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Pregnancy Report Form 350 Fifth Avenue Suite 7120 New York NY 10118 212 330-8500 http //www. idant. com Physician / clinic information Physician/Clinic Name Address Address continued Office Phone Number Patient Office Fax Number - Patient s Initials / Code Donor Code Age Number of Cycles Marital Status Number of Units Used per Cycle Patient taking fertility medication s Yes Conception If Yes please list the medication s. No Date of Conception Date of Delivery / Sex of Child Male Other Date of Miscarriage if applicable Female Please provide any other important information you would like to share with IDANT Laboratories regarding this case. com Physician / clinic information Physician/Clinic Name Address Address continued Office Phone Number Patient Office Fax Number - Patient s Initials / Code Donor Code Age Number of Cycles Marital Status Number of Units Used per Cycle Patient taking fertility medication s Yes Conception If Yes please list the medication s. No Date of Conception Date o....

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How to fill out the Pregnancy Report online

Filling out the Pregnancy Report online is a straightforward process that helps ensure accurate documentation of important pregnancy-related information. This guide will walk you through each section of the form, providing clear instructions to assist you in completing it efficiently.

Follow the steps to successfully complete the Pregnancy Report online

  1. Click ‘Get Form’ button to access the Pregnancy Report and open it in your browser.
  2. Fill in the physician or clinic information section. This includes the physician or clinic name, address, and office phone number. Ensure that all fields are filled out accurately to avoid any delays.
  3. Provide the patient information. Enter the patient’s initials or code, donor code, age, number of cycles, marital status, and the number of units used per cycle. Additionally, indicate whether the patient is taking fertility medication(s) and, if applicable, list the names of the medication(s).
  4. In the conception information section, record the date of conception and the estimated date of delivery. Indicate the sex of the child by selecting either male, female, or other.
  5. If there has been a miscarriage, please enter the date of miscarriage in the appropriate field. Include any other important information related to this case that you believe IDANT Laboratories should be aware of.
  6. Once you have filled out all required fields, review the information for accuracy. When satisfied, you can save your changes, download, print, or share the Pregnancy Report as needed.

Complete your Pregnancy Report online today for seamless processing.

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There is no definite evidence that SARS-CoV-2 crosses the placenta and infects the fetus; however, a few cases of placental tissue or membranes positive for SARS-CoV-2 and a few cases of possible in utero infection have been reported.

COVID-19 vaccination is not believed to affect future fertility.

Based on what we know at this time, pregnant people might be at an increased risk for severe illness from COVID-19 compared to non-pregnant people. Additionally, there may be an increased risk of adverse pregnancy outcomes, such as preterm birth, among pregnant people with COVID-19.

See full answerIt is unclear whether couples should delay attempts to get pregnant. If you become pregnant now and become sick with the coronavirus, infection would most likely happen during the early part of your pregnancy. Unfortunately, we have limited research on what this could mean, and important questions about an increase in miscarriages or birth defects remain unanswered. Current data suggests that pregnant women are not at any increased risk when compared to non-pregnant individuals. We would recommend you have a conversation with your OB/GYN about your personal medical and obstetric history to help decide if this is the best time to conceive.

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