Table 1.
Section 1: Personal history | Social and demographic information |
Obstetric history ( focusing on current/most recent pregnancy) | |
Sexual Health | |
Risk-factors/environment | |
Section 2: Symptoms | Disability and functioning −WHO Disability Assessment Schedule 2.0 (12-item version) |
General symptoms | |
Mental health −Generalized Anxiety Disorders-7 −Personal Health Questionnaire −9 | |
Section 3: Signs | General physical exam |
Laboratory tests and results |