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MULTI-SITE

BEHAVIOR IN PREGNANCY STUDY

(MS BIPS)

QUESTIONNAIRE PACKET - TIME 5 (POSTPARTUM)

(October 13, 1999)

Subject #______

Date ______

Administered by______

PRIVILEGED COMMUNICATION - DO NOT DISTRIBUTE WITHOUT THE PERMISSION OF

DR. C. DUNKEL-SCHETTER, (310) 206-8116,

C. Sandman, Ph.D. (P.I.)
Professor
Dept. of Psychiatry & Human Behavior
University of California, Irvine
101 City Drive, South
Orange, CA 92668 / C. Hobel, M.D. (Co-P.I.)
Professor of OB/GYN
University of California, Los Angeles
Director of Maternal-Fetal Medicine
Dept. of Obstetrics & Gynecology
Cedars-Sinai Medical Center
8635 West Third Street
Suite 160W
Los Angeles, CA 90048 / C. Dunkel-Schetter, Ph.D. (Co-P.I.)
Professor
Department of Psychology
University of California, Los Angeles
405 Hilgard Avenue
Los Angeles, CA 90095

GENERAL INSTRUCTIONS

This packet includes several different questionnaires. Please be sure to read

the instructions for each separate section. Answer each question as quickly,

but carefully, as possible; do not go back over your answers. Please remember

that your responses are completely confidential. If at any time you have any

questions, feel free to ask the project interviewer.

PART 1 – YOUR BABY

Listed below are statements about your baby’s behavior. Please circle the number that best describes your baby’s behavior during the past week. Please try to think specifically about how often your baby has engaged in each behavior during the past week only.

Several of the questions include some questions about the startle response, which is a normal infant behavior. When babies startle, they may gasp, throw out their arms, stiffen their body, and seem startled.

Never

(1)

/ Rarely
(2) / Sometimes (3) / Often
(4) / Always
(5)
1. When the baby’s face was washed in past week, how often did he or she fuss or cry? / 1 / 2 / 3 / 4 / 5
2. When the baby’s hair was washed in the past week, how often did he or she fuss or cry? / 1 / 2 / 3 / 4 / 5
3. How often during the past week did the baby cry after startling? / 1 / 2 / 3 / 4 / 5
4. How often during the past week did the baby startle at a sudden change in body position? / 1 / 2 / 3 / 4 / 5
5. How often during the past week did the baby startle to a loud sound or sudden noise? / 1 / 2 / 3 / 4 / 5
6. When put into the bath water in the past week, how often did the baby startle ? / 1 / 2 / 3 / 4 / 5
7. When put into the bath water in the past week, how often did the baby have a surprised expression? / 1 / 2 / 3 / 4 / 5
8. How often during the last week did the baby cry or show distress in response to a loud sound, such as a blender or a vacuum cleaner? / 1 / 2 / 3 / 4 / 5

Never

(1)

/ Rarely
(2) / Sometimes (3) / Often
(4) / Always
(5)
9. How often during the last week did the baby cry or show distress in response to a change in a parent’s appearance, such as taking glasses off or wearing a hat? / 1 / 2 / 3 / 4 / 5
10. When introduced to a strange person in the past week, how often did the baby show a negative response, such as crying? / 1 / 2 / 3 / 4 / 5
11. When having to wait for foods or liquids during the last week, how often did the baby stay calm? / 1 / 2 / 3 / 4 / 5
12. When having to wait for foods or liquids during the last week, how often did the baby fuss? / 1 / 2 / 3 / 4 / 5
13. When having to wait for foods or liquids during the last week, how often did the baby cry loudly? / 1 / 2 / 3 / 4 / 5
14. Before falling asleep at night during the past week, how often did the baby fuss or cry? / 1 / 2 / 3 / 4 / 5
15. In the past week, after sleeping, how often did the baby fuss or cry immediately? / 1 / 2 / 3 / 4 / 5
16. In the past week, after sleeping, how often did the baby play quietly in the crib? / 1 / 2 / 3 / 4 / 5
17. In the past week, after sleeping, how often did the baby cry if someone didn’t come within a few minutes (about 5 minutes)? / 1 / 2 / 3 / 4 / 5
18. In general, how often during the last week did the baby seem contented when left in the crib? / 1 / 2 / 3 / 4 / 5

Never

(1)

/ Rarely
(2) / Sometimes (3) / Often
(4) / Always
(5)
19. In general, how often during the last week did the baby cry or fuss before going to sleep for naps? / 1 / 2 / 3 / 4 / 5
20. In general, how often during the last week did the baby protest being put in a confining place (for instance, a car seat, playpen, etc.)? / 1 / 2 / 3 / 4 / 5
21. In general, how often during the last week did the baby fuss or protest when placed on his or her back? / 1 / 2 / 3 / 4 / 5

PART 2 – ATTITUDES TOWARD PREGNANCY AND INFANT CARE

The next section refers to your attitudes toward pregnancy and early infant care. There are no right or wrong answers. Please indicate quickly how strongly you agree or disagree with the following statements, without thinking about any one question too long.

