AMOR-IPAT CAOI Score Survey

    Childbirth Adverse Outcome Index (CAOI) Score

    Background

    As part of the AMOR-IPAT research, the goal of which is to develop a new method of term pregnancy management that might decrease the frequency and severity of maternal and neonatal childbirth complications, we are developing a method of evaluating childbirth outcomes called the "Childbirth Adverse Outcome Index Score" (CAOI Score). The CAOI Score will be based on a list of the potential major adverse outcomes that can occur during pregnancy, labor and childbirth, and will assign a numerical value to each outcome. The higher the value, the more adverse the outcome. Currently, we envision the CAOI Score being based on about 30 adverse childbirth outcomes. This will be a significant improvement over the current AOI Score, which uses only 10 outcomes, many of which are very uncommon. To help facilitate the development of this new Score, we are soliciting input from as many interested stakeholders as possible, including women who currently are pregnant, have been pregnant or are considering pregnancy, and/or their partners or other family members, health care providers (doctors, nurses, mid-wives, etc.), insurance providers, hospital administrators, policy makers, researchers, counselors, etc. To this end, we encourage you to help us in this research effort by completing this brief, online survey.

    Instructions

    Below is a list of 29 potentially adverse outcomes that can occur with childbirth during the term period of pregnancy. The term period of pregnancy is defined as anytime between 37 weeks 0 days of gestation to 41 weeks 0 days of gestation. The list is divided into two sections: Maternal Outcomes (i.e., those pertaining to the mother) and Fetal/Infant Outcomes (i.e., those pertaining to the fetus/infant/newborn child). Please review the list in each section first and then score each outcome with a number ranging from 1 (=minimal/no adversity) to 1000 (=extreme adversity). Try to not give any two outcomes the same number. More than one outcome can occur with any specific delivery.

    Guarantee of Anonymity

    Please note that all of your responses to this survey are strictly anonymous. We DO NOT require any usernames or passwords to complete this survey, nor do we collect any personally-identifiable information, such as your e-mail address or your IP address.

    SECTION A: Maternal Outcomes (14 outcomes)

    Please score each of the following Maternal Outcomes with a number ranging from 1 (=minimal/no adversity) to 1000 (=extreme adversity). Try to not give any two outcomes the same number.
    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    SECTION B: Fetal/Infant Outcomes (15 outcomes)

    Please score each of the following Fetal/Infant Outcomes with a number ranging from 1 (=minimal/no adversity) to 1000 (=extreme adversity). Try to not give any two outcomes the same number.
    Please enter a whole number from 1 to 1000.
    This is a required question
    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Please enter a whole number from 1 to 1000.
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    Demographics

    Finally, so that we may better understand and integrate the results of this survey into the PCORI - AMOR-IPAT study, please answer the following three basic questions about yourself.
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