Birth Plans - Checklist Page 3

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Make a note of all your thoughts as they come to
your mind. A plan can then be created based on
what you have jotted down.
What should I include in my plan?
Here is a list of headings that you might want to
use in your birth plan. You certainly don’t have to
use them all, only those you feel are important.
Perhaps there are others which you can think of
which aren’t included here.
Birth companion
– who will be with you in
labour? Do you want this person to stay with
you all the time, or are there certain procedures
or stages in labour when you’d prefer them to
leave the room?
Positions for labour and birth
– which
positions you, would like to use during labour
and for your baby’s delivery? Do you want to
remain mobile as long as possible, or do you
want to be in bed? Mention if you want to give
birth, standing, kneeling, squatting or lying on
the bed.
Pain relief
– are you looking for pain relief, if
so what kind?
Fetal heart rate monitoring
– how do you want
your baby to be monitored at labour, manually
by a hand-held device, or electronically via a belt
strapped around the waist?
Assisted delivery
– what kind of assistance
would be preferred, in case needed at the end
of labour? E.g. forceps or vacuum.

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