|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
|
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
child_id, demo_study_id, subject |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
visit_date |
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0::1440
|
Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
|
|
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender, sex |
Query
|
matern_age_mo |
Integer |
|
Recommended |
Mother's age at pregnancy (months) |
|
|
|
Query
|
matern_age_fa |
Integer |
|
Recommended |
Father's age at maternal pregnancy (months) |
|
|
|
Query
|
preg_numberof |
Integer |
|
Recommended |
Total number of pregnancies by biological mother |
|
|
matern_no_preg |
Query
|
matern_no_births |
Integer |
|
Recommended |
Total number of live births. |
|
|
|
Query
|
matern_thrt_loss |
Integer |
|
Recommended |
Was there any threat to losing your child? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_twins |
Integer |
|
Recommended |
Was it a twin pregnancy? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_caff |
Integer |
|
Recommended |
Did you drink any caffeinated beverages (coffee, tea or soda with caffeine) during your pregnancy (including before you knew you were pregnant)? |
|
0 = No; 1 = Yes
|
|
|
matern_caff_preg |
String |
15
|
Recommended |
At which time during your pregnancy did you drink caffeinated beverages? Mark all that apply: |
|
1 = Before you knew you were pregnant ; 2 = During the first trimester (months 0-3) ; 3 = During the second trimester (months 4-6) ; 4 = During the third trimester (months 7-9)
|
|
Query
|
matern_caff_days |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how many days per week did you drink a caffeinated beverage, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_caff_drinks |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how many cups of coffee, glasses of tea, bottles/cans of caffeinated sodas per day did you drink, on average, on those days when you drank any caffeinated beverages? |
1::12
|
11 = Less than 1 ; 1 = 1 ; 2 = 2 ; 3 = 3 ; 4 = 4 ; 5 = 5 ; 6 = 6 ; 7 = 7 ; 8 = 8 ; 9 = 9 ; 10 = 10 ; 12 = More than 10
|
|
Query
|
matern_cigs |
Integer |
|
Recommended |
Did you smoke cigarettes during your pregnancy (including before you knew you were pregnant)? |
|
0 = No; 1 = Yes
|
|
|
matern_cigs_preg |
String |
15
|
Recommended |
At which time during your pregnancy did you smoke cigarettes? Mark all that apply: |
|
1 = Before you knew you were pregnant ; 2 = During the first trimester (months 0-3) ; 3 = During the second trimester (months 4-6) ; 4 = During the third trimester (months 7-9)
|
|
Query
|
matern_cigs_days |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how many days per week did you smoke, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_cigs_no |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how many cigarettes did you smoke each day on those days when you smoked? |
1::9
|
1 = 1-5 ; 2 = 6-10 ; 3 = 11-15 ; 4 = 16-20 ; 5 = 20-25 ; 6 = 26-30 ; 7 = 31-35 ; 8 = 36-40 ; 9 = 40 or more
|
|
Query
|
matern_cigs_before |
Integer |
|
Recommended |
Did you smoke cigarettes before your pregnancy? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_cigs_before_when |
Integer |
|
Recommended |
When was the last time you smoked before the pregnancy? |
1::5
|
1 = Just before you found out you were pregnant ; 2 = Between 0 and 3 months before the pregnancy ; 3 = Between 3 and 6 months before the pregnancy ; 4 = Between 6 and 12 months before the pregnancy ; 5 = Longer than 12 months before the pregnancy
|
|
Query
|
matern_cigs_before_days |
Integer |
|
Recommended |
During the time specified above (before pregnancy), how many days per week did you smoke, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_cigs_before_no |
Integer |
|
Recommended |
During the time specified above (before pregnancy), how many cigarettes did you smoke each day on those days when you smoked? |
1::9
|
1 = 1-5 ; 2 = 6-10 ; 3 = 11-15 ; 4 = 16-20 ; 5 = 20-25 ; 6 = 26-30 ; 7 = 31-35 ; 8 = 36-40 ; 9 = 40 or more
|
|
Query
|
matern_cigs_after |
Integer |
|
Recommended |
Did you smoke cigarettes after your pregnancy? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_cigs_after_when |
Integer |
|
Recommended |
When and for how long after your pregnancy did you smoke cigarettes? |
1::5
|
1 = From the birth of your child until the present ; 2 = From the birth of your child until your child was 2 years old ; 3 = From the birth of your child until your child was 1 year old ; 4 = Since you stopped breastfeeding your child until the present ; 5 = Other time period and duration
|
|
|
matern_cigs_after_when_other |
String |
100
|
Recommended |
If you smoked cigarettes after your pregnancy for another time period and duration, please specify: |
|
|
|
Query
|
matern_cigs_after_days |
Integer |
|
Recommended |
During the time specified above (after pregnancy), how many days per week did you smoke, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_cigs_after_no |
Integer |
|
Recommended |
During the time specified above (after pregnancy), how many cigarettes did you smoke each day on those days when you smoked? |
1::9
|
1 = 1-5 ; 2 = 6-10 ; 3 = 11-15 ; 4 = 16-20 ; 5 = 20-25 ; 6 = 26-30 ; 7 = 31-35 ; 8 = 36-40 ; 9 = 40 or more
|
|
Query
|
matern_cigs_any |
Integer |
|
Recommended |
Does anyone living in the home with your child smoke cigarettes regularly (regular smoking means smoking at least once per week for at least 2 months in a row)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_cigs_any_days |
Integer |
|
Recommended |
If anyone living in the home with your child smokes cigarettes regularly, how many days per week does that person smoke, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_cigs_any_no |
Integer |
|
Recommended |
If anyone living in the home with your child smokes cigarettes regularly, how many cigarettes does that person smoke each day on those days when he/she smokes? |
1::9
|
1 = 1-5 ; 2 = 6-10 ; 3 = 11-15 ; 4 = 16-20 ; 5 = 20-25 ; 6 = 26-30 ; 7 = 31-35 ; 8 = 36-40 ; 9 = 40 or more
|
|
Query
|
matern_alcoh |
Integer |
|
Recommended |
Did you drink any alcohol (beer, wine, liquor) during your pregnancy (including before you knew you were pregnant)? |
|
0 = No; 1 = Yes
|
|
|
matern_alcoh_when |
String |
15
|
Recommended |
At which time during your pregnancy did you drink alcohol? Mark all that apply: |
|
1 = Before you knew you were pregnant ; 2 = During the first trimester (months 0-3) ; 3 = During the second trimester (months 4-6) ; 4 = During the third trimester (months 7-9)
|
|
Query
|
matern_alcoh_how_oftn |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how often did you have any alcohol? |
1::9
|
1 = 1-2 days ; 2 = 3-8 days ; 3 = 1 day per month ; 4 = 2-3 days per month ; 5 = 1 day per week ; 6 = 2 days per week ; 7 = 3-4 days per week ; 8 = 5-6 days per week ; 9 = Every day
|
|
Query
|
matern_alcoh_no |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how many alcoholic drinks did you typically have on those days when you drank alcohol (one drink is defined as a regular can or bottle of beer, glass of wine, or a shot of liquor)? |
1::10
|
1 = 1-2 ; 2 = 3-4 ; 3 = 5-6 ; 4 = 7-8 ; 5 = 9-11 ; 6 = 12-15 ; 7 = 16-18 ; 8 = 19-24 ; 9 = 25-30 ; 10 = 31 or more
|
|
Query
|
matern_marij |
Integer |
|
Recommended |
Did you smoke (or ingest) marijuana during your pregnancy (including before you knew you were pregnant) ? |
|
0 = No; 1 = Yes
|
|
|
matern_marij_when |
String |
15
|
Recommended |
At which time during your pregnancy did you use marijuana? Mark all that apply: |
|
1 = Before you knew you were pregnant ; 2 = During the first trimester (months 0-3) ; 3 = During the second trimester (months 4-6) ; 4 = During the third trimester (months 7-9)
|
|
Query
|
matern_marij_days |
Integer |
|
Recommended |
During the time(s) [the participant] specified above, how many days per week did you use marijuana, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_marij_before |
Integer |
|
Recommended |
Did you smoke (or ingest) marijuana before your pregnancy? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_marij_before_when |
Integer |
|
Recommended |
When was the last time you used marijuana before the pregnancy? |
1::5
|
1 = Just before you found out you were pregnant ; 2 = Between 0 and 3 months before the pregnancy ; 3 = Between 3 and 6 months before the pregnancy ; 4 = Between 6 and 12 months before the pregnancy ; 5 = Longer than 12 months before the pregnancy
|
|
Query
|
matern_marij_before_days |
Integer |
|
Recommended |
During the time specified above (before pregnancy), how many days per week did you use marijuana, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
Query
|
matern_marij_after |
Integer |
|
Recommended |
Did you smoke (or ingest) marijuana after your pregnancy? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_marij_after_when |
Integer |
|
Recommended |
When and for how long after your pregnancy did you use marijuana? |
1::5
|
1 = From the birth of your child until the present ; 2 = From the birth of your child until your child was 2 years old ; 3 = From the birth of your child until your child was 1 year old ; 4 = Since you stopped breastfeeding your child until the present ; 5 = Any other time period and duration of that period
|
|
|
matern_marij_after_when_spec |
String |
200
|
Recommended |
Used marijuana after pregnancy for other time/duration: Please specify: |
|
|
|
Query
|
matern_mari_after_days |
Integer |
|
Recommended |
During the time specified above (after pregnancy), how many days per week did you smoke marijuana, on average? |
1::6
|
1 = Every day ; 2 = 5-6 ; 3 = 3-4 ; 4 = 2 ; 5 = 1 ; 6 = Less often
|
|
|
matern_preg_meds |
String |
70
|
Recommended |
Did you take any of the following medications during pregnancy (including before you knew you were pregnant)? |
|
1 = Anti-asthmatics ; 2 = Anti-hypertensives ; 3 = Anti-nausea agents ; 4 = Antibiotics ; 5 = Antihistiamines ; 6 = Anti-depressants ; 7 = Anti-anxiety ; 8 = Anti-psychotics ; 9 = Fenoterol (asthma therapy) ; 10 = Hormones: oral contraceptive pill ; 11 = Hormones: Thyroid hormone (thyroxin) ; 12 = Migraine medications ; 13 = Pain medications (other than Tylenol and Ibuprofen) ; 14 = Preterm labor medication ; 15 = Pitocin ; 16 = Steroids ; 17 = Other
|
|
|
matern_preg_meds_oth |
String |
300
|
Recommended |
If other medications were taken during pregnancy, please specify: |
|
|
|
Query
|
ros_10 |
Integer |
|
Recommended |
Were you diagnosed with gestational diabetes? |
|
0=No; 1=Yes; -99=NA; 77=Refused; 88=Missing
|
matern_gest_diabetes |
Query
|
matern_gest_diabetes_rx |
Integer |
|
Recommended |
If you were diagnosed with gestational diabetes, was it controlled by: |
1::3
|
1 = diet ; 2 = insulin ; 3 = oral medication
|
|
|
preg_bleeding |
String |
50
|
Recommended |
Did mother experience excessive bleeding during pregnancy? |
|
|
matern_vag_bleed |
|
matern_vag_bleed_expl |
String |
300
|
Recommended |
If abnormal vaginal bleeding during this pregnancy, please explain: |
|
|
|
Query
|
devhx_10a3_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have any of the following conditions? Severe nausea and vomiting extending past the 6th month or accompanied by weight loss? /¿Náuseas y vómitos severos que continuaron hasta después del 6.º mes de embarazo o que estuvieron acompañados de una pérdida de peso? |
|
1 = Yes /Sí; 0 = No /No; 999 = Don't know/ No lo sé
|
matern_nausea |
|
matern_nausea_expl |
String |
300
|
Recommended |
If excessive nausea and vomiting during this pregnancy, please explain: |
|
|
|
Query
|
matern_pre_ecl |
Integer |
|
Recommended |
Did you experience Pre-eclampsia (abnormally high blood pressure)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_malnutri |
Integer |
|
Recommended |
Did you experience maternal malnutrition? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_slow_growth |
Integer |
|
Recommended |
Were you ever told that your child was growing more slowly than expected prior to birth? |
|
0 = No; 1 = Yes
|
|
|
matern_trauma |
String |
30
|
Recommended |
Did you experience any trauma during this pregnancy? Mark all that apply. |
|
1 = Emotional abuse ; 2 = Physical abuse ; 3 = Loss of a loved one ; 4 = Falls ; 5 = Car accident ; 6 = Witness of emotional abuse, but not personally experienced ; 7 = Witness of physical abuse, but not personally experienced ; 8 = Prefer not to say ; 9 = Other
|
|
|
matern_trauma_oth |
String |
300
|
Recommended |
If other trauma was experienced during this pregnancy, please specify: |
|
|
|
|
matern_med_ill |
String |
40
|
Recommended |
Are you currently being treated for any medical or mental illness? Mark all that apply. |
|
1 = ADHD ; 2 = Asthma ; 3 = Anxiety ; 4 = Depression ; 5 = Diabetes ; 6 = Heart Disease ; 7 = High blood pressure ; 8 = High cholesterol ; 9 = Migraines ; 10 = OCD ; 11 = Other
|
|
|
matern_med_ill_oth |
String |
300
|
Recommended |
Please specify other medical or mental illness you are being treated for: |
|
|
|
Query
|
matern_gest |
Integer |
|
Recommended |
Gestation at birth (full term usually 40 weeks). |
1::3
|
1 = Preterm ; 2 = Term ; 3 = Postterm
|
|
Query
|
matern_gest_wks |
Integer |
|
Recommended |
Number of weeks gestation at birth? |
|
|
|
Query
|
matern_preterm_lbr |
Integer |
|
Recommended |
Did you experience preterm labor? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_preterm_lbr_meds |
Integer |
|
Recommended |
If you experienced preterm labor, did you require medication? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_preterm_meds_inhib |
Integer |
|
Recommended |
If you experienced preterm labor, was the labor inhibited with medication? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_memb_rupt |
Integer |
|
Recommended |
Did you experience premature or prolonged rupture of the membranes? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_infect_fld |
Integer |
|
Recommended |
Did you have an infection in your amniotic fluid? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_sev_pclamps |
Integer |
|
Recommended |
Did you experience severe pre-eclampsia (high blood pressure and excessive swelling)? |
|
0 = No; 1 = Yes
|
|
|
ex_iiie_del_breech_malpresent |
String |
2
|
Recommended |
Screening and Exclusion Form (0:0 to 4:5 y:m) Question IIIE Breech or malpresentation during delivery of the Child of Interest (COI) (not exclusionary with planned c-section) (Y=Yes, N=No, NA=Not Available) |
|
Y = Yes; N = No; NA = Not available
|
matern_breech |
Query
|
matern_cord_comp |
Integer |
|
Recommended |
Was the umbilical cord compressed? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_fet_dist |
Integer |
|
Recommended |
Did your child experience fetal distress? |
|
0 = No; 1 = Yes
|
|
|
matern_fet_distr_des |
String |
300
|
Recommended |
If your child experienced fetal distress, please describe: |
|
|
|
Query
|
matern_del_type |
Integer |
|
Recommended |
Type of delivery? |
1;2
|
1 = Normal labor ; 2 = Cesarean section
|
|
|
ldnb_cemergency |
String |
50
|
Recommended |
For C section - Why was the c-section performed - Emergency |
|
|
matern_c_sec_emerg |
Query
|
matern_traum_del |
Integer |
|
Recommended |
Was this a traumatic delivery? |
|
0 = No; 1 = Yes
|
|
|
matern_traum_del_expl |
String |
300
|
Recommended |
If this was a traumatic delivery, please explain: |
