How is Birth Trauma Understood and How Common Is It During The Childbearing Year?
Hello and thank you for your interest in taking part in this questionnaire.

My name is Jennifer Lynn Frye and I am a student midwife finishing my didactic work at WomanCraft Midwifery. As part of my advanced course, I am studying various forms of trauma in birthing persons during the childbearing year (pregnancy, birth, and three months postpartum).

Your participation is voluntary and you may cancel your participation at any time. To keep strictest confidentiality, I am not asking for any identifying information and these answers will be used for school related research only. If you have any questions, please email me at newenglandplacenta@gmail.com.

Please take a moment to read and acknowledge the informed consent statement below before continuing.

Informed Consent Statement


Study Title: How is Birth Trauma Understood and How Often Do Birthing Individual’s Experience It?
Principal Investigator: Jennifer Lynn Frye

This consent form will give you the information you will need to understand why this research study is being done and why you are being invited to participate. It will also describe what you will need to do to participate as well as any known risks, inconveniences or discomforts that you may have while participating. We encourage you to ask questions at any time. If you decide to participate, you will be asked to sign this form and it will be a record of your agreement to participate. You will be given a copy of this form to keep.

PURPOSE AND BACKGROUND
The purpose of this study is to examine the understanding of/interpretation of birth trauma and whether participants have experienced birth trauma or violence. This data will be used as part of a research project I am conducting to assess the understanding of and prevalence of obstetrical violence and birth trauma in both facility and out of hospital birth (birth center or home birth).
You are being asked to participate because you are an individual over the age of 18 who has given birth.

PROCEDURES
If you agree to be in this study, you will participate in the following:
Answer a series of personal questions in order to assess your age, race/ethnicity, gender, marital status, socioeconomic status, and childbirth environment, including choice of care provider, and potentially why you chose them/opted out.
Share your childbirth experiences. This may be through yes or no questions, multiple choice questions, a short statement, a birth story, a recap of prior births, etc. You are welcome to make it as brief or lengthy as you are comfortable with.
If you would like to give an oral account of your birth experience, we will set up a time for the interview. You will first complete the survey and then participate in the interview. interview will last approximately one hour, however it may be as brief or lengthy as you need. During the interview, you will be asked about your choice of maternity care provider, quality of maternity care received, experience during labor and childbirth, and your emotional/physical experiences as they relate to your birth story. The interview will be audio-recorded and the researcher may take notes as well.

RISKS
The survey will include a section requesting demographic information. Due to the nature of social media and make-up of the population of Salem, the combined answers to these questions may make an individual person identifiable. I will make every effort to protect participants’ confidentiality. However, if you are uncomfortable answering any of these questions, you may leave them blank.

The questions may bring up difficult or traumatic memories for you. In the event that some of the survey or interview questions make you uncomfortable or upset, you are always free to decline to answer or to stop your participation at any time.

BENEFITS
There will be no direct benefit to you from participating in this study. However, the information that you provide may help bring increased awareness to the violation of human rights in childbirth and provide future care providers with the tools to better care for birthing individuals.

EXTENT OF CONFIDENTIALITY
Reasonable efforts will be made to keep the personal information in your research record private and confidential. Any identifiable information obtained in connection with this study will remain confidential and will be disclosed only with your permission or as required by law. The members of the research team and WomanCraft Midwifery Program may access the data.
Your name will not be used in any written reports or publications which result from this research, unless you have given explicit permission for me to do this. Data will be kept for three years (per federal regulations) after the study is complete and then destroyed.

PAYMENT
You will not be paid for your participation in this study.

PARTICIPATION IS VOLUNTARY
You do not have to be in this study if you do not want to. You may also refuse to answer any questions you do not want to answer. If you volunteer to be in this study, you may withdraw from it at any time without consequences of any kind or loss of benefits to which you are otherwise entitled.

QUESTIONS
If you have any questions or concerns about your participation in this study, you may contact the Principal Investigator, Jennifer Frye at 508-981-4154 or newenglandplacenta@gmail.com

If you have questions about your rights as a research participant, you may contact the Boise State University Institutional Review Board (IRB), which is concerned with the protection of volunteers in research projects. You may reach the board office between 8:00 AM and 5:00 PM, Monday through Friday, by calling (208) 426-5401 or by writing: Institutional Review Board, Office of Research Compliance, Boise State University, 1910 University Dr., Boise, ID 83725-1138.


