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 FEMALE QUESTIONNAIRE - PAGE 6(c) 

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PREGNANCY: CURRENT
629.  Which trimester are you in?
Don't know
1st trimester
2nd trimester
3rd trimester
Delivery expected within next two weeks
630.  Have you experienced morning sickness during this pregnancy?
Don't know
No
Yes, but resolved now
Yes, current minor problem
Yes, current major problem
631.  Are you experiencing gestational diabetes during this pregnancy?
Don't know
No, too early in the pregnancy
No, tested negative
Yes, marginally
Yes, definitely

Add any additional information here for the questions above:

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GLOSSARY

Gestational Diabetes
Gestational diabetes is defined as any degree of glucose intolerance with the onset or first recognition occurring during pregnancy. Many pregnant women do not notice any symptoms of diabetes, but urine and blood tests may show that they have it. Symptoms of diabetes may include thirst, weight loss, eating too much, urinating in large quantities and unexplained fatigue.





























 

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