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Pregnancy Risk Assessment Monitoring System (PRAMS) Health Indicator Selection

The Hawaiʻi Pregnancy Risk Assessment Monitoring System (PRAMS) Program is a population-based surveillance system designed to identify and monitor maternal experiences, attitudes, and behaviors from preconception, through pregnancy and into the interconception period. It is a written and telephone survey that is linked to the birth record. The program is funded by the Centers for Disease Control and Prevention (CDC), Division of Reproductive Health. In Hawaiʻi this information is captured by the PRAMS Program in the Family Health Services Division at the Hawai?i State Department of Health. More information about the PRAMS survey and copies of the survey instruments are available on the [https://hhdw.org/data-sources/pregnancy-risk-assessment-monitoring-system/ PRAMS Data Source] page. '''DATA RELEASE NOTES''':[[a href=/report/resource/PRAMSDataReleases.html Click here for PRAMS Data Release notes.]] '''RELATED VIDEOS''':[https://www.youtube.com/watch?v=qffoXqAd7gI Click here for the most recent PRAMS Coffee Break webinar.]

  • IndicatorStateCounty
    Mother - county of residence
    From the Birth Certificate. Mother's county of residence.
    SelectN/A
    Mother - PRAMS age group
    From the Birth Certificate. Mother's PRAMS age group (<20, 20-24, 25-34, 35+).
    SelectSelect
    Infant - sex
    From the Birth Certificate. Infant's sex.
    SelectSelect
    Mother - census race
    From the Birth Certificate. Mother's Census race.
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    Mother - DOH race-ethnicity
    From the Birth Certificate. Mother's DOH race-ethnicity.
    SelectSelect
    Mother - program race
    From the Birth Certificate. Mother's program race.
    SelectSelect
    Mother - Hispanic or Latina ethnicity
    From the Birth Certificate. Women who are Hispanic or Latina.
    SelectSelect
    Mother - education level (2014+)
    From the Birth Certificate. Mother's education level (2014+). Birth record data collection changed in 2014, so data from previous years cannot be trended with 2014 forward.
    SelectSelect
    Mother - married
    From the Birth Certificate. Mother's marital status grouped into yes vs no. Mothers who checked Married, Same Sex Couple, and Separated are all grouped into Married=Yes. Mothers who checked Never Married, Widowed, Divorced, Unmarried Couple, or those who were less than 15 years of age are all grouped into Married=No. Data not available in 2015 due to data collection issues.
    SelectSelect
    Mother - poverty level (2 level)
    Based on a series of questions. During the 12 months before your new baby was born, what was your yearly total household income before taxes? During the 12 months before your new baby was born, how many people, including yourself, depended on this income? Grouped into two levels: 0-185% and 186+%.
    SelectSelect
    Mother - poverty level (3 level)
    Based on a series of questions. During the 12 months before your new baby was born, what was your yearly total household income before taxes? During the 12 months before your new baby was born, how many people, including yourself, depended on this income? Grouped into three levels: 0-130%, 131-185%, 186+%.
    SelectSelect
    Birth history - primiparous (first child)
    Primiparous comes from the birth certificate and denotes women whose pregnancy was their first live birth. Data not available for 2015.
    SelectSelect

  • IndicatorStateCounty
    Insurance - Medicaid/QUEST prior to pregnancy
    During the month before you got pregnant with your new baby, what kind of health insurance did you have? - Medicaid or QUEST.
    SelectSelect
    Insurance - current health insurance (cat)
    What kind of health insurance do you have now?
    SelectSelect
    Insurance - current health insurance (choose any one category)
    What kind of health insurance do you have now?
    SelectSelect
    Payment - source for prenatal care (cat)
    During your most recent pregnancy, what kind of health insurance did you have to pay for your prenatal care? Question not asked after 2015.
    SelectSelect
    Payment - source for prenatal care (choose any one category)
    During your most recent pregnancy, what kind of health insurance did you have to pay for your prenatal care? Question not asked after 2015.
    SelectSelect
    Oral health - dental insurance during pregnancy
    This question is about the other care of your teeth during your most recent pregnancy. - I had insurance to cover dental care during my pregnancy.
    SelectSelect

    • IndicatorStateCounty
      Alcohol - binge drinking 3 months before pregnancy
      During the 3 months before you got pregnant, how many times did you drink 4 alcoholic drinks or more in a two hour time span? - Women who binge drank 1 or more times.
