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1. Was your baby expected to die during or shortly after birth?

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2. What gestational age was your baby when you found out he/she had a fatal prognosis? If you are not sure, please put "Unknown", as well as feel free to comment.

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3. Please check any experiences that apply to you finding out, from your doctor, that your baby had a fatal diagnosis. (Please check any that apply)

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

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

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6. Prior to delivery, at the hospital, did you make plans for your baby’s birth and care after birth?

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7. What plans did you make prior to admission for delivery? (Please check any that apply)

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8. How do you feel about any medical plans that were made, prior to admission, for delivery?

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9. Are there any decision and plans you regret making? (Please check any that apply)

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

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