|
|
|
Query
|
matern_born_bef_hosp |
Integer |
|
Recommended |
Was your child born before admission to the hospital? |
|
0 = No; 1 = Yes
|
|
|
forceps_vacuum |
String |
3
|
Recommended |
were forceps or a vacuum used to aid delivery |
|
|
matern_forc |
Query
|
matern_asp |
Integer |
|
Recommended |
Did your child aspirate meconium at birth? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_apgar_sc |
Integer |
|
Recommended |
What was your child's Apgar score at immediately after birth? |
1::10
|
1 = 1 ; 2 = 2 ; 3 = 3 ; 4 = 4 ; 5 = 5 ; 6 = 6 ; 7 = 7 ; 8 = 8 ; 9 = 9 ; 10 = 10
|
|
|
info_apgar5 |
String |
50
|
Recommended |
Apgars 5 min. |
|
|
matern_apgar_5min |
Query
|
matern_lab_inj |
Integer |
|
Recommended |
Did you or your child suffer from any physical injury during labor and/or delivery beyond that expected from a typical delivery? |
|
0 = No; 1 = Yes
|
|
|
matern_brth_wt |
String |
25
|
Recommended |
What was your child's birth weight (lbs, oz)? |
|
|
matern_brth_wt_lbs |
Query
|
matern_sz_gest_age |
Integer |
|
Recommended |
Was your child any of the following? |
1::3
|
1 = SGA = small for gestational age (for newborn baby whose weight is lower than 2500 grams or 5.51 lbs). ; 2 = AGA = Appropriate for gestational age (2500 - 4000 grams or 5.51-8.82 lbs) ; 3 = LGA = Large for gestational age (>4000 grams or >8.82 lbs)
|
|
Query
|
matern_hypotherm |
Integer |
|
Recommended |
Did your child experience any of the following: Hypothermia (low body temperature)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_hypogly |
Integer |
|
Recommended |
Did your child experience any of the following: Hypoglycemia (low blood sugar)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_jaund |
Integer |
|
Recommended |
Did your child experience any of the following: Neonatal jaundice (yellowing of the skin)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_jaund_rx |
Integer |
|
Recommended |
If your child experienced neonatal jaundice, how was it treated? |
1::3
|
1 = No treatment ; 2 = Light treatment ; 3 = Plasma exchange
|
|
Query
|
matern_breath_probs |
Integer |
|
Recommended |
Did your child experience any of the following: Breathing problems? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_pneum |
Integer |
|
Recommended |
Did your child experience any of the following: Pneumonia? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_int_bleed |
Integer |
|
Recommended |
Did your child experience any of the following: Intracranial bleeding (bleeding into the brain)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_stom_probs |
Integer |
|
Recommended |
Did your child experience any of the following: Necrotizing enterocolitis (severe stomach problems)? |
|
0 = No; 1 = Yes
|
|
Query
|
matern_vent |
Integer |
|
Recommended |
Did your child experience any of the following: Ventilator |
|
0 = No; 1 = Yes
|
|
Query
|
matern_nicu |
Integer |
|
Recommended |
Did your child experience any of the following: NICU admission? |
|
0= No; 1= Yes; -999= Prefer not to answer
|
|
Query
|
matern_nicu_days |
Integer |
|
Recommended |
If your child was admitted to the NICU, duration of stay in days. |
|
|
|
|
nb_motfeed |
String |
50
|
Recommended |
Did the birth mother breast feed the baby |
|
|
matern_brstfed |
|
matern_brstfed_time |
String |
100
|
Recommended |
If you breast fed, how long? |
|
|
|
Query
|
matern_formula |
Integer |
|
Recommended |
Did your baby take formula? |
|
0 = No; 1 = Yes
|
|
|
matern_formula_brand |
String |
50
|
Recommended |
If your baby took formula, what formula? |
|
|
|
|
matern_formula_time |
String |
100
|
Recommended |
If your baby took formula, for how long? |
|
|
|
Query
|
matern_hld_head |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Hold head up |
|
|
|
Query
|
roll_over |
Integer |
|
Recommended |
At what age (in months) did your child first learn to roll over |
|
|
matern_rll_ovr |
Query
|
matern_toy_reach |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Reached for toy |
|
|
|
Query
|
matern_sat_up |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Sat up alone |
|
|
|
Query
|
matern_fing_fed |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Finger fed |
|
|
|
Query
|
matern_crawl |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Crawled |
|
|
|
Query
|
matern_pull_to_stand |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Pulled self to standing |
|
|
|
Query
|
matern_walk |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Walked |
|
|
|
Query
|
matern_slf_fed |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Used utensils to feed self |
|
|
|
Query
|
matern_tlk_wrd_combo |
Integer |
|
Recommended |
At what age (in months) did your child complete the following tasks: Talked in 2-3 word combinations |
|
|
|
|
cocaine_gestation |
String |
5
|
Recommended |
During pregnancy, did birth mother: Use Cocaine, Crack, or Free base |
|
999 = Don't Know
|
devhx_9_coc_crack |
|
devhis_8_other4_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 4: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other4_amt |
|
devhis_8_other4_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 4: How many times per week? |
|
|
devhx_8_other4_tmswk |
|
devhis_8_other5_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 5: |
|
|
devhx_8_other5_name |
|
devhis_8_other5_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 5: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other5_amt |
|
devhis_8_other5_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 5: How many times per week? |
|
|
devhx_8_other5_tmswk |
|
devhis_8_other6_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 6: |
|
|
devhx_8_other6_name |
|
devhis_8_other6_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 6: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other6_amt |
|
devhis_8_other6_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 6: How many times per week? |
|
|
devhx_8_other6_tmswk |
|
devhis_8_other7_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 7: |
|
|
devhx_8_other7_name |
|
devhis_8_other7_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 7: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other7_amt |
|
presmed_alcohol |
String |
50
|
Recommended |
In this pregnancy, did the birth mother do any of the following activities - Drink alcohol |
|
999 = Don't Know
|
devhx_9_alcohol |
|
devhis_8_other7_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 7: How many times per week? |
|
|
devhx_8_other7_tmswk |
|
devhis_8_other8_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 8: |
|
|
devhx_8_other8_name |
|
devhis_8_other8_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 8: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other8_amt |
|
devhis_8_other8_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 8: How many times per week? |
|
|
devhx_8_other8_tmswk |
|
devhis_8_other9_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 9: |
|
|
devhx_8_other9_name |
|
devhis_8_other9_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 9: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other9_amt |
|
devhis_8_other9_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 9: How many times per week? |
|
|
devhx_8_other9_tmswk |
|
devhis_8_other10_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 10: |
|
|
devhx_8_other10_name |
|
devhis_8_other10_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 10: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other10_amt |
|
devhis_8_other10_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 10: How many times per week? |
|
|
devhx_8_other10_tmswk |
|
preg4_2 |
Integer |
|
Recommended |
