Date pregnancy outcome
Item
Date pregnancy outcome obtained (m m/dd/yyyy):
date
C0032972 (UMLS CUI [1])
Item
Was the outcome of the participant’s/subject’s most recent pregnancy a live born infant?
integer
C0032972 (UMLS CUI [1])
Code List
Was the outcome of the participant’s/subject’s most recent pregnancy a live born infant?
CL Item
Yes (skip to "Delivery type") (1)
CL Item
No (Complete a-c only) (2)
CL Item
Unknown (Stop,you are finished) (3)
Item
Pregnancy outcome
text
C0032972 (UMLS CUI [1])
Code List
Pregnancy outcome
Pregnancy outcome
Item
Outcome Date
date
C0032972 (UMLS CUI [1])
Item
Was the fetus normal?
integer
C0032972 (UMLS CUI [1])
Code List
Was the fetus normal?
CL Item
No (describe) (2)
Pregnancy outcome
Item
Was the fetus normal? If no, please describe
text
C0032972 (UMLS CUI [1])
Item
Delivery type
integer
C2114511 (UMLS CUI [1])
CL Item
Induced; specify reason (2)
Item
Delivery type Induced; specify reason (Choose all that apply)
integer
C2114511 (UMLS CUI [1])
Code List
Delivery type Induced; specify reason (Choose all that apply)
CL Item
Hemorrhage and Placental Complications (1)
CL Item
Hypertension, Preeclampsia or Eclampsia (2)
CL Item
Rupture of Membranes-Premature, Prolonged (3)
CL Item
Maternal Conditions Complicating Pregnancy/Delivery (4)
CL Item
Fetal Conditions Complicating Pregnancy/Delivery (5)
CL Item
Malposition and Malpresentation of Fetus (6)
CL Item
Late Pregnancy (7)
CL Item
Prior Uterine Surgery (8)
CL Item
Other, specify: (9)
Item
Delivery type Induced; Other, specify
text
C2114511 (UMLS CUI [1])
Code List
Delivery type Induced; Other, specify
Item
Delivery route
integer
C3654234 (UMLS CUI [1])
CL Item
Cesarean section please complete the following (2)
Delivery route
Item
Delivery route Cesarean section reason
text
C3654234 (UMLS CUI [1])
Item
Delivery route Cesarean section timing
integer
C3654234 (UMLS CUI [1])
Code List
Delivery route Cesarean section timing
Item
Delivery modality type
integer
C2114311 (UMLS CUI [1])
Code List
Delivery modality type
Item
Did the participant/subject experience any complications during labor/delivery?
integer
C0009566 (UMLS CUI [1])
Code List
Did the participant/subject experience any complications during labor/delivery?
Complications
Item
Did the participant/subject experience any complications during labor/delivery? If yes, please specify
text
C0009566 (UMLS CUI [1])
Item
Did the participant/subject require tocolytic agents during preterm labor?
integer
C0040349 (UMLS CUI [1])
Code List
Did the participant/subject require tocolytic agents during preterm labor?
Tocolytic agent
Item
Did the participant/subject require tocolytic agents during preterm labor? If yes, please specify
text
C0040349 (UMLS CUI [1])
Birth Date
Item
Birth Date
date
C0421451 (UMLS CUI [1])
Item
Birth sex
integer
C4019317 (UMLS CUI [1])
Birth weight
Item
Birth weight
float
C0005612 (UMLS CUI [1])
Item
Please specify units used for birth weight
integer
C1519795 (UMLS CUI [1])
Code List
Please specify units used for birth weight
Birth length
Item
Birth length
integer
C0419415 (UMLS CUI [1])
Item
Please specify units used for birth length
integer
C1519795 (UMLS CUI [1])
Code List
Please specify units used for birth length
Item
Was the child delivered full-term
integer
C0438070 (UMLS CUI [1])
Code List
Was the child delivered full-term
Gestational age
Item
Indicate gestational age GA (weeks):
integer
C0017504 (UMLS CUI [1])
Item
APGAR 5 Minute score
integer
C0003533 (UMLS CUI [1])
Code List
APGAR 5 Minute score
Item
APGAR 10 Minute score
integer
C0003533 (UMLS CUI [1])
Code List
APGAR 10 Minute score
Body weight
Item
Mother’s weight at the time of birth
float
C0005910 (UMLS CUI [1])
Item
Please specify units used for body weight
integer
C1519795 (UMLS CUI [1])
Code List
Please specify units used for body weight
Item
Any abnormal fetal diagnostic tests performed during pregnancy?
integer
C0947980 (UMLS CUI [1,1])
C0205161 (UMLS CUI [1,2])
Code List
Any abnormal fetal diagnostic tests performed during pregnancy?
Item
Any abnormal fetal diagnostic tests? If yes please fill in the dates of testing and the test results
text
C0947980 (UMLS CUI [1,1])
C0205161 (UMLS CUI [1,2])
Code List
Any abnormal fetal diagnostic tests? If yes please fill in the dates of testing and the test results
Item
Were there any congenital anomalies?
integer
C0000768 (UMLS CUI [1])
Code List
Were there any congenital anomalies?
Item
Were there any congenital anomalies?If Yes, specify
text
C0000768 (UMLS CUI [1])
Code List
Were there any congenital anomalies?If Yes, specify
Item
Were there other newborn complications?
integer
C1148391 (UMLS CUI [1])
Code List
Were there other newborn complications?
Item
Were there other newborn complications? If Yes, specify
text
C1148391 (UMLS CUI [1])
Code List
Were there other newborn complications? If Yes, specify
Item
Did the newborn experience any abnormalities of placenta or umbilical cord?
integer
C4025798 (UMLS CUI [1])
Code List
Did the newborn experience any abnormalities of placenta or umbilical cord?
Abnormalities of placenta or umbilical cord
Item
Did the newborn experience any abnormalities of placenta or umbilical cord? If Yes, specify
text
C4025798 (UMLS CUI [1])