Please take our survey for each birth. We are trying to gather information about as many births as possible. We would appreciate if you would forward this to all the mamas you know! Please send your answers directly to Brittany or Rachel, either through a facebook message or email. Brittany: scrychck333@gmail.com, Rachel: rachel817@ymail.com. Thanks so much! Please also include the baby's height and weight, and if you could let us know if the care provider/hospital required you to have an IV or Heplock that would be awesome. Also if a question doesn't apply to your experience, its fine to leave it blank! Please respond only once for each birth, even if you see the same survey elsewhere! My friend and I are writing a pregnancy/birth book and want to do our own research! Thank you!!
All questions are about the specific pregnancy unless stated otherwise!
1. What is your marital status (then & now)?
2. How old are you now?
3. What is your highest level of education (then & now)?
4. What ethnicity are you?
5. How would you describe your overall health during this pregnancy?
6. How many children did you have before and after this specific birth?
7. How old were you when you found out you were pregnant?
a. How old were you when you gave birth?
8. Were you trying to get pregnant?
a. If you were, how long did it take?
b. Did you suffer from infertility?
i. If so, how did you conceive?
ii. What were the infertility factors?
iii. What treatments were given?
9. How far along were you when you found out you were pregnant?
10. Did you receive prenatal care?
a. When did you start receiving your prenatal care?
11. Was this birth covered by your health insurance plan or your state Medicaid program?
a. What kind of insurance did you have?
b. About how much did it cost you out of pocket?
12. What kind of caregiver did you have (midwife, obstetrician, etc.)?
a. Did your care provider practice any complementary alternative medicine (such as homoeopathy or acupuncture)?
b. During this pregnancy, did you ever call this care provider’s office with a medical question?
i. Was your care provider the one to answer the question?
c. How do you feel about the care provider you chose?
13. On average, how long were you made to wait , both in the waiting room and in the exam room combined, to see your care provider during prenatal care appointments?
a. About how long did you get to see your care provider at each appointment?
b. During your pregnancy (not birth) how much one-on-one personal care did you receive from your care provider?
14. If your care provider was part of a group practice, could you request to be seen by the same person each time?
15. For the hospital birth center where you planned to give birth, were you given information on the hospital birth center's statistical rates of procedures (such as: cesarean sections, inductions, epidurals, episiotomies , etc.)?
16. Did you receive information about your care provider's statistical rates of medical procedures and birth practices such as: cesarean section, induction, epidurals, episiotomies, etc?
17. Did your prenatal care provider encourage you to attend childbirth education classes?
a. Did you attend classes?
b. What kind of class did you attend (hospital class, Bradley, Lamaze, etc.)?
c. Did you attend all of the classes?
18. Did you have a birth plan?
a. Who did you share your birth plan with?
b. If you didn’t have a birth plan did you have specific wishes you discussed with your care provider?
c. Do you feel your birth plan was followed?
19. What books (if any) did you read to prepare for pregnancy and childbirth?
20. Did you have a doula?
21. Were you considered a high risk pregnancy?
a. If so, why?
22. What prenatal tests did you have (ultrasound, amniocentesis, etc.)?
23. Did you exercise on a regular basis during your pregnancy?
24. Do you feel you had a healthy diet during your pregnancy?
a. Did you take prenatal vitamins?
25. Did you smoke, drink alcohol, or take recreational drugs during your pregnancy?
26. Were you afraid of childbirth?
a. Were you told a lot of childbirth horror stories during your pregnancy?
27. How was your mother’s birth experience?
28. Was your labor induced?
a. If you were induced, what methods were used?
b. Why were you induced?
c. Did your care provider pressure you to be induced?
d. Do you feel the induction was necessary?
29. Did you try natural methods to try to induce labor?
a. Did your caregiver know about your attempts?
30. Where did you give birth (city, state)?
31. Where did you give birth (hospital, home, etc.)?
a. Did you intend to give birth there?
b. What made you decide to give birth in this location?
