How to Write a Birth Plan and Birth Plan Template

How to Write a Birth Plan

While you can't predict what's going to happen during labor and delivery, you can make some decisions now about how you'd like it all to happen.
While you can't predict what's going to happen during labor and delivery, you can make some decisions now about how you'd like it all to happen. | Source

What is a Birth Plan?

A birth plan is a written document created by a pregnant woman when she is nearing labor and delivery. It is designed to let doctors and hospital staff know what the pregnant woman wishes to happen during her labor, delivery, and recovery.

Why should you think about writing a birth plan? With so many options today of how your labor, delivery, and recovery will occur, it's good to start thinking ahead of the options that you personally prefer. Plus, chances are during labor you may not feel like talking much or discussing your options, so having a plan written out can help communicate your wishes without having to disturb you as you concentrate on managing your contractions and delivering your baby.

Here you'll find:

  • suggestions about how to begin writing a birth plan,
  • options that may be available to you,
  • and a birth plan template.

Birth Plan for Labor

Will you write or did you write a birth plan?

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How to Write a Birth Plan

Since a birth plan includes everything you wish to happen during your labor, delivery, and recovery, you'll need to gather some information about what happens during labor, delivery, and recovery.

During the first stage of labor, you're going to be experiencing some pain, discomfort, and possibly anxiety. How are you going to manage these things? Here are some questions to consider:

  • Are you going to use medications, a variety of positions, or gadgets to help with the pain and discomfort? If so, which ones?
  • What will help you feel less anxious? What can help keep you calm?
  • Who is going to be in the room as your coach or just for support? What will be their role?
  • Who else will be allowed in the room as you labor? Who is not allowed in the room (i.e. student nurses or other people in training)?

During the delivery, which is part of the second and third stages of labor, you're also likely to feel some pain and discomfort, but you'll also be meeting your baby at the same time. Here are some questions to consider:

  • Are you okay with an episiotomy to help the baby come through?
  • Does your doctor use forceps or a vacuum extractor to help the baby out? How do you feel about this?
  • Do you want the baby to be laid on your belly as the cord is cut?
  • Who is going to cut the baby's cord?
  • Will you be saving your baby's umbilical cord?
  • Do you want to try breastfeeding soon after delivery (barring any complications)?
  • Do you want your coach or support person to take pictures or videos as the baby is born?

During your recovery, you'll be healing from your labor and delivery as well as easing into your new role as a mom. Here are some questions to consider:

  • If your baby is a boy, will he be circumcised?
  • Will you be breastfeeding or formula feeding?
  • Would you like the baby to room-in with you or be taken to the nursery when you need to sleep?
  • Is the nursery staff permitted to give your baby a pacifier, or formula supplement as needed?
  • How long do you think you'll need to stay in the hospital before being discharged?

Of course, many of these items depend on your doctor and hospital policies. For example, my doctor tells me up front that he does not prefer to use forceps or a vacuum extractor on babies, and the hospital where I deliver has its own rooming-in policy. Speak with your doctor during a prenatal visit and contact the hospital for their policies before making final decisions on your birth plan.

Birthing Plan

Birth Plan Template

Ask your doctor or the hospital for a birth plan template that goes along with their policies and procedures.
Ask your doctor or the hospital for a birth plan template that goes along with their policies and procedures. | Source

Pain Relief During Labor

Here are your pain relief options during labor:

  • Natural childbirth: no medications, use different methods to relieve pain
  • Epidural or spinal block: medications used to numb the lower half of the body
  • Opiates or narcotic medications (Demerol, Stadol, etc.): medications used to dull the pain experienced during labor

Discuss these options with your doctor. What you may end up choosing depends on your pain tolerance level and how far into labor you are.

Labor Options

Here are some options you may choose from to help you with pain and discomfort when you are in labor:

  • Moving around or staying in bed/room
  • Drinking clear fluids
  • Birthing ball
  • Birthing stool
  • Birthing chair
  • Squat bar
  • Warm shower or bath (not during pushing)
  • Anesthesia, yes or no

Discuss these options with your doctor.

Birth Plan Checklist

Labor and Delivery Room

Here are some options as to what and who can be in your room as you labor:

  • Spouse, partner, labor coach, mother(s), etc.: Who is going to witness the birth? Who is permitted to visit with you as you go through the first stage of labor?
  • Students in training: Will they be allowed to view the birth or offer assistance?
  • Quiet or music: Do you need silence or some quiet music to concentrate?
  • Lights: Would you like the lights dimmed?
  • Pictures or video: Who is permitted to take pictures or video? Of what can they take pictures or video?
  • Focal point or object: What will be your focal point, or what object will you bring to focus on during contractions?

Delivering a Baby

Here are some options to consider as your baby is being delivered:

  • Mirror or feeling the head for vaginal delivery: Do you want to see or feel your baby coming out?
  • Baby on belly as cord is being cut: Do you want your baby placed on your belly as the cord is being cut and he/she is being cleaned off?
  • See the baby before eye drops are given: Do you want to look into your baby's eyes before the eye drops (antibiotics given to babies to prevent infections) are given?
  • Bringing baby to the nursery: If you have a c-section, who do you want to accompany the baby to the nursery?
  • Holding baby in recovery: If you have a c-section, do you want to hold your baby while you are in recovery?

Do Doctors Need to Follow Birth Plans?

Birth Plan Template

Here's an example of what a birth plan could look like:

Name:__________________

DOB:___________________

Doctor or Midwife:________________

Baby's doctor:_________________

Due Date:_______________

I understand that at any time things may change to ensure the safety and health of the baby and I, but I would like to see the following happen if at all possible.

Labor Options:

I prefer the following:

  • ____To move during labor
  • ____To use a (circle: birthing ball, birthing stool, squat bar, birthing chair)
  • ____To have the following people in my room as I labor: ______________
  • ____To limit who else is in the room (students in training, visitors, etc.)
  • ____To use the following medications for pain:_____________________
  • ____To NOT use any medication for pain
  • ____To have the lights dimmed
  • ____To have the room silent
  • ____To play some quiet music

Delivery:

I prefer the following:

  • ____To have the following people with me as I deliver
  • ____To have _________________ take pictures or video
  • ____To have/not have an episiotomy if it is deemed necessary
  • ____To have a mirror to see the birth of my baby
  • ____To feel my baby's head as he/she crowns
  • ____To have the baby placed on my belly
  • ____To have ______________ cut the baby's cord
  • ____To have the cord blood saved (I have made prior arrangements)
  • ____To breastfeed as soon as possible

Recovery:

I prefer the following:

  • ____To have the baby room-in with me
  • ____To have the baby stay in the nursery when I am sleeping
  • ____To (circle one:) breastfeed, bottle feed, both
  • ____To move around soon after giving birth (as long as I am healthy)

(Note: This may be copied into a document for personal use. Add or subtract items as you see fit. This may NOT be copied onto another website or anywhere else online or in print.)

When to Write a Birth Plan

Around 30 weeks, you should begin to think about what you'd like to include in your birth plan. Once you decide, write a rough draft of it and schedule an appointment with your doctor to discuss what he or she supports or would otherwise suggest. You may also want to do the same with the hospital staff if you know where you will be delivering. Once you have the final copy, place it and several extra copies with your hospital bag during your final weeks of pregnancy.

Remember that your birth plan may not be set in stone. Complications could arise that are unforeseen and may require quick thinking on the part of your doctor or the hospital staff. You must not get upset when things need to change. Everyone's top priority is the health and safety of you and the baby.

Begin now to research what you may want to include in your birth plan. By doing all of this, you are preparing yourself for every possible outcome that may occur during your labor and delivery.

Best wishes for a safe and healthy labor and delivery!

┬ęThePracticalMommy

For more information about pregnancy and babies, visit my profile here.

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Comments 18 comments

Amber Ludwig 10 months ago

I love that your template is short and to the point!! So important!! I was not very picky with my delivery and everything went fantastic with my dr!! But I can imagine how this can be super important!! Especially to those who don't have their ob around when they deliver!


Lara C. 15 months ago

This is a handy template to go by! I know from my own friends that things don't always go as planned, but I like having an idea of what I'd shoot for!


Dandi Daffyhill profile image

Dandi Daffyhill 15 months ago

We're expecting a baby any now, so this is great!


