Parent/Consumer Midwifery Care
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Please take this survey for each of your births.
I am a [select all that apply]
mother who used a midwife
mother who wanted to use a midwife
father who used a midwife
father who wanted to use a midwife
birthparent who used a midwife
birthparent who wanted to use a midwife
parent who did not use a midwife
other birth professional
birth advocate / birth rights advocate
Think of only one of your births for these questions. Do you feel you had autonomy to give birth the way you wanted to in your state? On a scale of 1 to 5, 1 meaning you felt very controlled with little autonomy, and 5 meaning you felt very independent with more autonomy.
You felt very controlled with little autonomy
You felt very independent with more autonomy.
Concerning that delivery, which US state or other country did you give birth in? If you are military, please note that when adding the country.
Concerning that delivery, who was your birth attendant?
I had an unassisted birth.
Someone other that a midwife, doctor, or nurse.
A regulated midwife (licensed or certified)
An unregulated midwife
A Nurse Midwife or other Advanced Practice Nurse
Concerning that delivery, where was your baby born?
Concerning that delivery, were you required to have tests such as labs, ultrasounds, or to have consultations with doctors to work with your midwife?
Concerning that delivery, did you feel the extra steps you were required to take were necessary to your or your baby's wellbeing?
Concerning that delivery, were you told that there were time limitations on your length of gestation/rupture/labor? If so, please comment on the impact of those time limitations, in regard to your stress, need for a back-up-plan, financial impact, and success of your birth.
Concerning that delivery, if you could change any one thing, what would it be?
Thank you for sharing your experiences with us. If you would like to add more than the comment boxes on this survey will hold, please feel free to email us at
. Please consider sharing your birth story. We would love to read it and possibly share it. Please go to
for more information.If you would be willing for us to contact you if we have more questions, please leave your email address below. It will be redacted from any public sharing of this survey results.
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