www.midwiferybooks.com - Share Techniques

SHARE TECHNIQUES

Share a specific technique with other midwives via future editions of a publication.

In the process of writing and revising my books for independent midwives and out-of-hospital birth settings I would like to include as many valid techniques from as wide a variety of midwives as possible. If you have any particular "tricks of the trade" you would like to share, I would appreciate your filling out this questionnaire. Please include your address & phone number in case I have questions, although inclusion of these personal details is entirely optional.

Required = *

Your Name *

Your E-mail *

Phone *

International Phone Code

Fax

Your Address

City

State

Country

Zip(Postal Code)

Please indicate the book or other material to which you feel this information is most applicable:
(you may select more than one by holding down the shift key)

Please name your technique or procedure:

Is it used

Describe, in as much detail as possible, how you perform or use this technique/procedure (please fax pictures if appropriate to 503-255-1474):

Exactly under what circumstances do you recommend its use?

Are there any contradications to its use? (if so, please describe)

Please describe any risks of its use either from the procedure itself or as a result of using it? Side effects?

Approximately how many times have you attempted/used this procedure?

How many times out of the above total was it successful?

How many times was it unsuccessful?

To what do you attribute this lack of success?

How many times were the results equivocal, that is, you couldn't tell if it worked or not?

How many times have you run into risks as described above?

Which ones?

Did you learn this technique from another midwife?
Yes No
If so, did you modify the technique in any way as you learned to use it in your practice? Yes No

I would like to credit all contributors to the book if they so desire. Please describe exactly how you like to be credited in the book. May others call you to discuss your technique? Is so, may I include your address or phone number? If you desire to remain anonymous, I will use the details as you have given them but will not mention your name or where you are from. Thank you for your time in answering this questionnaire.