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      Alcohol - drank 3 months before pregnancy
      During the 3 months before you got pregnant, how many alcoholic drinks did you have in an average week? - Women who had more than 0 drinks.
      SelectSelect
      Cigarettes - smoked 3 months before pregnancy
      Calculated based on: In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - avg smkd per day before pregnancy (cat)
      In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - avg smkd per day before pregnancy (choose any one category)
      In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      E-cigarettes - smoked 3 months before pregnancy
      During the 3 months before you got pregnant, on average, how often did you use e-cigarettes or other electronic nicotine products?
      SelectSelect
      Marijuana - used before pregnancy
      During any of the following time periods, did you use marijuana or hash in any form? - During the 12 months before I got pregnant
      SelectSelect
      Illicit drugs - used 1 month before pregnancy
      Did you use any of these drugs in the month before you got pregnant? - Amphetamines (uppers, ice, speed, crystal, crank) - Cocaine (rock, coke, crack) or heroin (smack, horse) - Marijuana (pot, bud) or hashish (hash) - Sniffing gasoline, glue, hairspray, or other aerosols - Tranquilizers (downers, ludes) or hallucinogens (LSD/acid, PCP/angel dust, ecstasy) Question not asked after 2015.
      SelectSelect
    • IndicatorStateCounty
      Birth history - number of previous live births (cat)
      Number of previous live births.
      SelectSelect
      Birth history - number of previous live births (choose any one category)
      Number of previous live births.
      SelectSelect
      BMI - status before pregnancy (cat)
      Based on mother's height and weight prior to pregnancy. Obese (BMI>=30), Overweight (25 <= BMI < 30), Recommended range (18.5 <= BMI < 25), Underweight (BMI < 18.5)
      SelectSelect
      BMI - status before pregnancy (choose any one category)
      Based on mother's height and weight prior to pregnancy. Obese (BMI>=30), Overweight (25 <= BMI < 30), Recommended range (18.5 <= BMI < 25), Underweight (BMI < 18.5)
      SelectSelect
      Chronic disease - asthma before pregnancy
      During the 3 months before you got pregnant with your new baby, did you have any of the following health conditions? - Asthma
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      Chronic disease - depression before pregnancy
      During the 3 months before you got pregnant with your new baby, did you have any of the following health conditions? - Depression (2009-2011 and 2016+).
      SelectSelect
      Chronic disease - diabetes before pregnancy
      Before you got pregnant with your new baby, were you ever told by a doctor, nurse, or other health care worker that you had Type 1 or Type 2 diabetes? (2009-2015). OR During the 3 months before you got pregnant with your new baby did you have any of the following health conditions? - Type 1 or Type 2 diabetes (2016+)
      SelectSelect
      Chronic disease - high blood pressure before pregnancy
      Before you got pregnant with your new baby, did a doctor, nurse, or other HCW tell you that you had any of the following health conditions? - High blood pressure (2012-2015). OR During the 3 months before you got pregnant with your new baby, did you have any of the following health conditions? - High blood pressure (2016+).
      SelectSelect
      Chronic disease - PCOS before pregnancy
      During the 3 months before you got pregnant with your new baby, did you have any of the following health conditions? - PCOS (polycystic ovarian syndrome)
      SelectSelect
      Chronic disease - thyroid problems before pregnancy
      During the 3 months before you got pregnant with your new baby, did you have any of the following health conditions? - Thyroid problems
      SelectSelect
      Multivitamins/folic acid - during the month before pregnancy (cat)
      During the month before you got pregnant with your new baby, how many times a week did you take a multivitamin, a prenatal vitamin, or a folic acid vitamin?
      SelectSelect
      Multivitamins/folic acid - during the month before pregnancy (choose any one category)
      During the month before you got pregnant with your new baby, how many times a week did you take a multivitamin, a prenatal vitamin, or a folic acid vitamin?
      SelectSelect
      Oral health - teeth cleaned in 12 months before pregnancy
      At any time during the 12 months before you got pregnant with your new baby, did you do any of the following things? - Teeth cleaned by dentist or hygienist. Question not asked after 2015.
