[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-354658-105":53,"doc-detail-354658-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","birth-preference-checklist-birth-planning-worksheet","Birth Preference Checklist - Birth planning worksheet","","Birth Preference Checklist is a planning worksheet that lets expectant parents mark which birth options they want and which they do not. It guides decisions across labor start preferences, cervical exam preferences, fetal monitoring style, IV access and nourishment, water use, induction/augmentation methods, pain relief choices, cord care, pushing approach, cesarean birth support requests, gender reveal preferences, and newborn care steps. The checklist is designed to prompt discussion with the care provider rather than provide medical advice.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/birth-preference-checklist-birth-planning-worksheet/354658/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/birth-preference-checklist-birth-planning-worksheet/354658.png","ImageObject",442,249,{"name":88,"@type":89},"Đào","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-14","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How should parents use this birth preference checklist with their care provider?","Question",{"text":108,"@type":109},"Check the boxes for preferences you would consider and draw a line through options you absolutely do not want. Use it to open a discussion with your care provider rather than as medical advice.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What labor start options are covered in the checklist?",{"text":113,"@type":109},"It includes preferences for labor starting on its own or being induced, with induction methods listed such as Cervadil, Cytotec, Pitocin, membrane sweep, Foley bulb/Cook catheter, and AROM.",{"name":115,"@type":106,"acceptedAnswer":116},"What decisions about newborn care does the checklist prompt?",{"text":117,"@type":109},"It addresses newborn steps such as skin-to-skin and Golden Hour, vitamin K, eye ointment, Hep B, bathing/wiping, breastfeeding vs formula feeding, and pacifier preferences.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},354658,1791213210,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},1374402968488,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Birth Preference Checklist  \nW: [LancasterDoulas.com](LancasterDoulas.com)  \nT: 717-203-1678  \nE: [Info@lancasterdoulas.com](Info@lancasterdoulas.com)  \nDirections: Check off the boxes that you would consider doing during your birth and a line through the things you absolutely DO NOT want. Please keep in mind this worksheet is intended to open a discussion with your care provider and is not intended as medical advice.  \nStart of Labor  \n□ I would like labor to start on its own  \n□ I would like to be induced  \n◦ Cervadil  \n◦ Cytotec  \n◦ Pitocin  \n◦ Membrane Sweep  \n◦ Foley Bulb / Cook Catheter  \n◦ AROM (breaking my water)  \n◦ Nipple stimulation Clothing  \n□ Wear my own clothing  \n□ Wear hospital gown Admittance  \n□ As soon as labor begins  \n□ I want to labor at home until active labor  \n□ I want to labor at home as long as possible Vaginal Exams  \n□ Minimal (as necessary)  \n◦ I want to know my progress  \n◦ I do not want to know my progress  \n□ I like to know my progress often Fetal Monitoring  \n□ I would like intermittent monitoring  \n□ I would like constant monitoring  \n◦ Belt monitor (EFM)  \n◦ Internal monitor  \n◦ Hand held doppler IV Access  \n□ I would like a Hep Lock  \n□ I would like IV fluids  \n◦ Connected upon admittance  \n◦ Connected as I request Nourishment  \n□ No Food or Drink Restrictions  \n□ Light Snacks  \n□ Clear Liquids (broth, juice, etc.)  \nWater  \n□ I would like to labor in the shower/tub  \n□ I would like to birth in the water Augmentation  \n□ I would like my water broken  \n□ I would like pitocin  \n□ I would like to do nipple stimulation Pain Relief  \n□ I would like an epidural  \n□ I would like IV narcotics  \n□ I would like to use a TENS  \n□ Please do not offer me pain relief Cord Care  \n□ I would like to do delayed cord clamping  \n□ I am banking my baby's cord blood  \n□ I do not have a preference Pushing  \n□ Spontaneous pushing  \n□ Guided pushing  \n□ I would like to try alternative positions  \n□ I prefer to be on my back Placenta  \n□ I am keeping my placenta  \n□ I am not keeping my placenta Cesarean Birth  \n□ I would like the following people present  \n◦ Partner  \n◦ Doula  \n□ Please limit idle talking from medical staff  \n□ Provider narrate events  \n□ Clear drape / drape lowered  \n□ Seed microbiome  \n□ Take pictures  \n□ Delay cord clamping  \n□ Skin to Skin  \n□ Breastfeed in OR  \n□ Take baby to warmer  \n□ Take baby out of OR  \n□ Wipe/ bathe baby  \n□ Witness weighing measuring baby Gender Reveal  \n□ We know the sex of our baby  \n□ We do not know the sex of our baby  \n◦ Dad would like to announce  \n◦ Mom would like to announce  \n◦ We would like our provider to announce Newborn Care  \n□ Skin to Skin  \n□ Golden Hour (delay procedures)  \n□ Take baby to warmer  \n□ Vitamin K  \n□ Eye Ointment  \n□ Hep B  \n□ Wipe / Bathe baby  \n□ Breastfeeding Baby  \n□ Formula Feeding  \n□ Pacifiers","cbCaifK5QP7nSJ4q","https://ap.wps.com/l/cbCaifK5QP7nSJ4q","pdf",45033,"English","# Start of Labor\n## Vaginal Exams\n## Fetal Monitoring\n## IV Access and Nourishment\n## Water\n## Augmentation\n## Pain Relief\n## Cord Care\n## Pushing and Placenta\n## Cesarean Birth\n## Gender Reveal\n## Newborn Care","[{\"question\":\"How should parents use this birth preference checklist with their care provider?\",\"answer\":\"Check the boxes for preferences you would consider and draw a line through options you absolutely do not want. Use it to open a discussion with your care provider rather than as medical advice.\"},{\"question\":\"What labor start options are covered in the checklist?\",\"answer\":\"It includes preferences for labor starting on its own or being induced, with induction methods listed such as Cervadil, Cytotec, Pitocin, membrane sweep, Foley bulb/Cook catheter, and AROM.\"},{\"question\":\"What decisions about newborn care does the checklist prompt?\",\"answer\":\"It addresses newborn steps such as skin-to-skin and Golden Hour, vitamin K, eye ointment, Hep B, bathing/wiping, breastfeeding vs formula feeding, and pacifier preferences.\"}]","Birth Preference Checklist - Birth planning worksheet | PDF",1790112801]