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This is a sample of a birth plan, which you can use to guide you in creating your own individual birth
plan. Problems in your medical condition prior to labor or problems that occur during labor may
result in changes in your birth plan for your safety and that of your baby. The more prepared and
knowledgeable you are regarding labor, delivery, and postpartum, the better chance you will have in
achieving your birthing goals. A plan is a guideline; you can change your mind about any of the
provisions. You and your delivery team will work together to make this the best possible event for
you!
F
F
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b
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r
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:
: (check as many as you prefer)
E
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n
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v
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:
:
_
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D
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)
)
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:
:
(Madigan requires access to a vein in case you require antibiotics in
labor and/or in the event of an emergency)
_
_
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S
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:
:
Please indicate your preference. Monitoring depends on many factors such as: fetal
well-being, gestational age, induction, etc…. Monitoring methods (intermittent auscultation,
continuous external monitoring, and continuous internal monitoring) and the purposes for use will be
discussed with you in more detail when you are admitted.
_
_
_
_
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:
(all patients who are admitted to Labor & Delivery are interviewed by the assigned
Anesthesia Provider to obtain critical medical information in case of an emergency. This is done
solely as a safety issue and should not be perceived as an influencing factor for choosing an epidural
in labor). Choose as many options as you are interested in.
_
_
_
_
_
_
I
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a
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m
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p
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:
:
(Inductions happen for specific medical reasons that affect you or your
baby. If you require an induction, that decision will usually made before you arrive at the hospital.
It is important to know that you still have options).
_
_
_
_
_
_
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_
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(If your labor slows down, or there is a medical reason that your labor
should move along more quickly, the physician or midwife may recommend augmentation of your
labor)
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It’s okay to have an additional person with you to take pictures so your coach can
concentrate on helping you and sharing in the birth experience first-hand. Madigan Army Medical
Center requires you to obtain verbal permission from the health care providers/nurses helping with
your delivery if you are taking pictures, video or audio taping the delivery. All video/audio recording
equipment must be shown to staff in advance of use and the taking of any photos, video or audio
recordings without prior permission, is forbidden. Recording of a cesarean section is not allowed at
any time before, during or after the procedure.
_
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(some of your options will be dependent whether you have received medication or an
epidural, how your labor is going and the health of your baby)
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(It is our practice at Madigan to avoid the use of episiotomy, unless there is a
medical reason to do it.)
_
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(It may be medically necessary for the physician or midwife to cut the cord)
_
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(Some babies are born with a low blood sugar and may need to eat very soon
after birth)
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:
Madigan Army Medical Center supports mother-baby (couplet) care unless the
baby requires more intensive medical care. If separation is necessary please indicate your wishes:
_
_
_
_
_
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a
r
r
e
e
a
a
n
n
B
B
i
i
r
r
t
t
h
h
s
s
:
Some vaginal births may require interventions
such as vacuum assistance or forceps to deliver the baby’s head. It is important to know that not all
mothers deliver vaginally. The c-section birth rate at Madigan Army Medical Center is lower than
the national average. If you have a planned or unplanned non-emergency C-section birth, you can
still discuss some options with your physician:
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S
S
p
p
i
i
n
n
a
a
l
l
/
/
e
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p
p
i
i
d
d
u
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r
r
a
a
l
l
a
a
n
n
e
e
s
s
t
t
h
h
e
e
s
s
i
i
a
a
_
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_
P
P
a
a
r
r
t
t
n
n
e
e
r
r
p
p
r
r
e
e
s
s
e
e
n
n
t
t
_
_
_
_
_
_
P
P
i
i
c
c
t
t
u
u
r
r
e
e
s
s
o
o
f
f
b
b
i
i
r
r
t
t
h
h
_
_
_
_
_
_
S
S
c
c
r
r
e
e
e
e
n
n
l
l
o
o
w
w
e
e
r
r
e
e
d
d
t
t
o
o
v
v
i
i
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w
w
b
b
a
a
b
b
y
y
i
i
m
m
m
m
e
e
d
d
i
i
a
a
t
t
e
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l
l
y
y
a
a
f
f
t
t
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r
r
b
b
i
i
r
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t
t
h
h
_
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_
_
_
_
D
D
e
e
s
s
c
c
r
r
i
i
p
p
t
t
i
i
o
o
n
n
o
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f
f
s
s
u
u
r
r
g
g
e
e
r
r
y
y
_
_
_
_
_
_
T
T
o
o
u
u
c
c
h
h
i
i
n
n
g
g
t
t
h
h
e
e
b
b
a
a
b
b
y
y
_
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_
_
_
_
B
B
r
r
e
e
a
a
s
s
t
t
f
f
e
e
e
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d
d
i
i
n
n
g
g
a
a
s
s
s
s
o
o
o
o
n
n
a
a
s
s
p
p
o
o
s
s
s
s
i
i
b
b
l
l
e
e
i
i
n
n
t
t
h
h
e
e
r
r
e
e
c
c
o
o
v
v
e
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r
r
y
y
a
a
r
r
e
e
a
a
I
I
h
h
a
a
v
v
e
e
s
s
o
o
m
m
e
e
s
s
p
p
e
e
c
c
i
i
a
a
l
l
r
r
e
e
q
q
u
u
e
e
s
s
t
t
s
s
:
:
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I, ____________________________ have indicated my preferences for my birth experience and
have discussed them with my health care provider, my support person and have attended the Birth
Plan Class.
Patient: _________________________________________________
Support person: ___________________________________________
Health Care Provider (title): __________________________________