During your most recent pregnancy, did you have any of the following health conditions? - High blood pressure (that started during this pregnancy), pre-eclampsia or eclampsia |
|
0 = No; 1 = Yes; 999 = Missing
|
devhx_10c_p |
|
devhis_8_other11_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 11: |
|
|
devhx_8_other11_name |
|
devhis_8_other11_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 11: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other11_amt |
|
devhis_8_other11_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 11: How many times per week? |
|
|
devhx_8_other11_tmswk |
|
devhis_8_other12_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 12: |
|
|
devhx_8_other12_name |
|
devhis_8_other12_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 12: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other12_amt |
|
devhis_8_other12_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 12: How many times per week? |
|
|
devhx_8_other12_tmswk |
|
devhis_8_other13_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 13: |
|
|
devhx_8_other13_name |
|
devhis_8_other13_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 13: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other13_amt |
|
devhis_8_other13_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 13: How many times per week? |
|
|
devhx_8_other13_tmswk |
|
devhis_8_other14_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 14: |
|
|
devhx_8_other14_name |
|
demo_preg_meds |
Integer |
|
Recommended |
Did the biological mother use prescription medications during pregnancy? |
|
1=Yes; 0=No; 3=Don't Know
|
devhx_9_prescript_medyn |
|
devhis_8_other14_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 14: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other14_amt |
|
devhis_8_other14_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 14: How many times per week? |
|
|
devhx_8_other14_tmswk |
|
devhis_8_other15_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 15: |
|
|
devhx_8_other15_name |
|
devhis_8_other15_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 15: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other15_amt |
|
devhis_8_other15_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 15: How many times per week? |
|
|
devhx_8_other15_tmswk |
|
devhis_9_prescript_med |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant, did she use: Prescription medications? If yes, how many? |
|
999 = Don''t know
|
devhx_9_prescript_med |
|
devhis_9_med1 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 1: |
|
|
devhx_9_med1 |
|
devhis_9_med1_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 1: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med1_dose |
|
devhis_9_med1_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 1: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med1_frqcy |
|
devhis_9_med2 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 2: |
|
|
devhx_9_med2 |
|
ph_11 |
Integer |
|
Recommended |
Was your child born prematurely? |
0::1; 9998;999
|
0 = No (If No, please go to Question 12); 1 = Yes; 9998 = Did not answer; 999 = Don't Know
|
devhx_12a_p |
|
devhis_9_med2_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 2: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med2_dose |
|
devhis_9_med2_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 2: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med2_frqcy |
|
devhis_9_med3 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 3: |
|
|
devhx_9_med3 |
|
devhis_9_med3_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 3: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med3_dose |
|
devhis_9_med3_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 3: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med3_frqcy |
|
devhis_9_med4 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 4: |
|
|
devhx_9_med4 |
|
devhis_9_med4_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 4: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med4_dose |
|
devhis_9_med4_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 4: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med4_frqcy |
|
devhis_9_med5 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 5: |
|
|
devhx_9_med5 |
|
devhis_9_med5_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 5: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med5_dose |
|
child_twin |
Integer |
|
Recommended |
2.2. Does this child have a twin? |
|
1= Yes ; 2= No ; 99= D/K
|
devhx_5_p |
|
devhis_9_med5_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 5: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med5_frqcy |
|
devhis_9_med6 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 6: |
|
|
devhx_9_med6 |
|
devhis_9_med6_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 6: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med6_dose |
|
devhis_9_med6_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 6: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med6_frqcy |
|
devhis_9_med7 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 7: |
|
|
devhx_9_med7 |
|
devhis_9_med7_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 7: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med7_dose |
|
devhis_9_med7_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 7: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med7_frqcy |
|
devhis_9_med8 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 8: |
|
|
devhx_9_med8 |
|
devhis_9_med8_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 8: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med8_dose |
|
devhis_9_med8_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 8: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med8_frqcy |
|
bio_mother |
Integer |
|
Recommended |
Are you the Child''s Biological Mother? |
0;1
|
0 = No; 1 = Yes
|
devhx_1_p |
|
devhis_9_med9 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 9: |
|
|
devhx_9_med9 |
|
devhis_9_med9_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 9: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med9_dose |
|
devhis_9_med9_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 9: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med9_frqcy |
|
devhis_9_med10 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 10: |
|
|
devhx_9_med10 |
|
devhis_9_med10_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 10: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med10_dose |
|
devhis_9_med10_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 10: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med10_frqcy |
|
devhis_9_med11 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 11: |
|
|
devhx_9_med11 |
|
devhis_9_med11_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 11: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med11_dose |
|
devhis_9_med11_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 11: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med11_frqcy |
|
devhis_9_med12 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 12: |
|
|
devhx_9_med12 |
|
how_long_pregnant |
Float |
|
Recommended |
5. How far along were you/mother when you/mother found out you/mother were pregnant with (child)? (Weeks) |
|
999 = Don't Know
|
devhx_7_p |
|
devhis_9_med12_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 12: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med12_dose |
|
devhis_9_med12_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 12: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med12_frqcy |
|
devhis_9_med13 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 13: |
|
|
devhx_9_med13 |
|
devhis_9_med13_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 13: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med13_dose |
