Birth Outcome 2 - JOYMAMMA Hypnobirthing Yoga Meditation Sunshine Coast

Welcome
HypnoBirthing
Yoga
Meditation
- Pregnancy Meditation
- Meditations for Mothers
Other Services
Births
- SCUH Kawana >
- Nambour Hospital >
  - Ezra Jason
  - Harvey Thomas
  - Leo Aidan
  - Mia Grace
  - Teo Soul
  - Georgia Catherine
  - Luca
  - Blake Hudson
  - Hudson Thomas
  - Jacob Cole
  - Tucker Benjamin
  - Chase
  - Oskar Lewis
  - Archer Jeddison
  - Jack Darcy
  - Nixon Josh
  - Bonnie
  - Wolfgang
  - Stella Rose
  - Sadie
  - Suki
  - Aiya
  - Ivy Stone
  - Huntley
  - Willow
  - Leo
  - Archie
  - Lani
  - Nash
  - Leon
  - Alice
  - Charlotte
  - Grace
  - Jack
- SC Private Hospital Buderim >
  - Luka
  - Grace
  - Sasha Rose
  - Max
  - Isla Charlotte
  - Everlee Grae
  - Ethan
  - Lucas
  - Xavier
  - Ada Mae
  - Nate
  - Harrison
  - Oscar
  - Clio Madison
  - Jessica
  - Max Murray
  - Maya
  - Finn
  - Meila
  - Oriah
  - Freya
  - Poppy
  - Nixon
- Home Births >
  - Atlas
  - Parker
  - Lucy
  - Maple
  - Sydnee Rose
  - Alexander
  - Willow Aurora
  - Ari
  - Theo
  - Louie
  - Katelyn
  - George
  - Imogen
- Other Locations >
- VBAC
- C-Section
- Induced Births
- Waterbirths
- Doula Support
Timetable
Testimonials
- What The Guys are Saying
Store
Contact
Joymamma Newsletter
Registration for Pre & Postnatal Yoga Teacher Training
New Page

BIRTH OUTCOME SURVEY

Name *

First

Last

* Indicates required field

How did you hear about Joymamma? *

Internet Search Facebook Friend Midwife Other

If Other please specify: *

This is your *

1st Baby 2nd Baby 3rd Baby 4th Baby 5th or More

How many weeks was your pregnancy at the time of this birth? (gestational age) *

Less than 37 weeks 37 weeks 38 weeks 39 weeks 40 weeks 41 weeks 42 weeks or more

Where did this birth take place? *

Nambour Hospital Sunshine Coast Private Hospital Home Other

If other, please specify *

Was the birth place the same as you had planned? *

Yes, the birth was in the place we planned No, place changed because of medical circumstances No, place changed because of baby's choice--no time to get to hospital

Did a Midwife attend your birth? *

Yes No

Did an Obstetrician attend your birth? *

Yes No

[object Object]

Did a Doula attend your birth? *

Yes No

[object Object]

Did another birth professional attend your birth? *

Yes No

[object Object]

Was your birth unattended by a birth professional? *

Yes No

[object Object]

Was the care provider who attended your birthing *

The person or one of the people who took the lead in your prenatal care Someone you met briefly during your prenatal care Someone you did not meet until the time of your birth No birthing professional present at birth

Who were your birthing companions, the ones who were there primarily for your support?

Spouse/Partner *

Yes No

Doula *

Yes No

[object Object]

Child(ren) *

Yes No

Friend *

Yes No

Other family member *

Yes No

After contractions/surges became became fairly regular, how long was your labour? (Not counting pre-labour or Braxton Hicks) *

Less than 4 hours 4-8 hours 9-12 hours 13-18 hours 19-24 hours More than 24 hours

How did your labour start? *

Labour started spontaneously, with no effort on my part to get it started Labor began as a result of my efforts to induce or start it Labor was induced by care provider, did not start spontaneously

Please select any of these that applied to this birth:

Two or more vaginal exams *

Yes No

Syntocinon to speed up labour *

Yes No

Rupture of membranes by care provider *

Yes No

Epidural *

Yes No

Gas/Air *

Yes No

Pethidine *

Yes No

TENS *

Yes No

Sterile Water Injection *

Yes No

IV Fluids *

Yes No

Continuous external monitoring *

Yes No

Internal or baby scalp monitor *

Yes No

Vacuum/Ventouse *

Yes No

Forceps *

Yes No

[object Object]

Episiotomy *

Yes No

Did you feel pressure from a medical professional to have any of these procedures or interventions? *

Yes No

Were any procedures or interventions done without your full understanding or permission? *

Yes No

Did you experience any perineal damage or tearing as a result of this birth? *

No, I did not tear Yes, minor tearing, with or without stitches Yes, moderate tearing, requiring stitches Yes, tearing into anus or rectum, requiring stitches

Was this a surgical (Cesarean) birth? *

Yes, it was Cesarean birth No, it was a vaginal birth

What was the main position you used as your baby was coming out? *

Lying on back Lying on side Propped up, semi-reclining Squatting or using a birth stool Standing Kneeling

Was a birthpool available? *

Yes No

If so, did you labour in the birthpool? *

Yes No

Was your baby born in water? *

Yes No

Please rate your comfort level during early labour (up to 6 cm) *

Please rate your comfort level during late labour *

Please rate your comfort level during birthing phase *

Please list any special circumstances you or your baby experienced with this birth. (Example: pre-eclampsia, unfavorable position, birth defect, etc.) *

