booking | Small Acorn

What would you like to book?

What flavour would you like?*

Private
Group

A package or a course?*

Not sure which one you need? Have look here.

Package
Course

This Package includes:
1 x Small Acorn Antenatal Course
1 x Mummy Mothering Session
1 x Block of 5 Aquanatal Classes

PLEASE NOTE: Booking for Aquanatal Yoga classes is completed through Turtle Tums, details will be sent once your booking is confirmed.

Add a Mummy Mothering session?*

PLEASE NOTE: This is currently only available if you are booking or have already completed a Small Acorn antenatal course.

Yes
No

Which month would you like to attend?*

About Mum

Name*

First Last

Date of Birth*

Occupation*

Email*

Phone*

Address*

Address Line 1 Address Line 2 City County Post Code

Is this your*

First Pregnancy
Second Pregnancy
Third (or more) Pregnancy

Have you experienced birth before?*

Yes
No

Please share your experience(s)

Please provide any information you feel is relevant including any medical intervention or pain relief used and how you felt or still feel about your experience.The more information you can provide, the better we can help you.

Are you happy to talk about your previous births in a group environment*

Yes
No

If you are comfortble, please share your experience(s)

Please provide any information you feel is relevant including any conditions, medical procedures etc. The more information you can provide, the better we can help you.

Are you happy to talk about your previous pregnancies in a group environment*

Yes
No

Estimated Due Date*

What hospital are you with?*

Preferred place of birth*

Delivery Suite / Labour Ward
Birth Centre / Midwife Led Unit
At Home
Not Sure / Undecided

Reason for above choice

About Dad (or Birth Partner)

Dad's (or Birth Partner's) Name*

First Last

Relationship to Mum*

Please specify the relationship to Mum*

Date of Birth

Occupation*

Email*

Phone

Your Birth

How do you feel about the following options

Gas and Air*

I wish to...

Use
Avoid
No preference

Pethidine*

I wish to...

Use
Avoid
No preference

Epidural*

I wish to...

Use
Avoid
Undecided

Birth pool*

I wish to...

Use
Avoid
Undecided

If you were to use a birth pool, when would you like to use it*

During Labour
During Birth
Third Stage (placenta delivery)

Select as many as you require

Are you happy to talk abot your birth preferences in a group environment*

Yes
No

Caring for your baby

Your feeding intentions are to*

Breastfeed
Bottle feed
Mix feed (breast and bottle)

Bottle feed using*

Please select all that apply

Expressed/Pumped Breastmilk
Donor milk
Formula
A combination of the above (please select them as well)
Would like more information before deciding

Are you happy to talk about your feeding preferences in a group environment*

Yes
No

Your intended sleeping arrangements are*

Bedshare - baby in bed with you or alongside crib/cot
Co-sleep - baby in same room but own crib/cot
Baby in a separate room
Would like more information before deciding

Are you happy to talk about your sleeping arrangements in a group environment*

Yes
No

Have you considered baby wearing?*

Yes
No
Undecided
Would like more information before deciding

Mummy Mothering

Our first priority is to ensure Mum's needs are being met and she is confident in her new role as a mother. In addition to this we can discuss the following subjects:

How family and friends can best support you*