Natural Birth Research Study Survey II

Do you homeschool any of your children?

• Yes
• No

Do you practice/recommend breastfeeding for yourself/others?

• Yes
• No

Do you have strong interest/awareness in sustainable living and ecological awareness?

• Yes
• No

What are your child vaccination practices?

• No vaccinations at all
• Delayed vaccination schedule
• No issue with child vaccines
• Other

How many children do you have total?

• 1
• 2
• 3
• 4
• 5
• 6

How many of these children were homebirths (unassisted or otherwise)?

• 1
• 2
• 3
• 4
• 5
• 6

Have you ever used a doula for a birth?

• Yes
• No

Have you ever had a totally unassisted childbirth?

• Yes
• No

What is your household yearly income?

• Under $14,000
• $14,000 - $24,000
• $24,000 - $50,000
• $50,000 -$75,000
• $75,000 - $100,000
• $100,000 or more

Where did you get most of your information on alternative birthing methods?

• Doula/Midwife/Nurse Midwife
• Pastor/Clergy/Spiritual Advisor
• Internet
• Articles, Books, and Journals
• Family and Friends
• A mother that had at least one homebirth
• A mother with multiple homebirths

Are you a midwife?

• Yes
• No

Are you a doula?

• Yes
• No

Have you ever had a c-section that you felt was unnecessary?

• Yes
• No

Have you ever had health complications during a homebirth?

• Yes
• No
• N/A

What most closely describes your religious beliefs?

• Hindu
• Islamic
• Catholic
• Protestant
• Spiritual (no belief in higher power)
• Spiritual (belief in higher power)
• Atheist/Agnostic
• Mormon
• Judaism
• Buddhist
• Do not practice

Whatever your spiritual beliefs, do you feel having a homebirth strengthened them?

• Yes
• No
• N/A

Did you take prenatal vitamins?

• Yes
• No

Did you see/Have you seen a doctor at all during your pregnancy?

• Yes
• No

How many doctor visits did you/are you planning to have during your homebirth pregnancy?

• 1
• 2
• 3
• 4
• 5
• 6
• 7 or more

Do you feel homebirths (UC, waterbirths, NB, etc.) are just as safe as most hospital births?

• Yes
• No

Is your decision to choose an alternative birthing method in part to a bad hospital experience?

• Yes
• No

Do you feel that intuition played/plays a major role in determining "when things were ready" during your pregnancy?

• Yes
• No

Would you/have you recommended homebirth to others?

• Yes
• No

Do you rely solely on natural remedies/healthcare?

• Yes
• No

Do you rely solely on western remedies/healthcare?

• Yes
• No

Do you use a combination of western medicine and natural medicine/healthcare?

• Yes
• No

Are you vegan or vegetarian?

• Yes
• No

Was there/has there been any fetal monitoring devices used during your pregnancy?

• Yes
• No

Please select any of these that are reasons for your choice of an alternative birthing method.

Please select all that apply.

• Stories of bad hospital birthing experiences
• Personal bad hospital experiences
• Birth should be a natural process
• I don't/didn't want unneeded intervention during the birthing process
• I wanted to give birth in an environment comfortable for myself and my baby
• I don't trust Western medicine
• I am a doula or midwife
• I feel it is the safest option
• Most hospital births are actually unnecessary
• Women naturally know how to give birth
• I wanted to feel like I had more control
• My spiritual beliefs encourage alternative methods

Do you feel that you should only push during labor when you feel the natural urge?

• Yes
• No

How many people (besides yourself) were/will be present for the process?

• 1
• 2
• 3
• 4
• 5
• 6

Were you/will you be...........during the birthing

• Married
• Single
• In a long term relationship

Do you feel this survey will be helpful to mothers interested in or planning a HB, UC, or NB?

• Yes
• No