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. 2012 Oct;130(4):e1019–e1025. doi: 10.1542/peds.2011-1307

TABLE 2.

Main Sections of the Pediatric Environmental History9

Family history and associated constitutional symptoms
 Pedigree of at least 3 generations for:
  a. History of cancer in the family tree
  b. Genetic and constitutional factors associated with childhood cancers
  c. Chronic, rare and family diseases
  d. Causes of death
Detailed description of sources of exposure during pregnancy
 Maternal grandmother’s (maternal egg formation) work during pregnancy and drugs in pregnancy
 Maternal grandfather’s work during pregnancy
Environmental exposures (preconceptional, conceptional, pregnancy, postnatal)
The data collection is distributed in the following sections:
 1. General (affiliation and identification, and socioeconomic data), housing (before, during pregnancy, and postnatal), tobacco (before, during pregnancy, and postnatal), external environment (neighborhood, daycare, school), lifestyle during pregnancy and postnatal care, perceptions (before, during pregnancy, and postnatal)
 2. Nutrition during pregnancy and exercise
 3. Obstetric history (drugs, diseases, etc)
 4. Radiologic history of the parents
 5. Work history (both parents)
 6. Background of the child (birth, neonatal, radiation history, diseases, vaccines, treatments, etc)
 7. Breastfeeding
 8. Nutrition of the child, exercise, and lifestyle
Type of tumor (tumor data, diagnosis, treatment, and evolution)