      SelectSelect
      Physical abuse - by husb/ptnr 12 mos before preg (2009+)
      From 2012-2015 the question was "During the 12 months before pregnancy, did your husband or partner push, hit, slap, kick, choke, or physically hurt you in any other way?" From 2016-2020 the question is "During the 12 months before pregnancy, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way?" My husband or partner.
      SelectSelect
      Physical abuse - by anyone 12 mos before pregnancy
      In the 12 months before you got pregnant with your new baby, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way? - Husband or partner, ex-husband or ex-partner, another family member, or someone else
      SelectSelect
    • IndicatorStateCounty
      Health care - any visit in 12 months before pregnancy
      In the 12 months before you got pregnant with your new baby, did you have any health care visits with a doctor, nurse, or other health care worker, including a dental or mental health worker?
      SelectSelect
      Health care - family doctor visit in 12 months before pregnancy
      What type of health care visit did you have in the 12 months before you got pregnant with your new baby? - Regular checkup at my family doctor's office
      SelectSelect
      Health care - OB/GYN visit in 12 months before pregnancy
      What type of health care visit did you have in the 12 months before you got pregnant with your new baby? - Regular checkup at my OB/GYN's office
      SelectSelect
      Health care - fam planning/birth cntrl visit in 12 months before pregnancy
      What type of health care visit did you have in the 12 months before you got pregnant with your new baby? - Visit for family planning or birth control
      SelectSelect
      Health care - illness/chronic condition visit in 12 months before pregnancy
      What type of health care visit did you have in the 12 months before you got pregnant with your new baby? Visit for an illness or chronic condition
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      Health care - injury visit in 12 months before pregnancy
      What type of health care visit did you have in the 12 months before you got pregnant with your new baby? Visit for an injury
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      Health care - mental health visit in 12 months before pregnancy
      What type of health care visit did you have in the 12 months before you got pregnant with your new baby? Visit for depression or anxiety
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      HCW - asked if they smoked cigarettes before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Ask me if I was smoking cigarettes
      SelectSelect
      HCW - asked if down or depressed before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Ask me if I was feeling down or depressed
      SelectSelect
      HCW - asked if they were hurt emotionally or physically before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Ask me if someone was hurting me emotionally or physically
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      HCW - asked about type of work before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Ask me about the kind of work I do
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      HCW - talked about birth control before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about using birth control to prevent pregnancy
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      HCW - talked about having children before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about my desire to have or not have children
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      HCW - talked about improving health before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about how I could improve my health before a pregnancy
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      HCW - talked about controlling medical conditions before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about controlling any medical conditions such as diabetes or high blood pressure
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      HCW - talked about maintaining healthy weight before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about maintaining a healthy weight
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      HCW - told to take vitamin with folic acid before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Tell me to take a vitamin with folic acid
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      HCW - talked about sexually transmitted infections before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about sexually transmitted infections such as chlamydia, gonorrhea, or syphilis
      SelectSelect
      HCW - tested them for HIV before pregnancy
      During any of your health care visits in the 12 months before you got pregnant, did a doctor, nurse, or other health care worker do any of the following things? - Test me for HIV (the virus that causes AIDS)
      SelectSelect
    • IndicatorStateCounty
      Intention - trying to get pregnant at conception
      When you got pregnant with your new baby, were you trying to get pregnant?
      SelectSelect
      Intention - pregnancy intention (2012+, cat)
      Thinking back to just before you got pregnant with your new baby, how did you feel about becoming pregnant? Responses included: wanted to be pregnant sooner or then (intended), wanted to be pregnant later (mis-timed), did not want to pregnant then or at any time in the future (unintended), and not sure what they wanted (not sure).
      SelectSelect
      Intention - pregnancy intention (2012+) (choose any one category)
      Thinking back to just before you got pregnant with your new baby, how did you feel about becoming pregnant? Responses included: wanted to be pregnant sooner or then (intended), wanted to be pregnant later (mis-timed), did not want to pregnant then or at any time in the future (unintended), and not sure what they wanted (not sure).
      SelectSelect
      Birth control - any at conception
      When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant?
