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Afghanistan Mortality Survey 2010 - Measure DHS

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DEATH OF A CHILD AGED 0-28 DAYSSECTION 5. PREGNANCY HISTORYNO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP501 I would like to ask you some questions concerning the mother and symptoms that (NAME) had/showed at birth and shortly after. Some of thesequestions may not appear to be directly related to the baby's death. Kindly be patient and answer all the questions. They will help us to get aclear picture of all possible symptoms that (NAME) had.502 How many births, including stillbirths, did the mother NUMBER OF BIRTHS/have before this baby? STILLBIRTHS . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98503 How many months was the pregnancy when the baby was born?MONTHS . . . . . . . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98504 Did the pregnancy end earlier than expected? YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 506DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 506505 How many weeks before the expected date of deliverydid the pregnancy end? WEEKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98506 During the pregnancy did the mother suffer from any ofthe following known illnesses: YES NO DK1 High blood pressure? HIGH BLOOD PRESSURE . . . . . . . . . . . 1 2 82 Heart disease? HEART DISEASE . . . . . . . . . . . . . . . . . . . . 1 2 83 Diabetes? DIABETES . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 84 Epilepsy/convulsion? EPILEPSY/CONVULSION . . . . . . . . . . . 1 2 85 Any other medically diagnosed illness? OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 8(SPECIFY)507 During the last 3 months of pregnancy did the mother sufferfrom any of the following illnesses: YES NO DK01 Vaginal bleeding? VAGINAL BLEEDING . . . . . . . . . . . . . . . . 1 2 802 Smelly vaginal discharge? SMELLY VAGINAL DISCHARGE . . . . . 1 2 803 Puffy face? PUFFY FACE . . . . . . . . . . . . . . . . . . . . . . 1 2 804 Headache? HEADACHE . . . . . . . . . . . . . . . . . . . . . . . . 1 2 805 Blurred vision? BLURRED VISION . . . . . . . . . . . . . . . . . . 1 2 806 Convulsion? CONVULSION . . . . . . . . . . . . . . . . . . . . . . 1 2 807 Febrile illness? FEBRILE ILLNESS . . . . . . . . . . . . . . . . . . 1 2 808 Severe abdominal pain that was not labor pain? SEVERE ABDOMINAL PAIN(NOT LABOR PAIN) . . . . . . . . . . . . . . . . 1 2 809 Pallor and shortness of breath (both present)? PALLOR/SHORTNESSOF BREATH (BOTH) . . . . . . . . . . . . . . 1 2 810 Did she suffer from any other illness? OTHER ILLNESS . . . . . . . . . . . . . . . . . . . . 1 2 8(SPECIFY)508 Was the child a single or multiple birth? SINGLETON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 601TWIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2TRIPLET OR MORE . . . . . . . . . . . . . . . . . . . . . . . . 3DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 601509 What was the birth order of the child that died? FIRST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1SECOND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2THIRD OR HIGHER . . . . . . . . . . . . . . . . . . . . . . . . 3DON'T KNOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Appendix F |237

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