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Birth Plan Checklist

Labour can be complicated and doesn't always go as planned but it's still a good idea to have a few ideas about the way you would like it to go. below are suggestions of the kind of chioices you might like to be making in an ideal world....

I am happy for students to be present at the brith   Ventouse  

I would like my birth partner present at all times

  Forceps  
I want pain relief   Epistiostomy  
My ideal methods of pain relief are/is ....   If I need a Caesarean section, I would prefer...  
I will also consider   My birth partner to be present at all times  
My ideal alternative therapies are   My birth partner to have contact with the baby if I cannot  
I would like the opportunity to use....   To see and hold my baby as soon as possible  
Birth Pool   After the baby is born I would prefer...  
Birth stool   To hold the baby as soon as possible  
Birthing ball   My birth partner to hold the baby as soon as possible  
Bean bag  

The baby to be cleaned before I hold him

 
Other (please specify)   The baby to be breastfed as soon as possible  
My ideal birth position is   I would prefer the afterbirth to be delivered unassisted  
I would like to see my baby's head crown   To be delivered unassisted  
I would like to photograph the birth   To be sped up with an injection  
If I need to be induced I would prefer...   For my hospital stay I would prefer  
Artificial rupture of membranes   6 hour discharge  
Prostaglandin   24 hour discharge  
Syntocinon   Post 24 hour discharge if possible  
If I need an assisted delivery I would prefer....   A private room if possible  

 

 

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