Birth Plans

Format One: Birth Planning Matrix

This format makes it easy for your birth team to find the information you want to share. Using bullet points, and listing only key issues helps ensure it will be read and followed.

Environment

In this space you would write the options you have chosen for the environment for your labor.

Pain Management

In this space you would write the options you have chosen for pain management.

In case of emergency

In this space you would write the options you have chosen if cesarean or other medical intervention becomes necessary

Newborn Care

In this space you would write the options you have chosen for how your baby should be cared for.