Disagree
strongly / Disagree
somewhat / Disagree / Agree / Agree
somewhat / Agree
strongly
1. Regular exercise is healthy for mother and baby during pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
2. A puff of a cigarette now and then during pregnancy is not a big risk for the baby. / 1 / 2 / 3 / 4 / 5 / 6
3. As long as you don't get drunk, you can have a drink now and then when you are pregnant. / 1 / 2 / 3 / 4 / 5 / 6
4. A mother should breastfeed her infant for as long as possible. / 1 / 2 / 3 / 4 / 5 / 6
5. Bottlefeeding is just as good as breastfeeding for babies. / 1 / 2 / 3 / 4 / 5 / 6
6. A woman should not exercise strenuously during pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
  1. Seeing a doctor 2 or 3 times in pregnancy is all that is needed for a healthy pregnancy.
/ 1 / 2 / 3 / 4 / 5 / 6
8. It is important to take vitamins during pregnancy in order to have a healthy baby. / 1 / 2 / 3 / 4 / 5 / 6
9. It is best not to drink even a drop of alcoholic beverages during pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
10. It doesn't matter how much you eat during pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
11. Stress is bad for women and their babies during pregnancy / 1 / 2 / 3 / 4 / 5 / 6
Disagree
strongly / Disagree
somewhat / Disagree / Agree / Agree
somewhat / Agree
strongly
12. It is best to get a new baby on a sleeping and feeding schedule as soon as possible. / 1 / 2 / 3 / 4 / 5 / 6
13. The baby's father should help in caring for the baby after it's born. / 1 / 2 / 3 / 4 / 5 / 6
14. A woman can eat whatever she wants during her pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
15. The partner of a pregnant woman should take good care of her during her pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
16. It is fine to let a newborn baby cry for more than 5 minutes. / 1 / 2 / 3 / 4 / 5 / 6
17. The new baby's care is mainly the responsibility of the mother, not her partner or family. / 1 / 2 / 3 / 4 / 5 / 6
18. When a woman is pregnant, she is more special and valued than when she is not pregnant. / 1 / 2 / 3 / 4 / 5 / 6
19. It is really important to eat a balanced diet during pregnancy or your baby might not be healthy. / 1 / 2 / 3 / 4 / 5 / 6
20. A baby should always be soothed as quickly as possible. / 1 / 2 / 3 / 4 / 5 / 6
21. A baby does not need to be with it's mother during the first 3 months of life as long as it has competent care. / 1 / 2 / 3 / 4 / 5 / 6
22. Babies should sleep and eat whenever they feel like it, rather than at specific times. / 1 / 2 / 3 / 4 / 5 / 6
Disagree
strongly / Disagree
somewhat / Disagree / Agree / Agree
somewhat / Agree
strongly
23. Women can work during pregnancy without risk to the baby. / 1 / 2 / 3 / 4 / 5 / 6
24. Parents should try not to leave infants in childcare in the first 6 months of life. / 1 / 2 / 3 / 4 / 5 / 6
25. A woman should gain as much weight as she possibly can during pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
26. One of the most important things you can do to have a healthy baby is to got prenatal care starting early in pregnancy. / 1 / 2 / 3 / 4 / 5 / 6
27. Smoking during pregnancy is very bad for one's baby. / 1 / 2 / 3 / 4 / 5 / 6
28. Fulltime employment during pregnancy is bad for the mother and/or her baby. / 1 / 2 / 3 / 4 / 5 / 6
29. Pacifiers are bad for babies. / 1 / 2 / 3 / 4 / 5 / 6
30. Women should only have children when they have enough resources (e.g., social, financial) to care of them / 1 / 2 / 3 / 4 / 5 / 6
31. A mother should follow her instinct rather than the doctor's orders when caring for her baby. / 1 / 2 / 3 / 4 / 5 / 6

PART 3 -- YOUR FEELINGS IN THE LAST FEW DAYS

Listed below are statements that people sometimes use to describe themselves. Please read each statement and then “X” the box that best describes the extent to which you have been feeling each one during the last few days (including today). Do not spend too much time on any one statement.