|
devhis_9_med13_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 13: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med13_frqcy |
|
devhis_9_med14 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 14: |
|
|
devhx_9_med14 |
|
devhis_9_med14_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 14: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med14_dose |
|
devhis_9_med14_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 14: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med14_frqcy |
|
devhis_9_med15 |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: NAME OF MEDICATION 15: |
|
|
devhx_9_med15 |
|
devhis_9_med15_dose |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 15: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_9_med15_dose |
|
birth_weight_oz |
Float |
|
Recommended |
Birth weight ounces |
|
|
devhx_2b_p |
|
devhis_9_med15_frqcy |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Medication 15: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_9_med15_frqcy |
|
devhis_9_cigs_per_day |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Tobacco: How much? |
|
(cigarettes/day)
|
devhx_9_cigs_per_day |
|
devhis_9_alchohol_max |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Alcohol: Maximum drinks in one sitting? |
|
|
devhx_9_alchohol_max |
|
devhis_9_alchohol_avg |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Alcohol: Average drinks per/week: |
|
|
devhx_9_alchohol_avg |
|
devhis_9_alcohol_effects |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Alcohol: How many drinks did it take to feel the effects of alcohol? |
|
|
devhx_9_alcohol_effects |
|
devhis_9_marijuana_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Marijuana used? How much marijuana? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_marijuana_amt |
|
devhis_9_marijuana_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Marijuana used? How many times per week? |
|
|
devhx_9_marijuana_tmswk |
|
devhis_9_coc_crack_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Cocaine/Crack used? How much cocaine/crack? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_coc_crack_amt |
|
devhis_9_coc_crack_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Cocaine/Crack used? How many times per week? |
|
|
devhx_9_coc_crack_tmswk |
|
devhis_9_her_morph_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Heroin/Morphine used? How much heroin/morphine? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_her_morph_amt |
|
birth_weight_lbs |
Float |
|
Recommended |
Birth weight pounds |
|
|
devhx_2_p |
|
devhis_9_her_morph_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Heroin/Morphine used? How many times per week? |
|
|
devhx_9_her_morph_tmswk |
|
devhis_9_oxycont |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Oxycontin used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_9_oxycont |
|
devhis_9_oxycont_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Oxycontin used? How much oxycontin? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_oxycont_amt |
|
devhis_9_oxycont_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Oxycontin used? How many times per week? |
|
|
devhx_9_oxycont_tmswk |
|
devhis_9_other_drugs |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Any other drugs used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_9_other_drugs |
|
devhis_9_other_drugs_amt |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Any other drugs used? If so, how many drugs? |
|
|
devhx_9_other_drugs_amt |
|
devhis_9_other1_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 1: |
|
|
devhx_9_other1_name |
|
devhis_9_other1_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 1: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other1_amt |
|
devhis_9_other1_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 1: How many times per week? |
|
|
devhx_9_other1_tmswk |
|
devhis_9_other2_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 2: |
|
|
devhx_9_other2_name |
|
devhis_3_p |
Float |
|
Recommended |
How old was the biological mother (if you are the biological mother, then it''s you) when s/he was born? |
|
Don''t know = 999
|
devhx_3_p |
|
devhis_9_other2_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 2: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other2_amt |
|
devhis_9_other2_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 2: How many times per week? |
|
|
devhx_9_other2_tmswk |
|
devhis_9_other3_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 3: |
|
|
devhx_9_other3_name |
|
devhis_9_other3_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 3: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other3_amt |
|
devhis_9_other3_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 3: How many times per week? |
|
|
devhx_9_other3_tmswk |
|
devhis_9_other4_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 4: |
|
|
devhx_9_other4_name |
|
devhis_9_other4_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 4: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other4_amt |
|
devhis_9_other4_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 4: How many times per week? |
|
|
devhx_9_other4_tmswk |
|
devhis_9_other5_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 5: |
|
|
devhx_9_other5_name |
|
devhis_9_other5_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 5: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other5_amt |
|
devhis_4_p |
Float |
|
Recommended |
How old was the biological father (if you are the biological father, then it''s you) when s/he was born? |
|
Don''t know = 999
|
devhx_4_p |
|
devhis_9_other5_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 5: How many times per week? |
|
|
devhx_9_other5_tmswk |
|
devhis_9_other6_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 6: |
|
|
devhx_9_other6_name |
|
devhis_9_other6_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 6: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other6_amt |
|
devhis_9_other6_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 6: How many times per week? |
|
|
devhx_9_other6_tmswk |
|
devhis_9_other7_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 7: |
|
|
devhx_9_other7_name |
|
devhis_9_other7_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 7: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other7_amt |
|
devhis_9_other7_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 7: How many times per week? |
|
|
devhx_9_other7_tmswk |
|
devhis_9_other8_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 8: |
|
|
devhx_9_other8_name |
|
devhis_9_other8_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 8: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other8_amt |
|
devhis_9_other8_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 8: How many times per week? |
|
|
devhx_9_other8_tmswk |
|
devhis_6_p |
Integer |
|
Recommended |
Was your pregnancy with this child a planned pregnancy? |
0;1;999
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_6_p |
|
devhis_9_other9_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 9: |
|
|
devhx_9_other9_name |
|
devhis_9_other9_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 9: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other9_amt |
|
devhis_9_other9_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 9: How many times per week? |
|
|
devhx_9_other9_tmswk |
|
devhis_9_other10_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 10: |
|
|
devhx_9_other10_name |
|
devhis_9_other10_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 10: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other10_amt |
