Parent/Consumer Midwifery Care
This information will be compiled in some form in the future. It may be published. By giving your opinion and experiences in this survey, you are giving permission for me to use anything you write in those projects but your identity will not be associated with your comments. Please adjust your remarks accordingly if you wish to remain anonymous. Neither your name nor your email address will intentionally be shared publicly no matter what. You can also email me directly at midwyfery@gmail.com

Please take this survey for each of your births.

Thank you.

I am a [select all that apply] *
Required
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. *
Your answer
Concerning that delivery, who was your birth attendant? *
Required
Concerning that delivery, where was your baby born? *
Required
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.
Your answer
Concerning that delivery, if you could change any one thing, what would it be?
Your answer
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 parents0217@nfom.org. Please consider sharing your birth story. We would love to read it and possibly share it. Please go to https://www.nfom.org/stories 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.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service