“Do I really need a birth plan?”
It’s a question many may have while approaching the end of pregnancy, or maybe even the moment they see those 2 lines on a pregnancy test! While it’s not a requirement for the birth of a healthy baby, I do think having a plan in place has some definite benefits. Actually, “plan” can feel a bit too definitive and can open the door for disappointment if your birth unfolds in an unexpected way and your “plan” must change. For that reason, I prefer to call it Birth Wishes or Birth Preferences. This not only sets a different tone for yourself, but to your birth team and health care providers as well. Having a written set of Wishes:
Demonstrates you have done the research and prepared yourself for the different scenarios and choices you may have to make during labor and birth. Part of this preparation may be a child birth class.
Spells out the aspects of your labor, birth, and newborn care you have strong preferences for, but also shows that you realize you may have to adjust as different circumstances arise. It’s really the first step in advocating for yourself in your labor and birth.
Ensures the WHOLE birth team is on the same page - you can feel better understood and supported when you have shared your preferences for that support.
There are many online resources for creating a birth “plan.” I suggest doing a search and finding a plan template, or a few, that touch on the aspects of birth you feel most strongly about. Then adjust to your liking to create your unique set of Wishes. I think it is important to consider labor preferences (environment, fetal monitoring, IVs, freedom of movement, etc.), medical interventions (induction, pain medication, cesarean, etc.), 2nd stage (pushing) management, 3rd stage (placenta) management, and newborn care and procedures.
Know the policies of your delivery location. If there are some things they always do, such as skin to skin right after delivery, no need to include it in your Wishes. If there are some things that go against policy, including it in your Wishes may end up disappointing you. Of course, in this situation, asking for clarification and alternatives from your care provider may be helpful. Try to share your Wishes with your care provider before the big day to make sure they are able to support you.
Keep it concise and easy to read, some health care providers may not be enthusiastic about reading a novel in the delivery room. Of course, if you choose me as your doula, I’d be happy to help you create a plan!
