Client Code:CDP717

CDP Data Collection Form

EDD: 02/21/2022

First Pregnancy?
  • Yes

Where did the client give birth? Newport Hospital

Date of Referral: 11/22/2021

Doula: Anna Doughty

Meet and Greet Date: 11/25/2021

Method: Phone

Date of 1st Prenatal: 12/12/2021

1st Prenatal Attended By: Anna, Amy

Location of 1st Prenatal: zoom

Time: 1


Pain relief methods, birth plan, health during pregnancy, concerns for birth, hopes & fears for the pregnancy.

Date of 2nd Prenatal: 01/30/2022

2nd Prenatal Attended By: Anna, Amy, Josh

Location of 2nd Prenatal: client residence

Time: 1.5


Coping skills, strengths of birthing person and partner, support postpartum, recovery.

Total Prenatal Hours With Client: 3.5

Date of Doula Arrival: 02/13/2022

Time of Doula Arrival: 23:30

Date of Doula Departure: 02/14/2022

Time of Doula Departure: 06:15

Client birthed? Yes

Total Hours With Client: 7

Date of 1st Postpartum: 03/12/2022

1st Postpartum Attended By: Anna, Amy, Josh

Location of 1st Postpartum: zoom

Time: 1


Breastfeeding (tongue tie and latch issues); sleep and eating for mom; mom's emotional connection with baby. Mom felt she was lacking emotional support, offered encouragement and advice about that.

Date of 2nd Postpartum: 04/04/2022

2nd Postpartum Attended By: Anna, Amy

Location of 2nd Postpartum: zoom

Time: 1.5


Talked about disappointments about the birth, client felt talked into the epidural by the doctor, she noted the epidural had a negative effect on her labor both mentally and physically, noted that she had no regrets but it wasn't her ideal.

Total Postpartum Hours With Client: 2.5

Date of Additional Visit 1: 04/26/2022

# of telehealth/in person visits during course of care: 5

# of text messages during course of care: 16

# of phone calls during course of care: 3

# of emails during course of care: 20

Date Created: July 12, 2022