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Table 1 Maternal demographic data

From: Study protocol. A prospective cohort study of unselected primiparous women: the pregnancy outcome prediction study

Characteristics

Name

Date of birth (dd/mm/yy)

Current age (yr)

Marital status (married/cohabitating/single)

Occupation (free text)

Partner's occupation (free text).

Discontinued full time education (Y/N)

Age full time education stopped (yr)

Smoking status

(never/quit pre-pregnancy/quit during pregnancy/currently smoking)

If currently smoking, number per day

Alcohol use (units per week)

   Current

   Pre-pregnancy

Current medical condition (free text)

Current prescription medication (free text)

Previous pregnancies ending less than 24-weeks (Y/N)

   If yes 1. Gestational age (wks) 2. Spontaneous (Y/N)

Use of oral contraceptive pill in the last 3 months (Y/N)

Date of last menstrual period (dd/mm/yy)

Certain of date last menstrual period (Y/N)

Duration of menstrual cycle (/28 days)