care worker try to induce your labor (start your contractions using medicine)? Check ALL that apply

[ ] My water broke and there was a fear of infection

[ ] I was past my due date

[ ] My health care provider worried about the size of the baby

[ ] My baby was not doing well and needed to be born

[ ] I had a complication in my pregnancy (such as low amniotic fluid or preeclampsia)

[ ] Labor stopped or was not progressing

[ ] I wanted to schedule my delivery

[ ] I wanted to give birth with a specific health care provider

[ ] Other Please tell us: __________________________________

Personnel and Training Required

No specific training is needed if data are collected through a self-administered questionnaire. If interviewers administer the questionnaire, the interviewer must be trained to conduct personal interviews with individuals from the general population and found competent to administer these particular questions (i.e., tested by an expert) at the end of the training. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

These questions can be administered in a computerized or noncomputerized format (i.e., paper-and pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer or handheld computer to administer or to allow the respondent to self-administer a computer-assisted questionnaire.

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Self-administered or interviewer-administered questionnaire

Lifestage

Adolescent, Adult, Pregnancy

Participants

Mother after a live birth

Selection Rationale

The questions were used in the Pregnancy Risk Assessment Monitoring System (PRAMS), a major study with thousands of participants.

Language

English, Spanish

Standards

Standard	Name	ID	Source
Human Phenotype Ontology	Induced vaginal delivery	HP:0030369	HPO
Human Phenotype Ontology	Forceps delivery	HP:0011411	HPO
caDSR Form	PhenX PX241301 - Mode Of Delivery Interview	6873212	caDSR Form

Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

Pregnancy Risk Assessment Monitoring System (PRAMS), Phase 7

Source

Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 Standard Questions K1, K3, K6, K7, K9, K10.

Certification for the Spanish translation can be found here.

General References

Bovbjerg, M. L. & Siega-Riz, A. M. (2009). Exercise during pregnancy and cesarean delivery: North Carolina PRAMS, 2004-2005. Birth, 36(3), 200-207.

Protocol ID

241301

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX241301_Mode_Delivery_Cesarean_Delivery_History
	PX241301010000	Before you had your new baby, did you ever more have a baby by cesarean delivery or c-section (when a doctor cuts through the mother?s belly to bring out the baby)? show less	N/A
PX241301_Mode_Delivery_Cesarean_Idea_Initiation
	PX241301030000	Which statement best describes whose idea it more was for you to have a cesarean delivery (c-section)? Check ONE answer show less	N/A
PX241301_Mode_Delivery_Cesarean_Reason
	PX241301040100	What was the reason that your new baby was more born by cesarean delivery (c-section)? Check ALL that apply show less	N/A
PX241301_Mode_Delivery_Cesarean_Reason_Other
	PX241301040200	What was the reason that your new baby was more born by cesarean delivery (c-section)? Check ALL that apply show less	N/A
PX241301_Mode_Delivery_Induce_Labor
	PX241301050000	Did your doctor, nurse, or other health care more worker try to induce your labor (start your contractions using medicine)? show less	N/A
PX241301_Mode_Delivery_Induce_Labor_Reason
	PX241301060100	Why did your doctor, nurse, or other health more care worker try to induce your labor (start your contractions using medicine)? Check ALL that apply show less	N/A
PX241301_Mode_Delivery_Induce_Labor_Reason_Other
	PX241301060200	Why did your doctor, nurse, or other health more care worker try to induce your labor (start your contractions using medicine)? Check ALL that apply show less	N/A
PX241301_Mode_Delivery_New_Baby
	PX241301020000	How was your new baby delivered?	N/A

Pregnancy

Measure Name

Mode of Delivery

Release Date

January 31, 2017

Definition

Information about the initiating event of a woman’s delivery, the mode of delivery, and if it was an assisted delivery.

Purpose

The mode of delivery may influence the health of the mother. Cesarean deliveries are becoming more common in the United States, often performed without a medical reason, and put the mother at increased risk of infection, hemorrhaging, blood clots, or experiencing a reaction to the anesthesia. Mode of delivery may also impact the health of the neonate. Cesarean section in the absence of labor has been associated with an increased occurrence of difficulties in respiratory transition to newborn life; for example, an increased risk of transient tachypnea of the newborn. Instrumental vaginal deliveries (forceps and vacuum) have been associated with increased risk of birth injuries such as facial nerve damage (forceps) and subgaleal hematomas (vacuum).

Keywords

pregnancy, vaginal delivery, cesarean delivery, Pregnancy Risk Assessment Monitoring System, PRAMS, Centers for Disease Control and Prevention, CDC, Maternal Fetal Medicine Units Network, MFMU, A Randomized Trial of Induction Versus Expectant Management, ARRIVE

Measure Protocols

Protocol ID	Protocol Name
241301	Mode of Delivery - Interview
241302	Mode of Delivery - Medical Record Abstraction

Publications

There are no publications listed for this protocol.