
A birth plan is a record of your preferences for labour, birth, and after the birth. It is a way to express what you feel is important to your health team and your partner. It is a great way to prepare for childbirth, especially for first-time mothers, as it helps to ease anxiety and gives you some control over your childbirth experience. You can choose to write down your birth plan or simply discuss it with your healthcare provider. It is important to be flexible as childbirth is unpredictable, and situations can change quickly.
| Characteristics | Values |
|---|---|
| Purpose | To outline what you would like to happen during labour, birth, and after the birth. |
| Benefits | Helps you get educated and organized about your options and preferences; allows you to express what you feel is important to your health team and your partner; helps create an ongoing dialogue with your healthcare provider and nursing team. |
| Format | Ideally, a one-page document with key headings and bullet points; some hospitals may provide a template. |
| Contents | Pain management, fetal monitoring, IV vs. oral intake, feeding baby, birthing tools, postpartum experience, etc. |
| Limitations | May be limited by doctor's philosophy and hospital policy; some hospitals may restrict the number of people present in the delivery room or prohibit videotaping. |
| Flexibility | Be prepared for changes as the situation dictates; you can change your mind about your wishes at any time. |
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What You'll Learn

Outline your wishes for labour, birth, and after birth
A birth plan is a record of your wishes for labour, birth, and after the birth. It is a great way to express what you feel is important to your health team and your partner. It is also a good idea to have back-up plans in case the unexpected occurs.
- Would you like to be able to move around as you wish during labour?
- Would you like to be able to drink fluids during labour? If so, would you prefer an intravenous (IV) line for fluids and medications or a heparin or saline lock?
- Would you like to try a birthing ball, stool, chair, or squat bar?
- Would you like access to a warm shower or bath during labour? (Note that this would only be an option during the first stage of labour, not during delivery.)
- Would you like anaesthesia offered to you during labour, or would you prefer to discuss the options first?
- Would you like to use a mirror to see the baby's birth?
- Would you like your labour partner to help support you during the pushing stage?
- Would you like the room to be quiet?
- Would you like one of your support people to cut the umbilical cord?
- Would you like the lights dimmed?
- Would you like one of your support people to take a video or pictures of the birth? (Note that some hospitals have policies prohibiting this.)
- Would you like your baby to be put directly onto your chest immediately after delivery?
- Would you like to begin breastfeeding as soon as possible after birth?
- In the event of a cesarean delivery, would you like a specific person to be present with you?
- Would you like to see your baby before your baby is given eye drops?
- Who will be driving you and your baby home from the hospital?
- What are your plans for feeding your baby?
- What are your plans for your baby's care after birth?
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Discuss with your healthcare provider
A birth plan is a valuable tool to help you communicate your preferences for labour, birth, and after the birth to your healthcare provider. It is a document that outlines your wishes and expectations, and it is important to discuss it with your healthcare provider to ensure everyone is on the same page. Here are some things to consider when discussing your birth plan with your healthcare provider:
Labour and Delivery Options
Discuss your preferences for labour and delivery with your healthcare provider. This includes things such as your desired pain management techniques, your desired level of mobility during labour, and your preferences for hydration and nutrition. For example, would you prefer an intravenous (IV) line for fluids and medications, or a heparin or saline lock? Discuss the pros and cons of each option with your healthcare provider to make an informed decision.
Pain Management
Pain management is an important aspect of your birth plan. Discuss your options with your healthcare provider, including pharmacological and non-pharmacological methods. Consider your preferences for an epidural, and whether you would like to try alternative pain relief methods such as a birthing ball, stool, or warm shower. Remember to be flexible, as some options may not be available or suitable during your labour.
Medical Procedures
Discuss any medical procedures that may be necessary during labour and delivery, such as an episiotomy or enema. Ask your healthcare provider about the risks and benefits of each procedure and whether they are routine practices in the hospital where you will be delivering. Express your preferences and concerns, and be sure to ask any questions you may have. Remember that some procedures may be necessary for the safety of you and your baby.
Birth Environment
Consider the environment in which you would like to give birth. Discuss your preferences for lighting, noise level, and the presence of certain people with your healthcare provider. Some hospitals have policies regarding the number of people allowed in the delivery room and the use of video or photography during delivery. Respect the hospital's policies while also advocating for your wishes.
Postpartum Care
Your birth plan should also include your preferences for postpartum care. Discuss your plans for feeding your baby, such as breastfeeding or formula feeding, and any cultural practices or rituals you would like to incorporate. Additionally, consider your preferences for postpartum recovery, such as the type of pain management and the length of your hospital stay.
Remember, your birth plan is a living document, and it is important to remain flexible as unexpected situations may arise. Work collaboratively with your healthcare provider to ensure that your plan aligns with your wishes while also prioritising the safety and well-being of you and your baby.
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Detail your pain management preferences
A birth plan is a record of what you would like to happen during labour, birth, and after the birth. It covers every aspect of your labour, birth, and recovery experience, as well as the care your newborn receives. It is a great way to express what you feel is important to your health team and your partner. It is a good idea to keep a copy of your birth plan with you so you can show your midwife when you're in labour.
