Human Growth

Demographic Information

Background Family Members Living in Home (if applicable)

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Parents’ Background

Relationship Between Parents

Parents’ Jobs and Education Levels

Parent’s Physical Health

Parents’ Mental Health

Religion and Family Values

Overview of Pregnancy see more at


Planned versus Unplanned Pregnancy

Parents’ Reactions to the Pregnancy

Mother’s Personal Care During Pregnancy

Mother’s Emotional State During Pregnancy

Working During Pregnancy and After Pregnancy

Parents’ Support from Extended Families and Friend

Education on Fetal Development and Childbirth

Complications with Pregnancy

Overview of Birth

Complications with Birth

Method of Delivery (i.e. Vaginally or C-Section)

Signs of Potential Health Problems in Mother after Birth

Signs of Potential Health Problems in Baby after Birth

Baby’s Length and Weight

Mother’s Mental and Emotional Health after the Birth



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