JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Why do women choose home birth?
EPQ (Extended Project Qualification) Investigation
Sign in to Google
to save your progress.
Learn more
I would really appreciate it if you could give me 5 minutes or less to answer a short questionnaire and share your experience on home birth. *Once again, this questionnaire is completely anonymous where no personal information is requested.
Is this the first time you are going to give birth at home?
Yes
No
Clear selection
How many children do you have?
0
1
2
3
4
Other:
Clear selection
Were all your children delivered at home?
Yes
No
Other:
Clear selection
In case they were hospital delivered, why have you changed to do it at home?
Your answer
What factors have influenced the preference for the place of birth?
Comfortable environment
Family involvement
Privacy
To prevent any unnecessary interventions
Desire for freedom and control during labor
Other:
There are reasons for the increase in home births, rejecting 'obstetric violence' (unjustified C-sections, shaving, enemas, violation of privacy ...). Do you think that hospital delivery is violent for the mother and baby?
Yes
No
Other:
Clear selection
What was (or were) your previous home birth (or births) like?
Your answer
Did you have any problems during delivery?
Yes
No
Clear selection
If you answered 'yes' in the previous question, state what problem.
Your answer
Do you feel fear (or felt fear in your previous home birth) in case a complication arises?
Yes
No
Other:
Clear selection
How do you face the possible risks (both mentally and physically)?
Your answer
How did you find out that your delivery could be at home?
Midwife encouraged you to have one
Members of the family previously had one
Friends
Internet
Other:
What did your family think about delivering your child at home ? Did they support you?
Your answer
Was your family involved in your delivery?
Yes
No
Other:
Clear selection
What people were you surrounded by?
Partner
Children of your own
Other:
According to the previous question, in what sense did they help you?
Your answer
As a future midwife, I'd like to know how was your relationship with your midwife.
Your answer
Which delivery do you prefer?
Home
Hospital
Clear selection
This is the most IMPORTANT question and the one that gives title to the project that I am carrying out. I would appreciate it if you would take a little time to answer it, since if the previous questions help me to obtain statistical data, this one represents the most personal, subjective and intimate part of the project. Why did you choose to give birth at home?
Your answer
From 1 - 10 (being 10 absolutely yes), how much do you encourage other women to deliver at home?
Absolutely NO
1
2
3
4
5
6
7
8
9
10
Absolutely YES
Clear selection
Is there anything else you'd like to add?
Your answer
Thank you very much for completing the survey! I am truly grateful for your contribution with your valuable time and unique experience dedicated to helping me :)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of King's College.
Report Abuse
Forms
