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Approximate informations necessary for medical consultation with us
Height and weight
Drugs used now and in history: the type of drug, dose and frequency
Habits and addictions: tobacco, drugs or alcohol
The history of heredity (illness of the mother, father or siblings) for cancer, blood disorders, high blood pressure, diabetes, heart problems, gastrointestinal, genitourinary, pulmonary, stroke, tuberculosis, other
Infertility / gynecological problems: premature labor, premature rupture of membranes, infertility, IVF, vaginal bleeding, poly / oligohydramnios, fetal anomalies, DES exposure, urinary infections, febrile episode during pregnancy, postpartum hemorrhage.
Surgery: breast, cryo-surgery, LEEP, cesarean section, of any other major surgery
Heart or blood pressure: hypertension, preeclampsia, MVP, HELP syndrome, rheumatic fever, murmurs
Circulation: phlebitis, varicose veins, deep vein thrombosis
Respiratory problems: asthma, recent cold / flu, pneumonia, lung disease
History of stroke, neurological, joint, bone or muscle problems: stroke, headache / migraine, epilepsy, developmental delay
Endocrine problems: Diabetes of any type (type 1 or type 2), gestational diabetes (diet controlled or controlled by medication and diet), thyroid dysfunction
ENT problems: Meniere's, sinusitis, epistaxis
Infectious Diseases / Immune questions: GBS, previous GBS infected baby, hepatitis B, genital herpes, GC, tuberculosis, chlamydia, syphilis, any partner with an STI, autoimmune, HPV
History of the digestive system, urinary problems: liver disease, constipation, hemorrhoids, abdominal pain, recent changes in bowel patterns, hyper-vomiting, nausea, recent UTI, kidney disease / stones, pyelonephritis
History of skin problems and / or Piercings: rash, chickenpox / shingles, eczema / psoriasis, piercing
Personal or family history of patients following congenital / genetic problems: congenital hearing defects. Italian, Greek, Mediterranean or Asian background, neural tube defects, Down syndrome, Jewish (Tay-Sachs disease), cystic fibrosis, hemophilia, sickle cell anemia, muscular dystrophy, Huntington's chorea, mental retardation (if so, was Fri tested for fragile x), other inherited genetic or chromosomal disorders,
Occupation, a high level of education
Are you receiving blood products?
Have you ever had a blood transfusion?
Complications of pregnancy
Pre-pregnancy weight, weight gain during pregnancy, plan children's nutrition, childbirth education (yes / no and type), a pediatrician
Plans for sterilization?
Advance directives? and information
Sensory deficit (glasses / contacts yes or no)
Bed rest during the last month?
Nature of sleep?
History of abuse, safety in the house now, history of depression, postpartum depression, anxiety, family history of depression,
Last modification or loss of family
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