Canada PPROM under 24 weeks - Canada PPROM patients only - see other survey for other countries thank you

Question Title

* 1. What gestation did you PPROM at?

24 weeks

23 weeks

22 weeks

21 weeks

20 weeks

19 weeks

18 weeks

17 weeks

16 weeks

15 weeks

14 weeks

13 weeks

Question Title

* 2. Did any of your doctors tell you that if you progress with your pregnancy that the following would occur?

a. Your baby will be brain damage / brain dead

b. Your baby will end up with cerebral palsy

c. Your baby's limbs will be crushed?

d. Your baby would not be compatible with life

e. Your baby would be born sleeping / born dead

f. You will get an infection and die

g. All of the above

h. did your doctor give you some hope?

Other (please specify)

Question Title

* 3. Did your doctors say will or maybe regards to Q2

Question Title

* 4.
a. What were your AFI fluid levels if know?
b. Did you test positive for group b strep?

Question Title

* 5. Did you choose to terminate on the basis of Q2

Yes

Question Title

* 6. Are you still pregnant? if not please answer remaining questions

Yes

Question Title

* 7. What gestation did you birth at?

24 weeks

25 weeks

26 weeks

27 weeks

28 weeks

29 weeks

30 weeks

31 weeks

32 weeks

33 weeks

34 weeks

other

Question Title

* 8. What was your outcome?

baby survived

baby died

Canada PPROM under 24 weeks - Canada PPROM patients only - see other survey for other countries thank you

Question Title

* 1. What gestation did you PPROM at?

Question Title

* 2. Did any of your doctors tell you that if you progress with your pregnancy that the following would occur?

Question Title

* 3. Did your doctors say will or maybe regards to Q2

Question Title

* 4.
a. What were your AFI fluid levels if know?
b. Did you test positive for group b strep?

Question Title

* 5. Did you choose to terminate on the basis of Q2

Question Title

* 6. Are you still pregnant? if not please answer remaining questions

Question Title

* 7. What gestation did you birth at?

Question Title

* 8. What was your outcome?

Question Title

* 9. If your baby's survived did they have any health complications?

Question Title

* 10. Are your baby's health complications due to other circumstances/conditions?

Question Title

* 1. What gestation did you PPROM at?

Question Title

* 2. Did any of your doctors tell you that if you progress with your pregnancy that the following would occur?

Question Title

* 3. Did your doctors say will or maybe regards to Q2

Question Title

* 4. a. What were your AFI fluid levels if know? b. Did you test positive for group b strep?

Question Title

* 5. Did you choose to terminate on the basis of Q2

Question Title

* 6. Are you still pregnant? if not please answer remaining questions

Question Title

* 7. What gestation did you birth at?

Question Title

* 8. What was your outcome?

Question Title

* 9. If your baby's survived did they have any health complications?

Question Title

* 10. Are your baby's health complications due to other circumstances/conditions?

* 4.
a. What were your AFI fluid levels if know?
b. Did you test positive for group b strep?