subject: My birth plan template - one less thing you have to think about [print this page] My birth plan template - one less thing you have to think about
When I became pregnant I was very unsure of what to put in my birth plan, I wanted something simple but would get all my needs and worries met when I arrived in labour at the hospital. I read a lot of books and internet sites and I eventually came up with this plan that I felt helped me alot and I hope it can help some of you.
Birth plan for [insert your name here]Expected Due Date:[insert date here]
Birth partners to be
Primary Contact;
name - andnumber
Secondary Contact (only if Primary contact is not available);
name - andnumber
Induction
I would prefer not to be induced unless its for medical reasons only .
Labour
I want to be able to move around as much as possible and be out of bed.
I would like my birth partner to be with me at all times and not to leave me.
I would like to be able to take a bath.
I would like to drink fluids throughout the first stages of labour, and if possible eat light snacks.
I would like to keep the number of vaginal examinations to a minimum.
Forceps and vacuum extractor
Only to be used in an emergency (i.e. the baby's health is at risk)
Monitoring
I wish to have fetal monitoring throughout the labour.
Pain management
I wish to have pain medication available but only give it when its requested or for medical reasons.
I am happy to have all types of pain relief.
Episiotomy
I would rather not have an episiotomy unless its required for the baby's safety or to stop severe tearing.
Caesarean
If I need an emergency caesarean I wish my partner to be present at all times.
I wish to have an epidural or spinal for the anaesthesia .
If a full ga is needed I wish the baby to be handed to[ insert name here ]after the birth.
Post birth
I would like [insert name here ]to cut the umbilical cord .
I would like my baby given to me as soon as we know everything is ok with him.
I would like [insert name here] to be able to take pictures of the baby.
I plan to breastfeed my baby and would like to be able to as soon as possible .
I would like to go home as soon as possible after the birth.