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Online Childbirth Class Questionnaire
Online Childbirth Class Questionnaire
Please enable JavaScript in your browser to complete this form.
How many births have you had before this upcoming birth.
*
None
1 Birth
2 or more births
Have you taken a childbirth class before? (Please share what kind of class you took below)
*
How far along in your pregnancy are you hoping/planning on taking a childbirth class?
*
First Trimester
Second Trimester
Third Trimester
undecided
What is your estimated due date?
*
What aspects of labor and birth are you most interested in learning about (Check all or all that apply)
*
All aspects of labor and birth that your course covers
Pregnancy comfort measures
Emotional and Mental aspects of labor and birth
How you experiences may effect your labor and birth
How to create a great birth plan
What are doulas and how can they effect your birth
Your rights as a patient and as a parent
Things that can interfere with normal labor progression
Common interventions
Natural/home induction methds
Warning signs and complications in pregnancy and labor
Gestational Diabetes
Stages of labor and birth
Early vs. active labor
General C-section information including how to avoid C-sections
Big baby myth
Chemical pain management options
Natural Pain management options
Labor and birth positions
Labor and birth tools
Relaxation tips and tricks
Tips for partners for labor and birth
Breathing techniques
When to go to your birthing place
General cervical check information and alternatives
Labor and birth practice scenarios
Pushing methods and options
Water birth
Postpartum options for baby
Postpartum options for mom
General breastfeeding information
Other aspects of labor and birth I would like more info on if possible.
*
Name
*
First
Last
Best phone number to reach you by
*
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