{"id":419,"date":"2023-04-25T21:13:04","date_gmt":"2023-04-25T19:13:04","guid":{"rendered":"https:\/\/app.lux-solution.de\/g2dsj8ya\/?page_id=419"},"modified":"2023-05-10T10:36:34","modified_gmt":"2023-05-10T08:36:34","slug":"schwangerschafts-anamnesebogen","status":"publish","type":"page","link":"https:\/\/app.lux-solution.de\/g2dsj8ya\/schwangerschafts-anamnesebogen\/","title":{"rendered":"Schwangerschafts Anamnesebogen"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"419\" class=\"elementor elementor-419\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05d7020 e-flex e-con-boxed e-con e-parent\" data-id=\"05d7020\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7f66d65 e-flex e-con-boxed e-con e-parent\" data-id=\"7f66d65\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b0456e elementor-widget elementor-widget-heading\" data-id=\"0b0456e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Gyn\u00e4kologisches Kompetenzzentrum<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-73e8a40 elementor-widget elementor-widget-heading\" data-id=\"73e8a40\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Frau Dr. Eberhardt<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-186b1ac elementor-widget elementor-widget-heading\" data-id=\"186b1ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Martinistra\u00dfe 79<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-18cca0e elementor-widget elementor-widget-heading\" data-id=\"18cca0e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">49080 Osnbabr\u00fcck<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-ac57cd5 elementor-widget elementor-widget-heading\" data-id=\"ac57cd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\"><a href=\"\">Tel:+49 541 668886-0<\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-d18b64c elementor-widget elementor-widget-heading\" data-id=\"d18b64c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\"><a href=\"\">info@frauenaerztin-os.de<\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b48b0d9 e-flex e-con-boxed e-con e-parent\" data-id=\"b48b0d9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-12b48ee dce_masking-none elementor-widget elementor-widget-image\" data-id=\"12b48ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"111\" height=\"111\" src=\"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-content\/uploads\/sites\/4\/2023\/04\/frauenaerztin-osnabrueck-geburtshilfe-kirsten-eberhardt-logo.png\" class=\"attachment-large size-large wp-image-21\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4b2ed7d e-flex e-con-boxed e-con e-parent\" data-id=\"4b2ed7d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d51dc71 elementor-icon-list--layout-inline elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"d51dc71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"?lang=de\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">DEUTSCH<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"?lang=en\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">ENGLISH<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72ecf6a e-flex e-con-boxed e-con e-parent\" data-id=\"72ecf6a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-823384c elementor-widget elementor-widget-heading\" data-id=\"823384c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Schwangerschafts-Anamnesebogen<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ceeccf elementor-widget elementor-widget-text-editor\" data-id=\"8ceeccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Liebe werdende Mutter!<br \/><br \/>Herzlichen Gl\u00fcckwunsch Sie sind schwanger. Schon beim n\u00e4chsten Termin ist die erste Mutterschaftsvorsorge vorgesehen. Gleichzeitig soll dabei der Mutterpass angelegt werden. Falls Sie im Besitz eines Blutgruppenausweises, eines Impfpasses oder ggf. einen alten Mutterpass sind, so bringen Sie diese Unterlagen bitte mit.<br \/><br \/>Bitte f\u00fcllen Sie die unten aufgef\u00fchrten Fragen in Ruhe aus.<br \/><br \/>Wenn Ihnen eine Frage unklar ist, so lassen Sie diese offen. Wir werden mit Ihnen gemeinsam alle Punkte noch einmal durchsprechen, bevor die Eintragung in den Mutterpass erfolgt.<br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-field-description=\"{&quot;fields&quot;:[{&quot;custom_id&quot;:&quot;geburtsdatum&quot;,&quot;position&quot;:&quot;elementor-field-label&quot;,&quot;description&quot;:&quot;Sie k\\u00f6nnen Ihr Geburtstagsdatum direkt eingeben.&quot;,&quot;description_text&quot;:&quot;Sie k\\u00f6nnen Ihr Geburtstagsdatum direkt eingeben.&quot;,&quot;tooltip&quot;:true,&quot;tooltip_position&quot;:&quot;top&quot;}]}\" class=\"elementor-element elementor-element-1b22274 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"1b22274\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;N\\u00e4chster&quot;,&quot;step_previous_label&quot;:&quot;Voriger&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;,&quot;label_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;field_icon_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dce-conditions-js-error-notice elementor-message elementor-message-danger\" style=\"display: none;\">A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.