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      No contraception at conception - didn't mind getting pregnant
      Based on a series of questions. When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant? What were your or your husband's or partner's reasons for not doing anything to keep from getting pregnant? - I didn't mind if I got pregnant
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      No contraception at conception - thought couldn't get pregnant
      Based on a series of questions. When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant? What were your or your husband's or partner's reasons for not doing anything to keep from getting pregnant? - I thought I could not get pregnant at that time
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      No contraception at conception - side effects
      Based on a series of questions. When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant? What were your or your husband's or partner's reasons for not doing anything to keep from getting pregnant? - I had side effects from the birth control method I was using
      SelectSelect
      No contraception at conception - problems getting it
      Based on a series of questions. When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant? What were your or your husband's or partner's reasons for not doing anything to keep from getting pregnant? - I had problems getting birth control when I needed it
      SelectSelect
      No contraception at conception - thought she or partner was sterile
      Based on a series of questions. When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant? What were your or your husband's or partner's reasons for not doing anything to keep from getting pregnant? - I thought my husband or partner or I was sterile (could not get pregnant at all)
      SelectSelect
      No contraception at conception - husband/partner didn't want to
      Based on a series of questions. When you got pregnant with your new baby, were you or your husband or partner doing anything to keep from getting pregnant? What were your or your husband's or partner's reasons for not doing anything to keep from getting pregnant? - My husband or partner didn't want to use anything
      SelectSelect

    • IndicatorStateCounty
      Alcohol - drank last 3 months of pregnancy
      During the last 3 months of your pregnancy, how many alcoholic drinks did you have in an average week? - Women who had more than 0 drinks.
      SelectSelect
      Cigarettes - smoked last 3 months of pregnancy
      In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - avg smkd per day last 3 months of pregnancy (cat)
      In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - avg smkd per day last 3 months of pregnancy (choose any one category)
      In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - smoking habits during pregnancy (cat)
      Did you quit smoking around the time of your most recent pregnancy?
      SelectSelect
      Cigarettes - smoking habits during pregnancy (choose any one category)
      Did you quit smoking around the time of your most recent pregnancy?
      SelectSelect
      Cigarettes - quit smoking during pregnancy
      Based on a series of questions. In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) A woman who smoked in the 3 months before she got pregnant but not in the last 3 months of pregnancy is considered to have quit during pregnancy.
      SelectSelect
      E-cigarettes - smoked last 3 months of pregnancy
      During the last 3 months of your pregnancy, on average, how often did you use e-cigarettes or other electronic nicotine products?
      SelectSelect
      Marijuana - used during pregnancy
      During any of the following time periods, did you use marijuana or hash in any form? - During my most recent pregnancy
      SelectSelect
      SHS - lived with a cigarette smoker during pregnancy
      How many cigarette smokers, not including yourself, lived in your home during your most recent pregnancy?
      SelectSelect
    • IndicatorStateCounty
      BMI - gained recommended amount of weight during pregnancy
      Based on pre-pregnancy body mass index and question: By the end of your most recent pregnancy, how much weight had you gained? Guidelines for recommended weight gain during pregnancy were established by the Institute of Medicine. Question not asked after 2015.
      SelectSelect
      Chronic disease - asthma during pregnancy
      During your most recent pregnancy, did you have any of the following health conditions? - Asthma
      SelectSelect
      Chronic disease - depression during pregnancy
      During your most recent pregnancy, did you have any of the following health conditions? - Depression
      SelectSelect
      Complications - eclampsia
      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
      SelectSelect
      Diabetes - gestational diabetes
      During your most recent pregnancy, were you told by a doctor, nurse, or other health care worker that you had gestational diabetes (diabetes that started during this pregnancy)?
      SelectSelect
      Flu shot - offered by HCW in the 12 months b/f delivery
      During the 12 months before the delivery of your new baby, did a doctor, nurse, or other health care worker offer you a flu shot or tell you to get one?
      SelectSelect
      Flu shot - received in the 12 months b/f delivery
      During the 12 months before the delivery of your new baby, did you get a flu shot?
      SelectSelect
      HIV - test during pregnancy
      At any time during your pregnancy or delivery, did you have a test for HIV? Question not asked after 2015.
      SelectSelect
      Physical abuse - by husb/ptnr during pregnancy (2009+)
      During your most recent pregnancy, did your husband or partner push, hit, slap, kick, choke, or physically hurt you in any other way? From 2016-2020 the question changed to "During your most recent pregnancy, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way?" - My husband or partner.
