Table 1.

Questionnaire content

Questionnaire 1
For each pregnancy you had, please answer the following questions: Pregnancy Number ___ / Birth date ___________
Outcome of the pregnancy:
1. Live Birth
2. Still Birth
3. Miscarriage
4. Abortion
5. Pre-term delivery (less than 36 weeks)
6. Other problems (list)
Questionnaire 2
For each pregnancy you had, please answer the following questions: Pregnancy Number ___ / Birth date ___________
Outcome of the pregnancy:
1. Live Birth
2. Still Birth
3. Miscarriage
4. Abortion
5. Pre-term delivery (less than 36 weeks)
6. Other problems (list)
Did you have any of the following during your pregnancy?
1. Hypertension requiring medications
2. Preeclampsia / toxemia
3. Gestational diabetes
4. Extra protein in your urine