Guidelines for Writing a Birth Plan

To make a birth plan, you don’t require a lot of research. All that is required is to realise and understand what you want, what your needs and preferences are during and post-delivery and thereafter organizing it all together and writing it down.

In order to pen down a birth plan, certain guidelines need to be followed. These guidelines help in planning what a mother wants during her labour andThis involves understanding whether a mother wants a normal delivery, a C-Section or an epidural, who she wants or does not want during her labour in the delivery room, after how long does she want to breastfeed her baby, when does she want to feed her baby after birth etc. All information that one thinks is necessary and important should be listed in this plan.

What is a Birth Plan

A birth plan is a record or a document in which the expectant parents state their preferences for the labour and after delivery process. It is also a way to prepare them for the physical and emotional aspects of the birthing process. It also serves as a vehicle for communication between the partners, their care provider and the hospital staff prior to labour and the childbirth process. The document also gives an insight into the other options that could be put practised in case an unexpected situation arises.

Why Should You Create a Birth Plan?

A birth plan allows the caregivers get an idea of what you prefer and expect during your labour and delivery. It is a list of the expectant parents’ expectations and desires. Here are the reasons why you should have one:

• Natural birth: You would want everyone in the labour room to know that you want a normal delivery and not an epidural one, without the help of any pain-free drugs. Creating a birth plan will enable you to do this.

• Means of communication: It will communicate your wishes and expectations clearly. It helps you to convey to your doctor or your midwife that unless there is some complication, the delivery should go as per the birth plan drafted by you. In hindsight, it also gives a chance to your health care providers to analyse and brief you about the possibilities post reading your documented plan.

• Preparation: Drafting a birth plan also shows what you are prepared for. You can create this plan after going through several Blogs, talking to friends who are mothers, talking to health care providers and also reading several books about pregnancy and childbirth. Doing so may not make your delivery easy but it will give you a greater sense of comfort while going into the labour room.

• Other options: Most women want a normal delivery but what if that is not possible? What if you require medication to induce labour or you have oedema in the cervix which stops it from opening up and you are writhing in pain? So having “just in case” options in your birth plan, is a wise move.

• Gathering knowledge: Writing a birth plan requires you to acquire knowledge about labour, childbirth, hospital or the health centre environment, medical equipment (which may be used during childbirth) and medications. In the process, you also get to know about everything that is related to having a baby.

• Gives clarity: At a time when the contractions have started and you are in pain, just opening up the birth plan will give you an idea and help you to decide as to what should be done next.

• Role of your partner: Just as it took both you and your partner to make a baby, in the same way, both of you can create a birth plan together. In the process, your partner will get to know all about labour and childbirth and get a feeling of being a part of the whole journey and the experience.

The Kind of Research to do Before Writing a Birth Plan

Doing a bit of research before drafting a birth plan is a good thought. You can do so in the following ways.

• Join an antenatal class: An antenatal class is a good place to interact and ask questions to the various caregivers and health professionals about different aspects of pregnancy, labour and delivery. It’s a place where you can meet other moms-to-be and share your pregnancy woes, your experiences and learn new things from them.

• Talking to people: Interacting with people and women who have given birth at the hospital you are going to, will give you an insight into what your experience could be like. Also talking to other women in pregnancy forums on the internet could also give you an understanding of labour and childbirth. However a word of caution, “never delve too much into it because every woman is different and so is their pregnancy”.

• Talking to friends: Ask friends who have recently had babies for inputs on what they had included in their birth plan and what they had excluded. They could also help you to understand what you should expect at the time of childbirth.

• Talking to your partner: Talking to your partner and asking him what role he could provide during your labour and delivery is important before drafting a birth plan. It will also give you an insight as to how he would help you during your labour and delivery process.

• Reading: Reading about birth and birthing options could help you decide on what and how you want your labour and delivery to be. It will help you decide and choose options according to your likes and necessity.

• Prepare for the worst: Your delivery may not go according to how you have envisioned it. At times, during childbirth, you may need some kind of intervention or an emergency caesarean, if your health or baby’s health is at risk. Therefore having a flexible birth plan is important.

How to Write a Birth Plan?

Every woman’s birth plan is different because what goes in it depends on what is important for her. It should be as simple and concise as possible. Your partner and family members should have full knowledge about what you have wished for in the birth plan (some hospitals and caregivers may try to override the birth plan instead of adhering to it).

What Should be Included in the Plan?

A birth plan should be as brief as possible and should include all the things that are important to the expectant mother. A good and legible birth plan should include the following points.

1. Your positions during labour and birth should be included in case you feel you will be more relaxed and comfortable in a certain way.
2. It should state whether you will have a labour coach and who will it be.
3. Stating other pain relief options other than the medicated ones during your labour such as breathing techniques and massages should be mentioned.
4. Who you would want and do not want during the time of delivery in the labour room.
5. Whether you want people to visit you or not, right after your delivery.
6. Whether you want somebody to videotape your delivery and whether the hospital allows it or not.
7. If you want some soothing music during your labour/delivery process.
8. Your concerns and fears.
9. If you would like to move during labour?
10. Whether you want an epidural delivery or a drug free delivery?
11. Whether being induced is okay with you?
12. Delivery preference like whether you want a Vaginal delivery, a C – section, vacuum extraction or a forceps delivery?
13. Under what circumstance should your doctor perform C – section?
14. Positions for labour and birth.
15. Do you want to wear your own clothing while in labour and during delivery?
16. Do you want to bank the cord blood?
17. How soon or later would you and your partner get to hold the baby after birth?
18. When would you first feed the baby?
19. Would you like to nurse your baby or bottle feed? Do you learn how to breastfeed?
20. Would you like your baby to sleep with you or in the nursery?
21. If your baby is a boy, do you want him to be circumcised? If so, when?
22. You could also mention whether you want your partner or the midwife to cut the cord instead of the doctor or the nurse. You could also ask for some drugs which would expel the placenta quickly or for it to come out on its own.

What if You Have Any Special Requirements?

Special requirements should always be put down on the birth plan. In case of a special family or religious custom during the baby’s birth, there should be a mention of it in the birth plan. If one has a disability, it should be mentioned in the birth plan along with the kind of help required.

One must also mention if English or any other language that is spoken at large (in that particular place) is not your first language and whether you require an interpreter. Also mentioning any special diet during your stay at the hospital, if in case you have one, is necessary.

What Happens After Writing a Birth Plan?

After you have finished mentioning all your preferences and your aversions in your birth plan template, your doctor, the caregivers and the other hospital personnel will know what you are expecting during your labour and childbirth. In case they feel something in your birth plan is too rigid, they may tell you what could be the outcome of it.

Having a good birth plan is certainly a good idea when it comes to one of your life’s most important milestone, that of being a mother. However, one cannot be too rigid while framing one. Expectant mothers need to be flexible and keep their options open. This would not only help in having a safe delivery but also a good one.