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Online Birth Plan

Please discuss this birth plan with your healthcare provider and have a copy placed in your prenatal care.
* Denotes required fields

Attendants And Amenities

After a conversation with my physician/nurse midwife, I'd like the following people to be present during labor and/or birth (up to 3 per hospital policy)

Environment

Select as many as you prefer

Labor

 
Once I'm admitted, I'd prefer
As long as the baby and I are doing fine, I'd prefer
If they're available, I'd like to try
I'd like to bring the following equipment with me
When it's time to push, I'd prefer to
I'd like to try the following positions for pushing (and birth)

Pain Relief

I'd like to try the following pain-management techniques
 
If I decide I want medicinal pain relief, I'd prefer

Vaginal Birth

I'd prefer
After birth, I'd prefer

Cesarean Section

If I have a c-section, I'd prefer

Postpartum

After delivery, I'd prefer
I plan to
The following can be offered to my baby
If my baby's a boy