5 Things to Include in Your Birth Plan

Make sure to include these 5 things in your birth plan


May 18, 2020

Be ready to be flexible — pregnancy is dynamic — but make sure your birth plan outlines your desires for the big day.


Congratulations, you’ve made it to the third trimester! Now it’s time to write down your desires for the big day. This is a great tool to make sure your medical team understands your wishes for labor, birth and immediate postpartum care. One or two pages is best; it doesn’t have to be long. Because pregnancy is dynamic, you won’t be able to orchestrate everything, but you can set the scene for what your ideal labor and birth will look like.

Here are five things to include when creating your birth plan:

  1. Who your support group will be. It’s often helpful for your care team to be able to call people by name and know who’s invited to the birth.
  2. Plans for pain management. Flexibility here is important, but it’s also wise to think about your wishes in advance. Pain management can include using the labor tub or shower, knowing your progress before choosing medication or trying nitrous oxide first.
  3. Any special equipment?  This could include a birth ball to sit on, a squat bar to hold onto while pushing, or a birth stool to help support a squatting position.
  4. Special requests. Do you want a mirror to watch or to receive the baby into your own hands? Does your partner want to help receive the baby or be the one to announce the gender or name if it’s a surprise?
  5. A contingency plan. If an induction or Cesarean section becomes necessary, what can give you a positive experience? For some women that means skin-to-skin contact as soon as possible and a visit from a lactation consultant the first day. One support person is usually invited to accompany mom to the operating room, so this and other standard procedures are not necessary to include in your plan.

It’s not a bad idea to bring your birth plan to a prenatal visit in the last month of pregnancy. A copy can easily be put in your chart, but don’t forget to bring an extra in your birth bag just in case. Happy birthing!


This post was written by Bethany Sanders, a certified nurse midwife and cares for women at the West End Women’s Health Center and Vanderbilt Primary Care Mt. Juliet. While originally from the Midwest, she is thrilled to have called the South home since graduating Vanderbilt in 2006. When not attending births or measuring pregnant bellies she can be found at the local park chasing around her two young children and discussing babywearing, cloth diapers and breastfeeding.


Expecting or considering having a baby? Know all your pregnancy care options available through Vanderbilt Women’s Health.

Vanderbilt Women’s Health  provides care for women at all stages of their lives at  locations across Middle Tennessee. Learn more  here  or call 615-343-5700.

Bethany Sanders, who holds her Master of Science in Nursing degree, is a certified nurse midwife for Vanderbilt Women’s Health. She is a native of Michigan, but has called the South home for the last 15 years. After receiving her bachelor’s degree in French, she moved to Nashville and attended Vanderbilt University School of Nursing, where she studied midwifery. Bethany spent her first five years as a midwife in rural northeast Georgia before returning to Vanderbilt Health. As faculty of the midwifery practice, she sees patients for clinic appointments and deliveries at hospital. Bethany is currently working on her PhD with an interest in health disparities. She enjoys spending time with her husband, two kids, multiple cats, and chickens.