Developing Your Birth Plan

Developing your personal birth plan gives you a chance to think about, and discuss with your primary support person and your caregiver, how you’d like your baby’s birth to be handled. It’s not possible to control every aspect of labor and delivery, but if you develop a plan and have a printed document available for those supporting and caring for you, it’s easier for them to follow your wishes if possible. Remember that the birth plan is just a guideline. Your birth plan may state that you wish to labor naturally, without medication; however, once you’re in labor, you may change your mind. That’s okay. We want to provide you, your support person, and your baby with the best experience possible. We will follow your birth plan if possible, but your safety and the safety of your baby may require an unexpected change to your birth experience.

Below are some common birth plan options to help you customize your own plan. 

Labor and Delivery

Preparation

  • Mobility – I would prefer to walk around
  • Fetal monitoring
    • I would prefer continuous fetal monitoring
    • I would prefer intermittent fetal monitoring if I meet the criteria 
  • Nurse presence – I would like the nurse present at bedside during labor
  • Water
    • I would like the option of laboring in the tub if I meet the criteria
    • I would like to use the massaging shower for comfort during labor
  • Placenta – I would like the option of taking my placenta home after delivery unless it is needed for medical testing 

Anesthesia/pain medication

  • I would prefer to labor without pain medication – I will ask if I would like something for pain (please do not ask me)
  • I would like to try IV pain relief medications before trying an epidural
  • I would like an epidural 

Environment/comfort and relaxation aids

  • Visitors 
    • I would like help with limiting my visitors
    • I would like my children to be present; I understand that another adult must supervise children under 16
  • Lighting – I would prefer dim lighting
  • Music – I would like music therapy using my own music choice
  • Aromatherapy – I would like to use essential oils
  • Massage – I would like a massage by a massage therapist; I understand this should be scheduled in advance, and I will be responsible for payment to the therapist

Equipment 

I would like the following equipment available to me:

  • birthing ball or peanut ball
  • hydrotherapy tub (based on availability)
  • massaging shower
  • squat bar/kneeler 

During labor and birth

  • Labor 
    • I do not want to be separated from my primary support person during labor or birth.
    • I would prefer to labor naturally unless interventions are medically necessary.
  • Pushing
    • I would like for my support person to support my legs when I push.
    • I would like to use the squat bar during pushing.
    • I would like to try different positions during pushing.
    • I would like to wait to push until I feel the urge.
  • Birthing
    • I would like a mirror available so I can view the birth.
    • I would like to be able to touch my baby’s head when it crowns.
  • Umbilical cord
    • My partner would like to cut the cord.
    • I would like cord clamping delayed if it meets medical criteria.
  • Mother-child bonding
    • I would like to enhance bonding with my baby by having the baby placed skin-to-skin with me immediately after birth, providing my baby is stable.
    • I would like to breastfeed immediately after delivery.
  • Medical assessment – I would like for my baby’s first assessment to be done in my presence or that ofmy support person.

Postpartum

After birth

  • Discharge – I would like to be discharged at 24 hours post-delivery as long as my baby’s doctor can see my baby on the following day and my baby is healthy enough to go home.
  • Pain medication – Please offer my pain medication when it is due; I prefer not to have to ask for it.
  • Comfort – I would like to shower before I move to the postpartum room.
  • Nursing – I would like a nurse to check on me every hour while I’m awake.
  • Circumcision
    • I plan on having my child circumcised.
    • I do not plan on having my child circumcised.
  • Visitors – I would like help to limit my visitors during my stay. 

Feeding and comfort methods

  • Feeding options
    • I plan on breastfeeding.
    • I do not want my baby given any formula unless medically necessary and with my consent.
    • If my baby requires supplementation, I am interested in an alternative feeding method other than a bottle.
    • I plan on bottle-feeding.
  • I would like to see a lactation specialist.
  • I prefer my baby not have a pacifier.

Night-time plan

  • Pain medication – If I’m sleeping, please do not wake me to offer pain medication.
  • Visitors – I would like my support person to stay with me during the night.
  • Nursing – I would like to participate in the discussion of my plan of care; please wake me if I am sleeping at shift change.

Your birth plan can be as extensive or short as you would like it to be, but it’s important that you share it with your support person and your doctor, nurse or midwife so everyone understands what you want and can help you have the best possible birthing experience. If you have any questions about developing a birth plan, talk with your provider. 

Download our birth plan template to get started.