Do you have any protocols which might affect my ability to give birth at home (such as no births past 42 weeks, no breach babies, etc.)?
My due date is around ___. Are you available?
1. What is your general philosophy of care; what are your basic beliefs about pregnancy and birth?
b) How many years have you been practicing as a midwife?
b) How many of these births were in the hospital? In a birth center? At home?
10. How does your practice vary for different women?
11. Do you have guidelines or restrictions about who can give birth at home?
12 a) What is your definition of "high-risk"?
When do I call you?
d) How would you handle a hemorrhage?
13 a) Do you work alone or with a partner or assistant?
b) If you work with someone else, how would I get to know everyone who may attend my birth?
c) If you work with several, what happens if I don't want one of them, or prefer one of them at my birth?
d) How often will I see this assistant during pregnancy?
e) What exactly is the assistant's role?
14 a) How many mothers do you have due around the same time as me?
b) Do you have a maximum number of mothers you will work with at a time/in a month?
c) How do you manage to avoid too many commitments?
d) What do you do if two women go into labor at the same time?
e) What is your back-up system during pregnancy and labor—when you go on vacation, are sick or with another mother?
f) Have you ever missed a birth? If so, what were the circumstances?
15 a) What is your communications system like?
b) Do you have a beeper or cell phone? If not, how do I reach you?
c) Are you available 24 hours a day at all times?
1. What do you perceive your role to be during my pregnancy; and what are your goals for prenatal care?
2. What are your expectations of clients during pregnancy?
3. Can you recommend or will you loan to us appropriate books , videos, internet sites, etc. to help us prepare for homebirth?
4. Do you require or recommend that my husband and I take a childbirth education class or attend pregnancy discussion groups? Do you lead such a class or group; or can you refer me to one?
5 a) How soon will I be able to start my prenatal checkups?
b) Where will my prenatal visits be held?
c) How often will I see you?
d) How long are the checkup appointments?
e) What do your checkups consist of?
f) Do you do internal exams?
g) How many women do you see at prenatals daily?
6. What pharmaceutical drugs, homeopathics and/or herbs do you use prenatally?
7. Do you recommend “routine” blood tests or other types of tests? If so, do you provide these tests?
8. Do you require that I see a physician during my pregnancy even if everything is all right?
9 a) What are your expectations of me regarding self-care in pregnancy?
b) What are your guidelines concerning weight gain, nutrition, prenatal vitamins, and exercise?
10. What are your guidelines concerning the length of pregnancy? Do you allow the mother to go past 42 weeks and still have a homebirth?
11. What are your standards for preeclampsia?
12. Do you come to my home any time before I go into labor?
Hospital and Obstetrician
e) What situations do you consult him/her for?
3 a) Do you have a particular backup physician/hospital?
b) Is this covered by my insurance?
4 a) What problems or complications in pregnancy would mean that a physician would become my primary maternity caregiver?
b) What arrangements would you have for my care should I develop one of these complications or problems?
c) Would you continue to have a role in my care?
5 a) What hospital would my baby be taken to, in the case of an unforeseen complication?
b) What is the procedure for transfer?
6 a) Under what circumstances do you transfer to hospital?
b) What is your percentage of hospital transfers?
c) What is your Cesarean rate? What are the most common reasons?
e) What would be the plan of action if a transfer to hospital were necessary?
f) Which hospital would we go to if I needed to be transferred?
g) What care would you give me if I need to transfer?
h) What are your privileges in this hospital setting?
i) Would you stay with me in the hospital? In the operating room? For how long after the birth?
1. What do you perceive your role to be during my labor?
2. What are your expectations of clients during birth?
3. How early into the labor do you come to my house? When should I call you to come?
4. What equipment and supplies do you bring to a birth? Do you bring oxygen, IV fluids, ambu-bag for baby (what is this?), resuscitation equipment, medications for hemorrhage (pitocin or methergine), suturing materials?
5. How do you handle emergencies?
6. What natural comfort techniques do you provide?
7. What pharmaceutical drugs, homeopathics and/or herbs do you use at births?
8. What is your usual approach to a labor that is progressing slowly?
9. Do you let us do whatever we want during labor? (drink water, eat food, choose positions, etc.)
10. Do you do internal exams during labor?
11 a) What sort of monitoring of the baby do you use during labor?
b) How often do you listen to baby during labor?
12 a) How many people are you comfortable with being present at the labor and birth?
b) Do you encourage family participation? How? Will you allow my partner to be as active at the birth as he desires?
c) Do I get to decide who catches my baby (myself, my husband, my child)?
e) How do you feel about having a doula at a homebirth?
13. Do you wait until the cord has stopped pulsating before it gets cut?
14. How much time do you allow for the delivery of the placenta? What is done with the placenta once its delivered?
15 a) Are you comfortable with water birth?
c) Do you allow the placenta to be delivered underwater?
d) Do you have a tub the clients can use?
16 a) What is your policy regarding episiotomies?
b) What is you episiotomy rate?
c) What is you rate of tears or intact perineum?
d) What happens if my perineum needs stitching/suturing?
17. What supplies do I need for the birth? Where can I purchase those supplies?
18. Do you help with cleanup?
19. How long do you stay after the birth?
1. What are your fees and what do they include? How many prenatal visits, how many postnatal visits, how many home visits, sibling preparation, lab work, prepared childbirth classes?
2 a) What is NOT included in your fee?
b) What other costs might I incur? Lab work, prenatal testing, birth classes, extra supplies and birth kits, suturing?
3. Can you submit your charges to my insurance company?
4 a) What payment arrangements do you make?
b) Installments; before or after the birth?
c) When is payment expected?
5. What if, for some reason, you are not available to attend my birth?
6 a) What if I need to transfer to someone else for care?
1 a) Have you ever had to resuscitate a baby?
2 a) Do you examine the baby after birth?
b) What does this examination include?
9. Do I need to bring my baby in to meet a pediatrician?
11. How do I obtain the baby’s birth certificate?
1. What do you perceive your role to be after the baby is born?
2. How often do you come to see me after I give birth?
4 a) How often will you visit me at my home after the birth?
b) What do these visits include?
c) Why are they important?
5 a) How often will I visit you after the birth?
b) What do these visits include?
c) Why are they important?
6. Do you examine the baby at any or all of your visits? What does the examination include?