      SelectSelect
      Physical abuse - by anyone during pregnancy
      During your most recent pregnancy, did any of the following people push, hit, slap, kick, choke, or physically hurt you in any other way? - Husband or partner, ex-husband or ex-partner, another family member, or someone else
      SelectSelect
      Stress - 2 or more stressors during pregnancy
      This question is about things that may have happened during the 12 months before your new baby was born. a. A close family member was very sick and had to go into the hospital b. I got separated or divorced from my husband or partner c. I moved to a new address d. I was homeless or had to sleep outside, in a car, or in a shelter e. My husband or partner lost his job f. I lost my job even though I wanted to go on working g. My husband, partner, or I had a cut in work hours or pay h. I was apart from my husband or partner due to military deployment or extended work-related travel i. I argued with my husband or partner more than usual j. My husband or partner said he didn't want me to be pregnant k. I had problems paying the rent, mortgage, or other bills l. My husband, partner, or I went to jail m. Someone very close to me had a problem with drinking or drugs n. Someone very close to me died Question not asked after 2015.
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      Tdap shot - received during pregnancy
      During your most recent pregnancy, did you get a Tdap shot or vaccination? A Tdap vaccination is a tetanus booster shot that also protects against pertussis (whooping cough).
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      WIC - participation during pregnancy
      During your pregnancy, were you on WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children)?
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    • IndicatorStateCounty
      Oral health - knew teeth and gum care importance
      This question is about other care of your teeth during your most recent pregnancy. - I knew it was important to care for my teeth and gums during my pregnancy
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      Oral health - talked with HCW about care during pregnancy
      This question is about the care of your teeth during your most recent pregnancy. - A dental or other health care worker talked with me about how to care for my teeth and gums
      SelectSelect
      Oral health - teeth cleaned during pregnancy
      Did you have your teeth cleaned by a dentist or dental hygienist during the time periods listed below? - during pregnancy.
      SelectSelect
      Oral health - needed a dentist during pregnancy
      This question is about the care of your teeth during your most recent pregnancy. - I needed to see a dentist for a problem
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      Oral health - dental visit for problem during pregnancy
      This question is about other care of your teeth during your most recent pregnancy. - I went to a dentist or dental clinic about a problem
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      Oral health - dental clinic visit during pregnancy
      Based on a series of questions. During your most recent pregnancy, did you have your teeth cleaned by a dentist or dental hygienist? This question is about other care of your teeth during your most recent pregnancy. - I went to a dentist or dental clinic about a problem
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      Oral health barriers - thought unsafe during pregnancy
      Did any of the following things make it hard for you to go to a dentist or dental clinic during your most recent pregnancy? - I did not think it was safe to go to the dentist during pregnancy.
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      Oral health barriers - practice accepting pregnant women
      Did any of the following things make it hard for you to go to a dentist or dental clinic during your most recent pregnancy? - I could not find a dentist or dental clinic that would take pregnant patients.
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      Oral health barriers - cost
      Did any of the following things make it hard for you to go to a dentist or dental clinic during your most recent pregnancy? - I could not afford to go to the dentist or dental clinic.
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      Oral health barriers - practice accepting Medicaid
      Did any of the following things make it hard for you to go to a dentist or dental clinic during your most recent pregnancy? - I could not find a dentist or dental clinic that would take Medicaid patients.
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    • IndicatorStateCounty
      PNC - received early and adequate prenatal care (2016+)
      Kotelchuck Index of Prenatal Care. See data release notes.
      SelectSelect
      PNC - asked about abuse by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If someone was hurting me emotionally or physically
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      PNC - asked about alcohol use by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I was drinking alcohol
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      PNC - asked about breastfeeding by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I planned to breastfeed my new baby
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      PNC - asked about cigarette smoking by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I was smoking cigarettes
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      PNC - asked about depression by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I was feeling down or depressed
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      PNC - asked about drug use by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I was using drugs such as marijuana, cocaine, crack, or meth
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      PNC - asked by HCW if want HIV test
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I wanted to be tested for HIV (the virus that causes AIDS)
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      PNC - asked about post partum birth control by HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I planned to use birth control after my baby was born
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      PNC - discussed prescription meds with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I was taking any prescription medication
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      PNC - discussed weight gain with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about any of the things listed below? - How much weight I should gain during my pregnancy. For 2016-2020 the question changed to "During any of your prenatal care visits, did a doctor, nurse, or other health care worker ask you any of the things listed below? - If I knew how much weight I should gain during pregnancy."
