So, you’re expecting a little bundle of joy, and while you’re focused on all the excitement, there’s one thing you don’t want to overlook: creating a birth plan. A birth plan is essentially a document that outlines your preferences for labor and delivery. It’s a great tool to ensure your wishes are known, and it can help you feel more in control when the big day arrives. But how do you create a birth plan that doctors will actually follow?
A well-crafted birth plan not only communicates your preferences but also serves as a guide for your medical team, ensuring everyone is on the same page. From pain management options to who you want present in the room, your birth plan reflects your vision for the labor experience. While it’s important to have a clear idea of what you want, it’s equally essential to remain flexible, as labor can sometimes take unexpected turns.
In this article, we’ll walk you through the key components of a birth plan, what to include, and how to have open conversations with your healthcare providers. Whether you’re aiming for a natural birth or planning for medical interventions, a birth plan is a helpful tool to ensure that your voice is heard during one of the most important moments of your life.
Let’s explore the ins and outs of birth plans and how you can craft one that both you and your medical team will respect.
Understanding the Basics of a Birth Plan
What to Include in a Birth Plan
A birth plan is like a blueprint for your ideal birth experience. It outlines everything from pain management options to who will be present at the birth and even the kind of music you’d like to play during labor. But what should you include?
- Labor Preferences: Do you want a natural birth, or are you open to medical pain relief like an epidural?
- Delivery Preferences: Who do you want in the room with you? Are you open to a C-section if needed?
- Postpartum Care: Do you want immediate skin-to-skin contact with your baby? What are your preferences for breastfeeding or bottle feeding?
Your birth plan should reflect the priorities and choices that are most important to you, creating a framework for a positive birth experience. While it’s crucial to be clear about your preferences, it’s also a good idea to discuss them with your healthcare provider well in advance to ensure they align with the hospital’s policies and available options. This step can help avoid confusion or disappointment during labor, as it allows for adjustments to be made early on.
Additionally, including contingency plans for unforeseen circumstances is important. For example, if your preferred birthing position or method isn’t possible due to complications, knowing ahead of time how flexible you are with certain interventions can ease your stress. A well-rounded birth plan addresses not only your ideal choices but also how you’d like to approach unexpected situations, making it easier for both you and your medical team to navigate any surprises with confidence.
Common Misconceptions About Birth Plans
Many people believe birth plans are rigid, and that if things don’t go exactly as planned, they’ve failed. But a birth plan isn’t about controlling every detail—it’s about communicating your wishes and knowing that flexibility is key. Doctors and midwives are there to support you, even if the situation changes unexpectedly.
Another common misconception is that birth plans are only for those seeking a natural birth experience. In reality, birth plans can be helpful for all types of births, whether you’re planning for an epidural, a C-section, or a home birth. The goal is not to restrict options but to ensure that your preferences are known and considered, regardless of the specific circumstances. A birth plan serves as a guide, not a set of non-negotiable rules, allowing you to have a more informed and empowered experience, even when the unexpected happens.
Types of Birth Plans
Natural Birth Plan
A natural birth plan typically includes preferences for minimal intervention. You might want to avoid medications, use water births, or incorporate alternative pain management techniques like breathing exercises and massages.
Medicated Birth Plan
If you’re planning a medicated birth, you’ll want to specify whether you want an epidural, IV pain meds, or another form of pain relief. This plan might also include requests for who you want present or preferences about labor positions.
Setting Realistic Expectations
Navigating Unexpected Changes
Even the best-laid plans can be adjusted, especially during labor. Unexpected changes can occur, like complications or sudden shifts in the baby’s position, and your medical team might need to act quickly. Having a flexible attitude will help you stay calm if your birth plan needs adjusting.
The Importance of Flexibility
While it’s important to communicate your preferences, be prepared to accept changes. Things might not go exactly as you imagined—and that’s okay! Your health and the baby’s health are top priorities.
Communicating Your Birth Plan with Your Doctor
Why Communication is Key
One of the most important steps in creating a birth plan is communication with your doctor or midwife. It’s essential that they understand your preferences and are willing to work with you on them. Having an open and honest conversation about your desires and concerns will ensure you’re both on the same page.
How to Have a Conversation About Your Birth Plan
- Be clear and concise: Explain your main preferences without overwhelming your doctor with too much detail.
