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If HG continued past mid-pregnancy, did you experience complications during delivery related to your poor health such as a strained ligaments/joints, pelvic floor damage, prolonged or weak pushing, fainting, low blood pressure, low pain tolerance, forceps/assisted delivery, broken bones, nerve damage, low amniotic fluid, fetal problems due to difficult delivery, etc.?

Yes
No
Probably
Unsure




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Initials:
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Your Birth Year:
(e.g.: 1970)

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NOTE: Please register for the survey. Your survey answers are completely anonymous. This means that your answers will be viewed collectively as group data. We only use the following info to accurately associate all your survey answers to your survey in case you need to complete part of the survey later. Thank you for helping us with our research!

Survey Registration: Used to avoid duplicates.
1. * E-mail address: (Used only to avoid duplicates and for clarification of text responses if needed.)
 
2. * Initials: (e.g.: 'KLS' for 'Kim L. Smith'.)
 
3. * Year you were born? (e.g. 1970)
 
4. * Have you ever experienced severe nausea or vomiting (HG) while pregnant?
 
Yes
No
5. * Did you have weight loss due to nausea and vomiting?
 
Yes
No
6. * Did you have intravenous (IV) fluid treatment due to nausea and vomiting?
 
Yes
No
7. * Please enter your study ID number for the genetic/epidemiology of HG study (enter 0) if you do not have an ID number.
 
 
  We use this info ONLY to register you for the survey. We will not contact you via e-mail except in regard to this survey. If you get disconnected or need to add info later (e.g.: your postpartum experience if you are currently pregnant), you will need this same registration info to finish your survey. For your convenience, you will receive an e-mail with your registration info following submission of your survey responses.

Updated on: Sep. 15, 2022

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