Learn the appropriate items to include in a birth plan, as well as the importance of positive language and remembering that a birth plan is just a
There are several ways to write a birth plan. Some are long and formal; making sure every possible issue is covered. Others are approached casually, like a letter to a friend. However you intend to write your birth plan, make sure you discuss the finished plan with your primary obstetrician. Send a copy to the birthing staff of the hospital you will be delivering at, and keep another copy in your labor bag.
Another important thing to remember when creating your plan is to use positive language. Nothing turns a nurse or doctor off more than a mom who comes in with a birth plan that is full of "I don't want" and "don't do this". Instead, try phrases like "Please help me to"¦" and "I would prefer to"¦" Keep the tone light and encouraging for the medical staff.
Here are examples of topics that most birth plans discuss:
Support people: Birth plans often name who the mother would like to have in the room for support, most commonly the baby's father, her mother, sisters or best friends. It is also helpful to note if you have any concerns about the number of people witnessing the birth of your child. Some patients only want the necessary medical staff involved, while others don't mind if a student or intern comes in to observe the birth.
C-section: Even if you aren't planning a scheduled Cesarean, there is always a possibility one may be necessary. This part of your birth plan can include items like how much of the Cesarean you would like to view, who you would like to accompany you to the surgery, or your preferences for your baby once she is delivered by c-section. Be aware, however, that in most hospitals, Cesareans require that certain rules be followed and so your preferences might not be able to be carried out simply due to the nature of hospital policy and the emergent situation requiring the c-section.
Pain management: Some women want pain medication as soon as they reach the hospital, and others are adamantly against it. If you have preferences for how you would like to approach pain management, either naturally (breathing, changing positions, etc) or medically (epidural, etc.), it is suggested to note them in your birth plan.
Fetal monitoring: There are several options available for fetal monitoring, including continuous, intermittent, handheld, as well as others (depending on the hospital you are giving birth in). Many women choose to express their preferences regarding this aspect of labor in their birth plans.
Vaginal exams: Exams are conducted throughout labor to see how the cervix is progressing and to gage how long labor will continue. Some women are not bothered by this, while others want them kept to an absolute minimum.
Positions: No longer are women forced to lie on their back to give birth. There are several other positions suggested for use, such as side lying, hands and knees, or squatting. If you feel there is a different position which will work best for you, let it be known. Some women simply choose to include that they hope to be free to choose what position to give birth in when the time comes.
Perineal Care: Would you like to have an episiotomy, or would you rather tear naturally? Some women choose to only accept an episiotomy if it appears they are going to tear, but would otherwise like to be left alone.
Baby's Placement after birth: Generally, babies are no longer whisked away and brought back bathed after Mom has recovered. Moms can now choose to hold the baby almost immediately after giving birth. Some even want the baby brought right to their stomach or chest instantly after birth for skin-to-skin contact.
Cord care: Do you want the cord to stop pulsing before it is clamped and cut? Will Mom, Dad, or the doctor be cutting the cord? Do you plan to do cord blood donation?
Breastfeeding or bottle: It is important to let the medical staff know your intentions for feeding your baby. Mothers who plan to breastfeed may also want their preferences regarding artificial nipples or supplementation known through their birth plan.
Rooming In: Do you want your baby to be with you at all possible times? Do you want your baby to sleep in the same room as you? Or do you want to make use of the nursery? If your baby sleeps in the nursery, do you want the nurse to feed him or do you want to be woken to feed him?
Vaccinations: Depending on what state you live in, certain vaccinations can be given at birth or shortly after. If you have any preferences regarding vaccinations, you may discuss these in your birth plan as well.
