Birth Plan Checklist

Use this checklist to make sure you have covered everything you feel is important in your birth plan. You do not need to have something written for all these areas, this is only a list of areas you may have strong preferences about.

  1. Introduce Yourselves
    • Names of parents
    • Others who will be with you
  2. Important Issues
    • Concerns
    • Health Issues
    • Fears
  3. Pain Management Preferences
    • First Stage
    • Second Stage
    • Postpartum
  4. Medical Interventions you wish to use or avoid
    • For inducing or speeding up labor
    • For pain management
    • For monitoring
    • After baby is born
  5. Pushing
    • Positions you are willing/wishing to try
    • Style of pushing
    • Who will be with mom
  6. Preferences in case of unexpected events
    • Who contributes to decision making team
    • How soon to begin medical interventions
  7. Preferences in case of cesarean
    • Who should remain with mother/baby
    • How soon to hold/feed baby
    • How soon to receive visitors
  8. Postpartum care of baby
    • Cord cutting
    • When to perform routine assessments
    • Breast or bottle feeding
    • Rooming in or nursery
    • First Bath
    • Circumcision or Intact
  9. Other Important Items
    • Photos and videos
    • Privacy needs
    • Environmental issues (lighting, music)
    • When to discharge
    • Educational needs (anything you want to be sure to learn about baby care before you leave)

Return to Top




You May Also Be Interested In:

What changes are being assessed during a cervical exam.

The Natural Childbirth Directory can help you find more information about birth and locate childbirth professionals.

The Coach's Notebook helps you learn tools and techniques to manage labor.

Find out how exercise and nutrition can help you achieve your birth plan goals.

© Copyright 2000-2008 Jennifer VanderLaan and Birthing Naturally


Home | Site Index | Disclaimer | Contact



Birth Planning Basics
What is a Birth Plan?
How to Write a Birth Plan
Birth Plan Checklist
Using a Birth Plan
Should I Write a Birth Plan
Informed Consent

Birth Planning
Birth Planning Basics
Birth Plan Options
Birth Plan Tools
Induction Planning
Epidural Planning
Pain Relief
Hosptial Planning

Birthing Naturally
Departments

Pregnancy Nutrition
Pregnancy Exercise
Pregnancy
Monthly Guide to Pregnancy
Birth Planning
Natural Birth
Home Birth
Judging Progress in Labor
Labor Coach's Notebook
Labor Pain
Christian Childbirth