|
devhis_9_other10_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 10: How many times per week? |
|
|
devhx_9_other10_tmswk |
|
devhis_9_other11_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 11: |
|
|
devhx_9_other11_name |
|
devhis_9_other11_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 11: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other11_amt |
|
devhis_9_other11_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 11: How many times per week? |
|
|
devhx_9_other11_tmswk |
|
devhis_9_other12_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 12: |
|
|
devhx_9_other12_name |
|
devhis_8_prescript_medyn |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child, did she use: Prescription medications? |
0;1;999
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_8_prescript_medyn |
|
devhis_9_other12_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 12: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other12_amt |
|
devhis_9_other12_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 12: How many times per week? |
|
|
devhx_9_other12_tmswk |
|
devhis_9_other13_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 13: |
|
|
devhx_9_other13_name |
|
devhis_9_other13_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 13: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other13_amt |
|
devhis_9_other13_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 13: How many times per week? |
|
|
devhx_9_other13_tmswk |
|
devhis_9_other14_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 14: |
|
|
devhx_9_other14_name |
|
devhis_9_other14_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 14: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other14_amt |
|
devhis_9_other14_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 14: How many times per week? |
|
|
devhx_9_other14_tmswk |
|
devhis_9_other15_name |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 15: |
|
|
devhx_9_other15_name |
|
devhis_9_other15_amt |
String |
100
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 15: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_9_other15_amt |
|
devhis_8_prescript_med |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child, did she use: Prescription medications? If yes, how many? |
|
999 = Don''t know
|
devhx_8_prescript_med |
|
devhis_9_other15_tmswk |
Integer |
|
Recommended |
Once the biological mother knew she was pregnant: Specify: Drug use? Name of drug 15: How many times per week? |
|
|
devhx_9_other15_tmswk |
|
devhis_caffeine_11 |
Integer |
|
Recommended |
Did you/biological mother have any caffeine during pregnancy (from conception until delivery)? |
|
1 = yes ; 0 = no ; 999 = Don''t know ; -888 = Not applicable
|
devhx_caffeine_11 |
|
devhis_caffeine_amt |
Integer |
|
Recommended |
If you/biological mother had caffeine during pregnancy (from conception until delivery) How much caffeine/day? |
|
(cups/day)
|
devhx_caffeine_amt |
|
devhis_10a_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Severe nausea and vomiting extending past the 6th month or accompanied by weight loss? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10a_p |
|
devhis_10b_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Heavy bleeding requiring bed rest or special treatment? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10b_p |
|
devhis_10d_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Severe gall bladder attack? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10d_p |
|
devhis_10e_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Persistent proteinuria? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10e_p |
|
devhis_10f_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Rubella (German measles) during first 3 months of pregnancy? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10f_p |
|
devhis_10_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Urinary tract infections? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10_p |
|
devhis_10i_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Pregnancy-related diabetes? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10i_p |
|
devhis_8_med1 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 1: |
|
|
devhx_8_med1 |
|
devhis_10j_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Pregnancy-related high blood pressure? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10j_p |
|
devhis_10k_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Previa, abruptio, or other problems with the placenta? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10k_p |
|
devhis_10l_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: An accident or injury requiring medical care? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10l_p |
|
devhis_10m_p |
Integer |
|
Recommended |
During the pregnancy with this child, did you/biological mother have: Any other conditions requiring medical care |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_10m_p |
|
devhis_11_p |
Integer |
|
Recommended |
About how many times did you/biological mother see a doctor or other medical professional for prenatal care during this pregnancy? |
|
(Routine care = 14)(Don''t know = 999)
|
devhx_11_p |
|
devhis_12_p |
Integer |
|
Recommended |
About how many weeks premature was the child when they were born? |
|
1 - 12 = weeks 1 - 12; 13 = greater than 12 ; 999 = Don''t know example: full term = 40 weeks; born at 36 weeks = 4 weeks premature; born at 32 weeks = 8 weeks premature
|
devhx_12_p |
|
devhis_14b_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Slow heart beat? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14b_p |
|
devhis_14c_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Did not breathe at first? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14c_p |
|
devhis_14d_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Convulsions? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14d_p |
|
devhis_14e_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Jaundice needing treatment? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14e_p |
|
devhis_8_med1_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 1: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med1_dose |
|
devhis_14f_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Required oxygen? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14f_p |
|
devhis_14g_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Required blood transfusion? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14g_p |
|
devhis_14h_p |
Integer |
|
Recommended |
Did your child have any of the following complications at birth: Rh incompatibility? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_14h_p |
|
devhis_15 |
Integer |
|
Recommended |
For how many days after birth was your child in an incubator? |
|
If he/she was never in an incubator, enter 0. Don''t know = 999
|
devhx_15 |
|
devhis_16_p |
Integer |
|
Recommended |
About how many days in the first 12 months of life, did your child have a fever of 104 degrees or greater? |
|
If none, enter 0. Don''t know = 999
|
devhx_16_p |
|
devhis_17_p |
Integer |
|
Recommended |
About how many days in the first 12 months of life did your child have any infections or serious illnesses? |
|
If none, enter 0. Don''t know = 999
|
devhx_17_p |
|
devhis_18_p |
Float |
|
Recommended |
For how many months was your child breast fed? |
|
If he/she was not breast fed, enter 0, 1 year = 12 months, 2 years = 24 months, 3 years = 36 months, etc. Don''t know = 999
|
devhx_18_p |
|
devhis_19a_p |
Float |
|
Recommended |
At approximately what age (number of months) was your child FIRST able to do each of the following: Roll over? |
