代母信息-Ashely

Name 姓名

Ashley_CA

Age 年龄

26

Date of Birth 生日

1994-12-28

Blood Type 血型

A+positive

Height 身高

5’5″

Weight 体重

152

BMI 体脂比

25.29

City and States 居住地

Chico, CA

Occupation 职业

Certified Nursing Assistant future & Certified Phlebotomy Technician

Highest level of School Complete 最高学历

Some college and technical school

Ethnicity/Race 种族

white/caucasian

Sexual Orientation 性取向

Heterosexuality

Religion 宗教

Christian-non denominational

Marital Status 婚姻状况

In a relationship

Years In Current Relationship 维持时间

1

Good Family Support? 是否有良好的家庭支持？

Yes

Section II. Birth Records 生育记录

Delivery History 生育史

Baby 1 宝宝 1

Delivery Date 出生日期

12/20/2015

Gender 性别

Female

Weight 体重

5

Gestational Age 胎龄

36

Delivery Type 生产类型

Vaginal

Have you delivered prematurely? 是否早产过？

Yes

Deliver less than 36 weeks on any pregnancy? 是否曾有怀孕少于 36 周生产？

No

Have you ever had an abortion, elective or otherwise? 是否有堕胎或人工流产史？

No

If yes, when? 如果有，什么时候？

Have you ever had a miscarriage? 是否有自然流产史？

Yes

If yes, when? 如果有，什么时候？

2014