Divine Savior Healthcare Birth Plan Page 3

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Are there any religious or cultural preferences that you would like us to
know?______________________________________________________________________________
___________________________________________________________________________________
What topics would you like more information provided on? (check all that apply)
__
vaginal birth after cesarean
__
breastfeeding
__
pain medications
__
induction methods
__
childbirth classes
__
________________
Questions you have for your physician:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
 

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