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INTERPRACTICE-21st Data Collection Forms

The INTERPRACTICE Pregnancy and Delivery form should be completed for the preterms at hospital discharge. The other forms are only for those who wish to have the full package for local use; they are not required for the Protocol. 

The Pregnancy and Delivery form is a standardised data collection form and should be completed at hospital discharge of the preterm babies.

The ultrasound form should be completed for each ultrasound examination available in the woman’s medical records. (Completion of this form is optional).

This form should be completed for neonates aged between 2 and 8 weeks. (Completion of this form is optional). 

This form should be completed for neonates aged between 3 and 6 months. (Completion of this form is optional).