A single parent whose child is has been born in the last year or two is needed to answer these confidential survey questions for a paper I have to write immediately.
Delivery Experience Interview
Instructions: Interview a mother about a delivery experience. Be aware of the personal nature of the interview. When arranging for the interview, be certain to explain this. Also, inform the interviewee that she may decline to answer some questions if she chooses.
Interview questions:
1. Where was the child born? (home hospital, city) _________________________
2. What time of day? ____________________
3. Was any type of anesthesia used? Yes ____ No ____
4. Was any other type of pain reliever used? Yes ____ No ____
5. Was the baby in any unusual position prior to delivery? Yes ____ No ____
6. Were forceps used in delivery? Yes ____ No ____
7. Were any of the following methods used? (Check all appropriate.)
• Lamaze ____
• Hypnosis ____
• LeBoyer ____
• Cesarean ____
• Natural Childbirth ____
• Other (name) _____________________
8. How long were you in labor? ______________________
9. Who attended the delivery? _________________________
Was he or she a doctor or a midwife? ______________________
10. Did you see the baby being delivered? Yes ____ No ____
11. Was the father present for the labor? Yes ____ No____
12. Was the father present for the delivery? Yes ____ No ____
13. How did he feel about this? __________________________________
14. What is your age and race and sex?
15. Was the pregnancy planned?
16. What was the reaction of each parent when they learned they were pregnant?
17. Were you trying for a pregnancy?
18. What were the worries of the father? What about the ability to provide and healthcare for the wife and child?
19. Did the husband experience any jealousy?
20. Did the decrease in sex cause tension? Was there another kind of intimacy or bonding?
21. Did intimacy return after the birth of the baby or were you further frustrated by sleepless nights?
22. Was the new baby a third wheel or how did you make the adjustment?
23. Is there anything or group effort that would assist you in the transition from couple to family, like counseling or a parenting class? Do your own parents help out? ↓
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