Survey # 3

40 Day Survey – What care did you practice and how do you feel? Describe the details of care and lifestyle.

Participant Information

Participant ID#

Was any postpartum care offered to you from the hospital, birthing center staff, or your midwife?

YesNo

If yes, please explain what kind of care was offered.

Of all the care in this program, what kind of care would you like offered by hospital/birthing center staff or midwifery team?

Would it be valuable for nurses to learn how to offer this care in the hospital and/or a postpartum home outreach program?

YesNoNot sure

Did you bind yourself? If so, for how long?

Did you feel supported by family members in the home?

YesNo

If yes, please explain.

Did you receive support from outside of the home (doula, nurse, friends, family)?

YesNo

If yes, what kind of help did they offer?

Did you socialize outside of your home?

YesNo

If yes, how many times per week on average and with whom?

Are you breastfeeding?

YesNo

If yes, how long do you intend to continue?

Are you experiencing any discomfort or pain from the birth of your child or another cause?

Care Experience Feedback

What was your favorite part of this kind of care?

What was your least favorite part, or what would you change?

Do you and your family feel financially secure?

YesNoSomewhat

Please explain if you like

Do you think a mandatory paid maternity/family leave program would be beneficial for U.S. families?

YesNo

If yes, why?

Are you currently using hormonal contraception? (e.g., birth control pills, IUD)

YesNo

If yes, please specify

SECTION 1: Overall Experience

How often did you complete the daily activities in the past 3 weeks?

Daily (6–7 days/week)Most days (4–5 days/week)Some days (2–3 days/week)Rarely (0–1 day/week)Not at all

Overall, how helpful was the program?

12345

Would you recommend this program to a friend?

Yes, definitelyMaybeNo

SECTION 2: Recovery Check-In

Compared to before the program, using the scale 1 = much worse and 5 = much better

My physical recovery (energy, pain, mobility) is

12345

My sleep quality is

12345

My confidence caring for baby is

12345

My emotional well-being is

12345

I have been experiencing the following symptoms: (please mark all that apply)

Feeling depressed or void of feelingFeelings of hopelessnessLack of interest in the babyTrouble concentratingBrain feels foggyFeeling anxious or panickyFeeling angry or irritableDizziness or heart palpitationsNot able to sleep when baby sleepsExtreme worries or fears (including the health and safety of the baby)Flashbacks regarding the pregnancy or deliveryAvoiding things related to the deliveryScary and unwanted thoughtsFeeling an urge to repeat certain behaviors to reduce anxietyNeeding very little sleep while still functioningFeeling more energetic than usualSeeing images or hearing sounds that others cannot see/hearThoughts of harming yourself or the baby

Section 3: Edinburgh Postnatal Depression Scale

1. I have been able to laugh and see the funny side of things

As much as I always couldNot quite so much nowDefinitely not so much nowNot at all

2. I have looked forward with enjoyment to things

As much as I ever didRather less than I used toDefinitely less than I used toHardly at all

3. I have blamed myself unnecessarily

Yes, most of the timeYes, some of the timeNot very oftenNo, never

4. I have been anxious or worried

No, not at allHardly everYes, sometimesYes, very often

5. I have felt scared or panicky

Yes, quite a lotYes, sometimesNo, not muchNo, not at all

6. Things have been getting on top of me

Yes, most of the timeYes, sometimesNo, most of the timeNo, as well as ever

7. I have had difficulty sleeping

Yes, most of the timeYes, sometimesNot very oftenNo, not at all

8. I have felt sad or miserable

Yes, most of the timeYes, quite oftenNot very oftenNo, not at all

9. I have been crying

Yes, most of the timeYes, quite oftenOnly occasionallyNo, never

10. Thoughts of harming myself

Yes, quite oftenSometimesHardly everNever