Creating a Birth Plan
Writing a birth plan can be overwhelming and sometimes you just don’t know where to start, so here’s a few things I would consider before sitting down to write my birth plan.
I have to start by saying that although writing a birth plan is an amazing tool to help ensure your birth goes as smoothly and as close to your wishes as possible, it’s important to understand that sometimes things just don’t go as planned and that’s ok. I think the most important part of any birth plan is realizing God is the one in control and his plans are always better than our own.
Preparing for the birth of your baby is one of the most exciting and life-changing times. While labor and delivery can feel overwhelming, a birth plan allows you to take control of the process and make informed decisions that align with your preferences. A birth plan is simply a guide for your healthcare team, outlining your choices, desires, and any concerns you may have regarding your labor and delivery.
It’s important to remember that birth plans are flexible. Things may not go exactly as planned, but having a clear idea of what you want can help you feel more empowered and confident throughout the process. Here are some key things to consider when creating your birth plan.
1. Location
The first step in creating your birth plan is deciding where you want to give birth. Different options include:
Hospital Birth: The most common setting, where you’ll have access to medical interventions and a team of healthcare professionals.
Birth Center: A more home-like setting with a focus on natural birth but with medical backup if needed.
Home Birth: A personalized setting for those who prefer to give birth in the comfort of their home with a midwife or doula.
Consider your comfort level, the support systems available in each setting, and any medical needs you might have when deciding where you’ll deliver.
2. Who do you want to share your experience with
Think about who you want by your side during labor and delivery. This may include your:
Partner: Most people choose to have their partner with them for support and involvement in the birth.
Doula: A doula provides emotional, physical, and informational support before, during, and after labor.
Family/Friends: Some people want the support of close friends or family members, but be sure to consider how many people will create the atmosphere you want.
Medical Team: Your doctor or midwife will guide the medical side of the birth, and nurses will assist throughout your labor.
Be clear about who you want in the room and what roles you envision for them. It’s important to feel supported and relaxed, so make sure everyone knows and respects your wishes.
3. Pain Management
Pain management during labor is one of the most important aspects of your birth plan. Some common pain relief options include:
Natural Pain Relief: Techniques like breathing exercises, massage, hydrotherapy (water birth or showers), and labor positions.
Medications: You might want to consider options like an epidural, IV pain relief, or narcotics.
Alternative Methods: Some people choose hypnosis, acupuncture, or aromatherapy as additional support.
It’s important to educate yourself on the pros and cons of each pain relief option and discuss them with your healthcare provider. While you may have a preference, keep in mind that things can change during labor, so being flexible is key.
4. Birth Positions
During labor, the position you choose can impact comfort and progress. Some options to consider:
Upright Positions: Standing, walking, or squatting can help encourage labor progress and relieve pressure.
Lying Down: Lying on your back may be recommended for medical reasons, but many women find it uncomfortable.
Water Birth: If you're birthing in water, consider the position that feels best while submerged.
Partner-Assisted Positions: Some couples find comfort in positions like kneeling or leaning on their partner.
Think about what positions will make you feel empowered and comfortable, and be sure to discuss these with your care team.
5. Possible Labor/Delivery Interventions
It’s important to consider your preferences regarding potential medical interventions during labor, such as:
Induction: If labor doesn’t start on its own, some methods of induction might be used, like Pitocin or breaking the water. You can express your preference to avoid induction unless medically necessary.
Episiotomy: An episiotomy is a surgical cut made to enlarge the vaginal opening, though it’s not routinely performed. You can specify whether you’d prefer to avoid this unless absolutely needed.
C-Section: While a cesarean may be necessary for medical reasons, it’s helpful to think about your wishes should a C-section become necessary (such as who will be in the room, skin-to-skin contact, etc.).
Discuss these options with your healthcare team in advance so you’re clear on what’s best for your situation.
6. How will care for your newborn baby be held
Once your baby is born, there are a few choices to consider regarding newborn care, including:
Immediate Skin-to-Skin Contact: Many parents choose immediate skin-to-skin contact with their newborn to promote bonding and breastfeeding.
Delayed Cord Clamping: Some parents prefer to delay cutting the umbilical cord until it stops pulsating, as it may have health benefits for the baby.
Feeding Preferences: Whether you plan to breastfeed or formula-feed, be sure to make your preferences known.
Bathing: Some people want to delay or avoid the baby’s first bath to allow bonding time after birth.
Including these preferences in your birth plan can help the medical team honor your wishes.
7. Postpartum Care
After birth, it’s important to think about your recovery and postpartum needs. Consider including:
Help with Breastfeeding: If you want support with breastfeeding, you can request lactation consultant support right after birth.
Postpartum Care for You: Talk to your healthcare provider about pain relief, support for perineal care, and other needs after the birth.
Visitor Preferences: Some parents want a quiet, peaceful time to bond with their baby after birth. You can specify how soon you’d like visitors and how many people are welcome.
Birth Control: You may want to discuss birth control options and family planning with your healthcare provider.
Creating a birth plan is a way to express your preferences, reduce anxiety, and empower yourself as you approach your baby’s birth. By considering everything from location and support persons to pain relief and newborn care, you can help ensure your birth experience is as positive as possible.
However, always keep in mind that birth can be unpredictable. While a birth plan helps communicate your wishes, being open to changes and trusting your medical team is key to a successful and fulfilling birth experience. Take time to talk with your healthcare provider, discuss your preferences, and stay flexible—after all, your birth experience is uniquely yours.
Hi, I’m Faye, a doula based in the Central Arkansas area. I’m here to support you through your birthing journey and help you feel empowered every step of the way.
I know a lot of people would say there isn’t a such thing as a perfect delivery but I would have to disagree but that’s bologna. The perfect delivery is the one God intended just for you. And I know he shares those desires and places them on your heart. Trusting in God and his ability to bring forth delivery is the best way. Isaiah 66 9-11
With love,
Faye G
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