{"id":509,"date":"2025-10-26T11:15:12","date_gmt":"2025-10-26T11:15:12","guid":{"rendered":"https:\/\/babydevelopmentexpert.com\/?page_id=509"},"modified":"2025-11-27T12:41:26","modified_gmt":"2025-11-27T07:11:26","slug":"payment-one","status":"publish","type":"page","link":"https:\/\/babydevelopmentexpert.com\/index.php\/payment-one\/","title":{"rendered":"Payment Two"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"509\" class=\"elementor elementor-509\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7a6a36f e-flex e-con-boxed e-con e-parent\" data-id=\"7a6a36f\" data-element_type=\"container\" data-e-type=\"container\" id=\"after_form\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0534f0a elementor-widget elementor-widget-template\" data-id=\"0534f0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"1190\" class=\"elementor elementor-1190\" data-elementor-post-type=\"elementor_library\">\n\t\t\t<div class=\"elementor-element elementor-element-50a00bc e-flex e-con-boxed e-con e-parent\" data-id=\"50a00bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a988821 e-flex e-con-boxed e-con e-parent\" data-id=\"a988821\" 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-eb77800 elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"eb77800\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"After Payment Form\" aria-label=\"After Payment Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1190\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"eb77800\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-hidden elementor-field-group elementor-column elementor-field-group-field_19bacc6 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[field_19bacc6]\" id=\"form-field-field_19bacc6\" 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-name elementor-col-100\">\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\tFirst Name\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=\"First 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-field_e5bb83e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e5bb83e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast Name\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[field_e5bb83e]\" id=\"form-field-field_e5bb83e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First 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-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\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=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\">\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-date elementor-field-group elementor-column elementor-field-group-field_2129c04 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2129c04\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate Of Birth (Patient)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2129c04]\" id=\"form-field-field_2129c04\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date Of Birth (Patient)\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\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-field_09364f9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_09364f9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBirth Weight\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[field_09364f9]\" id=\"form-field-field_09364f9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Birth Weight\">\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-field_010115e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_010115e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t Head Circumstances at birth\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[field_010115e]\" id=\"form-field-field_010115e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\" Head Circumstances at birth\">\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-textarea elementor-field-group elementor-column elementor-field-group-field_de63506 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_de63506\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBrief Birth History\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[field_de63506]\" id=\"form-field-field_de63506\" rows=\"4\" placeholder=\"Brief Birth History\"><\/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-field_cd18d22 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cd18d22\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDelivery\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=\"Normal&quot; &quot;C Section\" id=\"form-field-field_cd18d22-0\" name=\"form_fields[field_cd18d22]\"> <label for=\"form-field-field_cd18d22-0\">Normal\" \"C Section<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Vaccum Assisted \" id=\"form-field-field_cd18d22-1\" name=\"form_fields[field_cd18d22]\"> <label for=\"form-field-field_cd18d22-1\">Vaccum Assisted <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Umbilical cord entangled around the neck\" id=\"form-field-field_cd18d22-2\" name=\"form_fields[field_cd18d22]\"> <label for=\"form-field-field_cd18d22-2\">Umbilical cord entangled around the neck<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Muconium aspiration&quot;\" id=\"form-field-field_cd18d22-3\" name=\"form_fields[field_cd18d22]\"> <label for=\"form-field-field_cd18d22-3\">Muconium aspiration\"<\/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-field_2cedec7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2cedec7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid the baby cry immediately after birth ?\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=\"YES \" id=\"form-field-field_2cedec7-0\" name=\"form_fields[field_2cedec7]\"> <label for=\"form-field-field_2cedec7-0\">YES <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_2cedec7-1\" name=\"form_fields[field_2cedec7]\"> <label for=\"form-field-field_2cedec7-1\">NO<\/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-field_f268062 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f268062\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDid baby need NICU Support ?\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=\"YES \" id=\"form-field-field_f268062-0\" name=\"form_fields[field_f268062]\"> <label for=\"form-field-field_f268062-0\">YES <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-field_f268062-1\" name=\"form_fields[field_f268062]\"> <label for=\"form-field-field_f268062-1\">NO<\/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-field_7fbda34 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7fbda34\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDuration Of NICU Stay and Medical History\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[field_7fbda34]\" id=\"form-field-field_7fbda34\" 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-upload elementor-field-group elementor-column elementor-field-group-field_0ff7dd0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0ff7dd0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFile Upload\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_0ff7dd0]\" id=\"form-field-field_0ff7dd0\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_d43836c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d43836c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge of Baby when Video is uploaded\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_d43836c]\" id=\"form-field-field_d43836c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\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\">Submit<\/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\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\t\t<\/div>\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-509","page","type-page","status-publish","hentry"],"acf":[],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/pages\/509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/comments?post=509"}],"version-history":[{"count":49,"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/pages\/509\/revisions"}],"predecessor-version":[{"id":1849,"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/pages\/509\/revisions\/1849"}],"wp:attachment":[{"href":"https:\/\/babydevelopmentexpert.com\/index.php\/wp-json\/wp\/v2\/media?parent=509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}