Birth plan template canada pdf
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are doing fine. It is used to tell your health care provider and hospital staff your wishes for the kind of childbirth you would like. It is used to tell your health care provider and hospital staff your wishes for the kind of childbirth you would like. Use a mirror to see the baby crown. We encourage you to write down your wishes and desires for the birth and to discuss these with your physician. A birth plan assists the health care team in Birth I would like to: Take all possible steps to avoid an episiotomy. Pain Management Preferences F I would like a medication-free birth A birth plan is a document that you create. Breast-feed as soon as possible. Avoid vacuum do so instinctively. Have a full dose of epidural Avoid forceps usage. be coached on when to push and for how long. Let the epidural wear off while pushing. Have my partner cut the umbilical cord. C-Section If I have a C-section, I: Would like to see my baby coming out to be present at my labour and/or birth: F Partner (name): F Relative (name): F Friend (name): F Doula (name): Other (name): F If I have a caesarean birth, my support person will be _____ (name) and, if possible, I would like them to be present at all times, during the surgery. Touch the head as it crowns. It also lets you communicate your wishes, verbally or in writing, to health professionals and anyone else involved in the birth so they know what is important for you and your partner It will also give A birth plan is a tool that can be used to communicate your hopes and desires for your upcoming birth to your health-care team. View irth the b using a mirror. be allowed to progress free of stringent time limits as long as my baby and. After the birth, I'd like to: Hold my baby right away, before any procedures that are not urgent. It will also give instructions on how you would like your baby to be cared for after his or her birth Birth Plan. I'd like to try the to be present at my labour and/or birth: F Partner (name): F Relative (name): F Friend (name): F Doula (name): Other (name): F If I have a caesarean birth, my support person A birth plan is a document that you create. Use additional sheets, if necessary A birth plan is a tool that can help guide your thinking.