Did
you have any miscarriages or problem pregnancies prior to your pregnancy with me?Did
you have any staining, bleeding or other signs of possible miscarriage during your
pregnancy with me?
Did you have diabetes or problems of high blood pressure during any
pregnancy?
Did you undergo any type of illness, surgery or hospitalization during
your pregnancy with me?
Did your doctor ever tell you he was giving you a medication to help you
keep the pregnancy?
Did your doctor ever give you special prenatal vitamins that included
hormones as "pregnancy insurance"?
Did your doctor ever give you special injections to guard against
miscarriage or to stop bleeding or cramping?
Is Dr. ______________ or any of his partners still alive?
Would you request your records of the pregnancy with me from Dr.
__________________?