<\/div>\t\t\t<script>\n\t\t\tsetTimeout(function() {\n\t\t\t\tlet el = document.querySelector(\".dce-conditions-js-error-notice\");\n\t\t\t\tif (el)\n\t\t\t\t\tel.style.display = \"block\";\n\t\t\t}, 6000);\n\t\t\t<\/script>\t\t<form class=\"elementor-form\" method=\"post\" name=\"Anamnese\" aria-label=\"Anamnese\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"419\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1b22274\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Eberhardt Osnabr\u00fcck\" \/>\n\n\t\t\t\n\t\t\t<div data-field-conditions=\"[{&quot;id&quot;:&quot;jahr_antibabypille&quot;,&quot;condition&quot;:&quot;(antibaby_pille==&#039;JA&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;anzahl_rauchen&quot;,&quot;condition&quot;:&quot;(rauchen==&#039;JA&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;anzahl_alkohol&quot;,&quot;condition&quot;:&quot;(alkohol==&#039;JA&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;sonst_konsum&quot;,&quot;condition&quot;:&quot;(frage_konsum==&#039;JA&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;frage_allergie_grund&quot;,&quot;condition&quot;:&quot;(allergisch==&#039;JA&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;grund_besonderheiten&quot;,&quot;condition&quot;:&quot;(besonderheit==&#039;JA&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false}]\" data-field-ids=\"[&quot;field_c1227ad&quot;,&quot;name&quot;,&quot;vorname&quot;,&quot;geburtsdatum&quot;,&quot;groesse&quot;,&quot;gewicht&quot;,&quot;field_6e9a29b&quot;,&quot;anzahl_schwangerschaft&quot;,&quot;anzahl_geburten&quot;,&quot;erstetag_periode&quot;,&quot;tagezwischen_periode&quot;,&quot;antibaby_pille&quot;,&quot;jahr_antibabypille&quot;,&quot;kontakt_infektion&quot;,&quot;namearzt_behandlung&quot;,&quot;medikament_name_dosierung&quot;,&quot;rauchen&quot;,&quot;anzahl_rauchen&quot;,&quot;alkohol&quot;,&quot;anzahl_alkohol&quot;,&quot;frage_konsum&quot;,&quot;sonst_konsum&quot;,&quot;hivtest&quot;,&quot;field_8276247&quot;,&quot;field_1dc8114&quot;,&quot;frage_zucker&quot;,&quot;frage_bluthochdruck&quot;,&quot;frage_missbildung&quot;,&quot;frage_erbkrankheiten&quot;,&quot;field_67a6c0e&quot;,&quot;frage_herz&quot;,&quot;frage_lunge&quot;,&quot;frage_leber&quot;,&quot;frage_nieren&quot;,&quot;frage_nervensystem&quot;,&quot;field_c8201dd&quot;,&quot;blutgerinnung&quot;,&quot;venenentzuendung&quot;,&quot;allergisch&quot;,&quot;frage_allergie_grund&quot;,&quot;bluttransfusion&quot;,&quot;frage_belastung&quot;,&quot;frage_probleme&quot;,&quot;frage_rhesus&quot;,&quot;zuckerkrank&quot;,&quot;frage_skelett&quot;,&quot;schnell_schwanger&quot;,&quot;fruehgeburt&quot;,&quot;kleines_kind&quot;,&quot;frage_abort&quot;,&quot;totgeburt&quot;,&quot;angeborene_erkrankung&quot;,&quot;schwanger_schwierigkeiten&quot;,&quot;komplikationen&quot;,&quot;kaiserschnitt&quot;,&quot;uterus_op&quot;,&quot;schwanger_erfolg&quot;,&quot;besonderheit&quot;,&quot;grund_besonderheiten&quot;,&quot;field_c3024e4&quot;,&quot;datenschutz&quot;,&quot;datumzeit&quot;,&quot;bmi&quot;]\" class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_c1227ad elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Pers\u00f6nliche Daten\" data-previousButton=\"\" data-nextButton=\"weiter, zu &quot;Fragen zur Vorgeschichte&quot; \" data-iconUrl=\"\" data-iconLibrary=\"far fa-arrow-alt-circle-right\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-vorname elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vorname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVorname\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[vorname]\" id=\"form-field-vorname\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Vorname\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-geburtsdatum elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geburtsdatum\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeburtsdatum\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[geburtsdatum]\" id=\"form-field-geburtsdatum\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"z.B. 23.06.1977\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-groesse elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-groesse\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tK\u00f6rpergr\u00f6\u00dfe in cm\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[groesse]\" id=\"form-field-groesse\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"K\u00f6rpergr\u00f6\u00dfe\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-gewicht elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tK\u00f6rpergewicht in kg\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[gewicht]\" id=\"form-field-gewicht\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Gewicht\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6e9a29b elementor-col-100\">\n\t\t\t\t\t<hr>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-anzahl_schwangerschaft elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anzahl_schwangerschaft\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWie oft waren Sie bereits schwanger?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[anzahl_schwangerschaft]\" id=\"form-field-anzahl_schwangerschaft\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-anzahl_geburten elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anzahl_geburten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWieviele Kinder haben Sie bereits geboren?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[anzahl_geburten]\" id=\"form-field-anzahl_geburten\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-erstetag_periode elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erstetag_periode\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWann war der erste Tag der letzten Periode?