How to Write a Birthing Plan

A birthing plan does not guarantee what will happen during labor and delivery. But it does help clarify birthing preferences. Writing out your plan and sharing it well ahead of time with your doctor can help make sure your wishes are taken into account.

Instructions

Difficulty: Moderate

Before You Write

1. Do your homework. Read about labor and delivery options on the Internet and in books. Talk to friends and acquaintances who have given birth. Helpful websites include Baby Center, Parenting, Childbirth, Our Bodies Our Selves, Kelly Mom and Lamaze. Recommended books include "What To Expect When You're Expecting," "Creating Your Birthing Plan: The Definitive Guide to Having a Safe and Empowering Birth," "The Thinking Woman's Guide to a Better Birth" and "The Mother Of All Pregnancy Books."
2. Talk to your doctor or midwife. Ask about philosophy, C-section rate and feelings about medical intervention.
3. Check out the hospital. Visit the hospital where you will be delivering. Find out about policies and practices.

Writing Your Plan

4. Decide whether you want to write out the entire plan yourself or use an online template. See the Resources section for links.
5. Begin by deciding your wishes for labor. Are you open to induction? How do you feel about the routine preparatory tasks such as shaving and enemas? Are you comfortable with interns or medical students observing? Would you like to wear your own nightgown? Would you like to eat and drink during labor? What kind of fetal monitoring would you like?
6. Next record your wishes regarding pain medication. Do you want any? How would you like it administered?
7. Write down your wishes regarding a cesarean delivery. How much would you like to avoid one? What are your preferences in case one becomes medically necessary?
8. Record your hopes for delivery. How do you feel about having an episiotomy? Who should catch the baby? Who should cut the cord? Would you like a mirror angled so that you can watch? What position would you like to be in?
9. Decide on newborn care. Would you like to have time to bond before the baby is taken to be bathed? Do you want your baby to have eye drops? Do you want the baby in the room with you as you recover? Are you planning on breastfeeding? Do you want your baby to be given a pacifier?

Tips & Warnings

• A birthing plan is not legally or medically binding. Yet it is still recommended, especially since most doctors and nurses will do their best to honor your wishes. Be as clear and specific as possible.
• Even if you've had a baby before, each labor and delivery is different. If you want to change something on your birthing plan, go ahead. You can change your mind at any time.

Who Can Help: