PRAMS Phase 6 Questionnaire Topic Reference 1 TABLE OF CONTENTS ABOUT THIS DOCUMENT ............................................................................................................... 5 1. ABUSE ........................................................................................................................................ 6 A. PHYSICAL ................................................................................................................. 6 B. EMOTIONAL ............................................................................................................ 9 C. SEXUAL .................................................................................................................. 10 2. ASSISTED REPRODUCTION ...................................................................................................... 11 3. BREASTFEEDING ...................................................................................................................... 13 4. CHILD CARE .............................................................................................................................. 17 5. CONTRACEPTION ..................................................................................................................... 18 A. PRE-CONCEPTION ................................................................................................. 18 B. CONCEPTION ........................................................................................................ 18 C. POSTPARTUM ....................................................................................................... 19 6. DELIVERY .................................................................................................................................. 22 A. METHOD ............................................................................................................... 22 7. DOUCHING ............................................................................................................................... 26 8. DRUG USE ................................................................................................................................ 27 A. ALCOHOL ............................................................................................................... 27 B. TOBACCO .............................................................................................................. 28 a. Tobacco Use .............................................................................................. 28 b. Smoking Cessation ................................................................................... 29 c. Smoking Rules .......................................................................................... 34 C. OTHER ................................................................................................................... 34 9. HEALTH INSURANCE ................................................................................................................ 40 A. MATERNAL ............................................................................................................ 40 B. INFANT .................................................................................................................. 46 a. General ..................................................................................................... 46 b. Child Health Insurance Program .............................................................. 46 10. HIV AND SEXUALLY TRANSMITTED INFECTIONS .................................................................. 48 A. HIV ......................................................................................................................... 48 B. SEXUALLY TRANSMITTED INFECTIONS ................................................................ 49 11. HOUSEHOLD CHARACTERISTICS ........................................................................................... 51 A. RESIDENTS ............................................................................................................ 51 B. NUMBER OF ROOMS ............................................................................................ 52 C. TELEPHONE COVERAGE ........................................................................................ 52 D. MOBILITY .............................................................................................................. 52 E. UTILITIES AND WATER SOURCE ........................................................................... 52 12. INCOME .................................................................................................................................. 55 13. INFANT HEALTH CARE ........................................................................................................... 58 A. WELL BABY CARE .................................................................................................. 58 B. VACCINATIONS ..................................................................................................... 60 C. SICK BABY CARE .................................................................................................... 60 D. CIRCUMCISION ..................................................................................................... 61 E. SCREENING ........................................................................................................... 62 2 14. INFANT MORTALITY .............................................................................................................. 63 15. INJURY PREVENTION/SAFETY ............................................................................................... 64 16. LENGTH OF STAY.................................................................................................................... 70 A. INFANT .................................................................................................................. 70 B. MATERNAL ............................................................................................................ 70 17. MATERNAL HEALTH CARE ..................................................................................................... 71 A. MEDICATIONS ....................................................................................................... 71 B. VACCINATIONS ..................................................................................................... 71 a. Vaccinations ............................................................................................. 71 b. Barriers ..................................................................................................... 72 C. POSTPARTUM CHECKUP ...................................................................................... 73 D. EPILEPSY OR SEIZURE TREATMENT ...................................................................... 75 E. GENERAL HEALTH ................................................................................................. 75 F. DISCRIMINATION .................................................................................................. 76 18. NUTRITION ............................................................................................................................. 78 A. MATERNAL WEIGHT/HEIGHT ............................................................................... 78 B. VITAMIN USE AND FOLIC ACID ............................................................................ 78 C. FOOD INSUFFICIENY….. .................................................................................... 81 19. MENTAL HEALTH ................................................................................................................... 83 20. MORBIDITY ............................................................................................................................ 88 A. INFANT ................................................................. 88Error! Bookmark not defined. a. Gestational Age ........................................................................................ 88 b. ICU Admission ........................................................................................... 88 B. MATERNAL ............................................................................................................ 88 a. Preconceptional........................................................................................ 88 b. Prenatal and Intrapartum ........................................................................ 90 c. Postpartum ............................................................................................... 93 d. General ..................................................................................................... 94 21. ORAL HEALTH......................................................................................................................... 96 22. PARENT AND INFANT CHARACTERISTICS ............................................................................. 99 A. INFANT DEMOGRAPHICS ..................................................................................... 99 B. MATERNAL DEMOGRAPHICS ............................................................................... 99 C. PATERNAL DEMOGRAPHICS .............................................................................. 100 D. PARENTAL RELATIONSHIP .................................................................................. 100 23. PHYSICAL ACTIVITY AND WORK.........................................................................................