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It captures母亲与伴侣信息、预产期、助产士/医生联系方式，并让家庭成员探视与病房环境偏好可选填。表单还包含分娩方式、分娩相关健康史筛查、疼痛管理与过敏信息、产程偏好与胎心监测方式等选择项。产后部分涵盖皮肤接触时机、延迟断脐、脐带处理方式、喂养方式、安抚奶嘴及是否进行包皮环切等内容。",{"@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/official-birth-plan-fill-in-your-preferences/171232/",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/official-birth-plan-fill-in-your-preferences/171232.png","ImageObject",442,249,{"name":88,"@type":89},"Dozel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-24","2026-09-01",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required in the OFFICIAL BIRTH PLAN?","Question",{"text":108,"@type":109},"It collects the mother’s name, due date, partner’s name, and doctor/midwife contact details, plus selections for delivery and care preferences.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which health and risk items can be recorded?",{"text":113,"@type":109},"The plan includes checkboxes for conditions such as Strep B, genital herpes, and gestational diabetes, and a section for other labor-impacting conditions.",{"name":115,"@type":106,"acceptedAnswer":116},"What topics are covered after delivery?",{"text":117,"@type":109},"Post-delivery options include immediate skin-to-skin contact versus drying first, delayed cord clamping and who cuts the cord, and postpartum care choices like feeding method, pacifier use, and circumcision.","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},171232,1790654323,{"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":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"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":9},962085662650,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","OFFICIAL BIRTH PLAN\nfor\n\u0013 FORMTEXT \u0014[NAME OF MOTHER]\u0015\nDue date: \u0013 FORMTEXT \u0014[DATE]\u0015\nPartner’s name: \u0013 FORMTEXT \u0014[PARTNER'S NAME] \u0015\tDoctor/Midwife: \u0013 FORMTEXT \u0014[DOCTOR/MIDWIFE NAME]\u0015\nPhone number: \u0013 FORMTEXT \u0014[PARTNER'S PHONE #]\u0015\tPhone number: \u0013 FORMTEXT \u0014[DOCTOR/MIDWIFE PHONE #]\u0015\nDELIVERY TYPE\n\u0003☐\u0004 Vaginal  \u0003☐\u0004 C-Section  \u0003☐\u0004 VBAC \u0003☐\u0004 Water Birth\nAll-natural birth without pain medication? \u0003☐\u0004 Yes \u0003☐\u0004 No\nHEALTH INFORMATION\n\u0003☐\u0004 Strep B\n\u0003☐\u0004 Genital Herpes\n\u0003☐\u0004 Gestational Diabetes\nNumber of pregnancies: \u0013 FORMTEXT \u0014[#]\u0015\nOther conditions that may impact labor: \u0013 FORMTEXT \u0014[LIST/EXPLAIN]\u0015\nLABOR ENVIRONMENT\nNames of family and friends who can be in the room during delivery: \u0013 FORMTEXT \u0014[NAME 1]\u0015\n\u0013 FORMTEXT \u0014[NAME 2]\u0015\n\u0013 FORMTEXT \u0014[NAME 3]\u0015\n\u0013 FORMTEXT \u0014[NAME 4]\u0015\n\u0013 FORMTEXT \u0014[NAME 5]\u0015\nResidents or students allowed in room during labor? \u0003☐\u0004 Yes \u0003☐\u0004 No\nLights: \u0003☐\u0004 Dimmed lighting \u0003☐\u0004 Natural lighting \u0003☐\u0004 No preference\nMusic: \u0003☐\u0004 Play music of choice \u0003☐\u0004 No music \u0003☐\u0004 No preference\nNoise level: \u0003☐\u0004 Soft speaking \u0003☐\u0004 No speaking \u0003☐\u0004 No preference\nPAIN MANAGEMENT\n\u0003☐\u0004 Natural pain remedies. Specify: \u0013 FORMTEXT \u0014[SPECIFY NATURAL METHODS]\u0015\n\u0003☐\u0004 Administer epidural and other medications as necessary using:\n\u0003☐\u0004 Intravenous (IV) line \u0003☐\u0004 Heparin or saline lock \u0003☐\u0004 No preference\nAllergies to any medication? \u0003☐\u0004 Yes \u0003☐\u0004 No\nIf yes, provide details: \u0013 FORMTEXT \u0014[ALLERGY DETAILS]\u0015\nLABOR PREFERENCES\nMovement: \u0003☐\u0004 Encourage walking, rocking, etc. \u0003☐\u0004 No preference\nFetal monitoring: \u0003☐\u0004 Continuous \u0003☐\u0004 Intermittent \u0003☐\u0004 No preference\nLabor induction: \u0003☐\u0004 After 6 hours \u0003☐\u0004 After 12 hours \u0003☐\u0004 None\nDELIVERY\nPreferred birthing position:\n\u0003☐\u0004 Semi-recline \u0003☐\u0004 Squatting \u0003☐\u0004 Standing upright \u0003☐\u0004 Lying on side \u0003☐\u0004 No preference\n\u0003☐\u0004 Other: \u0013 FORMTEXT \u0014[SPECIFY OTHER POSITION]\u0015\nI want to use a mirror to view the baby’s birth: \u0003☐\u0004 Yes \u0003☐\u0004 No\nThe birth will be filmed: \u0003☐\u0004 Yes \u0003☐\u0004 No\nAFTER DELIVERY\n\u0003☐\u0004 I want skin-to-skin contact with my baby immediately after delivery\n\u0003☐\u0004 I want the baby to be dried off before being brought to me\nDelay cord clamping: \u0003☐\u0004 Yes \u0003☐\u0004 No\nThe umbilical cord will be cut by: \u0003☐\u0004 Myself \u0003☐\u0004 My partner \u0003☐\u0004 No preference \u0003☐\u0004 Other: \u0013 FORMTEXT \u0014[OTHER]\u0015\nPOST-NATAL CARE\nBaby feeding: \u0003☐\u0004 Breast feed \u0003☐\u0004 Baby formula \u0003☐\u0004 Combination of both\nPacifier: \u0003☐\u0004 Yes \u0003☐\u0004 No \u0003☐\u0004 No preference\nCircumcision: \u0003☐\u0004 Yes \u0003☐\u0004 No","cbCaioTfdbcgDMGa","https://ap.wps.com/l/cbCaioTfdbcgDMGa","docx",19655,"English","# Delivery type\n## Health information\n## Labor environment\n## Pain management\n## Labor preferences\n## Delivery\n## After delivery\n## Post-natal care","[{\"question\":\"What information is required in the OFFICIAL BIRTH PLAN?\",\"answer\":\"It collects the mother’s name, due date, partner’s name, and doctor/midwife contact details, plus selections for delivery and care preferences.\"},{\"question\":\"Which health and risk items can be recorded?\",\"answer\":\"The plan includes checkboxes for conditions such as Strep B, genital herpes, and gestational diabetes, and a section for other labor-impacting conditions.\"},{\"question\":\"What topics are covered after delivery?\",\"answer\":\"Post-delivery options include immediate skin-to-skin contact versus drying first, delayed cord clamping and who cuts the cord, and postpartum care choices like feeding method, pacifier use, and circumcision.\"}]","OFFICIAL BIRTH PLAN - Fill in Your Preferences | DOCX",1788280634]