Printable Birth Plan
Printable Birth Plan
If you can make the choice to be induced, are you OK or would prefer not.
Are you OK with an IV?
Most providers would prefer you have an IV should you bleed. Talk with them about this.
Movement can help the baby find "it's spot" as well as help the pain.
Talk with your provider if this is important to you, some allow it -- some don't.
Are you planning on an epidural or would prefer IV medicine, nitrous or natural?
Can the Doctor Break Your Water
Something to consider in advance if you'd prefer not.
Who do you want to come to your delivery?
Are you OK with pitocin
Pitocin is routinely given after delivery, are you ok with that?
Some women prefer to wear just at tank top, or their own gown, some prefer ours.
Most babies get a vitamin K shot soon after delivery to help with blood clotting
Most babies are given eye ointment to protect the eyes from bacteria from the vaginal canal.
Do you want the baby to have the hepatitis B vaccine soon after birth?
Do you want to have the baby on your skin (or your partner's) right after birth
When would you like the baby to have its first bath?
How do you plan to feed the baby, are you adament baby not be given one or the other?
Do you plan to use one, are you OK with baby having one in the hospital?
This is for you and your providers so that you all know what you would prefer be done during your delivery
| Option | Plan |
|---|---|
| Planned Induction | |
| Pitocin | |
| Preference to wear during labor | |
| IV | |
| Movment in labor | |
| Pain management Plan | |
| Can the doctor break your water? | |
| Who will be at delivery? | |
| Vitamin K | |
| Eye Ointment | |
| Hepatitis B Vaccine | |
| Skin to skin at delivery (with who?) | |
| Baby's First Bath? | |
| Breast or Bottle? | |
| Pacifier Plans | |
| | |
| | |