New Mother Experience Form

The New Mother Experience Form is a tool that allows mothers to rate their childbirth experience and pinpoint areas that may have been difficult or challenging. The form is designed to help mothers communicate their needs and expectations to their care providers, and to help identify areas where additional support may be necessary.

1 minute to complete


All mothers who have given birth within the past 12 months are eligible to fill out the New Mother Experience Form.


Questions for New Mother Experience Form



How was your overall experience with childbirth?

The answer should be a single choice:

    Did you feel like you had enough support during labor and delivery?

    The answer should be a single choice:
    1. Yes
    2. No

    Was there anything about the labor and delivery process that was particularly challenging or difficult for you?

    The answer should be a single choice:
    1. Yes
    2. No

    How are you feeling now that you are a mother?

    The answer should be a single choice:
    1. Good
    2. Bad

    Is there anything you feel you need help with or additional support with now that you are a mother?

    The answer should be a single choice:
    1. Yes
    2. No

    Forms Similar to New Mother Experience Form

    • New Parent Experience Form
    • New Baby Experience Form
    • New Infant Experience Form
    • First
    • Time Parent Experience Form

    Here are some FAQs and additional information
    New Mother Experience Form

    How long will the mother be in the hospital after giving birth?

    The hospital stay for mothers who have delivered vaginally is typically shorter than for those who have delivered via cesarean section. Most mothers who deliver vaginally will stay in the hospital for two to three days, while those who deliver via cesarean section will usually stay for three to four days.

    How often should the mother breastfeed her baby?

    It is recommended that newborns be fed every two to three hours, or around eight to 12 times per day.

    What are some common breastfeeding challenges?

    Common breastfeeding challenges include latching difficulties, sore nipples, and engorgement. Additionally, some mothers may experience low milk supply.

    How can a mother tell if her baby is getting enough milk?

    There are a few signs that mothers can look for to ensure that their baby is getting enough milk, such as weight gain, adequate wet and dirty diapers, and contentment after feedings.

    What should the mother do if she is having difficulty breastfeeding?

    If a mother is having difficulty breastfeeding, there are a number of resources that can help, including lactation consultants, support groups, and online forums.

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