Birth plan template

1. Support and communication

I know who I want with me during labour. I know whether that changes if assisted birth or caesarean becomes part of the day. I have noted any language, cultural, religious, dietary, or access needs.

Notes for the team

2. Signs and timing

I know when I should phone the ward if contractions start. I know what to do if my waters break, there is bleeding, or movements reduce. I know who is driving and when we leave for hospital.

Timing notes

3. Comfort, movement, and coping

I would like to stay upright or change position freely if possible. I would like to use shower, bath, massage, music, breathing, or dimmer lighting if available. I know what tends to help me stay calm when pain rises.

Comfort preferences

4. Pain relief plan

I know what I would like to try first. I know what I am open to later if labour becomes longer or more intense. I know what would make me ask earlier for stronger pain relief.

Pain-relief notes

5. If the day becomes more medical

I know what I would want explained if assisted birth, episiotomy, or caesarean is recommended. I know whether I want the team to move quickly once a decision is made. I know what matters most about my companion staying with me where possible.

Intervention notes

6. The first hours after birth

If all is well, I would like immediate skin-to-skin. I would like help with the first feed as early as possible. I have thought about vitamin K, early checks, and who stays with the baby if extra monitoring is needed.

First-hours notes

7. Practical planning and questions

My bag is packed or almost packed. My support person knows what they need to bring or manage. I know the questions I still want to raise at my next review.

Questions for my next appointment

Hospital birth-plan worksheet