Written At ANC

Number for office use only

First Name :
Last Name :

What is your date of birth?

Month	Day	Year

Where were you born?

What language do you speak at home?

Which of the following best describes your ethnicity (Select all that apply)?

What is the highest level of education you completed?

Which of the following best describes your marital status?

Read through the following information about the induction of labour. Then answer 6 multiple choice questions that will follow.

A comparison of Outpatient Foley Catheter and Inpatient Prostaglandin Gel for Cervical Ripening in Induction of Labour

1. ‘What is the purpose of this study?’

Starting labour artificially, or induction of labour, occurs in about 1 in 4 women having a baby at our hospital. In about half of all women requiring induction of labour the first step is to get the cervix ready for the rest of the induction: this is called “cervical ripening”. Cervical ripening can be done several different ways.

Two common ways are:
1) Use of a gel called Prostin, which is placed into the vagina near the cervix. The gel acts chemically to ripen the cervix.
2) Use of a Foley catheter, a thin latex tube that is passed through the opening of the cervix. A small balloon in the catheter is then inflated and the pressure from the balloon gradually ripens the cervix.

Until now, both the gel and the catheter have been used at our hospital only on women who stay in the hospital (inpatients) from the time the gel or catheter is put in, until the time the baby is born.
The purpose of this study is to find out whether putting the catheter in women who then go home while the catheter works is effective compared to staying in hospital and having the gel.

2. ‘What does this study involve?’

If you agree to participate in this trial and are allocated to the gel group, you will have the gel inserted into the vagina and you will stay in hospital while the gel works to produce cervical ripening.

If you agree to participate in this trial and are allocated to the catheter group, you will have the catheter inserted through the cervix, monitoring of yourself and the baby afterwards, then you will be allowed to go home while the catheter works.

For both the gel and the catheter group you will be booked to have the rest of your induction of labour the following day. All the decisions relating to your care apart from whether you receive the gel or the catheter will be made by your usual treating doctor or midwife in consultation with yourself.
If you do not want to participate in this study, it will not affect your treatment at the hospital.

3. ‘Are there risks to me in taking part in this study?’

Both cervical ripening and induction of labour in general carry some risks, such as the induction not working, or the uterus overcontracting with the medications used.
There are however some potential extra risks for the catheter group, as going home for the cervical ripening is an alternative to standard treatment. The main risks are experiencing pain and discomfort at home. There is also a small chance that you may labour at home so quickly that you don’t make it back to the hospital before you deliver.

This study will be a great contribution to the clinical practise and will reduce the pregnancy inpatient cost and duration of stay in the hospital of the Foley’s catheter group.

Please answer the following multiple choice questions as best as you can.
Please do not return to the previous page.

What will happen if you don’t want to participate?

It will affect your treatment in the hospital.

You will be forcefully allocated to the gel group.

It will not affect your treatment at the hospital.

You will be discharged early from the hospital.

What will happen if you agree to participate in this trial and are allocated to the gel group?

You will have the gel inserted into the vagina and you will stay in hospital while the gel works.

You will have the gel inserted into the vagina and you will be allowed to go home with instructions while the gel works.

You will be given instructions on how to apply the gel at home, and will be asked to return to hospital when the contractions start.

You can request to change your allocation to the catheter group.

What will happen if you agree to participate in this trial and are allocated to the catheter group?

You can request to change your allocation to the gel group.

You will be given instructions how to insert catheter at home, and will be asked to return to hospital when the contractions start.

You will have the catheter inserted through the cervix, monitoring of yourself and the baby afterwards, then you will be allowed to go home while the catheter works.

You will have the catheter inserted through the cervix, monitoring of yourself and the baby afterwards, then you will stay in hospital.

What is the main risk for the catheter group participant?

Pain and discomfort at home.

Nausea and vomiting.

Bloating and constipation.

Early rupture of membranes.

Which of the following is NOT a risk associated with this study?

Increased risk of ceasarean section.

Labour at home

Overcontraction of the uterus

Pain and discomfort at home

What are the benefits of participating in this study?

You will be given more medicine after delivery.

You will be given 100 dollars for participating.

You have to stay in hospital for longer.

It will be great contribution to the clinical practice and will reduce the pregnancy inpatient cost and duration of hospital stay of the Foley’s catheter group.

Read through the following information about Mughal jewellery. Then answer 6 multiple choice questions that will follow.

Mughal Jewelry ~ Royal and antique jewelry of North India:

Five centuries ago, India and Pakistan were under the Mughal rule and influence. During the Mughal rule, jewelry-making was given the utmost importance. This art gave birth to unique jewelry pieces studded with chunky gemstones and enamelled with motif designs.

