A birth plan can be one of the most empowering tools in pregnancy—but only when it’s created with both clarity and flexibility. Many parents worry that writing a birth plan is “setting themselves up for disappointment,” but the truth is that preparation reduces anxiety and builds confidence.
A birth plan isn’t about controlling every detail. It’s about understanding your options, communicating your values, and creating a supportive team environment. It’s a way to ensure that even if birth takes unexpected turns, your care remains respectful, informed, and centered on you.
In this post, we’ll cover what a birth plan should include, how to share it effectively, and how to stay grounded when things change.
What a Birth Plan Really Is
Think of your birth plan as:
A communication tool
A list of informed preferences
A reflection of your values
A guide for your support team
Not a birth script.
Birth is unpredictable—but you can still plan for how you want to feel, how you want to be treated, and what matters most to you.
What to Include in a Birth Plan
A strong birth plan is short, clear, and easy to read. Most nurses and providers appreciate a one-page plan.
1. Your Birth Environment Preferences
Examples:
Dim lighting
Minimal interruptions
Quiet voices
Music allowed
Use of shower/tub
2. Labor Support
Include:
Who will be with you
Whether you want your partner involved hands-on
Whether you have a doula
If you want coaching or quiet encouragement
3. Movement + Positioning
Preferences might include:
Freedom to move
Use of a birth ball/peanut ball
Positions for pushing (side-lying, hands-and-knees, squat)
4. Pain Management
This section can include:
Natural comfort measures first
Hydrotherapy
IV pain meds
Epidural preferences
Even if you want an epidural, you can still include options like:
Delaying epidural until active labor
Mobility support before epidural
Partner/doula involvement
5. Interventions + Monitoring
Possible preferences:
Intermittent fetal monitoring when appropriate
Avoiding routine continuous monitoring unless medically needed
Avoiding routine IV unless needed
Clear consent before cervical checks
6. Pushing and Birth
Preferences may include:
Laboring down if epidural
Directed vs spontaneous pushing
Mirror or touching baby’s head
Warm compress on perineum
Avoid episiotomy unless necessary
7. After Birth (Golden Hour)
Many parents include:
Immediate skin-to-skin
Delayed cord clamping
Partner cuts cord
Baby placed on chest before measurements
Breastfeeding support immediately
8. Newborn Procedures
Include:
Vitamin K
Eye ointment
Hep B vaccine timing
Delayed bath
Rooming-in
Feeding preferences (breastfeeding, pumping, formula)
The Most Important Part: Flexibility
Birth plans work best when you include flexibility statements like:
“If medical concerns arise, please explain all options before proceeding.”
“We prefer the least invasive approach whenever possible.”
“Please include me in decision-making at every step.”
Flexibility keeps you empowered without feeling like you “failed” if birth changes direction.
How to Share Your Birth Plan
Discuss With Your Provider
Bring it to a prenatal appointment before 36 weeks if possible.
Ask:
“Is there anything here that conflicts with hospital policy?”
“How do you typically handle these requests?”
This conversation reveals if your provider truly supports your goals.
Give a Copy to Your Nurse
Nurses often have the most direct influence on your experience.
Review With Your Doula and Partner
Your support team should know your plan well enough to advocate when you’re focused inward.
Common Birth Plan Mistakes
Too Long
A 4-page plan is hard to follow in a busy shift change. We encourage you to stick to one page and focus on things that are different than hospital policy.
Too Rigid
Avoid “I refuse anything that isn’t natural.” Instead: “I prefer to avoid interventions unless necessary.”
No Backup Plan
Consider including preferences for:
Induction
Epidural
Assisted delivery
Cesarean birth
A backup plan helps reduce fear if plans change.
How a Doula Supports Birth Plan Success
A doula helps you:
Create a realistic plan
Understand risks/benefits
Navigate hospital culture
Advocate calmly and clearly
Stay grounded if unexpected changes arise
Support isn’t just physical—it’s emotional protection and informed guidance.
Knowing What You Want helps you and your team!
Birth plans don’t guarantee a specific outcome, but they do create clarity, confidence, and communication. A well-written birth plan gives your support team a roadmap for honoring your preferences, keeping you informed, and supporting a positive birth experience—no matter how your labor unfolds.
You deserve a birth experience where your voice matters, your choices are respected, and your care feels empowering.