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Your Birth Plan Checklist Labor 1. During labor, do you want to Move around Stay in one place Be able to take a bath or shower 2. For refreshment, would you prefer to Eat Drink Have ice ships or popsicles Use and IV (if you wish to avoid a routine IV, say so explicitly) 3. Do you want the baby's heartbeat to be monitored With an internal electronic fetal monitor With a portable telemetry unit (so you can walk) With an external monitor With a fetal or Doppler stethoscope Intermittently, if at all possible 4. How do you feel about pain medications I want to use all appropriate pain-relief options I would like to take them if the pain is too intense They should be avoided if possible 5. What nonmedical pain-relief methods would you like to try Breathing exercises Acupressure Massage Visualization Hypnosis Water (warm bath, shower) Other: 6. Whom do you want to be present during labor My partner Another birth coach A doula (professional labor assistant) Friends or family members) Older children Delivery 1. What positions would you like to try for pushing Reclining in bed Squatting All fours Other: 2. How do you feel about an eposiotomy I would like one if the doctor thinks I will tear I would prefer that the birth attendants massage and stretch my perineum in order to avoid an episiotomy 3. Would you like your partner to cut the cord Yes No 4. In the event of a Cesarean delivery, do you want to Be conscious Watch the procedure See and touch the baby after the operation Have your partner present at all times After Delivery 1. Do you want to postpone noncrucial procedures until after you've had a chance to hold your baby? Yes No 2. Do you want to try to nurse the baby immediately? Yes No 3. When do you want to have the baby with you (note that hospitals may have policies on this) All the time Whenever I'm awake Whenever baby is awake At scheduled feeding times or when baby is hungry 4. Is it okay for the hospital staff to give your baby A pacifier Sugared or plain water Formula 5. If you have a son, do you want him circumcised? Yes No 6. Barring complications, how long do you want to stay in the hospital? I want to rest and recover as long as I can I want to go home as soon as possible Setting your thoughts about labor on paper, or discussing them with your healthcare provider, can help crystallize your preferences. You'll find it helpful to read up on labor and delivery, and to take a child birth education class, before solidifying your opinions. Consider your stances on such topics below.