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[erstetag_periode]\" id=\"form-field-erstetag_periode\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-tagezwischen_periode elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tagezwischen_periode\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWieviele Tage liegen bei Ihnen normalerweise zwischen 2 Perioden?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[tagezwischen_periode]\" id=\"form-field-tagezwischen_periode\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-antibaby_pille elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-antibaby_pille\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHaben Sie fr\u00fcher die sogenannte Antibabypille eingenommen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-antibaby_pille-0\" name=\"form_fields[antibaby_pille]\"> <label for=\"form-field-antibaby_pille-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-antibaby_pille-1\" name=\"form_fields[antibaby_pille]\"> <label for=\"form-field-antibaby_pille-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-jahr_antibabypille elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jahr_antibabypille\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBis wann?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[jahr_antibabypille]\" id=\"form-field-jahr_antibabypille\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"geben Sie bitte das Jahr an\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-kontakt_infektion elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kontakt_infektion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHatten Sie in letzter Zeit Kontakt mit Kindern oder Erwachsenen die an R\u00f6teln, Masern, Windpocken, Gelbsucht oder an einer anderen Infektion erkrankt waren?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-kontakt_infektion-0\" name=\"form_fields[kontakt_infektion]\"> <label for=\"form-field-kontakt_infektion-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-kontakt_infektion-1\" name=\"form_fields[kontakt_infektion]\"> <label for=\"form-field-kontakt_infektion-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-namearzt_behandlung elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-namearzt_behandlung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBei welchen \u00c4rzten sind Sie zurzeit in Behandlung?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[namearzt_behandlung]\" id=\"form-field-namearzt_behandlung\" rows=\"4\" placeholder=\"Name und Ursache\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-medikament_name_dosierung elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medikament_name_dosierung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWelche Medikamente m\u00fcssen Sie einnehmen?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[medikament_name_dosierung]\" id=\"form-field-medikament_name_dosierung\" rows=\"4\" placeholder=\"Bezeichnung und Dosierung\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-rauchen elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-rauchen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRauchen Sie?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-rauchen-0\" name=\"form_fields[rauchen]\"> <label for=\"form-field-rauchen-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-rauchen-1\" name=\"form_fields[rauchen]\"> <label for=\"form-field-rauchen-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-anzahl_rauchen elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anzahl_rauchen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\twieviel rauchen Sie pro Tag?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[anzahl_rauchen]\" id=\"form-field-anzahl_rauchen\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-alkohol elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alkohol\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTrinken Sie Alkohol?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-alkohol-0\" name=\"form_fields[alkohol]\"> <label for=\"form-field-alkohol-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-alkohol-1\" name=\"form_fields[alkohol]\"> <label for=\"form-field-alkohol-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-anzahl_alkohol elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anzahl_alkohol\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\twieviel trinken Sie pro Tag?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[anzahl_alkohol]\" id=\"form-field-anzahl_alkohol\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_konsum elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_konsum\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKonsumieren Sie sonstige Dinge?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_konsum-0\" name=\"form_fields[frage_konsum]\"> <label for=\"form-field-frage_konsum-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_konsum-1\" name=\"form_fields[frage_konsum]\"> <label for=\"form-field-frage_konsum-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-sonst_konsum elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sonst_konsum\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWas konsumieren Sie?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[sonst_konsum]\" id=\"form-field-sonst_konsum\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-hivtest elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hivtest\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSie Sie mit einem HIV-Test einverstanden?