Demographic Information Background Family Members Living in Home (if applicable)

Demographic Information
Background Family Members Living in Home (if applicable)
Parents’ Background
Relationship Between Parents
Parents’ Jobs and Education Levels
Parent’s Physical Health
Parents’ Mental Health
Religion and Family Values
Overview of Pregnancy
Planned versus Unplanned Pregnancy
Parents’ Reactions to the Pregnancy
Mother’s Personal Care During Pregnancy
Mother’s Emotional State During Pregnancy
Working During Pregnancy and After Pregnancy
Parents’ Support from Extended Families and Friend
Education on Fetal Development and Childbirth
Complications with Pregnancy
Overview of Birth
Complications with Birth
Method of Delivery (i.e. Vaginally or C-Section)
Signs of Potential Health Problems in Mother after Birth
Signs of Potential Health Problems in Baby after Birth
Baby’s Length and Weight
Mother’s Mental and Emotional Health after the Birth

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Background Family Members Living in Home (if applicable)
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