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      PNC - attended childbirth class
      During your most recent pregnancy, did you take a class or classes to prepare for childbirth and learn what to expect during labor and delivery? Question not asked after 2015.
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      PNC - discussed breastfeeding with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about breastfeeding your baby? Question not asked after 2015.
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      PNC - discussed effects of smoking with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about how smoking during pregnancy could affect your baby? Question not asked after 2015.
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      PNC - discussed seat belt use with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about using a seat belt during pregnancy? Question not asked after 2015.
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      PNC - discussed HIV testing with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about getting tested for HIV (the virus that causes AIDS)? Question not asked after 2015.
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      PNC - discussed physical abuse with HCW
      During any of your prenatal care visits, did a doctor, nurse, or other health care worker talk with you about physical abuse to women by their husbands or partners? Question not asked after 2015.
      SelectSelect

    • IndicatorStateCounty
      Cigarettes - relapsed after pregnancy, amg quitters
      Based on a series of questions. In the 3 months before you got pregnant, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) In the last 3 months of your pregnancy, how many cigarettes did you smoke on an average day? (A pack has 20 cigarettes.) How many cigarettes do you smoke on an average day now? (A pack has 20 cigarettes.) Those who smoked before they got pregnant, then quit during pregnancy, but starting smoking again after delivery.
      SelectSelect
      Cigarettes - smoking 3-6 months after pregnancy
      Calculated based on: How many cigarettes do you smoke on an average day now? (A pack has 20 cigarettes) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - avg smkd per day after pregnancy (cat)
      How many cigarettes do you smoke on an average day now? (A pack has 20 cigarettes.) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      Cigarettes - avg smkd per day after pregnancy (choose any one category)
      How many cigarettes do you smoke on an average day now? (A pack has 20 cigarettes.) Among women who smoked cigarettes within the 2 years before they got pregnant.
      SelectSelect
      E-cigarettes - smoking 3-6 months after pregnancy
      How often do you use e-cigarettes or other electronic nicotine products in an average week now?
      SelectSelect
      Marijuana - used since delivery
      During any of the following time periods, did you use marijuana or hash in any form? - Since my new baby was born
      SelectSelect
      SHS - lives with a cigarette smoker
      How many cigarette smokers, not including yourself, live in your home now?
      SelectSelect
    • IndicatorStateCounty
      Breastfeeding - initiation
      Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time?
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      Breastfeeding - still
      Are you still breastfeeding or feeding pumped milk to your new baby?
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      Breastfeeding - (exclusive) duration (grouped, cat)
      Based on a series of questions and the baby's age at the time the questionnaire was completed. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? Are you currently breastfeeding or feeding pumped milk to your new baby? How old was your new baby the first time he or she ate food (such as baby cereal, baby food, or any other food)? How old was your new baby the first time he or she drank liquids other than breast milk (such as formula, water, juice, tea, or cow's milk)?
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      Breastfeeding - (exclusive) duration (grouped) (choose any one category)
      Based on a series of questions and the baby's age at the time the questionnaire was completed. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? Are you currently breastfeeding or feeding pumped milk to your new baby? How old was your new baby the first time he or she ate food (such as baby cereal, baby food, or any other food)? How old was your new baby the first time he or she drank liquids other than breast milk (such as formula, water, juice, tea, or cow's milk)?
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      Breastfeeding - (exclusive) duration 8+ weeks
      Based on a series of questions and the baby's age at the time the questionnaire was completed. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? Are you currently breastfeeding or feeding pumped milk to your new baby? How old was your new baby the first time he or she ate food (such as baby cereal, baby food, or any other food)? How old was your new baby the first time he or she drank liquids other than breast milk (such as formula, water, juice, tea, or cow's milk)?
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      Breastfeeding - (any) duration (grouped, cat)
      Based on a series of questions and the baby's age at the time the questionnaire was completed. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? Are you currently breastfeeding or feeding pumped milk to your new baby?
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      Breastfeeding - (any) duration (grouped) (choose any one category)
      Based on a series of questions and the baby's age at the time the questionnaire was completed. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? Are you currently breastfeeding or feeding pumped milk to your new baby?
