Writing a birth plan: what to include and how to keep it flexible

A birth plan is a way of telling the people looking after you what matters to you. It works best as a set of preferences, not a script.

What it is

The NHS describes a birth plan as a way of letting your midwife, nurses and doctors know what you want to happen during your labour. Talk it through with your midwife while you write it, so they understand your choices and can advise you.

What to think about

The NHS checklist covers:

where you want to give birth (see where to give birth)
who you want with you, including whether you’d want someone with you if you need a forceps or vacuum delivery or a caesarean
equipment you’d like to use, such as mats or beanbags, and special facilities such as a birthing pool
whether you want to keep active in labour, and the positions you’d like to try
pain relief (see pain relief in labour)
whether you want skin-to-skin contact straight after the birth, before the cord is cut
whether you’re happy for midwives, nurses and doctors in training to be present
how you plan to feed your baby
whether you’d like vitamin K given to your baby

Keep it flexible

The NHS says giving birth doesn’t always go perfectly to plan, and things may have to change at the last minute. Your midwife will help you make the best and safest decisions for you and your baby. It can help to add a ‘what if’ section, for example your preferences if you need a caesarean or an assisted birth. Nothing in a plan stops you changing your mind on the day.

Practical tips

Keep it to one page and put the most important things first.
Give a copy to your birth partner and make sure they know what matters to you. See the dad’s guide to being the ultimate birth partner.
Take a copy to hospital with your bag. See the hospital bag checklist.
Ask questions at your antenatal appointments about anything you don’t understand. Your midwife is there to help you.

Questions people ask

Do I have to write a birth plan?

No, it’s optional. Some people prefer to talk through their wishes with their midwife instead.

When should I write it?

The NHS doesn’t give a set time. Many people draft it in the third trimester and go through it with their midwife.

What if things don’t go to plan?

That’s common, and it’s not a failure. The NHS says things may have to change, and your midwife will help you make the best and safest decisions.

Can I put a caesarean in my birth plan?

Yes. If you are having a planned caesarean, see planned c-sections and what happens if you go into spontaneous labour.