3.0 | History of urinary tract infection during pregnancy: | [1] Yes [2] No |
3.1 | If yes, did you take any antibiotic/s | [1] Yes [2] No |
3.2 | If yes, what type/s of antibiotic/s did you take? And for how long? |
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4.0 | Did you have any pregnancy related problem? | [1] Yes [2] No |
4.1 | If yes, state the health problem/s: |
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5.0 | HIV status(refer to the ANC booklet for this question) | [1] Seropositive [2] Seronegative |
6.0 | History of any drug/s use during pregnancy: | [1] Yes [2] No |
6.1 | If yes, specify the drug/s |
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6.2 | Duration: |
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