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DATE:ID VERIFICATION (TYPE):PATIENT NAME: BIRTHDATE:ID VERIFIED BY:AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION I authorize:(Name of person or facility which has information example: UCSF/Mt. Zion)to
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To fill out maternal fetal medicine, you will need the following information:
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- Personal details: Name, date of birth, address, contact information
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- Medical history: Any existing medical conditions, previous surgeries, allergies
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- Pregnancy details: Gestational age, due date, number of pregnancies, previous complications
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- Current health status: Any symptoms or concerns, medications being taken
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- Family medical history: Any genetic disorders or hereditary conditions
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- Tests and screenings: Results of any previous ultrasounds or blood tests
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Who needs maternal fetal medicine?

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Maternal fetal medicine is typically needed by pregnant women who have high-risk pregnancies or complications. This may include women with pre-existing medical conditions such as diabetes, hypertension, or autoimmune disorders. It is also recommended for women who have a history of pregnancy complications, multiple pregnancies (twins, triplets), advanced maternal age (35 years or older), or genetic disorders in the family. Maternal fetal medicine specialists provide specialized care and monitoring for both the mother and fetus to ensure a healthy pregnancy and delivery.
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Maternal fetal medicine is a subspecialty of obstetrics that focuses on the management of high-risk pregnancies.
Maternal fetal medicine reports are typically completed by obstetricians or maternal fetal medicine specialists.
Maternal fetal medicine reports are typically filled out by providing information on the mother's medical history, pregnancy details, ultrasounds, and any potential risk factors.
The purpose of maternal fetal medicine is to monitor and manage high-risk pregnancies to ensure the best possible outcome for both the mother and the baby.
Information such as the mother's medical history, pregnancy complications, ultrasound findings, and any interventions or treatments provided are typically reported on maternal fetal medicine forms.
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