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Protocol - Difficulties in Pregnancy

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Description:

A single-item (with 13 subparts), Likert-style self-report questionnaire used to capture information about a woman’s pregnancy. This questionnaire is administered twice: once at 6-13 weeks, and again at 22-29 weeks.

Specific Instructions:

Responses are on a Likert scale. For items (a)-(l), subjects can score a 1, 2, or 3, making the whole instrument range from 12-36.

Protocol:

To some women, certain things about being pregnant are uncomfortable or upsetting, but other women may not be bothered by the same things. We are interested in the things that you are worried or bothered about now.

Please use one of the following answers to tell me whether you are bothered, worried, or upset about things at this point in your pregnancy.

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

1) Are you feeling bothered, upset or worried at this point in your pregnancy:

a) about the effect of ongoing health problems such as high blood pressure of diabetes on your pregnancy?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

b) about feeling tired and having low energy during your pregnancy?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

c) about paying for your medical care during pregnancy?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

d) about changes in your weight and body shape during pregnancy?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

e) about whether you might have an unhealthy baby?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

f) about physical symptoms of pregnancy such as vomiting?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

g) about physical symptoms of pregnancy such as swollen feet?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

h) about physical symptoms of pregnancy such as backaches?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

i) about the quality of your medical care during pregnancy?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

j) about working or caring for your family during pregnancy?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

k) about whether the baby might be affected by alcohol, cigarettes, or drugs that you have taken?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

l) about other things that have to do with your pregnancy, the birth, or the baby?

[ ] 01 Not at all

[ ] 02 Somewhat

[ ] 03 Very Much

2) If you answered ‘somewhat’ or ‘very much’ to ‘other things’ [(l) above], will you please list what those things are?

______________________________________________________________________________

Protocol Name from Source:

Nulliparous Pregnancy Outcomes Study Monitoring Mothers-to-Be (nuMoM2b) Difficulties in Pregnancy Visit 1, Form V1E

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
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 questionnaire

Life Stage:

Adolescent, Adult, Pregnancy

Participants:

Pregnant women with first pregnancy

Selection Rationale

The Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (nuMoM2b) is a major prospective cohort study collecting data from the first trimester of pregnancy through the end of pregnancy on approximately 10,000 nulliparous women. The protocols, consent forms, and data collection instruments were developed by the nuMoM2b investigators in collaboration with Project Scientists from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and vetted by an independent Advisory and Safety Monitoring Board reporting to NICHD.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Pregnancy Difficulty Questionnaire Assessment Scale 5633891 CDE Browser
Derived Variables

None

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

Nulliparous Pregnancy Outcomes Study Monitoring Mothers-to-Be (nuMoM2b) Difficulties in Pregnancy Visit 1, 2010 version, Form V1E

General References

Alderdice, F., Savage-McGlynn, E., Martin, C., McAuliffe, F., Hunter, A., Unterscheider, J., . . . Malone, F. (2013). The Prenatal Distress Questionnaire: An investigation of factor structure in a high risk population. Journal of Reproductive and Infant Psychology, 31(5), 456-464.

Haas, D. M., Parker, C. B., Wing, D. A., Parry, S., Grobman, W. A., Mercer, B. M., . . . Reddy, U. M.; NuMo2b Study. (2015). A description of the methods of the Nulliparous Pregnancy Outcomes Study: Monitoring mothers-to-be (nuMoM2b). American Journal of Obstetrics and Gynecology, 212(4), 539.e531-539.e524.

Yali, A. M., & Lobel, M. (1999). Coping and distress in pregnancy: An investigation of medically high risk women. Journal of Psychosomatic Obstetrics and Gynaecology, 20(1), 39-52.

Protocol ID:

240701

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX240701_Pregnancy_Difficulties_Alcohol_Cigarettes_Drugs PX240701011100 Are you feeling bothered, upset or worried at this point in your pregnancy about whether the baby might be affected by alcohol, cigarettes, or drugs that you have taken? N/A
PX240701_Pregnancy_Difficulties_Backaches PX240701010800 Are you feeling bothered, upset or worried at this point in your pregnancy about physical symptoms of pregnancy such as backaches? N/A
PX240701_Pregnancy_Difficulties_Body_Shape_Weight PX240701010400 Are you feeling bothered, upset or worried at this point in your pregnancy about changes in your weight and body shape during pregnancy? N/A
PX240701_Pregnancy_Difficulties_Describe PX240701020000 If you answered "somewhat" or "very much" to "other things" [(1) above], will you please list what those things are? N/A
PX240701_Pregnancy_Difficulties_Family_Issues PX240701011000 Are you feeling bothered, upset or worried at this point in your pregnancy about working or caring for your family during pregnancy? N/A
PX240701_Pregnancy_Difficulties_Feeling_Tired PX240701010200 Are you feeling bothered, upset or worried at this point in your pregnancy about feeling tired and having low energy during your pregnancy? N/A
PX240701_Pregnancy_Difficulties_Health_Problems PX240701010100 Are you feeling bothered, upset or worried at this point in your pregnancy about the effect of ongoing health problems such as high blood pressure of diabetes on your pregnancy? N/A
PX240701_Pregnancy_Difficulties_Medical_Bills PX240701010300 Are you feeling bothered, upset or worried at this point in your pregnancy about paying for your medical care during pregnancy? N/A
PX240701_Pregnancy_Difficulties_Other_Things PX240701011200 Are you feeling bothered, upset or worried at this point in your pregnancy about other thanks that have to do with your pregnancy, the birth, or the baby? N/A
PX240701_Pregnancy_Difficulties_Quality_Medical_Care PX240701010900 Are you feeling bothered, upset or worried at this point in your pregnancy about the quality of your medical care during pregnancy? N/A
PX240701_Pregnancy_Difficulties_Swollen_Feet PX240701010700 Are you feeling bothered, upset or worried at this point in your pregnancy about physical symptoms of pregnancy such as swollen feet? N/A
PX240701_Pregnancy_Difficulties_Unhealthy_Baby PX240701010500 Are you feeling bothered, upset or worried at this point in your pregnancy about whether you might have an unhealthy baby? N/A
PX240701_Pregnancy_Difficulties_Vomiting PX240701010600 Are you feeling bothered, upset or worried at this point in your pregnancy about physical symptoms of pregnancy such as vomiting? N/A
Pregnancy
Measure Name:

Difficulties in Pregnancy

Release Date:

January 31, 2017

Definition

A questionnaire to assess if a woman is feeling bothered, upset, or worried during her pregnancy.

Purpose

A measure to describe worries, concerns, and difficulties a woman has experienced related to her pregnancy.

Keywords

Prenatal care, baby, nuMoM2b, pregnancy health problems, birth