Client Code:CDP612
CDP Data Collection Form
EDD: 12/09/2021
First Pregnancy? - Yes
Where did the client give birth? Corvallis hospital
Provider: Maggie (Midwife)
Primary Insurance: IHN
Priority Medicaid Populations (check all that apply): - Under 21 yrs. of age
- Limited/No family support
Date of Referral: 11/17/2021
Doula: Heidi Donahue
Meet and Greet Date: 12/22/2021
Method: phone
Date of 1st Prenatal: 10/02/2021
1st Prenatal Attended By: Miranda tasker
Location of 1st Prenatal: phone
Time: 45 mins
Date of 2nd Prenatal: 11/18/2021
2nd Prenatal Attended By: Heidi Donahue
Location of 2nd Prenatal: zoom
Time: 1 hour
Notes:
talked through clients desires for her birth, wrote out a birth plan. explained my role as a doula, what I do/do not do. talked through boyfriends fears and nervousness, he asked multiple questions and is afraid of passing out and so we talked through how I could help him during the labor process and be there for Maggie if he needs to sit out etc.
offered the healthy families program, they said they weren't interested.
asked if they felt like they had everything they needed, or if any referrals would be beneficial.
talked with Maggie about her plans for feeding baby.
Total Prenatal Hours With Client: 3 hrs
Date of Doula Arrival: 11/29/2021
Time of Doula Arrival: 16:00
Name of hospital staff adding your arrival time to the chart notes: Chris RN
Birth Attended By: Heidi Donahue
Date of Doula Departure: 11/29/2021
Time of Doula Departure: 00:00
Name of hospital staff adding your arrival time to chart notes: Maggie CNM
Client birthed? Yes
Total Hours With Client: 8 hrs
Date of 1st Postpartum: 12/08/2021
1st Postpartum Attended By: Heidi Donahue
Location of 1st Postpartum: clients home
Time: 1.75 hrs
Notes:
talked for quite awhile about breastfeeding success and challenges. asked about her healing from the birth, how she was feeling emotionally, etc. talked with her partner as well, about how he is handling the new role of father. Maggie asked general newborn questions. asked again about healthy families referral and she felt she didn't need it,
Date of 2nd Postpartum: 12/17/2021
2nd Postpartum Attended By: Heidi Donahue
Location of 2nd Postpartum: phone
Time: 1 hour
Notes:
general new born questions, client was having issues with her milk supply so I talked her through some things she could try and encouraged her to reach out to the LC at the hospital or her pediatricians office.