Birth Plan Template (Page 2 of 6) in pdf

Birth Plan Template Page 2

Birth Plan

Once I’m in the hospital, I’d prefer:

My partner to be allowed to stay with me at all times.

Only my practitioner, nursing team, and birth partner/s present.

To wear my contact lenses or glasses, as long as I don't need a

general anaesthetic.

To eat if I wish to, but to abide by the advice my team give about

solid foods during labour.

To stay hydrated by drinking clear ﬂuids instead of having an IV, if

possible.

To walk and move around as I choose.

As long as the baby and I are doing ﬁne, I’d like:

To have intermittent rather than continuous electronic foetal

monitoring.

To be allowed to progress free of stringent time limits.

If they’re available, I’d like to try:

A birthing pool.

A squatting bar/position with support.

A birthing stool/chair.

When it's time to push, I'd like to:

Rely on my instincts, but if necessary be coached.

Be coached from the beginning on when to push and for how long.

Page 2 of 6

Birth Plan Template Page 2