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      Breastfeeding - (any) duration 8+ weeks
      Based on a series of questions and the baby's age at the time the questionnaire was completed. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? Are you currently breastfeeding or feeding pumped milk to your new baby?
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      Breastfeeding - liquid supplement 1st week
      Based on a series of questions. Did you ever breastfeed or pump breast milk to feed your new baby after delivery, even for a short period of time? How old was your new baby the first time he or she drank liquids other than breast milk (such as formula, water, juice, tea, or cow's milk)?
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      Breastfeeding information - from lactation specialist
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - A breastfeeding or lactation specialist
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      Breastfeeding information - from baby's doctor
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - My baby's doctor or health care provider
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      Breastfeeding information - from mother's doctor
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - My doctor
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      Breastfeeding information - from nurse, midwife or doula
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - A nurse, midwife, or doula
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      Breastfeeding information - from support group
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - A breastfeeding support group
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      Breastfeeding information - from hotline
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - A breastfeeding hotline or toll-free number
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      Breastfeeding information - from family or friends
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - Family or friends
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      Breastfeeding information - from another source
      Before or after your new baby was born, did you receive information about breastfeeding from any of the following sources? - Other
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    • IndicatorStateCounty
      Post-partum - depression (2012+)
      Based on a series of questions. Since your new baby was born, how often have you felt down, depressed, or hopeless? Since your new baby was born, how often have you had little interest or little pleasure in doing things? Women were considered to have post-partum depression if they answered 'Always' or 'Often' to either of these questions.
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      Oral health - teeth cleaned after pregnancy
      Since your new baby was born, have you had your teeth cleaned by a dentist or dental hygienist?
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      Oral health - teeth cleaned before, during or after pregnancy
      Based on a series of questions. At any time during the 12 months before you got pregnant with your new baby, did you do any of the following things? - Teeth cleaned by dentist or hygienist. Did you have your teeth cleaned by a dentist or dental hygienist during the time periods listed below? - During pregnancy. Did you have your teeth cleaned by a dentist or dental hygienist during the time periods listed below? - After pregnancy.
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    • IndicatorStateCounty
      Post-partum - health checkup
      Since your new baby was born, have you had a postpartum checkup for yourself?
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      PPV - discussed timing next pregnancy
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about how long to wait before getting pregnant again
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      PPV - discussed birth control
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about birth control methods I can use after giving birth
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      PPV - inserted birth control
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Insert an IUD (Mirena®, ParaGard®, Liletta®, or Skyla®) or a contraceptive implant (Nexplanon® or Implanon®)
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      PPV - prescribed birth control
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Give or prescribe me a contraceptive method such as the pill, patch, shot (Depo-Provera®), NuvaRing®, or condoms
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      PPV - tested for diabetes
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Test me for diabetes
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      PPV - asked if down or depressed
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Ask me if I was feeling down or depressed
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      PPV - asked if they were being hurt emotionally or physically
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Ask me if someone was hurting me emotionally or physically
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      PPV - asked if they smoked cigarettes
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Ask me if I was smoking cigarettes
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      PPV - told to take vitamin with folic acid
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Tell me to take a vitamin with folic acid
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      PPV - discussed healthy eating, exercise and weight loss
      During your postpartum checkup, did a doctor, nurse, or other health care worker do any of the following things? - Talk to me about healthy eating, exercise, and losing weight gained during pregnancy
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    • IndicatorStateCounty
      Contraception - used after pregnancy
      Since your new baby was born, are you or your husband or partner doing anything now to keep from getting pregnant?
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      Contraception after pregnancy - tubal ligation or vasectomy
      Based on a series of questions. Are you or your husband or partner doing anything now to keep from getting pregnant? What kind of birth control are you or your husband or partner using now to keep from getting pregnant? Among women who are doing something to keep from getting pregnant.
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      Contraception after pregnancy - used IUDs or implants
      Based on a series of questions. Are you or your husband or partner doing anything now to keep from getting pregnant? What kind of birth control are you or your husband or partner using now to keep from getting pregnant? Among women who are doing something to keep from getting pregnant.
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      Contraception after pregnancy - used pills, shots, rings or patches
      Based on a series of questions. Are you or your husband or partner doing anything now to keep from getting pregnant? What kind of birth control are you or your husband or partner using now to keep from getting pregnant? Among women who are doing something to keep from getting pregnant.
