How To Write a Birth Plan
What is a birth plan? How do you write one? Is there a specific way to do it? In this post, we will explore strategies for writing a birth plan and why you should have one in the first place.
The Reason for a Birth Plan
The goal of a birth plan is to clearly communicate your wishes to your birth team and have them written down for easy access. It is always important to talk over your birth plan with your care provider and doula. This way they can be aware of your wishes and help you work towards achieving them. Your partner should also be familiar with your birth plan in order to advocate for you.

What is a Birth Plan?
Birth plans are a list of choices and preferences for your labor, birth and immediate postpartum period. They do not guarantee a certain outcome but communicate your wishes for birth. They specify the kind of care you would like to receive and what you would also like to avoid.
Birth plans range in length from a short list of bullet points to multiple detailed pages. The point of a birth plan is to communicate your wishes clearly and concisely. Dividing it into categories can make it easier to navigate. Ideally, a birth plan should be between one and two pages in length to make it easy to reference.
What Subjects Should Your Birth Plan Include?
Since your care team will be referencing your birth plan, consider focusing on specifics that regard the care that they provide and describe what you do and do not want to happen during labor.
Consider mentioning your preferences on pain relief, medications, comfort measures, position changes, how you want to push, whether you do or do not want various interventions, and which support people you want in the room.
For your baby, indicate what you do and do not want for their care immediately after birth. This might include when to cut the cord, whether or not they receive shots, and your feeding preferences.
Yes or No
It can be helpful to have a “yes” section and a “no” section in your different birth plan categories. For example, during labor, you may say yes to free movement, changing positions, and using counter pressure. On the other hand, you may say no to an episiotomy or certain medications. Whether you use this system or something else, the goal is to make it easy to read and navigate.
Other Things to Think About
While it is not necessary to list all of your preferences regarding the environment of your birth, it is a great idea to brainstorm and decide these things ahead of time. Let your partner and doula know these preferences so they can help you with them. Consider creating a playlist of your favorite music, writing out encouraging birth affirmations, and using essential oils. You can also hang up cozy string lights, wear a comfortable gown, keep the lights dim, and use a fan. These simple strategies go a long way in making you feel safe and comfortable which supports labor progression.

How To Use a Birth Plan
Once you have written your birth plan, print multiple copies to have on hand. During pregnancy, talk over your birth plan with your doctor or midwife. This is a great way to get on the same page, encourage good communication, talk about your preferences, and learn how they can help you achieve your goals. It is always good to acknowledge with your provider that plans might change and communicate that in such cases, you would like to be informed of your options and make the decision that is best for you.
Often doctors will include a copy of your birth plan in your patient portal or file for easy access. When going to the hospital, it is wise to bring multiple copies for staff that may need them. Some parents display a copy of their birth plan in the room or give a copy to their nurse so that their care team is informed of their wishes.
What if Plans Change?
While birth plans outline your preferences and decisions for your care, there is always a chance that plans will change. While this is not something to be afraid of, it is wise to be aware of this possibility. When writing your birth plan, think of alternative options as well so that you are familiar with them. Ask your doula to help you consider different scenarios and prepare for possible changes in plan.
A supportive care team who knows your needs and desires can help you navigate changes. They will work to do what is safest and best for you and your baby while staying in accordance with your wishes as much as possible.
It is very important to give your permission and informed consent before something is done to you or your baby. This gives you the power of decision making and the ability to advocate for yourself. Knowing your options ahead of time will make it easier to make decisions in the moment.
Bottom Line
To sum it all up, birth plans are a helpful communication tool. They do not guarantee a certain outcome, but they state your preferences and desires for your birth. They save you the trouble of having to answer lots of questions during labor and make it easy for your care team to serve you. Creating a birth plan also encourages you to research, consider your options, and determine what you feel is best for yourself and your baby.
Did you learn something from this post? I’d love to hear from you in the comments!
~Hannah












