Table 1.

Maternal demographic data

Characteristics
Name
Date of birth (dd/mm/yy)
Current age (yr)
Marital status (married/cohabitating/single)
Occupation (free text)
Partner's occupation (free text).
Discontinued full time education (Y/N)
Age full time education stopped (yr)
Smoking status
(never/quit pre-pregnancy/quit during pregnancy/currently smoking)
If currently smoking, number per day
Alcohol use (units per week)
Current
Pre-pregnancy
Current medical condition (free text)
Current prescription medication (free text)
Previous pregnancies ending less than 24-weeks (Y/N)
If yes 1. Gestational age (wks) 2. Spontaneous (Y/N)
Use of oral contraceptive pill in the last 3 months (Y/N)
Date of last menstrual period (dd/mm/yy)
Certain of date last menstrual period (Y/N)
Duration of menstrual cycle (/28 days)