Birth Plan Builder

🌿 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.

📝 INDIVIDUAL DETAILS

ALLERGIES, CULTURAL CONSIDERATIONS, SPECIAL CIRCUMSTANCES, PERSONAL WISHES

🌸 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