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-hivtest-0\" name=\"form_fields[hivtest]\"> <label for=\"form-field-hivtest-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-hivtest-1\" name=\"form_fields[hivtest]\"> <label for=\"form-field-hivtest-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8276247 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Familien Vorgeschichte\" data-previousButton=\"zur\u00fcck, &quot;pers\u00f6nliche Daten&quot;\" data-nextButton=\"weiter, &quot;Anamnese&quot;\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1dc8114 elementor-col-100\">\n\t\t\t\t\t<b>Gibt es in Ihrer Familie<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_zucker elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_zucker\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tZuckerkrankheit\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_zucker-0\" name=\"form_fields[frage_zucker]\"> <label for=\"form-field-frage_zucker-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_zucker-1\" name=\"form_fields[frage_zucker]\"> <label for=\"form-field-frage_zucker-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_bluthochdruck elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_bluthochdruck\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBluthochdruck\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_bluthochdruck-0\" name=\"form_fields[frage_bluthochdruck]\"> <label for=\"form-field-frage_bluthochdruck-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_bluthochdruck-1\" name=\"form_fields[frage_bluthochdruck]\"> <label for=\"form-field-frage_bluthochdruck-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_missbildung elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_missbildung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAngeborene Missbildungen\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_missbildung-0\" name=\"form_fields[frage_missbildung]\"> <label for=\"form-field-frage_missbildung-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_missbildung-1\" name=\"form_fields[frage_missbildung]\"> <label for=\"form-field-frage_missbildung-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_erbkrankheiten elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_erbkrankheiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tErbkrankheiten\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_erbkrankheiten-0\" name=\"form_fields[frage_erbkrankheiten]\"> <label for=\"form-field-frage_erbkrankheiten-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_erbkrankheiten-1\" name=\"form_fields[frage_erbkrankheiten]\"> <label for=\"form-field-frage_erbkrankheiten-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_67a6c0e elementor-col-100\">\n\t\t\t\t\t<b>Waren Sie an den folgenden Organen schon einmal schwer erkrankt?<\/b>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_herz elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_herz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHerz\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_herz-0\" name=\"form_fields[frage_herz]\"> <label for=\"form-field-frage_herz-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_herz-1\" name=\"form_fields[frage_herz]\"> <label for=\"form-field-frage_herz-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_lunge elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_lunge\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLunge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_lunge-0\" name=\"form_fields[frage_lunge]\"> <label for=\"form-field-frage_lunge-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_lunge-1\" name=\"form_fields[frage_lunge]\"> <label for=\"form-field-frage_lunge-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_leber elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_leber\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLeber\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_leber-0\" name=\"form_fields[frage_leber]\"> <label for=\"form-field-frage_leber-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_leber-1\" name=\"form_fields[frage_leber]\"> <label for=\"form-field-frage_leber-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_nieren elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_nieren\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNieren\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_nieren-0\" name=\"form_fields[frage_nieren]\"> <label for=\"form-field-frage_nieren-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_nieren-1\" name=\"form_fields[frage_nieren]\"> <label for=\"form-field-frage_nieren-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_nervensystem elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_nervensystem\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNervensystem\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_nervensystem-0\" name=\"form_fields[frage_nervensystem]\"> <label for=\"form-field-frage_nervensystem-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_nervensystem-1\" name=\"form_fields[frage_nervensystem]\"> <label for=\"form-field-frage_nervensystem-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_c8201dd elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Anamnese\" data-previousButton=\"zur\u00fcck &quot;Gesundheitlichen Vorgeschichte&quot;\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"far fa-arrow-alt-circle-right\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-blutgerinnung elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-blutgerinnung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBesteht bei Ihnen eine St\u00f6rung der Blutgerinnung?