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Protocol - Mode of Conception - Interview

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Description:

A woman who gave birth is asked several questions about the amount of time she spent trying to become pregnant and if she used fertility drugs or reproductive technologies to help her get pregnant.

Specific Instructions:

The maternal interview may provide information about medical interventions to achieve pregnancy. Information from the maternal interview complements the information obtained from the Mode of Conception - Medical Record Abstraction protocol and ideally, both modes of administration are used. The maternal interview may yield inaccurate information due to potential recall bias.

Protocol:

1) When you got pregnant with your new baby, were you trying to get pregnant?

1[ ]No

2[ ]Yes

(IF NO, THEN SKIP ALL THE REMAINING QUESTIONS AND CODE THAT CONCEPTION WAS "SPONTANEOUS" OR "NATURAL)

2) Did you (or your partner) take any fertility drugs or receive any medical procedures from a doctor, nurse or other health care worker to help you get pregnant with (this pregnancy/your new baby/child’s name)? This may include infertility treatments such as fertility-enhancing drugs or assisted reproductive technology. (italics added by MK)

1[ ]No

2[ ]Yes

(IF NO, THEN SKIP TO QUESTION 6 AND CODE THAT CONCEPTION WAS "SPONTANEOUS" OR "NATURAL")

3) Did you (or your partner) use any of the following fertility treatments during the month you got pregnant with (this pregnancy/your new baby/child’s name)?

Check ALL that apply (italics added by MK)

[ ] Fertility enhancing drugs prescribed by a doctor (fertility drugs include Clomid®, Serophene®, Pergonal® or other drugs to stimulate ovulation)

[ ] Artificial insemination or intrauterine insemination (treatments in which sperm, but NOT eggs, were collected and medically placed inside the woman’s body)

[ ] Assisted reproductive technology (treatments in which BOTH a woman’s eggs and a man’s sperm were handled in the laboratory, such as in vitro fertilization [IVF],
        gamete intrafallopian transfer [GIFT], zygote intrafallopian transfer [ZIFT], intracytoplasmic sperm injection [ICSI], frozen embryo transfer, or donor embryo transfer)

[ ] Other medical treatment (please tell us) ________________________

[ ] I wasn’t using fertility treatments during the month that I got pregnant with (this pregnancy/my new baby/child’s name)

4) How long had you been trying to get pregnant before you took any fertility drugs or used any medical procedures to help you get pregnant with (this pregnancy/your new baby/child’s name)? Do not count long periods of time when you and your partner were apart or not having sex.

[ ] 0 to 5 months

[ ] 6 to 11 months

[ ] 1 to 2 years

[ ] 3 to 4 years

[ ] 5 to 6 years

[ ] More than 6 years

5) How many cycles of fertility treatments (complete or incomplete) did you have before you got pregnant with your new baby?

[ ] 1 cycle

[ ] 2 to 3 cycles

[ ] 4 to 6 cycles

[ ] 7 or more cycles

ONLY ASK QUESTION 6 IF QUESTION 2 IS ANSWERED "NO"

6) How many months were you trying to get pregnant? Do not count long periods of time when you and your partner were apart or not having sex.

[ ] 0 to 3 months

[ ] 4 to 6 months

[ ] 7 to 12 months

[ ] 13 to 24 months

[ ] More than 24 months

Protocol Name from Source:

Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 Core Questions and Standard Questions

Availability:

Publicly available

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 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 or interviewer-administered questionnaire

Life Stage:

Adolescent, Adult, Pregnancy

Participants:

Mother post-childbirth

Selection Rationale

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

Language

English, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Pregnancy Conception Mode Assessment Text 5633914 CDE Browser
Derived Variables

None

Process and Review

Not applicable.

Source

Centers for Disease Control and Prevention, Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 Core Questions, Item 14, Phase 7 Standard Questions, Items A1-A4, Question 7.

General References

Core State Preconception Health Indicators-Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System, 2009. (2014). Morbidity and Mortality Weekly Report, 63(ss03):1-62.

Protocol ID:

241201

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX241201_Mode_Conception_Cycles_Fertility_Treatment PX241201050000 How many cycles of fertility treatments more
(complete or incomplete) did you have before you got pregnant with your new baby? show less
N/A
PX241201_Mode_Conception_Fertility_Drugs_Treatment PX241201020000 Did you (or your partner) take any fertility more
drugs or receive any medical procedures from a doctor, nurse or other health care worker to help you get pregnant with (this pregnancy or your new baby or child?s name)? This may include infertility treatments such as fertility-enhancing drugs or assisted reproductive technology. (italics added by MK) show less
N/A
PX241201_Mode_Conception_Fertility_Treatment_Month PX241201030100 Did you (or your partner) use any of the more
following fertility treatments during the month you got pregnant with (this pregnancy or your new baby or child?s name)? show less
N/A
PX241201_Mode_Conception_Fertility_Treatment_Month_Other PX241201030200 Did you (or your partner) use any of the more
following fertility treatments during the month you got pregnant with (this pregnancy or your new baby or child?s name)? Other medical treatment show less
N/A
PX241201_Mode_Conception_Months_Before_Fertility_Drugs_Treatment PX241201040000 How long had you been trying to get pregnant more
before you took any fertility drugs or used any medical procedures to help you get pregnant with (this pregnancy or your new baby or child?s name)? Do not count long periods of time when you and your partner were apart or not having sex. show less
N/A
PX241201_Mode_Conception_Months_Trying_Pregnant PX241201060000 How many months were you trying to get more
pregnant? Do not count long periods of time when you and your partner were apart or not having sex. show less
N/A
PX241201_Mode_Conception_Trying_Pregnant PX241201010000 When you got pregnant with your new baby, more
were you trying to get pregnant? show less
N/A
Pregnancy
Measure Name:

Mode of Conception

Release Date:

January 31, 2017

Definition

Questions about whether medical intervention of any kind was needed to achieve pregnancy.

Purpose

Information about natural or assisted conception (i.e., infertility treatments or reproductive technologies) is essential to determine fertility status.

Keywords

Pregnancy, conception, fertility, infertility treatment, Extremely Low Gestational Age Newborns, ELGAN, Pregnancy Risk Assessment Monitoring System, PRAMS, Centers for Disease Control and Prevention, CDC