Birth plan... (xp)

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Starryblue702's picture
Joined: 04/06/11
Posts: 5454
Birth plan... (xp)

Hey girls, so I just found this site,, and it assists you in putting together your ideal birth plan! I found it extremely helpful, and gave me a lot of good ideas for requests that I hadn't even thought of! You can go back and edit anytime, and print out for when baby's birthday arrives! Just thought I would let you all know about it! Come back here and post your birth plan so we can all see if you so choose! Here's mine:

Birth Preferences - Krystal Blue P*******

Due Date: 12/01/2011
Patient of Dr. Rebecca Tyre
Scheduled to deliver at St. Rose Sienna

To Whom It May Concern:

Listed below are my wishes for my labor and delivery. I fully understand that the unexpected can happen, and that I may need to deviate from these wishes.

Krystal P*******


•I would like to be free to walk around during labor.
•I wish to be able to move around and change position at will throughout labor.
•I would like to be able to have fluids by mouth throughout the first stage of labor.
•I would like the environment to be kept as quiet as possible.
•I would like the lights in the room to be kept low during my labor.
•I would like to wear contact lenses or glasses at all times when conscious.
•Other Labor Preference: I do not want an IV unless I choose to get an epidural.

•I do not want an internal monitor unless the baby has shown some sign of distress.
•Other Monitoring Preference: I do not wish to have my blood pressure routinely monitored.
Labor Augmentation/Induction

•If labor is not progressing, I would like to have the amniotic membrane ruptured before other methods are used to augment labor.
•I would prefer to be allowed to try changing position and other natural methods (walking, nipple stimulation) before Pitocin is administered.
Anesthesia/Pain Medication

•I realize that many pain medications exist. I'll ask for them if I need them.

•I would prefer not to have an episiotomy unless absolutely required for the baby's safety.
•Other Episiotomy Preference: I do not want vacuums or forceps used unless absolutely necessary.

•Even if I am fully dilated, and assuming the baby is not in distress, I would like to try to wait until I feel the urge to push before beginning the pushing phase.
•I would appreciate having the room as quiet as possible when the baby is born.
•I would like to have the baby placed on my stomach/chest immediately after delivery.
•Other Delivery Preference: I would prefer not to have anyone counting at me or telling me over and over to push.
•Other Delivery Preference: I do not wish to reach down and feel the baby nor do I want a mirror to see the crowning.
Immediately After Delivery

•I would like (other) to cut the cord.
•I would like to have the baby evaluated and bathed in my presence.
•I do not want a routine injection of Pitocin after the delivery to aid in expelling the placenta.
•I would like to donate the umbilical cord blood if possible.

•Unless required for health reasons, I do not wish to be separated from my baby.

•I plan to breastfeed the baby and would like to begin nursing very shortly after birth.
•Unless medically necessary, I do not wish to have any bottles given to the baby (including glucose water or plain water).

•I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.

sweetsriracha's picture
Joined: 03/29/11
Posts: 1318

What a great resource! TFS, Krystal!

MelanieP's picture
Joined: 09/25/09
Posts: 882

Very interesting. I love learning about all this even though I am having a c-section

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