1. 1 Questionnaire on health services that look after you when you are pregnant and after your baby is born. We want to know what you think about the health services that look after you when you are pregnant and after your baby is born. This questionnaire has 3 parts. Part 1 is questions about health services that look after you when you are pregnant and after your baby is born. We want to know what you think. Part 2 is for any women to answer that can have a child. Part 3 is a few questions about you. Some people will need someone to support them to go through this information so that they understand it.

2. 2 Part 1 is questions about health services that look after you when you are pregnant and after your baby is born. We want to know what you think. These questions can be answered by everybody. Please tick a box for each of these questions 1.How important do you think it is to have safe services to look after you and your baby through pregnancy and after your baby is born? 2. How important do you think it is to have midwife clinics close to your home? A midwife clinic is a place where you can see nurses and doctors who know all about pregnancy, babies and giving birth. Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

3. 3 3. How important do you think it is to have scans before you give birth close to your home? Scans are tests nurses do to see if your baby is healthy. 4. Sometimes you may need to see a midwife to check the health of you and your baby before your baby is born. A midwife is a nurse who knows all about caring for you and your baby through pregnancy and afterwards. How important do you think it is to be able to see them at opening hours different to 9:00am to 5:00pm, Monday to Friday? Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

4. 4 5. How important do you think it is to have your baby close to your home? 6. How important do you think it is to have someone care for you, after you have had your baby, close to your home? Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

5. 5 7. Sometimes you may need to see a midwife to check your health and the health of your baby after it is born. A midwife is a nurse who knows all about caring for you and your baby though pregnancy and afterwards. How important do you think it is to have longer opening hours different to 9:00am to 5:00pm, Monday to Friday? 8. How important do you think it is to have doctors, midwives and medical equipment close by when you have your baby? Medical equipment can be things like: A monitor to hear your babies heart beat. A monitor to check your blood pressure. Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

6. 6 9. How important do you think it is that you are given information about things that can happen to you or your baby ? This can be information like: What will happen if you baby is early 10. How important do you think it is to have the best care for you and your baby and the best care for people having babies after you? Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

7. 7 11. If you have twins how important do you think it is that they stay together if they both need special care? 12. How important do you think it is that you are told about all the people and places that are available to you to look after your baby where you have given birth? Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

8. 8 Please tick a box for each of these questions. This part of the questionnaire is about getting to a clinic to see a midwife. A midwife is a nurse who knows all about caring for you and your baby through pregnancy and afterwards. We want to know how far you would be willing to travel to see a midwife. 13. To go to a midwife clinic I will be happy to travel as far as 5 miles5 to 10 miles 11 to 25 miles 50 miles and more 25 to 50 miles Part 2 This part of the questionnaire is for women who are at an age where they can have babies. You do not have to fill them in if you are not at an age where you can have children.

9. 9 14. To have my scan, I will be happy to travel as far as 15. To have my baby, I will be happy to travel as far as 5 miles5 to 10 miles 11 to 25 miles 50 miles and more 25 to 50 miles 5 miles5 to 10 miles 11 to 25 miles 50 miles and more 25 to 50 miles

10. 10 16. If your doctor says it is safe, how important is it to you to give birth at home? 17. Sometimes if there are problems you or your baby will need extra help. You may need help: from baby doctors, with controlling the pain or with having your baby. How important is it to you that you are able to have these close by. Very importantQuite important Not very importantNot important at all Very importantQuite important Not very importantNot important at all

11. 11 18. You have the choice to have your baby where you want to. In some places baby doctors and extra support might not be available straight away. How long would you be willing to wait to get them to you? 19. Have you already had a baby? 10 Minutes or less10 to 20 minutes 20 to 30 minutes30 to 40 minutes 40 minutes or more Yes No

12. 12 20. If you decide to have more babies where would you choose to give birth? 21. Your doctor may tell you that it is safe for you to have your baby out of the hospital. Would you like to try different ways to give birth? Please tick all the ones you like. At homeAt the big hospitals A the midwife unit or small community hospital A birthing pool which is having your baby in water. An active birth which is about trying different positions and keep moving during birth. Alternative therapies which is about using massage and candles to make you feel better.

13. 13 22. If your baby is unwell after it is born, you may need special care. How far would you be willing to travel to get the best care for your baby? 5 miles5 to 10 miles 11 to 25 miles 50 miles and more 25 to 50 miles

14. 14 Please tick 23. Are you: 24. How old are you? Man Women I do not want to say Part 3 Please fill out this part of the questionnaire to tell us more about you. This information you provide will be kept in accordance with the terms of Data Protection Acts 1998 and 2000. Under 16 16 to 24 25 to 34 35 to 59 60 to 74 75 and over I do not want to say

15. 15 25. What us your ethnic group? 26. Do you have a disability? Asian or Asian British Black or Black British Chinese Mixed or dual heritage White Other ethnic group Yes No

16. 16 27. Sexual orientation? 28. Religion and belief? LE10 29. Please write down the first four letters or numbers of your home postcode. 30. Is there anything else you want to tell us? I don’t have a religion Bahai Buddhist Christian Hindu Jewish Sikh Muslim Other (please say) I do not want to say Bisexual Heterosexual Transgender Gay Lesbian I do not want to say

17. 17 Thank you for completing this questionnaire. Please return by email to: jo.lilley@lcr.nhs.uk or send to the freepostjo.lilley@lcr.nhs.uk address below by 30 November 2009. Freepost Address: Communications and Engagement FREEPOST RRHS-EUHR-LCZA NHS Leicestershire County and Rutland Lakeside House, 4 Smith Way Grove Park Enderby Leicestershire LE19 1SS This questionnaire has been put together by the National Health Service in Leicester, Leicestershire and Rutland. Thank you to the easy write team who helped to put this information together. This document has been easy read approved.