JewelWood 17 months ago

This is such a good idea to think about all these things to make sure that an expectant Mom has what she wants to happen during birth. I wish I would have had a birth plan because I think it would have really helped me. It is so important to know what you want during birth before it happens.


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

LA Elsen, that's great that your doctor feels that way about birth plans. I'm sure it was really helpful to have one for your other three children! Thanks for reading and commenting!


LA Elsen profile image

LA Elsen 3 years ago from Chicago, IL

I didn't have a birth plan for my first child. Biggest Mistake of My Life! I did write one for the next three children. My doctor actually said he prefers them because it opens up a dialogue to discuss issues that some mothers maybe have not thought of. Really enjoyed your hub!


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

teaches12345, it definitely is the hope that all goes as planned for a peaceful, healthy, and safe birth. Sometimes things don't go as planned, so it's good to be prepared. Thanks for reading and commenting!


teaches12345 profile image

teaches12345 3 years ago

I can see how having a plan would help the mom and the entire family. Hopefully, all goes as planned so that it is a peaceful journey and birth.


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

Careermommy , I'm glad you were able to use your birth plan with both kids. Awesome! Thanks for reading and commenting!


Careermommy profile image

Careermommy 3 years ago from Los Angeles, CA

Wow, this was so thorough Practical Mommy! I did have a birth plan for both of my kids, thanks to my wonderful doula. It is definitely needed.


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

kidscrafts, thank you very much!


kidscrafts profile image

kidscrafts 3 years ago from Ottawa, Canada

I wish you the best with your coming delivery and healthy baby :-)


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

tirelesstraveler, thanks for sharing your story! Just goes to show you that the best laid plans of mice and pregnant women often go astray... ;)

Thanks for reading and commenting!


tirelesstraveler profile image

tirelesstraveler 3 years ago from California

Had a plan for all three of mine and nothing turned out as planned. First one was a plan for completely natural. Turned into a C-section. Second was to have drugs. When they gave me the drugs the baby came quickly and we were both sleepy for the next three days.

Third plan was set in stone. Start with the drugs. By the time the midwife checked me she just laughed. "Honey you haven't even chewed your lipstick off and we are headed to the delivery room".


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

kidscrafts, a helmet on a father during labor would be hilarious (although in his case, necessary!). It was my firstborn who needed the emergency c-section, and my second born who came three weeks early and still needed a c-section. I have a few weeks left with my third pregnancy, so we're waiting to see how it goes. Thanks for stopping by again!


kidscrafts profile image

kidscrafts 3 years ago from Ottawa, Canada

Yes,,, I think often babies decide to come when they want ;-)

Sorry to hear that you needed an emergency c-section. And I hope that your baby was fine even three weeks early!

I really encourage you to write tips for the father! I suggest my husband it we had a third child to wear an elmet during my labor ;-)


ThePracticalMommy profile image

ThePracticalMommy 3 years ago from United States Author

kidscrafts, thanks for sharing your story! I certainly know things don't go as planned (emergency c-sections, one baby who came three weeks early!), which is why I tried to repeat a few times not to think that the birth plan is set in stone.

I may have to consider a separate hub just for expecting fathers. Like you said, I'm sure they could use some helpful tips as well!

Thanks for reading and commenting!


kidscrafts profile image

kidscrafts 3 years ago from Ottawa, Canada

It's a good idea to have a birth plan but you have to keep in mind that sometimes when there is an emergency, you can't always stick to everything you planned. In my case, my first baby was born in two hours.... way to fast because I lost a lot of blood. For the second one, as soon as I arrived, I had an epidural to slow down the labor. You learn things about your body as you go. My mother had long labors...so I thought I would have the same...but no!

Each time, I asked my doctor not to cut the umbilical cord right away to give a chance to the baby to slowly start to use his lung....so the baby doesn't cry because the sudden intake of oxygen "burns" the lungs. Each time my doctor said ...OK... if the cord is long enough. I suppose he also meant ...if there are no emergencies.

I would have love to have some quiet music during my labor instead of hearing the lady next door screaming ;-) Instead, I was meditating and breathing :-)

You should write something for the future fathers... my husband could have use a few tips.... like eating during the labor...he lost consciousness just before the birth of our second son... and broke a tooth on a doorknob! Hard to believe but true!

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