INSTITUTE OF HEALTH & WELLNESS

Educating providers and families.

Working together to bring evidenced based health care to our community.

Our Home Birth Survey

In response to ACOG's request for homebirth transfer statistics, we are collecting your home birth statistics. Personal information will not be shared and the results are not scientific, but please share your story whether you birthed at home or transported. It is important for all sides to be seen and heard


Your Homebirth Story
When was your birth?
Who attended you during labor?
Where did you intend to deliver?
Where did you finally deliver?
In the event of a transport, do you feel your out of hospital attendant
How did you deliver?
In the case of transport, did the home birth provider have a back up physician?
In the case of a transport did the hospital staff treat you with respect.
Would you choose to birth at home or a free standing birth center again?
Please share any further information you might like to share.
In order to prevent duplication please enter the first letter of your last name and 2 digit birth month and 2 digit birth year. (ex. M1174)