- Discuss possible scenarios: Be open to discussing potential changes in case of complications.
- Ask questions: Don’t hesitate to ask how your doctor will handle different situations.
Discussing Birth Preferences
Pain Management Options
When creating a birth plan, one of the most crucial things to address is pain management. Do you want an epidural, or are you hoping for a natural birth with minimal medical intervention? Pain relief is a deeply personal choice, so make sure your plan reflects what you feel comfortable with.
Positioning During Labor
Labor positions can affect how things progress. You might prefer to move around freely or use a birthing ball. Communicate your preferences, but also be open to suggestions based on how your labor unfolds.
Preparing for Potential Complications
Understanding Medical Interventions
Some complications might require medical interventions like induced labor or the use of forceps. These interventions might not be part of your original plan, but being informed helps you make confident decisions if they become necessary.
Making Informed Decisions
In the event of complications, you’ll likely need to make quick decisions. Trust your medical team, but make sure you understand the reasoning behind any medical interventions.
Partner and Support Person’s Role in the Birth Plan
Advocating for You in the Delivery Room
Your partner or a designated support person can be a huge advocate for your birth plan. Make sure they’re well-informed and ready to support you in achieving the birth experience you envision.
Supporting Emotional Well-being
Childbirth is a significant emotional event. Having a supportive person by your side can help you stay calm and focused on your goals. Let them know what you need emotionally, whether it’s a hand to hold or someone to remind you of your breathing techniques.
Preparing for Postpartum Care
The Importance of Postpartum Planning
A birth plan isn’t just about labor—it should also address your postpartum care. Do you want immediate skin-to-skin contact with your baby? Do you plan on breastfeeding or bottle feeding? These preferences should be clearly communicated to your medical team.
Birth Plan for After the Baby Arrives
Include preferences for things like newborn care (e.g., who should cut the umbilical cord), baby’s first bath, and circumcision if applicable. Make sure to let your healthcare team know how you want to handle those early moments with your baby.
Writing the Birth Plan: Practical Tips
Using Simple and Clear Language
When writing your birth plan, simplicity is key. Use clear, concise language to express your wishes. Avoid complicated medical terms, and make sure the document is easy for your doctor to understand quickly.
Prioritizing Your Wishes
You’ll likely have many preferences, but remember to prioritize them. What are the absolute must-haves? What are you flexible about? This will help your medical team focus on your most important wishes during labor.
Common Birth Plan Mistakes to Avoid
Overloading Your Plan with Details
While it’s important to communicate your preferences, avoid overwhelming your birth plan with unnecessary details. Focus on the essential aspects that matter most to you.
Ignoring the Unpredictability of Birth
No matter how detailed your birth plan is, birth can be unpredictable. Focus on what’s important and remain flexible about changes that might arise.
Ensuring Your Birth Plan is Realistic
Balancing Wishes and Medical Necessities
Balance your preferences with realistic medical options. For example, while you may wish for a completely natural birth, complications might require pain relief or a C-section. Stay open-minded and realistic.
The Role of Your Doctor in Your Birth Plan
Your doctor’s expertise will guide you through any unexpected twists. Trust them, and remember that your health and the baby’s safety come first.
Finalizing Your Birth Plan
When to Submit the Birth Plan to Your Doctor
Once your birth plan is complete, submit it to your doctor or midwife well in advance of your due date. This allows time for them to discuss any concerns with you and address any medical questions.
How Often to Update Your Birth Plan
As your pregnancy progresses, your preferences or circumstances might change. Update your birth plan as needed, and don’t hesitate to communicate changes to your doctor.
Creating a birth plan is an important step in preparing for the birth of your baby. It ensures that your preferences are known and respected, but it’s important to remember that flexibility is key. By having open communication with your doctor, setting realistic expectations, and staying informed about potential complications, you can create a birth plan that works for you and your medical team.

Calvin Bassey is a dedicated writer and parenting enthusiast passionate about guiding expectant parents through the journey of pregnancy. With a deep understanding of maternal health and baby care, he provides practical and insightful advice to help families prepare for childbirth and early parenthood. His work at Brimvue focuses on empowering parents with knowledge, ensuring they navigate this transformative experience with confidence and ease.