It is important to outline your pain management preferences in your birth plan. This will help your medical team understand your wishes and provide appropriate care. Here are some things to consider when detailing your pain management preferences:
- Anesthesia: Decide if you would like anaesthesia offered to you during labour. You can choose to have it readily available, request to discuss the options, or decide that you do not want it unless specifically requested. Understanding the various types of anaesthesia and their effects will help you make an informed decision.
- Non-pharmacological methods: Consider including non-pharmacological methods for pain relief, such as breathing techniques, relaxation techniques, massage, or the use of a birthing ball, stool, chair, or squat bar. These methods can be highly effective for some individuals and are worth exploring.
- Pharmacological methods: In addition to or instead of anaesthesia, there are other pharmacological options for pain management. This could include intravenous (IV) lines for fluids and medications or specific pain-relieving drugs. Understanding the available options and their potential side effects is essential.
- Flexibility and adaptability: Recognise that your pain management preferences may need to adapt based on unforeseen circumstances. For example, certain pain management techniques may not be available or suitable at the time of labour. It is essential to remain flexible and open to alternative options if your initial preferences cannot be met.
- Communication: Clearly communicate your pain management preferences to your healthcare providers, including your doctor, midwife, and any other relevant team members. Ensure they are aware of your wishes and are prepared to support you accordingly.
- Backup plans: Have backup plans in place in case your primary pain management method is not effective or available. For instance, if your breathing techniques are insufficient, what other methods would you like to try? Having a range of options listed in your birth plan ensures that you are prepared for different scenarios.
Remember, your birth plan is a personalised document, and you can choose to include as much or as little detail as you prefer. It is also flexible, and you can change your mind or update it at any time.
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List who you want present during labour and delivery
A birth plan is a tool to help you get educated and organized about your options and preferences before the big delivery day. It covers every aspect of your labour, birth, and recovery experience, as well as the care your newborn receives directly after. It is a written outline of what you would like to happen during labour and delivery.
When it comes to listing who you want present during labour and delivery, it is important to check the hospital or birth centre's policy on the number of people allowed in the room. Here are some people you may want to consider having present:
- Partner
- Parents
- Other children
- Doula
- Midwife
- Doctor
- Medical students or residents
- Support people (like a doula)
- Photographer
Remember, you can change your mind about your wishes for labour and birth at any time. Your birth plan is personal to you and depends on your preferences, medical history, circumstances, and what is available at your maternity service. It is a good idea to keep a copy of your birth plan with you so you can show your midwife when you are in labour.
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Be flexible and prepared to adapt
A birth plan is a great way to prepare for your delivery and postpartum experience, but it's important to remember that things may not always go according to plan. Here are some tips to help you be flexible and prepared to adapt during your hospital birth:
- Be open to changes: Understand that unexpected situations can arise during labour and delivery, and be prepared to deviate from your birth plan if necessary. This may include medical complications, changes in hospital facilities, or unexpected circumstances. By acknowledging this possibility, you can approach your birth plan with flexibility and adaptability.
- Discuss your plan with your healthcare providers: Share your birth plan with your doctors, midwives, and maternity team. They will inform you of any hospital policies or limitations that may affect your preferences. For example, certain hospitals may have restrictions on the number of people allowed in the delivery room or policies regarding videotaping the delivery. By discussing your plan in advance, you can make any necessary adjustments and ensure everyone is on the same page.
- Have backup plans: Consider alternative options for various scenarios. For instance, think about your preferences for pain management if your initial choice becomes unavailable or insufficient. Contemplate different methods of induction if an induction of labour is required. By having backup plans, you can quickly adapt to changing circumstances while still maintaining some control over your experience.
- Inform your birth partner: Share your birth plan with your partner or support person, so they can advocate for your preferences during labour and delivery. They can help communicate your wishes to the medical team and provide emotional support throughout the process.
- Stay informed: Educate yourself about the labour and delivery process, including the different options and potential risks and benefits. This knowledge will empower you to make informed decisions if you need to deviate from your birth plan. It will also help you understand the reasoning behind any changes that may be necessary during your hospital birth.
Remember, a birth plan is meant to be a flexible guide, and adaptability is crucial to ensuring the safest and most appropriate delivery for you and your baby.
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Frequently asked questions
A birth plan is a document that outlines your preferences for labour, delivery, and your postpartum experience. It covers every aspect of your labour, birth, and recovery experience, as well as the care your newborn receives directly after.
A birth plan can help you plan your options for labour and express what you feel is important to your health team and your partner. It gives you the chance to be an active participant in your health care and offers you some control of your childbirth experience.
Your birth plan should include your preferences for labour and delivery, such as pain management, fetal monitoring, IV vs oral intake, feeding, and postpartum care. You can also include any cultural practices or preferences that are important to you.
You can download a birth plan template to fill in and save, or you can create your own. It's a good idea to discuss your birth plan with your midwife, doctor, or healthcare provider to understand your options and ensure that your wishes are feasible. Keep in mind that you may need to be flexible and prepared to adapt your birth plan if complications arise.




























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