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51猎奇 - Services - Maternity Services - Pregnancy and Birth Reflections Service

Pregnancy and Birth Reflections Service

A service for you to ask specific questions about your birth experience and what happened during pregnancy, birth and after birth.

Pregnancy and Birth Reflections听蝉别谤惫颈肠别

If you have had a baby and have specific questions about your birth experience or would like to talk through what happened, we offer a midwifery-led聽Pregnancy and Birth Reflections听蝉别谤惫颈肠别.
Complete the referral form if you would like to access the service.

This form will be used for assessment and you will be contacted by a member of the maternity team.

How did you know about Birth and Pregnancy Reflections?(Required)

I was given information about the service during my stay on the maternity unit.

My community midwife told be about the service

Other (please state)

Other(Required)

Name(Required)

First Last

Are you currently pregnant?(Required)

Yes

No

Due Date(Required)

Day

Month

Year

Date of birth(Required)

Day

Month

Year

Address(Required)

Street Address Address Line 2 City Post Code

Telephone(Required)

Email(Required)

Do we have your permission to leave a message for you on this number?(Required)

Yes

No

It would be helpful if you can give us some basic information about your delivery

Was your delivery (Please tick)(Required)

A vaginal delivery

A vaginal delivery with instrumental assistance (for example forceps)

Were you induced

Elective caesarean section

Emergency caesarean section

Place of delivery(Required)

Date of delivery(Required)

Month

Day

Year

Can you give us an idea of the most important thing for you that you would like to address in Pregnancy and Birth Reflections (tick as many options as feels relevant)(Required)

I have some questions about my delivery and would like to work through my experience with a senior midwife so that I can understand what happened

I am happy with my delivery and midwifery care but I have specific medical questions and would like a medical consultation

I am uncertain about a future pregnancy and would like some reassurance that I could have a preconception discussion at an appropriate time

I am unhappy about aspect(s) of my care and I would like the opportunity to talk about them

This is my first pregnancy and I am anxious around the birth

Please note you must be six weeks postnatal or your referral will not be processed.

In your own words, please tell us a little about your birth experience and what you would hope to gain from a Birth Reflections discussion(Required)

Consent(Required)

I can confirm that I have read and accept and understood the HDFT NHS Foundation Trust privacy policy.

In this section

Just found out you are pregnant?
Early Pregnancy Assessment Unit (EPAU)
Your Maternity Care
Community Midwifery Services
Screening Tests
Public Health and Wellbeing
Maternity Assessment Centre
Parent education
Special Care Baby Unit (SCBU)
Maternity Bereavement Services
Maternity Tour
Pregnancy and Birth Reflections Service
Maternity Research
Feedback on maternity services
Maternity and Neonatal Voices Partnership (MNVP)
Maternity Resources

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