Birth Planning

Sample Birth Plan: Grid Style



Please help us keep the room restful by:

closing the door;

dimming the lights;

minimizing noise.

Pain Management

Please help us remember to try:

walking or slow dancing;

using the shower or tub;

using our focal point and scripts.

In case of emergency

Please help us:

Ensure husband is present;

Let family announce sex;

Attempt breastfeeding as soon as possible.

Newborn Care

Please understand:

Our pediatrician will be delaying vaccinations;

Our baby will not be using a pacifier;

We would like to give the first bath;

We would like to speak with a lactation consultant as soon as possible.

Jennifer (Author)