My Birth Plan
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Doctor's or midwife's name:
This birth plan is a guide for my labor and delivery. Since childbirth does not always go as planned, some of
this birth plan may change.
Place and People
I would like to deliver my baby:
In a hospital:
(Name, phone number)
In a birthing center:
I would like my baby to be delivered by:
My family doctor:
I'd like these people to be with me during labor and birth:
I'd like to be able to go back home if I'm not in active labor.
After I've been admitted, I'd prefer:
To eat if I wish to.
To drink clear flu