Mother of a Baby Who Unexpectedly Died during Birth or Shortly after Birth

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1. Was it a surprise that your baby died during birth or shortly after birth?

Yes

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2. How many weeks pregnant were you when you delivered? If you are not sure then type "Unknown", also feel free to comment.

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3. What delivery situations did you experience? (Please check any that apply)

This was expected to be a normal delivery.

The doctor chose to deliver because the baby was in distress

The doctor chose to deliver because I was in distress

I had to deliver early because my baby needed treatment outside of the womb.

I knew this delivery was high risk.

I carried my baby to term.

I carried our baby 40+ weeks.

I carried our baby 38+ to 40 weeks

I carried our baby 36+ to 38 weeks

I carried our baby 34+ to 36 weeks

I carried our baby 30+ to 34 weeks

I carried our baby 26+ to 30 weeks

I carried our baby 22+ to 26 weeks

I carried our baby less than 22 weeks

I was able to hold my baby within 20 minutes after birth.

My baby needed immediate medical attention which prevented me from holding him/her within 20 minutes of birth.

I chose to deliver my baby early and let him/her die due to his/her medical problems

I chose to carry my baby with serious medical issues to term.

I was able to prepare with perinatal/pediatric hospice, Loss Doula, or loss professional.

Other

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4. Did you have a perinatal or pediatric hospice involved?

Yes

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5. What experiences apply to you when finding out from the doctor that your baby had died, or had a fatal prognosis? (Please check any that apply)

The doctor looked concerned

The doctor was cold

The doctor was kind and empathetic

The doctor was very supportive

I changed doctors because of how I was treated

I was happy with how the doctor handled the situation

I was not happy with how the doctor handled the situation

None of these apply to my experience

Other

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6. What type of information did your doctor share with you? (Please check any that apply)

I was informed about delivery options/benefits and dangers (pros and cons)

I was allowed to make choices in type of delivery (vaginal or C-section).

I was told labor and vaginal delivery could be dangerous

I was told I needed a C-section

I was told my breast milk may come in after birth and how it could be handled

I wish I had been given more information.

I wish I had been given less information

I am happy about the amount of information I was given

I don’t remember

Other

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7. What term did the doctor use when referring to the baby’s death? (Please check any that apply)

Miscarriage

Stillbirth

Preemie death

Infant death

Spontaneous abortion

I do not recall what tern the doctor used

Other

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8. What term did the doctor use when referring to your baby? (Please check any that apply)

The doctor referred to my baby as a baby

The doctor referred to my baby as a fetus

The doctor referred to my baby as "it"

The doctor called my baby by his/her name

The doctor referred to my baby as “product of conception”

Other

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9. Where did you deliver your baby? (Please check any that apply)

A regular labor and delivery room in the hospital

A special labor and delivery room in the hospital

On a different floor than labor and delivery in the hospital

Emergency Room

Birth clinic/center

Home

Other (Please explain where in the comment section)

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* 1. Was it a surprise that your baby died during birth or shortly after birth?

Question Title

* 2. How many weeks pregnant were you when you delivered? If you are not sure then type "Unknown", also feel free to comment.

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* 3. What delivery situations did you experience? (Please check any that apply)

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* 4. Did you have a perinatal or pediatric hospice involved?

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* 5. What experiences apply to you when finding out from the doctor that your baby had died, or had a fatal prognosis? (Please check any that apply)

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* 6. What type of information did your doctor share with you? (Please check any that apply)

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* 7. What term did the doctor use when referring to the baby’s death? (Please check any that apply)

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* 8. What term did the doctor use when referring to your baby? (Please check any that apply)

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* 9. Where did you deliver your baby? (Please check any that apply)

1. Was it a surprise that your baby died during birth or shortly after birth?

2. How many weeks pregnant were you when you delivered? If you are not sure then type "Unknown", also feel free to comment.

3. What delivery situations did you experience? (Please check any that apply)

4. Did you have a perinatal or pediatric hospice involved?

5. What experiences apply to you when finding out from the doctor that your baby had died, or had a fatal prognosis? (Please check any that apply)

6. What type of information did your doctor share with you? (Please check any that apply)

7. What term did the doctor use when referring to the baby’s death? (Please check any that apply)

8. What term did the doctor use when referring to your baby? (Please check any that apply)

9. Where did you deliver your baby? (Please check any that apply)