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-blutgerinnung-0\" name=\"form_fields[blutgerinnung]\"> <label for=\"form-field-blutgerinnung-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-blutgerinnung-1\" name=\"form_fields[blutgerinnung]\"> <label for=\"form-field-blutgerinnung-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-venenentzuendung elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-venenentzuendung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNeigen Sie zu Venenentz\u00fcndungen?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-venenentzuendung-0\" name=\"form_fields[venenentzuendung]\"> <label for=\"form-field-venenentzuendung-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-venenentzuendung-1\" name=\"form_fields[venenentzuendung]\"> <label for=\"form-field-venenentzuendung-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-allergisch elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-allergisch\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSind Sie allergisch?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-allergisch-0\" name=\"form_fields[allergisch]\"> <label for=\"form-field-allergisch-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-allergisch-1\" name=\"form_fields[allergisch]\"> <label for=\"form-field-allergisch-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-frage_allergie_grund elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_allergie_grund\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAuf was?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[frage_allergie_grund]\" id=\"form-field-frage_allergie_grund\" rows=\"4\" placeholder=\"Bezeichnung und Dosierung\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-bluttransfusion elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-bluttransfusion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tErhielten Sie schon einmal eine Bluttransfusion?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-bluttransfusion-0\" name=\"form_fields[bluttransfusion]\"> <label for=\"form-field-bluttransfusion-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-bluttransfusion-1\" name=\"form_fields[bluttransfusion]\"> <label for=\"form-field-bluttransfusion-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_belastung elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_belastung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBesteht bei Ihnen eine besondere seelische Belastung z.B. in der Familie oder im Beruf?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_belastung-0\" name=\"form_fields[frage_belastung]\"> <label for=\"form-field-frage_belastung-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_belastung-1\" name=\"form_fields[frage_belastung]\"> <label for=\"form-field-frage_belastung-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_probleme elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_probleme\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBesteht bei Ihnen besondere wirtschaftliche Probleme (Wohnung, Geldmangel)?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_probleme-0\" name=\"form_fields[frage_probleme]\"> <label for=\"form-field-frage_probleme-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_probleme-1\" name=\"form_fields[frage_probleme]\"> <label for=\"form-field-frage_probleme-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_rhesus elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_rhesus\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGab es bei vorangegangener Schwangerschaft Schwierigkeiten im Zusammenhang mit dem Rhesus-Faktor?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_rhesus-0\" name=\"form_fields[frage_rhesus]\"> <label for=\"form-field-frage_rhesus-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_rhesus-1\" name=\"form_fields[frage_rhesus]\"> <label for=\"form-field-frage_rhesus-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-zuckerkrank elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-zuckerkrank\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSind Sie zuckerkrank?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-zuckerkrank-0\" name=\"form_fields[zuckerkrank]\"> <label for=\"form-field-zuckerkrank-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-zuckerkrank-1\" name=\"form_fields[zuckerkrank]\"> <label for=\"form-field-zuckerkrank-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frage_skelett elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_skelett\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBesteht bei Ihnen eine Skelett-Ver\u00e4nderung\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-frage_skelett-0\" name=\"form_fields[frage_skelett]\"> <label for=\"form-field-frage_skelett-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-frage_skelett-1\" name=\"form_fields[frage_skelett]\"> <label for=\"form-field-frage_skelett-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-schnell_schwanger elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-schnell_schwanger\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSind Sie schnell schwanger geworden?