
Birth Center 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?
Which prenatal tests do you require?
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 transfer to hospital rate?
What hospital and doctor do you use?
What situations do you consider high-risk?
What is your philosophy on childbirth?
At what point during my labor will I be allowed to come to the birth center?
Who may be present during the birth?
When may I return home after the birth?
Do you have certified nurse midwives, lay midwives, nurse practitioners or obstetricians available?
Are you comfortable with patients bring their own professional labor assistants?
What percentage of your patients have drug-free births?
Are the following natural pain-relieving methods available to me and approved by the doctors and nursing staff?
Do you have water births available?
What pain relieving drugs do you have available to me?
What emergency equipment do you have available?
Who will be present during labor and delivery?
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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