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Birth in 2020
Greetings. My name is Kelly Collins and I am a birth and postpartum doula located in Raleigh, North Carolina. While we are currently experiencing many of the short term affects of COVID-19, I truly believe that the long-term affects will greatly impact the health care system and the birth world as a whole. This questionnaire is for those who would like to share their COVID-19 pregnancy, birth and/or postpartum experience. Whether you had a good or bad experience, I want to know your story and help you navigate your way through this time.

This questionnaire is for all birthing people, surrogates, adoptive & foster parents who have experienced any form of birth or taken on a parental role during the specified time. There are 60 questions total and it may take 30 minutes to complete.

Please know that this information is being collected for research purposes and I hope it will be a catalyst for processing and healing.

Participants may be contacted by email and/or phone for more details and follow-up. Confidentiality is a top priority and none of your answers or personal information will be shared without your knowledge and permission. Thank you for your time, vulnerability and participation.

For any questions, please email me at bestofbothworldsnc@gmail.com. To learn more about me and my work, please visit www.bestofbothworldsnc.com.

Kelly Collins, Best of Both Worlds Doula Services
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Name *
Today's Date *
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Phone number *
Pronouns *
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Race/Ethnicity *
Required
Relationship status *
Location (City, State) *
How do you identify yourself? *
Are you a first time parent? *
If you are a veteran parent, how many children do you have? *
Was your pregnancy considered high risk? *
Did you have any health complications or medical concerns while pregnant? *
Please describe your pregnancy in general. *
What were your concerns about giving birth or raising a newborn/infant/child during COVID-19? *
Did you have any birth complications? *
Where did you give birth? *
Who was on your birth team? *
Required
Did you keep your original birth plan? *
Please give a brief summary of your initial birth plan. *
How and when did you decide to adjust your birth plan? *
What steps, if any, did you take to keep your original birth plan? *
How did your birth plan change? *
How did you feel about these changes? *
Please describe your birth environment (smell, surroundings, comfort measures). *
Who was present at your birth? *
Was your doula physically present at your birth? *
Did your doula provide virtual support during labor and delivery due to hospital restrictions during the COVID-19 outbreak? *
When did you give birth? *
Would you describe your birth as positive or negative? *
Please describe your birth experience from beginning to end (in as little or as much detail as you would like). *
For hospital births, were you familiar with your doctor(s)? *
Once you arrived at the hospital, what instructions were you given? What were you told as far as restrictions by the staff? *
For parents of baby boys, were you able to get him circumcised at the hospital? *
Was a lactation consultant on staff and available to assist you? *
Did you see a lactation consultant to assist with breast/chest feeding while at the hospital? *
Were you offered formula or encouraged to breast/chest feed by a nurse or lactation consultant? *
What type of birth did you have? *
Required
Please list the hospital/birth center where you gave birth. *
How long were you at the hospital? *
Were you given any special discharge instructions due to COVID-19? *
What were the special discharge instructions? *
Were you a surrogate or adoptive parent? *
Please describe your experience as a surrogate or adoptive parent during the COVID-19 outbreak. *
Were you a foster parent during the COVID-19 outbreak? *
Please describe your foster parent experience during COVID-19 the outbreak. *
If your baby was newborn to 6 months old during COVID-19, describe your fourth trimester. What changed about your postpartum plan and/or parental leave? What did you need most during this time? *
Did you experience any unexpected hardship in light of COVID-19? *
Please describe your hardship. *
How far along were you when COVID-19 hit your area? *
Did you or anyone in your immediate family contract COVID-19? *
What was the extent of your/their illness? *
Required
Did you or your family member have any underlying health issues? *
Please describe your family's COVID-19 experience in general. *
Do you or a family member have a history of depression or other mental health problems? *
Did COVID-19 create feelings of fear, anxiety, depression. emotional distress or present any mental health problems? *
Did you seek counseling or postpartum support for physical, mental or emotional stress or trauma due to COVID-19 or otherwise? *
How did you receive this support? *
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How has your view of birth changed? *
How has your view of the U.S. health care system changed? *
What changes would you like to see to the current U.S. health care system? *
Would you like additional support and resources to help you process your birth experience? *
In the state of North Carolina, it is illegal for any CPM (Certified Professional Midwife) to provide midwifery services, only licensed CNM (Certified Nurse Midwife). Would you be willing to sign a petition to get this law changed in NC and other states? *
Do you have any interest in becoming a birth advocate or BOBWDS birth ambassador? *
Please give any additional information you feel would be helpful.
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