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-schnell_schwanger-0\" name=\"form_fields[schnell_schwanger]\"> <label for=\"form-field-schnell_schwanger-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-schnell_schwanger-1\" name=\"form_fields[schnell_schwanger]\"> <label for=\"form-field-schnell_schwanger-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-fruehgeburt elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fruehgeburt\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHatten Sie schon einmal eine Fr\u00fchgeburt?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-fruehgeburt-0\" name=\"form_fields[fruehgeburt]\"> <label for=\"form-field-fruehgeburt-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-fruehgeburt-1\" name=\"form_fields[fruehgeburt]\"> <label for=\"form-field-fruehgeburt-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-kleines_kind elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kleines_kind\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHaben Sie schon einmal ein sehr kleines Kind geboren?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-kleines_kind-0\" name=\"form_fields[kleines_kind]\"> <label for=\"form-field-kleines_kind-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-kleines_kind-1\" name=\"form_fields[kleines_kind]\"> <label for=\"form-field-kleines_kind-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-frage_abort elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frage_abort\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWieviele Schwangerschaften endeten als Abort?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[frage_abort]\" id=\"form-field-frage_abort\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-totgeburt elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-totgeburt\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHatten Sie schon eine Totgeburt?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-totgeburt-0\" name=\"form_fields[totgeburt]\"> <label for=\"form-field-totgeburt-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-totgeburt-1\" name=\"form_fields[totgeburt]\"> <label for=\"form-field-totgeburt-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-angeborene_erkrankung elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-angeborene_erkrankung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHat eines Ihrer Kinder eine angeborene Erkrankung?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-angeborene_erkrankung-0\" name=\"form_fields[angeborene_erkrankung]\"> <label for=\"form-field-angeborene_erkrankung-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-angeborene_erkrankung-1\" name=\"form_fields[angeborene_erkrankung]\"> <label for=\"form-field-angeborene_erkrankung-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-schwanger_schwierigkeiten elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-schwanger_schwierigkeiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGab es Schwierigkeiten bei vorangegangenen Schwangerschaften?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-schwanger_schwierigkeiten-0\" name=\"form_fields[schwanger_schwierigkeiten]\"> <label for=\"form-field-schwanger_schwierigkeiten-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-schwanger_schwierigkeiten-1\" name=\"form_fields[schwanger_schwierigkeiten]\"> <label for=\"form-field-schwanger_schwierigkeiten-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-komplikationen elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-komplikationen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHatten Sie schon einmal nach einer Entbindung Komplikationen?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-komplikationen-0\" name=\"form_fields[komplikationen]\"> <label for=\"form-field-komplikationen-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-komplikationen-1\" name=\"form_fields[komplikationen]\"> <label for=\"form-field-komplikationen-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-kaiserschnitt elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-kaiserschnitt\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWurde bei Ihnen schon einmal ein Kaiserschnitt durchgef\u00fchrt?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-kaiserschnitt-0\" name=\"form_fields[kaiserschnitt]\"> <label for=\"form-field-kaiserschnitt-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-kaiserschnitt-1\" name=\"form_fields[kaiserschnitt]\"> <label for=\"form-field-kaiserschnitt-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-uterus_op elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-uterus_op\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWurden Sie schon einmal an der Geb\u00e4rmutter operiert?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-uterus_op-0\" name=\"form_fields[uterus_op]\"> <label for=\"form-field-uterus_op-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-uterus_op-1\" name=\"form_fields[uterus_op]\"> <label for=\"form-field-uterus_op-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-schwanger_erfolg elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-schwanger_erfolg\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBesteht bei Ihnen Schwangerschaftserfolg in weniger als einj\u00e4hrigem Abstand?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-schwanger_erfolg-0\" name=\"form_fields[schwanger_erfolg]\"> <label for=\"form-field-schwanger_erfolg-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-schwanger_erfolg-1\" name=\"form_fields[schwanger_erfolg]\"> <label for=\"form-field-schwanger_erfolg-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-besonderheit elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-besonderheit\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAndere Besonderheiten?