[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-352010-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-352010-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","my-birth-plan-workbook-birth-plan-worksheet","My Birth Plan Workbook - Birth Plan Worksheet","","A birth plan worksheet for non-incarcerated mothers to express preferences and requests across childbirth. Sections cover attendants, birthing environment, hospital admission procedures, preferred interventions, labor props, pain relief options, labor and pushing preferences, vaginal birth and postpartum wishes, potential C-section considerations, cord blood banking, feeding choices, and circumcision. It includes discharge preferences and space for signatures, additional concerns, and references adapted from established birth-planning sources.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/my-birth-plan-workbook-birth-plan-worksheet/352010/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/my-birth-plan-workbook-birth-plan-worksheet/352010.png","ImageObject",442,249,{"name":42,"@type":43},"Franzy","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-08","2026-09-22",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What sections are included in this birth plan workbook?","Question",{"text":63,"@type":64},"It includes attendants, environment, hospital admission procedures, other interventions, labor props, pain relief, labor and pushing preferences, vaginal birth, C-section preferences, cord blood banking, postpartum wishes, feeding issues, circumcision, discharge, and references.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the workbook guide pain-relief preferences?",{"text":68,"@type":64},"It lists multiple techniques (like acupressure, bath/shower, hot/cold therapy, breathing techniques, massage) and also includes a specific preference section for medicinal pain relief, including regional analgesia options such as epidural and spinal block.",{"name":70,"@type":61,"acceptedAnswer":71},"What postpartum and feeding preferences can be documented?",{"text":72,"@type":64},"It allows requests for newborn procedures to occur in the mother’s presence, rooming-in arrangements, and partner involvement, plus feeding plans such as exclusive breastfeeding, combination feeding, or formula-only, including options to request assistance from a lactation consultant and to decline specific items for the baby.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},352010,1791351535,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":141,"read_time":30},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","My Birth Plan Workbook  \nName:   \nHealthy Beginnings Project The College of William and Mary  \nATTENDANTS  \nI'd like the following people to be present during labor and/or birth:  \n􀀀 Partner:     \n􀀀 Friend/s:    \n􀀀 Relative/s:    \n􀀀 Doula:    \n􀀀 Children:    \nENVIRONMENT  \nI'd like to be able to:  \n􀀀 bring soothing music  \n􀀀 dim the lights  \n􀀀 wear my own clothes during labor and delivery  \n􀀀 take pictures and/or video during labor and delivery  \n􀀀 maintain a calm setting  \nHOSPITAL ADMISSION & PROCEDURES  \n􀀀 I'd like the option of returning home if I'm not in active labor.  \nOnce I'm admitted, I'd like:  \n􀀀 my partner to be allowed to stay with me at all times  \n􀀀 only my practitioner, nurse, and guests to be present (i.e., no residents, medical students, or other hospital personnel)  \n􀀀 to wear my contact lenses, as long as I don't need a c-section  \n􀀀 to eat if I wish to  \n􀀀 to try to stay hydrated by drinking clear fluids instead of having an IV  \n􀀀 to have a heparin or saline lock  \n􀀀 to walk and move around as I choose  \nOTHER INTERVENTIONS  \nAs long as the baby and I are doing fine, I'd like to:  \n􀀀 have intermittent rather than continuous electronic fetal monitoring  \n􀀀 be allowed to progress free of stringent time limits and have my labor augmented only if necessary  \n􀀀 prefer/do not prefer an enema before delivery and do/do not wish to have pubic hair shaved  \nLABOR PROPS  \nIf available, I'd like to try a:  \n􀀀 birthing stool  \n􀀀 birthing chair  \n􀀀 squatting bar  \n􀀀 birthing pool/tub  \nI'd like to bring the following equipment with me:  \n􀀀 birthing stool  \n􀀀 beanbag chair  \n􀀀 birthing pool/tub  \nother:    \nPAIN RELIEF  \nI'd like to try the following pain-management techniques:  \n􀀀 acupressure  \n􀀀 bath/shower  \n􀀀 breathing techniques/distraction  \n􀀀 hot/cold therapy  \n􀀀 self-hypnosis  \n􀀀 walk  \n􀀀 massage  \n􀀀 medication  \n􀀀 other:    \n􀀀 Please don't offer me pain medication. I'll request it if I need it.  \nI do want medicinal pain relief, and I prefer:  \n􀀀 regional analgesia: epidural and/or spinal block  \n􀀀 I would like an epidural as early as possible  \n􀀀 I would like an epidural later in labor  \n􀀀 systemic medication  \nLABOR  \n􀀀 If nausea occurs would like medicinal relief  \n􀀀 I would like to keep the number of vaginal exams to a minimum  \n􀀀 Additional comments   \nPUSHING  \nWhen it's time to push, I'd like to:  \n􀀀 do so instinctively  \n􀀀 be coached on when to push and for how long  \n􀀀 be allowed to progress free of stringent time limits as long as my baby and I are doing fine  \nI'd like to try the following positions for pushing (and birth):  \n􀀀 semi-reclining  \n􀀀 side-lying position  \n􀀀 squatting  \n􀀀 hands and knees  \n􀀀 whatever feels right at the time  \nVAGINAL BIRTH  \nDuring delivery, I'd like:  \n􀀀 to view the birth using a mirror  \n􀀀 to touch my baby's head as it crowns  \n􀀀 the room to be as quiet as possible  \n􀀀 to give birth without an episiotomy unless it is required for my baby’s safety  \n􀀀 I would rather have an episiotomy rather than risk tearing  \n􀀀 my partner to help \"catch\" our baby  \nAfter birth, I'd like:  \n􀀀 to hold my baby right away, putting off any procedures that aren't urgent  \n􀀀 to breastfeed as soon as possible or within  .  \n􀀀 not to get oxytocin (Pitocin) after I deliver the placenta unless it's necessary  \n􀀀 to wait until the umbilical cord stops pulsating before it's clamped and cut  \n􀀀 my partner to cut the umbilical cord  \nC-SECTION  \nIf I have a c-section, I'd like:  \n􀀀 my partner present at all times during the operation  \n􀀀 the screen lowered a bit so I can see my baby being delivered  \n􀀀 the baby to be given to my partner as soon as he's dried, if appropriate  \n􀀀 to breastfeed my baby in the recovery room  \nCORD BLOOD BANKING  \nI'm planning to:  \n􀀀 donate cord blood to a public bank  \n􀀀 bank cord blood privately  \n􀀀 neither  \nPOSTPARTUM  \nAfter delivery, I'd like:  \n􀀀 all newborn procedures to take place in my presence  \n􀀀 my partner to stay with the baby at all times if I can't be th","cbCaicKpRMNEp8z0","https://ap.wps.com/l/cbCaicKpRMNEp8z0","pdf",353428,8,"English","# Attendants\n# Environment\n# Hospital Admission & Procedures\n# Other Interventions\n# Labor Props\n# Pain Relief\n# Labor\n# Pushing\n# Vaginal Birth\n# C-Section\n# Cord Blood Banking\n# Postpartum\n# Feeding Issues\n# Circumcision\n# Discharge\n# Signature and References","[{\"question\":\"What sections are included in this birth plan workbook?\",\"answer\":\"It includes attendants, environment, hospital admission procedures, other interventions, labor props, pain relief, labor and pushing preferences, vaginal birth, C-section preferences, cord blood banking, postpartum wishes, feeding issues, circumcision, discharge, and references.\"},{\"question\":\"How does the workbook guide pain-relief preferences?\",\"answer\":\"It lists multiple techniques (like acupressure, bath/shower, hot/cold therapy, breathing techniques, massage) and also includes a specific preference section for medicinal pain relief, including regional analgesia options such as epidural and spinal block.\"},{\"question\":\"What postpartum and feeding preferences can be documented?\",\"answer\":\"It allows requests for newborn procedures to occur in the mother’s presence, rooming-in arrangements, and partner involvement, plus feeding plans such as exclusive breastfeeding, combination feeding, or formula-only, including options to request assistance from a lactation consultant and to decline specific items for the baby.\"}]","My Birth Plan Workbook - Birth Plan Worksheet | PDF",1790097079]