Birth Plans

Some ladies go in with a step by step birth plan detailing how they want every moment of their birth to unfold, and others walk in with no intended plan and just go with the flow. No matter where you sit on this spectrum it is always good to know your options to be able to make informed decisions about and situation or procedure that may occur. This birth plan is only a guide. Please read through and make adjustments that suit your birth.

Gently labouring in the tub

Where do I want to give birth?

□ Hospital

□ Birth Centre

□ Home

Who do I want to attend the birth?

□ Partner

□ Children

□ Other Family Members/Friends

□ Friends

□ Doula

□ Birth Photographer

Who do I want my birth environment to look like?

□ Music

□ Low Lighting

□ Aromatherapy

□ Affirmation Cards

□ Own Clothing

□ Hospital Gown

Techniques for pain relief Unmedicated:

□ Massage/Pressure

□ Shower/Bath

□ Rebozo

□ Hot/Cold Packs

□ Hypnobirthing

□ TENS Machine

□ Acupressure

□ Nipple/Genital Stimulation


□ Gas & Air

□ Pethidine

□ Epidural (anaesthesia)

□ Spinal Block (caesarean section only)

What birthing aids would I like to use?

□ Peanut Ball

□ Fit Ball

□ Birthing Stool

□ Beanbag

□ Squatting Bar

□ Birth Pool


□ Prefer to stay in one position

□ Prefer to move about during labour


□ Walking

□ Squatting

□ Kneeling

□ Standing

□ Sitting

□ Lying Down

Foetal Monitoring

□ Continuous Monitoring

□ Intermittent Monitoring

□ Doppler Monitoring

Please be aware that high risk pregnancies, induction and epidural use births are likely to have continuous monitoring for the safety of baby.

Internal Checks/Breaking of Amniotic Sac

□ Happy with examinations deemed necessary by medical staff

□ Minimal Examinations

□ No Examinations unless in an emergency

□ Midwife/Doctor can break my amniotic sac

□ I want my amniotic sac to break naturally