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1. Please enter the name of the city and the country where you work (Required.)

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2. Please choose your current position

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3. Which kind of setting do you work at? (tick all that apply)

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4. Are you involved in teaching trainees about Obstetric Medicine (medical complications of pregnancy) either in clinical or classroom settings?

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5. Do you collaborate with any government agencies, policy makers and/or public health institutions?

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6. In your country, is/are there specialist(s) who focus on maternal medical complications of pregnancy?

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7. In your country, which practitioners take care of women with medical complications of pregnancy? (tick all that apply)

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8. Are you aware of local, national, or international societies that focus on medical complications of pregnancy?
If yes, please list below.

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9. Would you be interested in working towards building a global network of experts committed to maternal complications of pregnancy?

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10. Please enter the names and contact information of colleagues who might be interested in collaborating.

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