Required
Required
Required
Required
Required
Required
Date of Birth Required
Interpreter Needed? Required
Required
Taking folic acid + Vitamin D (if your BMI is over 30, you are Epileptic or Diabetic you require 5mg folic acid) Required

*Should you require a higher dose of folic acid then you will need to contact your GP for a prescription.

Required
First day of your last period Required
Have you had an early pregnancy scan? Required
Required
Required
Required
Required
Do you currently smoke cigarettes? Required
Do you currently use a vape? Required
Have you smoked any cigarettes during this pregnancy? Required
Preferred place of birth Required
Privacy policy Required

For information on screening tests in pregnancy