Divine Savior Healthcare Birth Plan Page 2

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Do you have a preference on how long you would like to labor before interventions are suggested to
you?________________________________________________________________________________
____________________________________________________________________________________
What about the birth process is the most important to
you?________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What are your concerns or
fears?_______________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________________
How do you plan on feeding your
baby?______________________________________________________________________________
Is there any information we can give you to help aid in this
choice?_____________________________________________________________________________
___________________________________________________________________________________
Would you like information on Divine Savior Healthcare’s breast pump rental service, our breastfeeding
support
group, lactation consultants or breastfeeding
workshops?__________________________________________________________________________
____________________________________________________________________________________
Is there anything specific we need to know for immediately following the
birth?_______________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

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