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Breech Provider Directory (private)
Breech Without Borders is creating a private Breech Provider Directory to help connect families expecting breech babies with local breech providers. This information will be accessible only to BWB staff. You may choose how you'd like your information to be listed and how you'd prefer to be contacted.
If you would prefer to be listed on our public breech directory, please fill out this form instead:
bit.ly/breechdirectory-public
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* Indicates required question
Name
*
Your answer
Certifications (MD, CNM, CPM, RM, LM, traditional bith attendant, etc)
*
Your answer
Country
*
Your answer
State/province/region (if not applicable, write "NA")
*
Your answer
City
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Website
Your answer
Social media contact info (FB, IG, etc)
Your answer
If BWB is contacted by a potential client, how should we connect them with you?
*
Please have BWB email me first with more information about the client
Please have the client contact me directly
Preferred method of contact for potential clients (mark all that apply)
*
Email
Phone call or text
WhatsApp
Website
FB/IG/other social media
Required
Practice setting (mark all that apply)
*
Hospital
Freestanding birth center / freestanding midwifery unit
Home
Required
If you accept insurance, are there certain insurance plans you can or cannot accept?
Your answer
Do you accept late client transfers (e.g., someone who has discovered at 37 weeks that she has a breech presentation)?
*
Yes
No; I only attend breeches for clients I have been seeing throughout their entire pregnancy
Maybe
If you attend home births, how far of a radius do you serve? (Please specify whether miles or km)
Your answer
Are you able to travel (out of state/country) to attend VBBs?
*
Yes
No
Maybe
Do you accept clients who may be traveling from out of state/country to birth with you?
Yes; clients will need to find their own accommodations
Yes; I have on-site accommodations available
Maybe
No
Clear selection
Approximate # of breech births you have attended in your career?
*
Your answer
What breech training(s) have you attended? (mark all that apply)
*
Breech Without Borders workshop (hands-on or hybrid)
Breech Without Borders online course (Breech Pro, MANA GOLD course)
Other online breech training
Other in-person breech training
Emergency skills breech training (such as ALSO)
Direct training via a residency/midwifery/obstetrics training program
Direct experience during an apprenticeship, foreign service such as Doctors Without Borders, etc
Other:
Required
What is the legal/regulatory status of attending planned vaginal breech births where you live?
*
Not restricted by law or regulations; I can publicly and openly support VBB
Not restricted by law or regulations
Not formally prohibited, but I live in a "gray area" where I may face restrictions, sanctions, or peer censure
Formally prohibited by law or licensure regulations
Would you like your information to be listed on a *public* breech provider directory?
*
Yes
No
Any other relevant information you'd like BWB to know
Your answer
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