Birth Plan Builder - Create Your Free Birth Plan

Create your personalized birth preferences and download a free one-page PDF to share with your care team.

Your Birth Plan
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Essential Information

Your name
Due date
Doctor / Midwife
Hospital / Birth center
Pediatrician
Blood type
Allergies
GBS status
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Birth Environment

Who would you like present during labor and delivery?
What kind of atmosphere do you prefer?
Students or trainees in the room
What would you like to wear during labor?
Photography and video preferences
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Labor Preferences

Movement during labor
Eating and drinking during labor
Cervical exams during labor
Artificial rupture of membranes (breaking water)
If induction is recommended
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Pain Management

Overall approach to pain management
Should staff offer pain medication?
Comfort measures I am interested in
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Monitoring & Interventions

Fetal monitoring preference
IV preferences
If labor stalls or slows
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Delivery Preferences

Pushing position preference
Pushing style
Would you like a mirror to see the birth?
Episiotomy preference
Cord clamping
Who would you like to cut the cord?
Who catches the baby?
Who announces the sex of the baby?
Assisted delivery preferences
Cord blood banking
Placenta preferences
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Cesarean Preferences

In the event a cesarean birth is needed, these are my preferences:

Partner in the operating room
Visual preferences
Skin-to-skin in the OR
Other cesarean preferences
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Newborn Care & Postpartum

Skin-to-skin after birth
Feeding plan
Lactation support
Feeding boundaries
Newborn procedures
Newborn exams and assessments
Circumcision (if applicable)
Rooming preferences
Visitor preferences

📝 About Birth Plans

A birth plan is a document that communicates your preferences for labor, delivery, and postpartum care to your healthcare team. While birth is unpredictable and plans may need to change for medical reasons, having a written plan helps ensure your voice is heard and your care team understands what matters most to you.

The American College of Obstetricians and Gynecologists (ACOG) encourages patients to discuss their birth preferences with their provider well before their due date. Bring 3-4 printed copies to the hospital so every member of your care team can review your wishes.

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Track Your Prenatal Appointments

Generate a personalized appointment timeline with dates for every visit, test, and screening.

Prenatal Appointment Schedule →

This birth plan builder is for educational purposes and is based on common preferences recommended by ACOG and childbirth educators. Every birth is unique - discuss your preferences with your provider well before your due date.