Not At All
(1) / Somewhat
(2) / Moderately
(3) / Very Much
(4)
1. I feel calm /  /  /  / 
2. I feel tense /  /  /  / 
3. I feel at ease /  /  /  / 
4. I am presently worrying over
possible misfortunes /  /  /  / 
5. I feel nervous /  /  /  / 
6. I am jittery /  /  /  / 
7. I am relaxed /  /  /  / 
8. I am worried /  /  /  / 
9. I feel steady /  /  /  / 
10. I feel frightened /  /  /  / 

PART 4 -- YOUR FEELINGS DURING THE PAST WEEK

As you have recently had a baby, we would like to know how you are feeling. Please circle the answer that comes closest to how you have felt in the past 7 days, not just how you feel today.

In the past 7 days…

  1. I have been able to laugh and see the funny side of things.

As much as I always could...... / 1
Not quite so much now...... / 2
Definitely not so much now...... / 3
Not at all……………...... / 4
  1. I have looked forward with enjoyment to things.

As much as I ever did……...... / 1
Rather less than I used to...... / 2
Definitely less than I used to……………………………… / 3
Hardly at all...………...... / 4
  1. I have blamed myself unnecessarily when things went wrong.

Yes, most of the time……...... / 1
Yes, some of the time...... / 2
Not very often……………...... / 3
No, never...…………...... / 4
  1. I have been anxious or worried for no good reason.

Yes, very often…….……...... / 1
Yes, sometimes……...... / 2
Hardly ever………………...... / 3
No, not at all………...... / 4
  1. I have felt scared or panicky for no very good reason.

Yes, quite a lot…….……...... / 1
Yes, sometimes……...... / 2
No, not much……………...... / 3
No, not at all………...... / 4
  1. Things have been getting on top of me.

Yes, most of the time I haven’t been able to cope at all….. / 1
Yes, sometimes I haven’t been coping as well as usual…… / 2
No, most of the time I have coped quite well…………….. / 3
No, I have been coping as well as ever……………………. / 4

In the past 7 days…

  1. I have been so unhappy that I have had difficulty sleeping.

Yes, most of the time……...... / 1
Yes, sometimes……...... / 2
Not very often……………...... / 3
No, not at all.………...... / 4
  1. I have felt sad or miserable.

Yes, most of the time……...... / 1
Yes, quite often……...... / 2
Not very often……………...... / 3
No, not at all.………...... / 4
  1. I have been so unhappy that I have been crying.

Yes, most of the time……...... / 1
Yes, quite often……...... / 2
Only occassionally.………...... / 3
No, never…...………...... / 4
  1. The thought of harming myself has occurred to me.

Yes, quite often…………...... / 1
Sometimes…………...... / 2
Hardly ever………………...... / 3
Never……….………...... / 4

Below is a list of ways you might have felt or behaved lately. Please indicate how often you have felt these things during the last 7 days by circling the number corresponding to your response.

During the last 7 days: / RARELY OR NONE OF THE TIME / SOME OR A LITTLE OF THE TIME / OCCASION-ALLY OR A MODERATE AMOUNT OF TIME / MOST OR ALL OF THE TIME
1. I was bothered by things that usually don't bother me. / 1 / 2 / 3 / 4
2. I felt that I could not shake off the blues even with help from my family and friends. / 1 / 2 / 3 / 4
During the last 7 days: / RARELY OR NONE OF THE TIME / SOME OR A LITTLE OF THE TIME / OCCASION-ALLY OR A MODERATE AMOUNT OF TIME / MOST OR ALL OF THE TIME
3. I had trouble keeping my mind on what I was doing. / 1 / 2 / 3 / 4
4. I felt depressed. / 1 / 2 / 3 / 4
5. I felt that everything I did was an effort. / 1 / 2 / 3 / 4
6. My sleep was restless. / 1 / 2 / 3 / 4
7. I was happy. / 1 / 2 / 3 / 4
8. I enjoyed life. / 1 / 2 / 3 / 4
9. I felt sad. / 1 / 2 / 3 / 4

Thank you!

Please return this to the interviewer and continue.