Birth Plan

Basic hospital birth plan to put the parents in control of the birthing process

Birth plan for labor and delivery             

To be adapted by the mother and father to their desires and beliefs

  • No meal restrictions during labor.
  • Mother requires the freedom to walk around during labor.
  • No fetal monitor unless absolutely necessary and only after prolonged labor. (12 hrs plus)
  • Newborn is not to leave the delivery room without mother to accompany.
  • No eye-salves or disinfectants are to be applied to the newborn’s eyes.
  • No cutting of the umbilical cord for 20 minutes
  • Mother desires to breast-feed within ­two minutes of delivery.
  • No infant formulas are to be given to newborn.
  • No pacifiers.
  • No vitamin K shots (Mom will bring her own activated vitamin K to put in baby’s mouth soon after birth.
Absolutely NO SHOTS are to be administered to newborn or mother including vaccines
  • Private room is requested (mother will pay difference in price).
  • Baby is to reside in room with mother at all times.
  • Newborn’s weight checks, exams, etc. will be performed in the room with mother present.
  • Circumcision of child will be delayed until the 8th day.

    Date__________________

    Mother__________________________________

    Delivery Doctor__________________________

    Delivery Nurse___________________________

    These are highly recommend actions for a pleasant labor and delivery. Feel free to modify the wishes as you like. A solid plan is key to a blessed event and can prevent the nightmare of a medicalized childbirth. If the plan is rehearsed before onset of labor and the doctor and nurse read and sign this, the delivery success rises.
    Remember: Childbirth is an event and NOT a procedure!
    Authored by Neurodevelopment Consultant Craig Stellpflug NDC, CNC Healing Pathways Medical Clinic Scottsdale, AZ Copyright 2012 Craig Stellpflug© Permission is hereby granted to copy and distribute this article but only in its entirety

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