Birth Outcomes With Medical Induction
Thank you for participating in this survey. We are seeking responses from women who have had a medically induced birth in a hospital setting. We would like to hear about births where labor had not begun on it's own. Labor that began and later stalled and required augmentation does not qualify. If you had more than one induction, you may complete the form again for each event. If you have any questions, please feel free to contact us at nurturingYOUnaturally@gmail.com.
1. Which Pregnancy was Induced? *
2. Did you have a previous vaginal birth? *
3. Gestational Age at Induction *
4. Primary Reason for Induction *
5. Initial method used for induction? *
6. Secondary method used for induction? *
7. How many hours had passed when a secondary method was used?
Your answer
8. How far were you dilated when a secondary method was used?
Your answer
9. Third method used for induction?
10. How many hours had passed when a third method was used?
Your answer
11. How far were you dilated when a third method was used?
Your answer
12. If you received an epidural during your labor, please indicate when it occurred. *
13. Method of delivery? *
14. How long was your labor after initial method of induction? *
Your answer
15. If you had a Cesarean, what was the indicated reason? *
16. Was a doula present at your induction? *
17. Would you opt to be induced again for a future pregnancy? *
18. Reasons you would prefer another induction?
Your answer
19. Reasons you would NOT prefer a future induction?
Your answer
20. If you would like to receive a recap of this survey, please enter your email address below to be added to our mailing list.
Your answer
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