Name:
Address:
Date of interview:
Why did you become a midwife?
Are you a graduate of a nationally accredited midwifery education program?
Do you have American College of Nurse-Midwives certification?
Are you licensed by the state?
How long have you been practicing?
In which settings have you worked?
How many births did you attend while under supervision?
How many children do you have?
Who attended your births, and in what settings?
How many babies have you delivered?
How many home births have you delivered?
How many babies do you deliver each month on average?
When did you attend your last three births?
Please give me their names and numbers for references:
How do you view your role as my midwife?
Do you limit the number of births you attend each month?
Have you ever missed a birth because two were delivered at the same time?
How many mothers do you have who are due within three weeks either side of my due date?
How much time do you allow for prenatal visits?
On average, how long is the wait in your office?
If I call with routine questions between visits, how will you handle them?
Do you answer questions by email?
Do you have a website through which I can get information about your practice or medical information?
What are your views about recommending alternative, complementary or integrative medical approaches?
Are you on call 24-hours/day?
How do I reach you in an emergency or if I am entering labor?
Who is your backup obstetrician
Do I need to see your backup obstetrician as part of my routine prenatal care?
(circle one) Are you in a SOLO or GROUP practice?
If Solo: Who covers for you when you are not available?
If Group: How often will I see other practitioners?
Do your colleagues share the same philosophy about pregnancy and birth as you?
When do you go on vacation?
In what ways are your services different from those of other birth attendants?
What is your policy on informed decision making by parents?
Do you have admitting privileges at any hospitals?
Can I choose the hospital in which I will deliver my baby?
What is your transfer rate?
If you attend birth center deliveries, are they accredited by the NACC?
Do you provide routine prenatal visits?
Which prenatal tests do you recommend?
How do you manage my concerns about a specific test?
Describe how you might manage my care in conjunction with a physician or transfer me to a doctor?
Do you offer prenatal classes?
Do you recommend any prenatal classes?
Do you encourage family/father participation?
In what ways will you assist me in preparing for labor?
Do you have a lending library of books so that I can better inform myself?
Will you help me prepare a birth plan?
Will you meet me when I am first admitted to the hospital?
Who will manage my care until you arrive?
Will you stay with me throughout my labor?
Have you ever missed a birth?
What are your suggestions to help me manage pain during labor?
Do you offer epidurals if I want one?
Do you offer water births if I want one?
Do you (or any hospital policies) require routine (circle one): CONTINOUS FETAL MONITORING, IVs, OTHER INTERVENTIONS
What are your views about episiotomies?
What percentage of your patients have episiotomies?
How do you manage labor to reduce the need for episiotomies?
How often do your patients require stitches to repair an episiotomy?
Do you suture?
What percentage of your patients require assisted delivery (forceps or vacuum extraction)?
What percentage of your patients require cesarean sections?
If I require a cesarean, will you stay with me during the procedure?
Does the hospital have an anesthetist and obstetrician available 24-hours/day in case I need an emergency cesarean section or wish to attempt a VBAC (vaginal birth after cesarean)?
What are your views about VBAC?
What percentage of your patients attempt VBAC?
What is your success rate with VBAC?
How do you manage emergencies?
Where do you conduct your prenatal exams?
What items should I have prepared for the birth?
Do you have a recommended homebirth supplier?
Are there any fod or drink items I should have prepared for you and your assistants during labor?
Are you comfortable with my children attending the birth?
What situations would make homebirth too risky for me?
Do you perform VBAC at home?
What medical complications will require transport to the hospital?
Will you be able to continue managing my labor should it be necessary for me to go to the hospital?
What equipment and medications do you routinely use during homebirths?
What equipment and medications do you have for emergencies?
When will you use the following:
Are you certified in adult and neonate CPR?
What complications have you seen and managed?
How would you manage the following complications?
Will I be separated from my baby following delivery?
Can my baby room in with me?
Will you, or someone on your staff, teach me how to breastfeed?
Do you provide postpartum visits?
NOTE: Since time is often short during initial consultations, you may wish to save the following questions for the office manager or billing department.
What is your fee?
Does your fee include:
Do you offer payment plans?
Are your services covered by insurance?
What other costs may I encounter?
When does your fee have to be paid?
Were you kept waiting for long before meeting the midwife?
Were you comfortable with the midwife?
If he attended did the midwife involve your partner in the discussion?
Were the support staff and nurses at the office helpful in answering your questions?
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