Register Pregnancy Outcome - Leeds Screening Centre

What was your outcome?

It is extremely important to have data on the pregnancy outcome as it enables accurate data collection and monitoring of the service. Currently the service is audited by both Genome and the Fetal Medicine Foundation and this ensures a high quality service.

We sincerely hope that everything turned out well with your pregnancy. To help us to monitor the effectiveness of our screening program we would be grateful if you could complete this outcome form.

First Name (mother):

Last Name:

Date of birth (mother):

Date of birth (baby):

What was the outcome of the pregnancy?

Sex of the baby:

Weight:

Was amniocentesis or chorion villus sampling performed? If so what was the result?

Were you diagnosed as having pre-eclampsia or eclampsia?

Details of any abnormality detected: