Writing a Birth Plan

A. What is a birth plan 

The day you give birth to your little one, is one of the most important days of your life. Creating a birth plan, ahead of time will help you make decisions about how you want your labor and delivery to be, (don’t worry i will help you with this during one of our prenatal visits) it lets others know your wishes. So, when your big day arrives, you can focus on what's most important - bringing your new little one into the world. A birth plan is a written summary of your preferences for when you are in labor and giving birth. It can include things like what position you want to give birth in, what pain relief you prefer, lights up or down, music or sounds to help you stay relaxed and focused (if you need it) and who you would like to be with you at birth. 

B. Is a birth plan necessary 

It's important to note that you do not need a birth plan. You can show up at the hospital or birthing center in labor and have a wonderful birth experience without having written out your intentions. Though taking the step of writing a birth plan is entirely optional. However, many people do choose to create one and feel that it adds to their special day, by helping to set intentions and make them more informed about all the possible ways childbirth can go. 

Having a birth plan written out can serve as a reminder for both you and your birth care providers of your preferences and any backup options you want to be considered. Remember you are always free to change your mind about any aspect of your document, for example, you may think you don't want to use pain medication, but then decide to get an epidural after all—or vice versa. "Many times, it is reasonable to take a wait and see approach." 

C. How flexible should a birth plan be 

Keep in mind, though, that a birth plan is not set in stone, you cannot predict everything that may occur during your big day. You or your doctors may need to make changes to the plan once your labor begins because anything can happen. So, try to stay flexible, we can come up with back-up plans to help with this, if something unexpected happens. 

D. What to include on a birth plan 

Although it's tempting to include many details in a birth plan, try to keep it short so it's easy for everyone to read. 

Here are some items your birth plan might cover: 

The basics: List your name, your doctor's name and contact information, where you plan to give birth, and who you would like to have there with you. 

Atmosphere: Think about what will help you feel most comfortable. Would you like the lights dimmed? Do you want your room as quiet as possible, or would you prefer soft music? Would you like a support person to take photos or video of your labor or birth? 

Labor preferences: Include any preferences you have for your labor. For example, do you want to walk around freely? Do you want to use a birthing stool, ball, or chair? Would you like to take a warm shower or bath? 

Pain meds: Pain management during labor is an important consideration. You may not plan to have an epidural, but you could change your mind during labor (many do and that’s OK, and many want to hear their options). Or you may know that you absolutely want to have an epidural if possible. As you're defining your birth plan, ask your doctor about your options for pain relief, as well as any questions you have about them. These could include breathing or massage. 

Delivery preferences: There are many options to consider for your little one's birth. If you're planning on a vaginal birth, would you prefer not to have an episiotomy, unless it’s medically necessary? Do you want a mirror to see your little one's birth? Would you like your partner to cut the umbilical cord? Do you want your little one placed on your abdomen right after delivery? 

If you need a C-section, who would you like to be with you in the room? 

Feeding and Care in the Hospital: Once your little one's born, you’ll need to think about feeding and care. For example, do you want to nurse right after delivery? Or are you thinking about bottle feeding or combining the two? Would you always like your little one in the hospital room with you, or would you prefer your little one to stay in the nursery sometimes? (Although this is not much of an option anymore as it is encouraged to have your little one with you to promote bonding) unless there is a medical reason for your little one to be away from you, Is it OK for the medical staff to offer your little one a pacifier or sugar water? If your little one is a boy, would you like them circumcised at the hospital? (Sugar water may be used at time of circumcision.)