1. The date of your last menstrual period .
2. Birth control methods you have used in the past.
3. Your general health status - how you have been feeling and any problems you face.

* Medications you are taking, or are allergic to (if any).
* Any Medical problems you have. (if any).
* Any previous Hospitalizations .
* History of abortions and/or miscarriages (if any).
* Any problems you have had during your previous pregnancy.
* Any history of Sexually transmitted diseases.
* Smoking or drinking habits. Drug addictions if any .

1. Your husband's health history and any medical problems he has(if any).

* Any history of Sexually transmitted diseases.
* Any other health problems.

1. Your family's medical history .
2. History of diabetes.
3. History of hypertension(high blood pressure).
4. Any history of congenital birth defects (and your husband's family history).