Name (optional):
Date of labour/birth/postnatal trauma (optional)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Hospital/care provider/birth place (optional):
Did you receive:
Rows
Yes
Unsure
No
N/A
a) inappropriate, disrespectful or abusive treatment before, during and after birth, also referred
to as "obstetric violence"
b) Causes and factors contributing to birth trauma including:
(ii) use of instruments and devices for assisted birth e.g., forceps and ventouse
(e) "informed choice" in maternity care
(f) "continuity of (midwifery) care" in maternity care
(g) information regarding maternity care options prior to/ during care
(Space to explain any of your above answers):
(c) What have been the physical, emotional, psychological, and economic impacts of birth trauma, including both short and long term impacts on you and your family: (optional)
Your birth story (optional):
(d) what do you think are factors in accessing maternity care that impact on birth trauma in regard to: (i) people in regional, rural and remote Tasmania (ii) First Nations people(iii) people from culturally and linguistically diverse (CALD) backgrounds(iv) LGBTQIA+ people(v) young parents (optional):
(h) are the current legal and regulatory settings are sufficient to protect women from experiencing birth trauma? If you made a complaint, please describe to who, and what the outcome was (optional):
(i) are there any legislative, policy or other reforms (laws) likely to prevent birth trauma? What would you like to see implemented or improved? (Optional)
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