A historic recount of Mughal jewelry:

The Mughal rule began in India during the 16th century and subsequently, the art of jewelry-making flourished throughout this era. The wearing of expensive jewelry marked one's position. The emperors and empresses as well as courtiers and other people of high ranks were adorned with heavy jewelry beset with huge stones and beads.

The artwork of Mughal jewelry:

Heavy stonework and elaborate enamelling are two major features that epitomized this jewelry and made it distinctive from other Indian jewelry. Enamelling is a time-consuming process which produces a stunning floral finish on the jewelry. In India, the enamelling process is known as meenakari and stone-setting is called jadau. Other unique forms of Mughal craftsmanship included filigree and thewa.

Some of the jewelry pieces worn by the Mughal royalty:

Earrings:
The Mughal emperors and courtiers wore ear-studs or small round earrings made of pearls or gemstones. The empresses wore exquisite long earrings which could be termed today as chandelier earrings.

Bangles:
The unique shape and prominent stone-setting of Mughal bangles set them apart from other Indian bangles. These wrist ornaments were mostly produced with enamelled gold that has been elaborated with intricate floral designs and squat gemstones.

Rings:
The Mughal emperors wore many rings, made of pure or enamelled gold or jade. Some rings, particularly thumb-rings, that were designed for the royal ladies; had tiny mirrors installed in them so that the ladies could admire their reflections.

Armlets:
The armlets worn by the royal ladies are as equally alluring as other jewelry pieces. They are adjustable either with clasps or strings. They are made of pure gold or enamelled gold and are studded with many gemstones and pearls.

Waist-belts and hip-chains:
Mughal waist-belts were chiseled out of gold and adorned the waists of emperors and empresses. Hip-chains were created out of gold and adorned with gemstones or pearls, to decorate the hips of empresses.

Mughal jewelry is now every bride's dream. It is the center of attraction in the jewelry-stores and exhibitions, and is a jewelry-collector's delight. All these clearly indicate that Mughal jewelry is here to stay now and forever.

Please answer the following multiple choice questions as best as you can.
Please do not return to the previous page.

The Mughal rule began in India during the 16th century and subsequently,

The art of photography and print making flourished throughout this era.

The art of sculpture flourished throughout this era.

The art of jewelry-making flourished throughout this era.

The art of painting flourished throughout this era.

The royal emperors and empresses wore exquisite long earrings which could be termed today as one of the following :

Chandelier earrings.

Pearl stud.

Ear studs.

Stud earnings.

In India, the enamelling process is known as

Meenakari.

Thewa.

Filigree.

Jadau.

Mughal bangles are different from other Indian style bangles due to their:

Unique shape and prominent stone setting.

Use of gem stones and pearls.

Silver coating.

Use of pure gold or enameled gold.

The rings designed for royal ladies had tiny mirrors installed for them to admire their reflections are known as:

Anklets.

Hip chains.

Index rings.

Thumb rings.

Which statement clearly indicates that Mughal jewelry is here to stay now and forever?

Mughal jewelry is now every brides dream.

The armlets worn by royal ladies are as equally alluring as other jewelry pieces.

It is made from heavy stonework and elaborate enamelling.

The waist-belts are chiseled out of gold and are put on the waists of emperors and empresses.

You will watch a video where you will see words appear on the screen.

The words will appear one at a time and will stay on the page for a few seconds before disappearing. Try to remember as many words as you can.

A helpful method to remember the words is to think whether that object will fit inside a shoebox.

Write down in the box below, as many of the words as you can remember. Please do not return to the previous page.

You will watch a video where you will see words appear on the screen.

The words will appear one at a time and will stay on the page for a few seconds before disappearing. Try to remember as many words as you can.

A helpful method of remembering the words is to think whether that object will fit inside a shoebox.

Write down in the box below, as many of the words as you can remember. Please do not return to the previous page.

A number of statements which people have used to describe themselves are given below.

Read each statement and then circle the appropriate number to the right of the statement to indicate how you feel right now, that is, at this moment.

There are no right or wrong answers.

Do not spend too much time on any one statement but give the answer which seems to describe your present feelings best.

Answer the below questions in regards to how you are right now at this moment.

I am calm:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel secure:

Not at all.

Somewhat.

Moderately so.

Very much so.

I am tense:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel strained:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel at ease:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel upset:

Not at all.

Somewhat.

Moderately so.

Very much so.

I am presently worrying over possible misfortunes:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel satisfied:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel frightened:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel comfortable:

Not at all.

Somewhat.

Moderately so.

Very much so.

I am self-confident:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel nervous:

Not at all.

Somewhat.

Moderately so.

Very much so.

I am jittery:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel indecisive:

Not at all.

Somewhat.

Moderately so.

Very much so.

I am relaxed:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel content:

Not at all.

Somewhat.

Moderately so.

Very much so.

I am worried:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel confused:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel steady:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel pleasant:

Not at all.

Somewhat.

Moderately so.

Very much so.

