Birth Plan Template

A simple way to put your birth preferences on one page, so your care team knows what matters to you.

THE SHORT ANSWER

  • A birth plan, or birth preferences sheet, is a short list of what matters to you during birth.
  • Keep it to one page so it's easy for your care team to read.
  • Go over it with your doctor or midwife. They can explain your options and what their hospital or practice offers.

This page is general information, not medical advice. Always talk with your doctor or midwife about your own care.

What a birth plan is (and isn't)

A birth plan isn't a script. Birth can change direction, and that's okay. It's a way to think through your options ahead of time and share what you'd like, so the people caring for you know you.

Topics to think about

These are common topics families include. Write down only what matters to you:

  • Who you want with you: your partner, family, friends, or doula
  • The room: lighting, music, quiet, your own pillow or blanket
  • Comfort options you're interested in: movement, positions, a shower or tub, massage, breathing
  • Pain relief: what you'd like to know about or try. Your provider can explain the options
  • Communication: how you'd like decisions explained to you, and who should be part of them
  • Right after birth: holding your baby, who cuts the cord, photos, quiet time
  • Feeding: breast, bottle, pumping, or not sure yet
  • Your baby's care: your provider can explain the routine newborn care and your choices
  • If plans change: what would help you feel supported, including in a cesarean

A simple template

Copy these headings onto one page and fill in your own words:

  • My name, my due date, and my provider
  • People I'd like with me
  • How I'd like the room to feel
  • Things that help me feel calm
  • What I'd like to know about pain relief
  • Right after birth, I'd like…
  • For feeding, I'm planning to…
  • If plans change, it would help me to…

Bring a few copies with you. My hospital bag checklist has a spot for it.

How a doula helps with your birth plan

During prenatal visits, I help you learn about your options and write your preferences in your own words. In labor, I help you remember what matters to you and support you if plans change. My Virtual Support package includes a personalized birth plan. See Services & Pricing.

Questions families ask

Do I need a birth plan?
No, but many families find it helps them learn about their options and talk with their provider before labor.
How long should a birth plan be?
One page is easiest for your care team to read.
What if my birth doesn't go as planned?
That's common, and it's okay. A birth plan is about your preferences, not a promise. Including what would help you feel supported if plans change can be helpful.

Keep reading

Hospital Bag ChecklistChildbirth ClassesFirst BabyWhat Is a Doula?Services & Pricing

Want help putting your birth preferences into words? Let's talk. Consultations are always free.

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