Birth Skills Course Bookings

To apply for the Birth Skills Course, please fill in the following form to book a place. I will contact you by mail when I can confirm your place. All courses are conducted as two night intensives, with your attendance being in the last trimester of pregnancy. The cost is $350.00 and payable in advance (always repaid in full if you are having a Caesarean, no longer need the course and inform me of this by email before the first class). The course fee will be requested by mail on notification of confirmation.

In the mean time, make sure you take advantage of all your hospital classes, safely enjoy your exercise activities ( after 12 weeks of pregnancy or 14 weeks if you have had bleeding, but please check with your doctor for individual guidelines) and book into your couples’ ante natal classes. I'd prefer you to have completed your general couples ante natal course or to have read my book Birth Skills (with Sarah Murdoch) BEFORE you commence the Birth Skills intensive course.

Please note, this Birth Skills course is not a couples course, it is for the woman only and complements the hospital or community based couple's ante natal course. The focus in the Birth Skills course is on the PRACTICAL pain management tools and techniques to help you throughout labour. Both the first and the second stages of labour are addressed.

Birth Skills, a labour pain management manual, is excellent pre and post reading for my course. It is available from all good bookstores or the Allen and Unwin or Angus and Robertson websites. It retails for around $39.99. The authors are myself and Sarah Murdoch, published in 2007 in Sydney.

Class confirmations will be taken in order of booking dates on form. Please notify me by email if you change your address and phone numbers or wish to cancel.

Please fill in the following form to book attendance at Juju's classes:

First Name:
Last Name:
Email Address:
Address:
Home Phone:
Work Phone:
Mobile Phone:
Name of Obstetrician:
Name of Midwife:
Name of Hospital or Birth Centre:
Is this your first/second/third/more births?:
Due date of delivery:
Health Fund:
Occupation:
Have you experienced any bleeding?	Yes No
Do you have a history of miscarriage?	Yes No
Do you take any medication?	Yes No	Details:
Have you had knee, shoulder, ankle reconstruction?	Yes No	Details:
Have you had previous whiplash injuries?	Yes No	Details:
Have you had problems in previous pregnancy?	Yes No	Details:
Have you had problems with previous labour?	Yes No	Details:
Are you expecting twins?	Yes No
Are you expecting vaginal delivery?	Yes No
Have you had a Caesarean previously?	Yes No
Is your blood pressure OK?	Yes No
Have you attended my classes previously?	Yes No	When:
Source of referral to my course:
Have you already booked into hospital / birth centre?	Yes No
Have you already booked your couple's ante natal course?	Yes No
What exercise activities will you be doing in the pregnancy?