Birth Plan Builder — Hummingbird Doulas

🌿 BASIC INFORMATION

BIRTHING PERSON'S NAME

PARTNER / SUPPORT PERSON

DOULA / LABOR SUPPORT

CARE PROVIDER

ESTIMATED DUE DATE

BIRTH LOCATION

🗣️ ADVOCACY & SHARED DECISION MAKING

Before any intervention or procedure, we ask that our care team discuss the benefits, risks, and alternatives with us so we can make informed choices together. Please consult us before any procedure or intervention. Please give us time to discuss decisions when possible.

🌸 LABOR PREFERENCES

👶 BIRTH & NEWBORN PREFERENCES

🙅 PLEASE AVOID

Unless medically necessary or we specifically request it.

💧 No IVhep-lock only 🛁 No baby bathkeep vernix on skin 🍼 No formulause saved colostrum if needed 🚫 No pacifier 🤱 No separation from baby ✂️ No episiotomy

🌟 IN CASE OF CESAREAN

💬 Stay conscious and informed 🫶 Keep my arms free 👁️ Lower the drape to see baby born 🤱 Skin-to-skin ASAPor place in partner's arms 🌸 Breastfeed as soon as possible 🙌 Doula present throughout 🫂 Partner goes with baby

📝 ADDITIONAL NOTES

ANYTHING ELSE YOUR CARE TEAM SHOULD KNOW