CDP Data Collection Form
Where did the client give birth? Peacehealth Riverbend, Eugene
Primary Insurance: Oregon Health Plan- IHN
Priority Medicaid Populations (check all that apply):
- Medically high risk
Date of Referral: 09/14/2021
Doula: Lynsey Hostetter
Meet and Greet Date: 09/16/2021
Date of 1st Prenatal: 09/16/2021
1st Prenatal Attended By: Doula, client, client's partner
Location of 1st Prenatal: Phone
Previous birth experience and complications; current pregnancy and high-risk status. Breanna's hopes and desires for her upcoming birth, expectations and worries about this birth. Planned birth location and providers, husband's role in previous birth and the upcoming birth, and how he can best support her. Status of most current labs and speculation by providers on high risk pregnancy status.
Total Prenatal Hours With Client: 1hr
Date of 1st Postpartum: 11/03/2021
1st Postpartum Attended By: Doula, client, client's partner
Location of 1st Postpartum: Client's home
Time: 1.5 hours
Breanna's emergency cesarean (I was unable to attend) and her experience with that; her baby's stay in the NICU; how her healing from cesarean is progressing. Adjusting to life with a toddler and a newborn, work/life balance during recovery from childbirth. Her baby's continued medical issues and hope for resolution of those issues. Discussed her bleeding, breastfeeding journey, how much rest and nutrition she has been able to get.
Date of 2nd Postpartum: 11/17/2021
2nd Postpartum Attended By: Doula, client, client's partner
Location of 2nd Postpartum: Client's home
Time: 1.5 hours
Breanna's baby's continued medical care; Breanna's level of stress/fatigue around selling their home and moving along with postpartum life adjustments. Discussed her level of support from family and friends and made resource recommendations for connecting with other moms of young ones. Breanna declined EPDS, but we addressed her mental health and how she felt it was in a good place. Discussed how to balance life caring for a toddler and newborn, and the family's near future plans to move out of state.