Birth Plans - Checklist Page 4

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Feeding of the baby
– if you are only going
to breast-feed the baby or, if there would be
any bottle-feeding as well.
Handling of unexpected situations
– what
if the baby needs to be shifted to the NICU?
Would it be at the same hospital or do you
want to transfer the baby to another hospital.
You also need to look at the option of who will
be around to care for the baby, if you are in no
position to care for the baby yourself.
Any special needs
– any religious needs or
rituals that need to be conducted at the birth
of the baby. In case you have any disabilities,
would you need any special assistance at the
time of birth and in care of your baby? Do you
have any reactions to medications?
Is there any specific format
for a birth plan?
There is no special form. You can use the attached
checklist or create one of your own.

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