Checklists/Birth Plan Decisions

Birth Plan Decisions

Key labor and delivery decisions to discuss with your partner and OB before the big day

22 items

Decide on unmedicated vs medicated laborEssentialDo

Talk through pain tolerance honestly. No medals for suffering - pick what works for your partner.

Research birthing positionsDo

Upright, hands-and-knees, side-lying, squatting - your partner should know the options before labor starts.

Discuss water birth or laboring in tubDo

Not all hospitals offer this. Confirm availability now so there's no day-of disappointment.

Movement during labor preferencesDo

Walking the halls, bouncing on a birth ball, swaying - continuous monitoring may limit options.

Decide on intermittent vs continuous fetal monitoringEssentialDo

Continuous keeps you tethered to the bed. Ask your OB if intermittent is an option for low-risk pregnancies.

Discuss epidural timing preferencesEssentialDo

Some want it early, some want to wait. Know that you can request one at almost any point during labor.

Ask about nitrous oxide availabilityDo

Not every hospital has it. It takes the edge off without full numbness - worth knowing if it's an option.

Learn breathing and relaxation techniquesEssentialDo

Take a class or watch videos together. Even with an epidural, breathing helps during early labor and pushing.

Discuss IV pain medication optionsDo

Fentanyl or Stadol can help in early labor. They make you drowsy and cross to baby, so timing matters.

Decide who will be in the delivery roomEssentialDo

Partner, doula, family members - set this boundary now. Most hospitals limit to 2-3 support people.

Photography and video preferencesDo

Decide what's okay to capture. Some hospitals prohibit video during delivery itself - ask in advance.

Music and lighting preferencesDo

Make a playlist, bring a speaker. Most rooms have dimmable lights - a calmer environment helps.

Decide if dad wants to cut the cordDo

No pressure either way. The nurse will guide you through it if you do. It's tougher than you'd think - like cutting a garden hose.

Request delayed cord clampingEssentialDo

Waiting 1-3 minutes lets extra blood flow to baby. AAP recommends it. Put it in your plan and remind the team.

Immediate skin-to-skin contact planEssentialDo

Baby goes directly on mom's chest. If mom can't, dad does skin-to-skin. Tell the nurses this is your preference.

Research cord blood bankingDo

Private banking costs $1,500-2,500 upfront plus $150-300/year storage. Public donation is free. Decide by week 34.

Golden hour preferencesEssentialDo

Request that non-urgent newborn procedures (weighing, vitamin K, eye ointment) wait until after the first hour of skin-to-skin.

Feeding plan for first hourEssentialDo

Breastfeeding within the first hour boosts success rates. Even if formula-feeding, that first latch attempt matters.

Discuss C-section preferencesEssentialDo

If it goes to C-section: who stays in the OR, does dad want to watch, clear drape vs standard. Have this conversation before labor.

NICU plan if baby needs extra careEssentialDo

Who stays with baby, who stays with mom. Know where the NICU is in your hospital. Ask about parent access policies.

Blood transfusion consent discussionEssentialDo

If there's hemorrhaging, the team needs to act fast. Discuss any religious or personal objections with your OB now, not in the moment.

Discuss assisted delivery preferencesDo

Vacuum or forceps may be needed if pushing stalls. Know the risks and tell your OB your preferences in advance.

Ready to start checking off items?

Create a free account to track your progress, check off items as you go, and share with your partner.

Get Started Free