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A Great Birth Plan
By Samantha Thurlby-Brooks

A good birth plan needs to be simple and easy to read. Midwives and obstetricians look after so many different people that to write too much will just get forgotten. Below is an example of a great birth plan for you to use and adapt as you see fit

View and download as a pdf

Mothers Name;

Midwife/ Obstetricians Name;

  • For my birth I would like to feel unobserved, but supported and nurtured and free to move around as I wish.
  • I would like the room to be kept warm, dimly lit and quiet at all times so as I can keep my focus and relax as much as possible. Please do not chatter and keep comments as positive as possible to keep me encouraged and relaxed.
  • I only want internal exams if they are medically necessary and not as routine so as I can relax and keep my focus.
  • I will listen to my body and move as I need to to birth my baby so please do not instruct me how or when to push.
  • I will ask for pain relief if I need it. Please do not offer any medical pain relief but if after being encouraged to go without I am still asking for it, then I would be happy to have some. These are the things I would be happy to have; gas and air, pethidine, epidural [include which ones you want or don't want. There are varying risks with each one]
  • Please do not tell me about possible scenarios as I would like to stay focused and positive. If a situation arises then I'm happy to discuss my options and will make decisions after discussing them in private with my partner (unless it is a medical emergency)
  • When using the foetal monitor I would like to be as mobile as possible to help with my contractions.

Signed (Mother): ___________________________ Date: ____________

Signed (Midwife/ Obstetrician): _____________________ Date: __________

You might be interested in the Joyful Childbirth 3 hour Antenatal Class for Natural Pain Relief


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© Samantha Thurlby-Brooks, Joyful Childbirth, 9 Yeats Way, Mt Roskill, Auckland 1041, New Zealand. +64 9 627 5219 info@joyfulchildbirth.co.nz
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