Birth Stats

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Doula Hotline 512.931.4404
Inquiries: 8am - 8pm Labor: 24/7

Doula

Client's Name

Date of Baby's Birth

Delivering Dr/Midwife

Name of Hospital, Birth Center or Home

Support Type

Duraction of active labor (in hours; from 4 to 10 cm)

Duration of Doula Presence (in hours)

Baby Number

Check all that apply:

Induction

Augmentation

Pitocin

Cervidil

Cytotec

Foley bulb

SROM

AROM

Epidural

IV Narcotics

Nitrous

Sterile Water Papules

Unmedicated

Vaginal

C-Section

C-Section - Scheduled

General Anesthesia

Forceps

Vacuum

VBAC Attempt (select outcome)

Episiotomy

3rd degree laceration

4th degree laceration

Transfer in labor

Twins

Thanks for submitting birth stats!

Serving Austin, TX, area

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