.
pain relief during childbirth
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
Start
Secured
Survio
Create a survey
1
what types of pain relief options were offered during your labour
Select one or more answers
Epidural
Pethidine
morphine
Nitrous oxide (laughing gas)
2
Were you offered any alternative pain relief options? if so which ones
aromatherapy
massage
acupuncture
water birth
3
we’re you offered any techniques to help the labour process?
Select one or more answers
Physical exercises i.e Positions, ball
No
4
did the techniques offered to you help reduce your pain?
if so how much on a scale of 1-10
1-5
6-10
no
5
Did the labour techniques help make your birthing experience go more smoothly
techniques such as breathing exercises or aromatherapy- scale of one to ten
1-5
6-10
no
6
How long was your hospital stay?
7
How long were you in labour?
8
How strong were your contractions?
On a scale of one to ten
1-5
6-10
9
How would you rate your pain tolerance?
Select one or more answers
High
Low
Neutral
10
Did you have an epidural?
Select one answer
Yes
No
11
Did you have a C-Section?
Select one answer
Yes
No
12
Were your nutritional needs met before and during labour?
enough water and food etc
Yes- enough water and food
No
Enough food
Enough water
Submit
Create a survey