Author: Deannie Harris

Significant Information about baby/birth
Baby’s name _____________________________
Significance of name _____________________
Where were they born ______________________
Weight of baby ______________________________
Length of baby _______________________________
Time baby was born ___________________________________
Day baby was born ____________________________________
Was the baby full term, premature or over due? ___________________
How was baby born i.e. natural labour, elective C-Section or emergency C– Section? _____________________________________________
Who was present at the birth? ____________________________
Any other information ____________________________________

Questions for contact centre
Was the baby in a breech position? ___________________________
Who cut the umbilical cord? ______________________________
Any problems during pregnancy? ________________________
_________________________________________________
Who was present at the birth? ___________________________
Who does the baby look like?____________________________
Were they breast fed or bottle fed? _______________________
Who changed the first nappy? ___________________________
Did the baby have a comforter? __________________
First word?__________________________________
When did they crawl? ___________________________
When did they start to walk? _______________________