Name *
Name
Others to be present at the birth:
Comfort Measures for Labor
Please check any of these comfort measures that you think you might like during labor.
Medical Choices for Labor *
Please check any that you have questions about during labor as you prepare your birth plan:
Birthing Options *
Check any that you are interested in for your labor:
Placenta Delivery & Care Options
Please check any of the following that you are interested in:
Cesarean Birth Options
Please check any of the following that you would like in the event of a planned or unplanned cesarean.
Newborn Care *
Please check any of the following Newborn Care Options that you are interested in:
Postpartum Care
Please check any of the following Postpartum Care Options that you are interested in: