Free Birth Plan Template 16Free Birth Plan Template 16Free Birth Plan Template 16
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Our Family Birth Plan
Name of Mother:
Anticipated Birth Date:
Mother's Support During Labor/Delivery:
M.D. Name:

A family birth plan allows parents- to- be the opportunity to plan
and anticipate their birth experience. Every effort will be made to
honor the requests
of parents-to-be throughout the childbirth experience. If the unexpected occurs,
rest assured that the MUSC
Women and Infant Services Team will work to provide the
best care available to the new mother and infant. Should emergency
arise, components of the birth plan may not be available. We will work to ensure
you are informed should this occur.
Y/N (Check to indicate yes)
I would like to be free to walk around during early labor.
I wish to be able to move around and change position at will throughout
I will be bringing my own music to play during labor.
I would like the environment to be kept as quiet as possible.
I would like the lights in the room to be kept low during my labor.
I would prefer