CDEs
Forms
Are you feeling bothered, upset, or worried at this point in your pregnancy about whether the baby might be affected by alcohol, cigarettes, or drugs that you have taken [NuPDQ]
Are there other things that you are bothered, upset or worried about that have to do with your pregnancy, the birth, or the baby [NuPDQ]
Other things you are feeling bothered, upset or worried about [NuPDQ]
Difficulties in pregnancy total score [NuMoM2b]
Pregnancy complication of Family member
Date first prenatal visit
Regular use of birth control when got pregnant
Were you trying to get pregnant
Obstetric delivery method
Birth date of Fetus
I have been able to laugh and see the funny side of things in the past 7 days [EPDS]
I have looked forward with enjoyment to things in the past 7 days [EPDS]
I have blamed myself unnecessarily when things went wrong in the past 7 days [EPDS]
I have been anxious or worried for no good reason in the past 7 days [EPDS]
I have felt scared or panicky for no very good reason in the past 7 days [EPDS]
Things have been getting on top of me in the past 7 days [EPDS]
I have been so unhappy that I have had difficulty sleeping in the past 7 days [EPDS]
I have felt sad or miserable in the past 7 days [EPDS]
I have been so unhappy that I have been crying in the past 7 days [EPDS]
The thought of harming myself has occurred to me in the past 7 days [EPDS]
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179