I feel pleasant:

Almost never.

Sometimes.

Often.

Almost always.

I feel nervous and restless:

Almost never.

Sometimes.

Often.

Almost always.

I feel satisfied with myself:

Almost never.

Sometimes.

Often.

Almost always.

I wish I could be as happy as others seem to be:

Almost never.

Sometimes.

Often.

Almost always.

I feel like a failure:

Almost never.

Sometimes.

Often.

Almost always.

I feel rested:

Almost never.

Sometimes.

Often.

Almost always.

I am "calm, cool, and collected":

Almost never.

Sometimes.

Often.

Almost always.

I feel that difficulties are piling up so that I cannot overcome them:

Almost never.

Sometimes.

Often.

Almost always.

I worry too much over something that really doesn't matter:

Almost never.

Sometimes.

Often.

Almost always.

I am happy:

Almost never.

Sometimes.

Often.

Almost always.

I have disturbing thoughts:

Almost never.

Sometimes.

Often.

Almost always.

I lack self confidence:

Almost never.

Sometimes.

Often.

Almost always.

I feel secure:

Almost never.

Sometimes.

Often.

Almost always.

I make decisions easily:

Almost never.

Sometimes.

Often.

Almost always.

I feel inadequate:

Almost never.

Sometimes.

Often.

Almost always.

I am content:

Almost never.

Sometimes.

Often.

Almost always.

Some unimportant thought runs through my mind and bothers me:

Almost never.

Sometimes.

Often.

Almost always.

I take disappointments so keenly that I can’t put them out of my mind:

Almost never.

Sometimes.

Often.

Almost always.

I am a steady person:

Almost never.

Sometimes.

Often.

Almost always.

I get in a state of tension or turmoil as I think over my recent concerns and interests:

Almost never.

Sometimes.

Often.

Almost always.

In this last section we are interested to know how you typically think in stressful situations.

Everybody copes with stress in different ways, so remember no answer is right or wrong.

Please read each hypothetical scenario and then indicate which of the statements beneath it represent how you think you would react if you were in such a situation.

Please read each question carefully and tick the box alongside all the statements that would describe what you would do.

You may pick as many, or as few, statements as you like.

Vividly imagine that you are afraid of the dentist and have to get some dental work done. Which of the following would you do?
Please tick all the statements that might apply to you.

I would ask the dentist exactly what he was going to do.

I would take an anti-anxiety drug or have a drink before going.

I would try to think about pleasant memories.

I would want the dentist to tell me when I would feel pain.

I would try to sleep.

I would watch all the dentist’s movements and listen for the sound of his drill.

I would watch the flow of water from my mouth to see if it contained blood.

I would want to do mental puzzles in my mind.

Vividly imagine that you are being held hostage by a group of armed terrorists in a public building. Which of the following would you do?

Please tick all the statements that might apply to you.

I would sit by myself and have as many daydreams and fantasies as I could.

I would stay alert and try to keep myself from falling asleep.

I would exchange life stories with the other hostages.

If there was a radio present, I would stay near it and listen to the news items about what the police were doing.

I would watch every movement of my captors and keep an eye on their weapons.

I would try to sleep as much as possible.

I would think about how nice it’s going to be when I get home.

I would make sure I knew where every possible exit was.

Vividly imagine that, due to a large drop in sales, it is rumoured that several people in your department at work will be dismissed. Your supervisor has handed in an evaluation of your work for the past year.

Please tick all the statements that might apply to you.

I would talk to my fellow workers to see whether they knew anything about what the supervisor’s evaluation of me said.

I would review the list of duties for my present job and try to work out if I had fulfilled all of them.

I would go to the movies to take my mind off things.

I would try to remember any arguments or disagreements I might have had with the supervisor that would have lowered his opinion of me.

I would push all thought of being dismissed out of my mind.

I would tell my spouse that I’d rather not discuss my chances of being dismissed.

I would try to think which employees in my department the supervisor might have thought had done the worst job.

I would continue doing my work as if nothing special was happening.

Vividly imagine that you are on an aeroplane, thirty minutes from your destination, when the plane unexpectedly goes into a deep dive and then suddenly levels off. After a short time, the pilot announces that nothing is wrong, although the rest of the ride may be rough. You, however, are not convinced that all is well.

Please tick all statements that might apply to you.

I would carefully read the information provided about safety procedures in the plane and make sure I knew where the emergency exists were.

I would make small talk with the passenger beside me.

I would watch the end of the movie, even if I had seen it before.

I would call for the flight attendant and ask exactly what the problem was.

I would order a drink or tranquilliser from the stewardess.

I would listen carefully to the engines for the unusual noises and would watch the crew to see if their behaviour was out of the ordinary.

I would talk to the passenger beside me about what might be wrong.

I would settle down and read a book or magazine or write a letter.