Sample birth plan

This birth plan was used by one of the members of PIA. Please note that this plan should not be used as a substitute for professional medical advice. Please discuss your own birth plan with your obstetrician/midwife.

Thoughts about my labour & delivery - Andrea

Pain relief

        Non-pharmacological:

• Massage

• Heat packs

• Music, Breathing, relaxation, aromatherapy

• Position changes 

• Shower

• Bath

        Pharmacological:

• I will probably use gas, and would like this to be available during second stage if needed

• I would prefer not to use Pethidine, and for this not to be offered to me unless I REALLY request it!

• I very strongly want to avoid an epidural because of my pelvic instability. If I need to have an epidural I would prefer to have someone watch my legs so they do not spread too far apart during labour or birth

Positions and actual birth

• I would prefer a forward leaning position that does not separate my legs too much, eg using a beanbag

• Alternatively, a semi-reclining position with legs supported or left lateral if possible

• I don’t want to be flat on my back, and really need to avoid stirrups because of my pelvic instability. If these are necessary, my legs need to be supported so as not to fall out too far

• My legs need to be in parallel at all times

Interventions

• Assisted delivery – If this is required I would prefer a ventouse in a lateral position rather than forceps if at all possible

After birth

• Ice – perineal as well as symphysis pubis

• I would like to use voltaren suppositories as I found them to be helpful after my last birth

• I may need a longer period of bedrest after the birth depending on pelvic pain

• I plan to have my physiotherapist provide daily ultrasound treatment in the days after the birth