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NEIN\" id=\"form-field-besonderheit-0\" name=\"form_fields[besonderheit]\"> <label for=\"form-field-besonderheit-0\">NEIN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"JA\" id=\"form-field-besonderheit-1\" name=\"form_fields[besonderheit]\"> <label for=\"form-field-besonderheit-1\">JA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-grund_besonderheiten elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-grund_besonderheiten\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWelche\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[grund_besonderheiten]\" id=\"form-field-grund_besonderheiten\" rows=\"4\" placeholder=\"bitte genau angeben\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-dce_js_field elementor-field-group elementor-column elementor-field-group-field_c3024e4 elementor-col-100\">\n\t\t\t\t\t<input size=\"1\"type=\"dce_js_field text\" name=\"form_fields[field_c3024e4]\" id=\"form-field-field_c3024e4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" data-field-code=\"return () =&gt; { return  getField(&quot;name&quot;) + &quot; &quot; + getField(&quot;vorname&quot;) + &quot;, &quot; + getField(&quot;geburtsdatum&quot;); };\" data-real-time=\"\" readonly=\"\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-datenschutz elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-datenschutz\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDatenschutz\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[datenschutz]\" id=\"form-field-datenschutz\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-datenschutz\">Ich stimme zu, dass meine Angaben aus dem Formular zur Anamnese erhoben und verarbeitet werden. Die Daten werden nur kurz auf unserem Server zum Versand gespeichert und danach gel\u00f6scht. Sie k\u00f6nnen Ihre Einwilligung jederzeit per E-Mail an info@frauenaerztin-os.de widerrufen. Detaillierte Informationen zum Umgang mit Nutzerdaten finden Sie in unserer Datenschutzerkl\u00e4rung.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-hidden elementor-field-group elementor-column elementor-field-group-datumzeit elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"hidden\" name=\"form_fields[datumzeit]\" id=\"form-field-datumzeit\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" value=\"18\/04\/2026 06:15\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-amount elementor-field-group elementor-column elementor-field-group-bmi elementor-col-100\">\n\t\t\t\t\t<input type=\"hidden\" name=\"form_fields[bmi]\" id=\"form-field-bmi\" class=\"elementor-field elementor-size-sm  dce-amount-hidden\" data-hide=\"yes\" data-field-expression=\" getField(&quot;gewicht&quot;)  \/ ((2 *  getField(&quot;groesse&quot;) ) \/ 100)\" data-text-before=\"\" data-text-after=\"\" data-should-round=\"yes\" data-round-precision=\"1\" data-refresh-on=\"input\" data-should-format=\"\" data-format-precision=\"\" style=\"display: none;\"><input size=\"1\"type=\"text\" class=\"dce-amount-visible elementor-field-textual\" readonly=\"\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Senden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t<style>.elementor-element.elementor-element-1b22274 .elementor-field-group { align-self: flex-start; }<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c86438 e-flex e-con-boxed e-con e-parent\" data-id=\"4c86438\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1129515 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1129515\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/frauenaerztin-os.de\/impressum\/\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Impressum<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/frauenaerztin-os.de\/datenschutz\/\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Datenschutz<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Nutzungsbedingungen<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-dce-title-color=\"#7A7A7A\" class=\"elementor-element elementor-element-6949386 elementor-widget elementor-widget-heading\" data-id=\"6949386\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/lux-solution.de\" target=\"_blank\">\u00a9 2026 LUX Health Digital Solutions<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>DEUTSCH ENGLISH Schwangerschafts-Anamnesebogen Liebe werdende Mutter! Herzlichen Gl\u00fcckwunsch Sie sind schwanger. Schon beim n\u00e4chsten Termin ist die erste Mutterschaftsvorsorge vorgesehen. Gleichzeitig soll dabei der Mutterpass angelegt werden. Falls Sie im Besitz eines Blutgruppenausweises, eines Impfpasses oder ggf. einen alten Mutterpass sind, so bringen Sie diese Unterlagen bitte mit. Bitte f\u00fcllen Sie die unten aufgef\u00fchrten Fragen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-419","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/pages\/419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/comments?post=419"}],"version-history":[{"count":94,"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/pages\/419\/revisions"}],"predecessor-version":[{"id":1146,"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/pages\/419\/revisions\/1146"}],"wp:attachment":[{"href":"https:\/\/app.lux-solution.de\/g2dsj8ya\/wp-json\/wp\/v2\/media?parent=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}