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      Contraception after pregnancy - used condoms
      Based on a series of questions. Are you or your husband or partner doing anything now to keep from getting pregnant? What kind of birth control are you or your husband or partner using now to keep from getting pregnant? Among women who are doing something to keep from getting pregnant.
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      Contraception after pregnancy - natural planning or withdrawal
      Based on a series of questions. Are you or your husband or partner doing anything now to keep from getting pregnant? What kind of birth control are you or your husband or partner using now to keep from getting pregnant? Among women who are doing something to keep from getting pregnant.
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      Contraception after pregnancy - abstinence
      Based on a series of questions. Are you or your husband or partner doing anything now to keep from getting pregnant? What kind of birth control are you or your husband or partner using now to keep from getting pregnant? Among women who are doing something to keep from getting pregnant.
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    • IndicatorStateCounty
      Infant - delivery type (cat)
      Delivery type comes from the birth certificate. Delivery options are vaginal delivery, first c-section, repeat c-section, vaginal delivery after c-section.
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      Infant - delivery type (Choose a response)
      Delivery type comes from the birth certificate. Delivery options are vaginal delivery, first c-section, repeat c-section, vaginal delivery after c-section.
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      Infant - born preterm
      The gestational age comes from the birth certificate. Delivery is considered preterm when the gestational age is 36 weeks or less.
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      Infant - gestational age (cat)
      Gestational age comes from the birth certificate and is categorized as early preterm (<32 weeks), preterm (32-36 weeks), full term (37-41 weeks) and post term (42+ weeks).
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      Infant - gestational age (Choose a response)
      Gestational age comes from the birth certificate and is categorized as early preterm (<32 weeks), preterm (32-36 weeks), full term (37-41 weeks) and post term (42+ weeks).
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      Infant - birthweight (cat)
      Infant's weight comes from the birth certificate and is categorized as low (<2,500 grams), normal (2,500-3,999 grams), or high (4,000+ grams).
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      Infant - birthweight (Choose a response)
      Infant's weight comes from the birth certificate and is categorized as low (<2,500 grams), normal (2,500-3,999 grams), or high (4,000+ grams).
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      Infant - placed in NICU after birth
      After your baby was born, was he or she put in an intensive care unit? Question not asked after 2015.
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      Infant - discharged within 48 hours
      After your baby was born, how long did he or she stay in the hospital? Among vaginal births.
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    • IndicatorStateCounty
      Sleep - positioning of baby (cat)
      In which one position do you most often lay your baby down to sleep now?
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      Sleep - positioning of baby (Choose a response)
      In which one position do you most often lay your baby down to sleep now?
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      Sleep - alone, past 2 weeks
      In the past 2 weeks, how often has your new baby slept alone in his or her own crib or bed? - Always or often
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      Sleep - alone, in room with mother
      When your new baby sleeps alone, is his or her crib or bed in the same room where you sleep?
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      Sleep advice - place baby on back
      Did a doctor, nurse, or other health care worker tell you any of the following things? - Place my baby on his or her back to sleep
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      Sleep advice - place baby in a crib
      Did a doctor, nurse, or other health care worker tell you any of the following things? - Place my baby to sleep in a crib, bassinet, or pack and play
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      Sleep advice - place crib in mother's room
      Did a doctor, nurse, or other health care worker tell you any of the following things? - Place my baby's crib or bed in my room
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      Sleep advice - items in bed with baby
      Did a doctor, nurse, or other health care worker tell you any of the following things? - What things should and should not go in bed with my baby
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      Sleep where - crib, bassinet or pack and play
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - In a crib, bassinet, or pack and play
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      Sleep where - in a crib with bumper pads
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - With crib bumper pads (mesh or non-mesh)
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      Sleep where - couch, sofa or armchair
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - On a couch, sofa, or armchair
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      Sleep where - twin or larger mattress or bed
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - On a twin or larger mattress or bed
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      Sleep where - infant car seat or swing
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - In an infant car seat or swing
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      Sleep where - with a blanket
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - With a blanket
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      Sleep where - in a sleeping sack or wearable blanket
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - In a sleeping sack or wearable blanket
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      Sleep where - with toys, cushions, or pillows
      Listed below are some more things about how babies sleep. How did your new baby usually sleep in the past 2 weeks? - With toys, cushions, or pillows, including nursing pillows
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