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Prenatal Intake Questionnaire Kaiser Permanente Mydoctor Kaiserpermanente 2013
HIV positive Genital warts Genital herpes Chlamydia Syphilis Frequent bladder infections Kidney stones Kidney infection pyelonephritis Asthma Lung disease TB tuberculosis Depression Migraine headaches Problems with getting pregnant/infertility Seizure/epilepsy Thyroid problems Major surgery 1. PREGNANCY 1 Outcome n Delivered baby n Miscarriage n Abortion n Ectopic Living n Stillborn n Neonatal demise n Placed for adoption Child s name Delivery Date Type of Delivery n Vaginal delivery n...
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