How would you rate the quality of the supportive care you received from your care provider: *

Poor Fair Good Excellent

Did you attend Yoga & Meditation classes during pregnancy? *

Yes No

[object Object]

Did you attend HypnoBirthing classes? *

Yes No

Did you attend Joymamma's Active Birth workshop? *

Yes No

[object Object]

Did you attend Hospital Antenatal Classes? *

Yes No

If other, please specify *

JOYMAMMA CLASSES HELPED ME:

Be more confident in my ability to birth *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree NA

Be able to communicate better with my care provider *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Have a better understanding of my birthing options *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Have a more gentle birth *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Have a more comfortable birth *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Have a shorter labor *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Have a safer birth *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Make good decisions for birthing *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Be adequately prepared for labor and birth *

Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree N/A

Comment *

The following is a list of words that may describe how you felt when you were giving birth.
Please select all that you feel apply to how you felt:

Helpless *

Yes No

[object Object]

Excited *

Yes No

[object Object]

Groggy *

Yes No

[object Object]

Overwhelmed *

Yes No

[object Object]

Unafraid *

Yes No

[object Object]

Focused *

Yes No

[object Object]

Frightened *

Yes No

[object Object]

Agitated *

Yes No

[object Object]

Capable *

Yes No

[object Object]

Excited *

Yes No

[object Object]

Orgasmic *

Yes No

[object Object]

Unsupported *

Yes No

[object Object]

Alert *

Yes No

Powerful *

Yes No

[object Object]

Confident *

Yes No

[object Object]

Supported *

Yes No

[object Object]

In control *

Yes No

[object Object]

Exhausted *

Yes No

[object Object]

Weak *

Yes No

[object Object]

Calm *

Yes No

[object Object]

Energetic *

Yes No

Please specify *

During the first hour after birth, was your baby primarily *

In your arms In your partner's arms With staff for routine newborn care With staff for special care

Please pick the statement that best describes your baby's first breastfeeding *

Baby crawled to breast and latched on within the first hour Baby breastfed within the first hour, but did not crawl to breast Baby first breastfed more than one hour after birth Did not breastfeed at all (mother's choice) Did not breastfeed at all (medical or other circumstances)

If your were to have another baby, would you use HypnoBirthing and/or yoga to prepare? *

Yes Maybe No

[object Object]

Comment *

Will you recommend Joymamma classes to others? *

Yes Maybe No

Comment *

If you had this birth opportunity again, what would you do differently? *

What did you enjoy most about Joymamma's classes? *

(Optional) Please list any suggestions for improving Joymamma's classes or courses: *

Apart from meeting your new baby, what was the best thing about your experience of giving birth? We would appreciate knowing as much detail as you care to provide. *

May we contact you for additional information or for permission to use your comments for educational purposes? *

Yes No

If you agree to be contacted for additional information or for permission to use your comments please list your email address below. All information you provide will remain confidential.

Email address: *

This concludes our birth survey. Thank you for taking the time to reply.

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First

Last

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Tel: 0402 595 356

JOYMAMMA
Carrie Jeff HBCE
Birth Doula
Active Birth Educator
Registered Hypnotherapist
HypnoBirthing® Childbirth Educator
Yoga, Pranayama and Meditation Teacher
Pregnancy & Post Natal Yoga Teacher
HypnoMothering Educator
Sunshine Coast
Australia

Welcome
HypnoBirthing
Yoga
Meditation
- Pregnancy Meditation
- Meditations for Mothers
Other Services
Births
- SCUH Kawana >
- Nambour Hospital >
  - Ezra Jason
  - Harvey Thomas
  - Leo Aidan
  - Mia Grace
  - Teo Soul
  - Georgia Catherine
  - Luca
  - Blake Hudson
  - Hudson Thomas
  - Jacob Cole
  - Tucker Benjamin
  - Chase
  - Oskar Lewis
  - Archer Jeddison
  - Jack Darcy
  - Nixon Josh
  - Bonnie
  - Wolfgang
  - Stella Rose
  - Sadie
  - Suki
  - Aiya
  - Ivy Stone
  - Huntley
  - Willow
  - Leo
  - Archie
  - Lani
  - Nash
  - Leon
  - Alice
  - Charlotte
  - Grace
  - Jack
- SC Private Hospital Buderim >
  - Luka
  - Grace
  - Sasha Rose
  - Max
  - Isla Charlotte
  - Everlee Grae
  - Ethan
  - Lucas
  - Xavier
  - Ada Mae
  - Nate
  - Harrison
  - Oscar
  - Clio Madison
  - Jessica
  - Max Murray
  - Maya
  - Finn
  - Meila
  - Oriah
  - Freya
  - Poppy
  - Nixon
- Home Births >
  - Atlas
  - Parker
  - Lucy
  - Maple
  - Sydnee Rose
  - Alexander
  - Willow Aurora
  - Ari
  - Theo
  - Louie
  - Katelyn
  - George
  - Imogen
- Other Locations >
- VBAC
- C-Section
- Induced Births
- Waterbirths
- Doula Support
Timetable
Testimonials
- What The Guys are Saying
Store
Contact
Joymamma Newsletter
Registration for Pre & Postnatal Yoga Teacher Training
New Page

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