Thank you for wanting to share your story.

It is not necessary to disclose info such as family names, midwife names etc, we just want to share your experience and advice.

To gather information consistently, it would be appreciated if you can fill out all questions below.

Once you have completed this form, please save it and email it to: admin@northlandbirthstories.co.nz

YOUR BABY'S NAME / OR TITLE OF YOUR STORY
eg: Tim's Birth at Whangarei Hospital

YOUR BABY'S DATE OF BIRTH
Please write your baby's date of birth here.

HOW MANY CHILDREN DO YOU HAVE
Is this story about the birth of your first baby, or baby number 2, 3, 4?

AREA WHERE YOU LIVE
Please write your town & region here: eg: Kaikohe, Far North / Whangarei, Northland.

WHERE WAS YOUR PLANNED PLACE OF BIRTH?
(delete the ones that do not apply)
Whangarei Hospital, Kawakawa Hospital, Kaitaia Hospital, Home Birth, Other (please specify)

WHERE WAS YOUR ACTUAL PLACE OF BIRTH?
(delete the ones that do not apply)
Whangarei Hospital, Kawakawa Hospital, Kaitaia Hospital, Home Birth, Other (please specify)

YOUR STORY
Please write your story here :-) 

Please include as much detail about the labour and birth as you can, so it can help other parents, eg:
• How was your health during pregnancy?
• What type of care did you have, eg independent midwife, hospital midwife team, obstetrician?
• How did your labour and birth start / what signs?
• How did it progress?
• What did the contractions feel like? Where did you feel them - tummy / back?
• Where did you have your baby? Birth pool / hospital bed / home etc?
• When did you call the midwife / go to hospital?
• How did you get to the hospital?
• What kind of birth did you have c-section / vaginal / or any other assistance ie: drip with oxytocin hormone / forceps / ventouse / episiotomy etc?
• How long was the labour, total? The pushing stage?
• Did you have drugs / did you birth naturally?
• Did you have support people?
• Do you remember / know what position your baby was in anterior / posterior / breach etc

Things you would do the same?
I am glad we....

Things you would do differently?
If I could, what would I change with this labour / or next time around...

WHAT ADVICE YOU WOULD RECOMMEND TO OTHER
NORTHLAND MUMS / FAMILIES?
Please write your advice here.

Thank you for taking the time to fill out this form.

Please email this to: admin@northlandbirthstories.co.nz. 

(If using Mach Write, click on the icon at top left of screen, select 'share document', then 'mail').

We will send you an email to acknowledge it is received, and let you know when it is up on the website.