Client Code:CDP667

CDP Data Collection Form

EDD: 11/03/2021

First Pregnancy?
  • Yes

Where did the client give birth? Corvallis

Provider: Eliza Cooley

Primary Insurance: IHN

Priority Medicaid Populations (check all that apply):
  • Limited/No English

Date of Referral: 08/24/2021

Doula: Heidi Donahue

Meet and Greet Date: 09/14/2021

Method: phone

Date of 1st Prenatal: 09/18/2021

1st Prenatal Attended By: Holly, Heidi Donahue

Location of 1st Prenatal: clients home

Time: 1.5


referred to healthy families.
spoke about what kind of support they have (the only support she has in her boyfriend) asked what kind of support from me would be helpful
discussed role of a doula and what we do/do not do
talked about fears/anxieties surrounding birth
went into her family history and spoke about the death of her mom and rough upbringing and reasons for zero outside family support

Date of 2nd Prenatal: 10/20/2021

2nd Prenatal Attended By: Holly, Dustin, Heidi Donahue

Location of 2nd Prenatal: clients home

Time: 2 hours


met Hollys partner dustin, he is super excited for August to arrive and was eager to hear about what kind of support I can offer during labor/birth. would love some guidance of how to help her manage during labor.
worked on a birth plan, but she is super flexible. they both have a lot of trust in her provider and will do whatever she thinks is best.
talked about how distraction during pain works best for her.
plans to use epidural for pain management, open to IV meds for pain is she is struggling before she wants an epidural. wants to use hydro therapy and massage as well.
talked through when to call me and when I can meet them during the labor process.

Total Prenatal Hours With Client: 4.5

Date of Doula Arrival: 10/30/2021

Time of Doula Arrival: 19:30

Birth Attended By: Emily Yeast

Date of Doula Departure: 10/31/2021

Time of Doula Departure: 20:00

Client birthed? Yes

Total Hours With Client: 23.5

Date of 1st Postpartum: 11/04/2021

1st Postpartum Attended By: Heidi Donahue

Location of 1st Postpartum: phone

Time: 45 mins


Baby Gus was admitted to Albany hospital for light therapy for Hugh Bilirubin levels. talked with Holly about how that was going and how she was feeling emotionally. she is in awesome spirits. talked about how her body is feeling and how her stitches are feeling from her tearing at birth. she says she feels pretty good, just tired. talked through breastfeeding challenges/successes.
she still has her sense of humor which is great! she is just ready to get home with Little Gus

Date of 2nd Postpartum: 11/10/2021

2nd Postpartum Attended By: Heidi Donahue

Location of 2nd Postpartum: clients home

Time: 2 hours


asked about if she was planning to work with healthy families since I put in a referral for her during the prenatal visits and she said no, she decided not to do it for now.
Little Gus is doing great, they had just come back from his pediatrician appt and his bilirubin levels continue to decrease and holly and dustin aren't concerned and they both think he is doing wonderfully. they are SO in love with Little Gus, and getting to see how great of a partner Dustin is being to Holly by helping her and taking care of Gus is amazing. Holly feels great physically and emotionally, and she is just glowing and so happy. they talked about their routine since coming home and how they are taking turns with sleep etc.
Gus seems to be doing a lot better with breastfeeding and has passed his birth weight now.
she processed some of her birth story with me as well, and filled me in on the birthing part that I wasn't there for.

Total Postpartum Hours With Client: 3

# of telehealth/in person visits during course of care: 4

# of text messages during course of care: 40

# of phone calls during course of care: 2

# of emails during course of care: 0

Date Created: November 11, 2021