| History of any pregnancies |
| History of miscarriages, terminations, or ectopic pregnancies |
| History of assisted reproduction |
| For each pregnancy carried: |
| Date of delivery |
| Gestational age at delivery |
| Mode of delivery with indication for operative delivery |
| Maternal complications, such as hypertension or diabetes |
| Fetal complications, such as growth restriction, anomalies, or stillbirth |
| Delivery or operative complications |
| Neonatal problems |
| Current health of children |
