
Hospital Name:
Contact Name:
Address:
Date of interview:
How many labor, delivery & recovery rooms do you have?
What is your policy on eating during labor & delivery?
What is your epidural rate?
What is your policy on fetal monitoring?
What is your internal monitoring rate?
With the approval of the doctor or certified nurse midwife, can I substitute Doppler ultrasound for electronic fetal monitoring?
What is your policy regarding VBAC (vaginal birth after cesarean)?
What is your policy regarding IV?
What is your cesarean section rate?
Should a cesarean section be required can the following people be present during the procedure?
What is your nurse to patient ratio?
Are you comfortable with patients bring their own professional labor assistants?
What percentage of your patients have drug-free births?
Are the following pain-relieving methods available to me and approved by the doctors and nursing staff?
Do you have lactation consultants available?
Do you have breastfeeding classes/instructors available?
What percentage of your patients leave the hospital breastfeeding their babies?
What is your policy on rooming-in?
Can my partner spend the night in the hospital with me?
Can my older children be present during the birth?
Can we take our placenta home?
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