DOCUMENTATION OF CONSENT: I have read this form and decided that I will participate in the project described above.Its general purposes, the particulars of involvement and possible risks have been explained to my satisfaction. I understand I can withdraw at any time.
Your background
This will help me get a better idea of you, your background, and current situation.
What is your age?
What is your Gender?
Which of the following best represents your racial heritage? Choose all that apply.
Required
Which of the following best represents your ethnic heritage? Choose all that apply.
Required
What is your marital status?
What is the highest degree or level of school(homeschooling included) you have completed? If currently enrolled, mark the previous grade or highest degree received.
Current Employment Status-check all that apply.
Required
Have you given birth?
Do you have any children? Are they living or deceased?
Required
Are you currently expecting?
Which of the following best represents your current housing situation? Please check all that apply.
Required
What is your household income?
Did you have insurance at the time of your birth(s)?
Prenatal Information
This applies to previous and current pregnancies.
Was/Is your pregnancy considered
Where did you/where are you planning to give birth?
Were you able to choose your care provider?
Did you ever feel coerced (forced) into accepting care from a care provider you did not feel comfortable seeing for prenatal care and ultimately childbirth?
Did you or do you plan to have any of the following care providers present at your birth?
During prenatal care, did your care providers give ample space/time for questions?
Were all of your questions answered and explained to your satisfaction?
During prenatal care, were you given the opportunity to accept or refuse care after having everything explained to you? For example, vaginal exams or other tests.
Did you ever refrain from asking questions during prenatal care? If yes, can you explain why?
Your answer
Were you threatened at any time during pregnancy with being reported to CPS/DCF if you did not comply with care providers' requests?
Your answer
Was a report filed with CPS/DCF by your care providers on you after refusing any care during pregnancy?
Your answer
Is there anything additional you'd like to share in regards to the questions asked above or something not covered?
Your answer
Labor & Delivery
These questions apply to your labor and delivery experience.
Did you have support present for labor? Please check all that apply.
Required
During labor, did you feel that you could ask your care provider or staff questions?
During labor, were you given the opportunity to accept or refuse care after having everything explained to you?
During labor, did you feel safe accepting or refusing care or procedures suggested by your care providers?
Did your labor begin on it's own (i.e. without induction medication, sweeping membranes, etc)?
Did you feel pressured to induce from your care provider? If you answer no, please skip the next question.
What induction method(s) did you care provider suggest and/or carry out to medically begin labor?
Your answer
Did you have a cesarean birth?
If you answered yes, did you feel pressured into a cesarean birth?
Can you recall if any interventions or acts were carried out against your wishes or without verbal consent during labor or birth?
Your answer
To your knowledge, did you have any complications during labor or the birth of your baby?
Your answer
Did you experience any verbal abuse from your care providers or staff during childbirth?
Your answer
Did you experience any physical abuse from your care providers or staff during childbirth?
Your answer
Were you restrained during labor?
Your answer
Did you feel your cultural and/or personal preferences were respected and upheld during labor?
Your answer
Were you threatened at any time during labor with being reported to CPS/DCF if you did not comply with care providers requests?
Your answer
Was a report filed with CPS/DCF by your care provider on you after refusing any care during labor?
Your answer
Do you feel you were treated with respect and dignity during childbirth?
If you answered no, do you feel you were treated poorly as a result of any of the following? Choose all that apply.
Postpartum
These questions apply to the period immediately following childbirth and the initial 3 months postpartum.
Did you experience any verbal abuse from your care providers or staff during your postpartum period?
Your answer
Did you experience any physical abuse from your care providers or staff during your postpartum period?
Your answer
Do you believe you were traumatized emotionally, mentally, physically during pregnancy, childbirth, or postpartum?
Your answer
Please feel free to elaborate on the question above if necessary.
Your answer
If you were treated poorly or traumatized during pregnancy, childbirth, or postpartum, were you given the opportunity to provide feedback to your care providers?
If you were treated poorly or traumatized during pregnancy, childbirth, or postpartum, did you feel safe in seeking resolution/recourse? If not, why?
Your answer
If you were treated poorly or traumatized during pregnancy, childbirth, or postpartum, what was the outcome?
Your answer
Have you been diagnosed with or are you currently being treated for any of the following as a result of your childbirth experience?
Required
Would you like to share anything else about your pregnancy or childbirth experience with me?
Your answer
How would you personally define birth trauma?
Your answer
If you would like to provide a verbal or additional account of your experience to me, I would be happy to email you to coordinate that. Please leave your email only below and I will contact you ASAP.
Your answer
Thank you for your participation in this survey.
If you need additional resources in regards to birth trauma and/or professional contacts to process your experience, please email me at newenglandplacenta@gmail.com.
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