Demographics -
|
X
| | | | | |
Age
|
X
| | |
X1
|
X1
|
X1
|
HCN
|
X
| | |
X1,3
|
X1,3
|
X1,3
|
Address/Postal Code
|
X
| | |
X1
|
X1
|
X1
|
Family Doctor - Info
|
X
| | |
X1
|
X1
|
X1
|
Midwife/ObGyn Info
|
X
| | | | | |
Expected Delivery Date
|
X
| | | | | |
Medical History
|
X
| | | | | |
Diabetes
|
X
| | | | |
X1
|
Increased blood pressure
|
X
| | | | |
X1
|
Increased cholesterol
|
X
| | | | |
X1
|
Other major medical history
|
X
| | | | |
X1
|
Family History
|
X
| | | | | |
Medications Used
|
X
| | | | |
X1
|
Past Pregnancy Info
|
X
| | | | | |
GTPAL
|
X
| | | | | |
Still Births
|
X
| | | | | |
Past Gest. DM
|
X
| | | | | |
Pre-Eclampsia
|
X
| | | | | |
Low Birth Weight
|
X
| | | | | |
Premature Birth
|
X
| | | | | |
Social Determinants
|
X
| | | | | |
Years Living on the Reserve
|
X
| | | | | |
Place of Birth
|
X
| | | | | |
Religious Practices
|
X
| | | | | |
Annual Household Income
|
X
| | |
X1
|
X1
|
X1
|
Occupation
|
X
| | |
X1
|
X1
|
X1
|
Marital Status
|
X
| | |
X1
|
X1
|
X1
|
Education
|
X
| | | | |
X
|
Social Support
|
X
| | |
X1
|
X1
|
X1
|
Domestic Violence
|
X
| | |
X1
|
X1
|
X1
|
Depression
|
X
| |
X1
|
X1
|
X1
|
X1
|
Health Behaviours
| | | | | | |
Cigarette Exposure
|
X
| | |
X
|
X
|
X
|
Diet/Infant feeding
|
X
| |
X3
|
X3
|
X3
|
X3
|
Activity/Sedentary Behaviours
|
X
| |
X3
|
X3
|
X3
|
X3
|
Physical Exam
|
X
| | |
X
|
X
|
X
|
Blood Pressure
|
X
|
X2
| |
X3
|
X3
|
X1,3
|
Height/Length
|
X
|
X2
|
X3
|
X3
|
X3
|
X1,3
|
Weight
|
X
|
X2
|
X3
|
X1,3
|
X1,3
|
X1,3
|
Waist and Hip Circumference
|
X
|
X2
| |
X3
|
X3
|
X1,3
|
Skin Folds
|
X
|
X2
| |
X3
|
X3
|
X1,3
|
Head Circumference (baby only)
| |
X2
|
X
|
X
|
X
|
X
|
Fetal Ultrasound
|
X
| | | | | |
Blood Analysis
|
X
| | | | | |
Hemoglobin
|
X
| | | | | |
Glucose
| |
X2
| |
X3
|
X3
|
X3
|
75 g OGTT (0, 60, 120 min)
|
X
| | | | | |
Insulin
|
X
|
X2
| |
X3
|
X3
|
X3
|
Adiponectin
|
X
|
X
| |
X
|
X
|
X
|
Leptin
|
X
|
X2
| |
X
|
X
|
X
|
Lipid Profile
|
X
|
X2
| |
X3
|
X3
|
X3
|
CBC
| |
X2
| |
X3
|
X3
|
X3
|
Aliquots for Future Analysis
|
X
|
X2
| |
X3
|
X3
|
X3
|
DNA Long-term Storage
|
X
|
X2
| | | | |
Birth Visit
| | | | | | |
Type of Delivery
| |
X
| | | | |
Duration of Labour
| |
X
| | | | |
Premature Labour
| |
X
| | | | |
Blood Loss
| |
X
| | | | |
Birth Weight
| |
X
| | | | |
APGAR scores (1 and 5 min)
| |
X
| | | | |
Adverse outcomes
| |
X
| | | | |
Placenta & Cord Blood
| |
X
| | | | |
Stool
| | | |
X3
| | |
Breastmilk
| |
X4
| | | | |