32. When did you give birth (month, year)
33. What time did you go into labor?
34. How long were you in labor?
35. What time did you give birth?
36. How many weeks pregnant were you when your baby was born?
37. How many babies did you give birth to?
38. Who all was in attendance at your birth?
39. Is your baby still living?
40. Did you have continuous fetal monitoring?
a. Was it interior or exterior?
41. Did you have access to a tub during labor?
42. Did you have access to a tub during birth?
43. Were there any signs of fetal distress?
44. How often were you examined during labor?
a. Were you happy with this amount of examination?
45. What is the sex of your baby/babies?
a. Did you find out the sex of the baby before it was born?
46. How did you baby present itself (breech, occiput transverse, occiput anterior etc)?
47. Was your labor augmented?
a. If your labor was augmented, what methods were used?
b. Why was your labor augmented?
48. What sort of pain management did you use (epidural, natural methods, hypnosis)?
49. How did you deliver (c-section, forceps, vaginally with no mechanical assistance, etc)?
a. Did you have a VBAC?
b. Did you have a planned/scheduled c-section?
50. What method was used for pushing (directed, self-directed, or spontaneous)?
51. What position did you give birth in?
a.. Were you given a choice as to what position you gave birth in?
52. Did you have an episiotomy?
a. Were there any complications that arose as a result?
b. Did you want an episiotomy?
c. Were you told you were being given an episiotomy?
d. Did you tear even with the episiotomy?
53. If you didn’t have an episiotomy, did you tear?
54. When did you cut the cord (immediately after delivery, after it stopped pulsing, etc)?
55. Who cut the cord?
56. Did you store or donate your cord blood?
57. Did you hemorrhage?
a. If so what methods were used to stop the bleeding?
58. Were you given pitocin to speed the delivery of the placenta?
59. What did you do with the placenta?
60. Did your baby receive any of the following?
a.. Vitamin K shot?
b.. Eye ointment (silver nitrate, erythromycin)?
c.. Sugar water?
61. Did they take the baby from you immediately?
62. Was the examination done in your presence?
63. What were your baby’s APGAR scores?
64. Did you have caregiver support after birth?
65. Did you want to breastfeed?
a.. How long did you breastfeed?
b.. If you are still breastfeeding, how long have you been breastfeeding?
c.. Did you receive lactation consultation?
i. Were you told where you could get help with breastfeeding if you needed it?
d.. Did you receive formula samples?
66. Did your baby have any health problems?
a.. What were they?
b.. Did your baby spend any time in the NICU?
i. How long were they in the NICU?
ii. Were you allowed to breastfeed while they were in the NICU?
iii.. Were you encouraged to bond with your baby?
67. Was your baby jaundiced?
a.. If your baby was jaundiced, what was done about it?
b.. Were your encouraged to supplement formula?
68. How long did you stay in the hospital?
69. Did you experience postpartum depression?
a.. Did you discuss postpartum depression with your care provider?
70. If your baby is a boy, did you have him circumcised?
a.. If so was it for religious reasons?
71. Overall how do you feel about this birth?
72. How did people around you respond to the type of birth you chose?
73. Were there any conflicts between yourself and your significant other regarding this birth?
74. What advice would you give to other women about birth?
75. Is there anything else you would like to tell us about this birth?
I have 6 kids so far the smallest weighing in at 6 lbs. 9 oz. That was my first! Then I had four that weigh 7 lbs 3 oz. The largest of my six weighed 7 lbs. 10 oz. I have currently pregnant and have been living with my partner which is the father of the youngest 4 for 7 yrs.
2.30 yrs old
3.I have attended some college though I have not yet received a degree
4. White
5.I would say that I am in good healh
6.6
7. 18 with the first, 29 with this one
7a. 19 with first and I'll be 30 with this one
8. No
9. first 0ne very early on like 2 weeks
10. yes
11. medicaid
12. obstetrician
13. The wait seems to be getting longer and longer
13a. about 15-20 min.
Wow this is alot of questions LOL
Stephanie George
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on Nov. 16, 2009 at 11:23 PM