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Birth plan: how to make a document for your care team

NNova editorial team · 5 min read

A birth plan is a short, clear list of wishes for labor and birth. It works best when it is brief, focused on your top priorities, and open to different scenarios.

Why a birth plan is useful

A birth plan is not a legal contract, and many hospitals treat it as a communication tool rather than a binding order. It is a practical way to share your important wishes with your care team ahead of time. When the document is short and clear, it is easier for your OB-GYN, midwife, and nurses to understand your priorities quickly.

What it usually includes

  • preferences about pain relief, including epidural and nonmedication options
  • views on movement and labor positions
  • who you want present in the room
  • wishes about skin-to-skin contact and early breastfeeding
  • what matters to you if a cesarean birth or other intervention becomes necessary
  • how you would like decisions and consent explained to you
It can help to include a line saying you are open to talking through the plan with your provider if your situation changes.

How to make the document easy to use

One to two pages with short points usually works better than a long story. Many providers suggest using simple language, avoiding vague or overly strict wording, and placing the most important items first. Ask your provider or hospital whether they have their own birth plan template.

When it is helpful to discuss the plan early

If you have had a cesarean birth before, are expecting multiples, have placenta previa, or have a higher risk of preterm birth, talking through your plan early can help you and your provider think through possible scenarios. Many people also find it helpful if they feel worried about labor.

Even a well-written plan does not replace urgent medical decisions if your health or your baby's health changes. Call your provider or go to the hospital right away if you have heavy bleeding, severe headache, vision changes, severe belly pain, fever, or if you notice your baby moving less than usual.

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General information only; it does not replace advice from your doctor or midwife.