Did you have a pregnancy during which you developed facial palsy?

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* 1. Did you have a pregnancy during which you developed facial palsy?

How many successful pregnancies did you have prior to the pregnancy related to facial palsy?

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* 2. How many successful pregnancies did you have prior to the pregnancy related to facial palsy?

Have you ever had facial palsy before developing it during pregnancy, and if so, was it on the same side?

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* 3. Have you ever had facial palsy before developing it during pregnancy, and if so, was it on the same side?

At what point in your pregnancy did you develop facial palsy?

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* 4. At what point in your pregnancy did you develop facial palsy?

What were your symptoms just prior to/at the time of onset? Check ALL that apply.

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* 5. What were your symptoms just prior to/at the time of onset? Check ALL that apply.

How severe was your paralysis?

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* 6. How severe was your paralysis?

Is your paralysis unilateral (one side) or bilateral (both sides)?

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* 7. Is your paralysis unilateral (one side) or bilateral (both sides)?

How long after the onset of facial palsy did you receive medical intervention?

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* 8. How long after the onset of facial palsy did you receive medical intervention?

Were you treated with steroids?

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* 9. Were you treated with steroids?

Were you treated with antiviral medication?

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* 10. Were you treated with antiviral medication?

Did you have elevated sugar levels during any of the following periods:

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* 11. Did you have elevated sugar levels during any of the following periods:

Did you have gestational diabetes during any of the following periods:

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* 12. Did you have gestational diabetes during any of the following periods:

Did you have swelling/fluid retention during any of the following periods:

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* 13. Did you have swelling/fluid retention during any of the following periods:

Did you have preeclampsia during any of the following periods:

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* 14. Did you have preeclampsia during any of the following periods:

Did you have depression during any of the following periods:

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* 15. Did you have depression during any of the following periods:

Did you have hypocalcemia (low calcium level in blood) during any of the following periods: 

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* 16. Did you have hypocalcemia (low calcium level in blood) during any of the following periods: 

What was your age at the start of pregnancy? 

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* 17. What was your age at the start of pregnancy? 

What was your height at the start of pregnancy?

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* 18. What was your height at the start of pregnancy?

What was your weight at the start of pregnancy?

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* 19. What was your weight at the start of pregnancy?

How much weight did you gain in the first trimester of pregnancy?

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* 20. How much weight did you gain in the first trimester of pregnancy?

How much weight did you gain in the second trimester of pregnancy?

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* 21. How much weight did you gain in the second trimester of pregnancy?

How much weight did you gain in the third trimester of pregnancy?

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* 22. How much weight did you gain in the third trimester of pregnancy?

Have you ever had fertility issues that were managed with fertility treatment?

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* 23. Have you ever had fertility issues that were managed with fertility treatment?

Did you have high blood pressure during any of the following periods:

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* 24. Did you have high blood pressure during any of the following periods:

When did you fully recover?

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* 25. When did you fully recover?

Has any blood relative ever had facial palsy from unknown causes?

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* 26. Has any blood relative ever had facial palsy from unknown causes?

Are there any other medical conditions that you were diagnosed with during your pregnancy?

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* 27. Are there any other medical conditions that you were diagnosed with during your pregnancy?

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