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RISK FACTOR FOR BIRTH DEFECTS TO BE SURVEYED

Diabetes, insulin dependent before pregnancy
Diabetes, insulin dependent during pregnancy
Use of medication of teratogenic concern, for any reason, during first trimester
Use of vitamins containing folic acid, (brand name specified), since the pre-conception period
Use of folic acid (name brand specified), since pre-the conception period
Use of alcoholic beverage (quantity specified)
Smoking cigarettes (quantity specified)
Body mass index at preconception
Rubella immunization before conception or first prenatal visit
Varicella immunization before conception or at first prenatal visti
Toxoplasmosis immunity during first trimester
HIV antibody status during first trimester
Seizure disorder (even if not taking medications)
Completion of a pre-conceptional visit or counselling Time of first-prenatal visit