|
CDC Average = 4 months [late at six months] Don''t know = 999
|
devhx_19a_p |
|
devhis_19b_p |
Float |
|
Recommended |
At approximately what age (number of months) was your child FIRST able to do each of the following: Sit without assistance? |
|
CDC Average = 9 months, Don''t know = 999
|
devhx_19b_p |
|
devhis_19c_p |
Float |
|
Recommended |
At approximately what age (number of months) was your child FIRST able to do each of the following: Walk without assistance? |
|
CDC Average = 18 months, Don''t know = 999
|
devhx_19c_p |
|
devhis_8_med1_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 1: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med1_frqcy |
|
devhis_19d_p |
Float |
|
Recommended |
At approximately what age (number of months) was your child FIRST able to do each of the following: Say his/her first word? |
|
CDC average = 1 year (if count mama/dada), Don''t know = 999
|
devhx_19d_p, matern_1st_wrd |
|
devhis_20_p |
Integer |
|
Recommended |
Would you say your child''s motor development (sitting, crawling, walking) was earlier, average, or later than most other children? |
1::5;999
|
1 = Much earlier ; 2 = Somewhat earlier ; 3 = About average ; 4 = Somewhat later ; 5 = Much later ; 999 = Don''t know
|
devhx_20_p |
|
devhis_21_p |
Integer |
|
Recommended |
Would you say your child''s speech development was earlier, average, or later than most other children? |
1::5;999
|
1 = Much earlier ; 2 = Somewhat earlier ; 3 = About average ; 4 = Somewhat later ; 5 = Much later ; 999 = Don''t know
|
devhx_21_p |
|
devhis_22_p |
Integer |
|
Recommended |
Has your child ever wet the bed at night? |
|
1 = Yes ; 0 = No ; 999 = Don''t know
|
devhx_22_p |
|
devhis_23_p |
Integer |
|
Recommended |
At what age (in years) did your child stop wetting the bed at night? |
|
If he/she still wets the bed, enter 999, Don''t know = 0
|
devhx_23_p |
|
devhis_8_med2 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 2: |
|
|
devhx_8_med2 |
|
devhis_8_med2_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 2: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med2_dose |
|
quesmoth_momvit |
String |
50
|
Recommended |
In this pregnancy did the birth mother take prenatal vitamins? |
|
|
devhx_10 |
|
devhis_8_med2_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 2: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med2_frqcy |
|
devhis_8_med3 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 3: |
|
|
devhx_8_med3 |
|
devhis_8_med3_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 3: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med3_dose |
|
devhis_8_med3_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 3: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med3_frqcy |
|
devhis_8_med4 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 4: |
|
|
devhx_8_med4 |
|
devhis_8_med4_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 4: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med4_dose |
|
devhis_8_med4_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 4: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med4_frqcy |
|
devhis_8_med5 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 5: |
|
|
devhx_8_med5 |
|
devhis_8_med5_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 5: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med5_dose |
|
devhis_8_med5_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 5: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med5_frqcy |
|
presmed_smoke |
String |
50
|
Recommended |
In this pregnancy, did the birth mother do any of the following activities - Smoke cigarettes or other tobacco products |
|
999=NA/missing
|
devhx_9_tobacco |
|
devhis_8_med6 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 6: |
|
|
devhx_8_med6 |
|
devhis_8_med6_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 6: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med6_dose |
|
devhis_8_med6_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 6: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med6_frqcy |
|
devhis_8_med7 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 7: |
|
|
devhx_8_med7 |
|
devhis_8_med7_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 7: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med7_dose |
|
devhis_8_med7_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 7: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med7_frqcy |
|
devhis_8_med8 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 8: |
|
|
devhx_8_med8 |
|
devhis_8_med8_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 8: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med8_dose |
|
devhis_8_med8_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 8: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med8_frqcy |
|
devhis_8_med9 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 9: |
|
|
devhx_8_med9 |
|
fs_v1_q39_c_section_birth |
String |
2
|
Recommended |
Full Screener (Visit 1): Q39 c-section delivery. Comment field to be added in future release. |
|
Y = Yes; N = No; NA = Not available; DK = Don't Know
|
devhx_13_p |
|
devhis_8_med9_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 9: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med9_dose |
|
devhis_8_med9_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 9: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med9_frqcy |
|
devhis_8_med10 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 10: |
|
|
devhx_8_med10 |
|
devhis_8_med10_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 10: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med10_dose |
|
devhis_8_med10_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 10: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med10_frqcy |
|
devhis_8_med11 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 11: |
|
|
devhx_8_med11 |
|
devhis_8_med11_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 11: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med11_dose |
|
devhis_8_med11_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 11: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med11_frqcy |
|
devhis_8_med12 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 12: |
|
|
devhx_8_med12 |
|
devhis_8_med12_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 12: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med12_dose |
|
neo_cyanosis |
String |
50
|
Recommended |
Did cyanosis occur after delivery? |
|
|
devhx_14a_p |
|
devhis_8_med12_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 12: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med12_frqcy |
|
devhis_8_med13 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 13: |
|
|
devhx_8_med13 |
|
devhis_8_med13_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 13: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med13_dose |
|
devhis_8_med13_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 13: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med13_frqcy |
|
devhis_8_med14 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 14: |
|
|
devhx_8_med14 |
|
devhis_8_med14_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 14: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med14_dose |
|
devhis_8_med14_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 14: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med14_frqcy |
|
devhis_8_med15 |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: NAME OF MEDICATION 15: |
|
|
devhx_8_med15 |
|
devhis_8_med15_dose |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 15: HOW MUCH? |
|
(mg, IU, etc.) (Write the decimal in the tenths place, such as 0.5mg.) (999 if don''t know.)
|
devhx_8_med15_dose |
|
devhis_8_med15_frqcy |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Medication 15: HOW OFTEN? |
|
_Time(s)/_(Day, Week, Month) (such as 1/Day, 1/Week, 1/Month) (999 if don''t know.)
|
devhx_8_med15_frqcy |
|
marijuan |
String |
5
|
Recommended |
During pregnancy, did birth mother: Smoke marijuana or hashish (THC) |
|
999 = Don't Know
|
devhx_9_marijuana |
|
devhis_8_tobacco |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Tobacco used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_tobacco |
|
devhis_8_cigs_per_day |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Tobacco: How much? |
|
(cigarettes/day)
|
devhx_8_cigs_per_day |
|
devhis_8_alcohol |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Alcohol used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_alcohol |
|
devhis_8_alchohol_max |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Alcohol: Maximum drinks in one sitting? |
|
|
devhx_8_alchohol_max |
|
devhis_8_alchohol_avg |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Alcohol: Average drinks per/week: |
|
|
devhx_8_alchohol_avg |
|
devhis_8_alcohol_effects |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Alcohol: How many drinks did it take to feel the effects of alcohol? |
|
|
devhx_8_alcohol_effects |
|
devhis_8_marijuana |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Marijuana used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_marijuana |
|
devhis_8_marijuana_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Marijuana used? How much marijuana? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_marijuana_amt |
|
devhis_8_marijuana_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Marijuana used? How many times per week? |
|
|
devhx_8_marijuana_tmswk |
|
devhis_8_coc_crack |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Cocaine/Crack used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_coc_crack |
|
quesmoth_probanemia |
String |
50
|
Recommended |
Anemia |
|
|
devhx_10g_p |
|
devhis_8_coc_crack_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Cocaine/Crack used? How much cocaine/crack? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_coc_crack_amt |
|
devhis_8_coc_crack_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Cocaine/Crack used? How many times per week? |
|
|
devhx_8_coc_crack_tmswk |
|
devhis_8_her_morph |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Heroin/Morphine used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_her_morph |
|
devhis_8_her_morph_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Heroin/Morphine used? How much heroin/morphine? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_her_morph_amt |
|
devhis_8_her_morph_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Heroin/Morphine used? How many times per week? |
|
|
devhx_8_her_morph_tmswk |
|
devhis_8_oxycont |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Oxycontin used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_oxycont |
|
devhis_8_oxycont_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Oxycontin used? How much oxycontin? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_oxycont_amt |
|
devhis_8_oxycont_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Oxycontin used? How many times per week? |
|
|
devhx_8_oxycont_tmswk |
|
devhis_8_other_drugs |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Any other drugs used? |
0;1;999
|
1 = yes ; 0 = no ; 999 = Don''t know
|
devhx_8_other_drugs |
|
devhis_8_other_drugs_amt |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Any other drugs used? If so, how many drugs? |
|
|
devhx_8_other_drugs_amt |
|
heroin_gestation |
String |
5
|
Recommended |
During pregnancy, did birth mother: Use Heroin (includes speed balling (heroin and cocaine injected together) |
|
999 = Don't Know
|
devhx_9_her_morph |
|
devhis_8_other1_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 1: |
|
|
devhx_8_other1_name |
|
devhis_8_other1_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 1: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other1_amt |
|
devhis_8_other1_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 1: How many times per week? |
|
|
devhx_8_other1_tmswk |
|
devhis_8_other2_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 2: |
|
|
devhx_8_other2_name |
|
devhis_8_other2_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 2: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other2_amt |
|
devhis_8_other2_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 2: How many times per week? |
|
|
devhx_8_other2_tmswk |
|
devhis_8_other3_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 3: |
|
|
devhx_8_other3_name |
|
devhis_8_other3_amt |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 3: How much? |
|
(mg/day) ( 1g=1000mg) (999 if don''t know)
|
devhx_8_other3_amt |
|
devhis_8_other3_tmswk |
Integer |
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 3: How many times per week? |
|
|
devhx_8_other3_tmswk |
|
devhis_8_other4_name |
String |
100
|
Recommended |
Before the biological mother found out she was pregnant, but while she might have been pregnant with this child: Specify: Drug use? Name of drug 4: |
|
|
devhx_8_other4_name |
|
comqother |
String |
255
|
Recommended |
Respondent - Other (text) |
|
|
|
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
|