Wiyama ~ Woman's Medicine

Thank you for your interest in participating in this survey.  The purpose of this article is to get some true statistical information for answers to the most frequently asked questions by parents and the general public regarding specifics of homebirth.  There is no real need to pull records, it is relatively informal, and I want information about the last 5 years, so I can represent current trends in midwifery care and homebirth.  These are approximate numbers, and should have occurred in the last 5 years of practice.  If you have not been in practice for at least 5 years, please indicate this at the beginning of your survey and let me know how many years these numbers include.

This survey can be done two ways:

Email: You can email the answers directly to me. Copy and paste the following survey questions into an email and send it to me at  midwife@wiyama.com with the word survey in the subject line the message box below, then add your answer to the end of each question.  Please put your state of practice somewhere in the email. 

Contact Form: You can use the contact form below to send your answers.  Each question is numbered.  Number your answers to correspond with the question you are answering.  If you wish to remain anonymous, feel free to put my name and email address in the boxes below.

Please include your state of practice somewhere in the form or email as this is necessary to identify trends in certain regions, as they may or may not be applicable to this article.  Some of these questions are very sensitive. Please be assured this is not to identify you, your practice, or any thing about you personally, but simply an attempt to answer these questions honestly, giving a complete picture of homebirth and all it entails. 

I deeply appreciate your participation in this survey.

1. How many times have you needed to perform mouth to mouth or bmv rescue breathing for a baby?
2. How many of these, if any , required transport?
3. How many times have you had to manage a heavier than normal uterine bleed or hemmorrhage in the home?
4. How many of these, if any, required transport?
5. How many times have you encountered a technically macrosomic baby (greater than 8lbs 13oz or 4500 grams gms)?
6. How many of these babies became complicated deliveries?
7. How many of these mothers were referred out of care before labor?
8. How many of these mothers were transferred out of care during labor?
9. How many of these babies required extra care in the home?
10. How many of these babies required transport after the birth?
11. How many times have you encountered 1st degree or greater tear?
12. How many of these tears were managed at home?
13. How many of these, if any, required transfer of care?
14. How many times have you experienced fetal distress?(defined for the purpose of this article as severe decelerations, accelerations, or non-variable heart rate for greater than 15 minutes)
15. How many of these, if any, required transport?
    
16. How many times have you experienced meconium stained amniotic fluid?
17. How many of these, if any, required extra care in the home? (DeLee, oxygen etc)
18. How many of these, if any, required transport?
19. How many times have you experienced shoulder distocia?
20. How many of these, if any, required extra care in the home? (DeLee, oxygen, resuscutation, etc)
21. How many of these, if any, required transport?
22. How many times have you had to transport during labor for pain relief?
23. How many times have you encountered fetal anomalies prenatally?
24. How many of these transferred out of care prenatally?
25. How many times have you encountered fetal anomalies at birth?
26. How many of these transferred out of care at birth or shortly thereafter?
27. How many stillbirths have you attended in the home (known or unknown)?
28. How many births have you attended where the baby died at or shortly after birth?
29. How many times have you had to transport during labor for maternal exhaustion?
    
30. How many mothers in your care have gone past 40 wks gestation?
31. How many mothers in your care have gone past 41 wks gestation?
32. How many mothers in your care have gone past 42 wks gestation?
33. How many times have you had to refer a mother out for medical testing for going "post dates"?
34. How many times have you had to refer a mother out of care for going "post dates"?
35. How many times have you had a mother decline home/natural/herbal etc. induction of labor for going "post dates"?
36. How many times have you had a mother agree to home/natural/herbal etc. induction of labor for going "post dates"?
37. Have you experienced any other emergencies that required extra care, transport or transfer of care that is not listed?
38. How many times have you simply held space for a mother who essentially wanted an unassisted birth?
39. How many times has the mother caught her own baby?
40. How many times has the father/partner caught the baby?
41. How many times has a friend or other family member caught the baby?
42. How many of your births were water labors? (w/o birthing in the water)
43. How many of your births were water births?
44. How many postpartum visits do you make to the home?

If you wish to receive a copy of the article when it is published, please include your actual email address in the email or form.