Birth Plan Template: How to Write Yours (with Examples)

Week 36 — when most birth plans should be ready

A birth plan is a one-page document that tells your maternity team how you'd like labour and delivery to go — your preferences for pain relief, who you want with you, your positions, who holds the baby first, what to do if everything changes. It is not a contract, it cannot guarantee anything, and it should never feel restrictive. Done right, it's the most useful piece of paper in your hospital bag.

This guide gives you a complete, doctor-aligned birth plan template you can copy, fill in and print. We cover every section that matters — including the things first-time parents usually forget — plus real examples of what to write and what to avoid.

The short version: aim for one page (two max). Write it between weeks 32–36. Discuss it with your midwife at the 36-week appointment. Include your preferences, your back-up plan if things change, and your wishes for the first hour with the baby. Bring three printed copies to the hospital.

Why a birth plan is worth writing (even though things might not go to plan)

Critics sometimes say "birth plans are pointless because labour rarely goes to plan." That misses the point. The value isn't in the document itself — it's in:

When to write your birth plan

Most women write their birth plan between weeks 32 and 36. Late enough that you've toured the hospital, attended antenatal classes and feel informed; early enough to discuss with your midwife at antenatal appointments and to have time for revisions. Bring a printed draft to your 36-week appointment to go over together — your midwife will flag anything that's not feasible at your hospital, and may add things you haven't thought of.

For more on third-trimester preparation, see our third trimester guide.

The birth plan template — section by section

Copy the structure below. Skip any section that doesn't apply to your circumstances or hospital.

Section 1 — About me

Open with the basics so a midwife meeting you for the first time can orient quickly.

Section 2 — Birth partners

State who you want with you and what their role is.

Section 3 — Environment

Small details that genuinely affect how labour feels.

Section 4 — Mobility and labour positions

Tell them how you want to move.

Section 5 — Pain relief

State your preferences in order of preference. Hospitals like specifics.

Example: "I'd like to start with breathing techniques and the TENS machine. If I need more, I'd next try gas and air. I'd prefer to avoid pethidine but am open to an epidural if labour is long or intense. Please don't offer me pain relief unless I ask."

Section 6 — Monitoring

How would you like the baby's heartbeat checked?

Section 7 — Delivery and pushing

Once you're ready to push.

Section 8 — Cord clamping and the placenta

Section 9 — Baby's first hour ("the golden hour")

This is the section first-time parents most often forget.

Section 10 — If things change (the back-up plan)

Be explicit about scenarios you can't predict. This is the most important section.

Section 11 — After delivery

What NOT to put in your birth plan

Avoid these — they can backfire:

Real example — first-timer, low-risk pregnancy

📋 Sample birth plan — Sarah, 32, week 39

About me: First baby, due 28 May. Allergies: penicillin. Birth partner: my husband Tom.

Environment: Dim lighting, my own playlist on a Bluetooth speaker. As few people in the room as possible. Please introduce yourselves.

Mobility: I'd like to stay mobile and use the birth pool if available. Avoid lying flat on my back unless clinically necessary.

Pain relief: Start with breathing and TENS. Move to gas and air if needed. Open to an epidural if labour is very long. Please don't offer pain relief proactively — I'll ask.

Monitoring: Intermittent if low-risk; mobile/wireless CTG if continuous is needed.

Pushing: Spontaneous pushing in an upright or kneeling position. Warm compresses. Episiotomy only if medically necessary.

Cord: Delayed clamping. Tom to cut the cord. Active third stage.

First hour: Immediate skin-to-skin for at least 60 minutes. Delay weighing until after the first breastfeed. Vitamin K by injection. I'd like a lactation consultant within 12 hours.

If things change: If c-section, Tom present, screen lowered, immediate skin-to-skin with him if I can't. If baby needs SCBU, Tom goes with baby. Tom is my advocate if I can't speak.

Practical tips for the document itself

FAQ — Birth plan

What is a birth plan?

A birth plan is a one-page document that tells your maternity team your preferences for labour and delivery — pain relief, who you want with you, your preferred positions, what to do if things change, and how you'd like the first hour with your baby. It's a starting point for conversation, not a contract.

When should I write my birth plan?

Most women write their birth plan between weeks 32 and 36. Early enough to discuss it with your midwife at antenatal appointments, but late enough that you've researched options and toured the hospital. Bring a printed copy to your 36-week appointment to go over together.

Should my birth plan be flexible?

Yes — birth rarely goes exactly to plan. The best birth plans state preferences, then explicitly cover what you'd want if things change (instrumental birth, c-section, baby needs special care). Write it as 'preferences if everything is straightforward, then back-up preferences if not.'

What should you NOT include in a birth plan?

Avoid demands or absolute statements ("I will not have a c-section under any circumstances"). Avoid technical clinical instructions you can't enforce. Avoid making it longer than 1–2 pages — anything longer won't be read in a busy labour ward.

Do I have to follow my birth plan exactly?

No — and you shouldn't feel pressured to. A birth plan is your starting position. If your circumstances change during labour (baby in distress, slow progress, your own preferences shifting), you can change your mind at any time. The plan exists to help your team know you, not to lock you in.

Can I write a birth plan for a planned c-section?

Yes — and you should. A c-section birth plan covers things like music in theatre, screen lowered when baby is born, immediate skin-to-skin (with you or with your partner), delayed cord clamping in theatre (now offered in many hospitals), photography, and breastfeeding support immediately after.

What if the hospital can't accommodate something on my plan?

Discuss this in advance at your 36-week appointment. Common limitations: no birth pools available, no wireless CTG, no immediate skin-to-skin in theatre. Knowing in advance lets you adjust your preferences or, if it really matters, consider a different birth setting.

Birth plan — at a glance

A birth plan is a one-page summary of your preferences for labour and delivery. Write it between weeks 32 and 36, discuss it with your midwife, and bring three printed copies to the hospital. Cover the basics: your birth partner, environment, pain relief preferences, monitoring, delivery positions, cord clamping, the first hour with your baby. Critically — also cover what you'd want if things change (induction, instrumental delivery, c-section, NICU). Avoid demands and absolutes; keep it short, clear and scannable. The goal is communication, not control. The best birth plans help you feel prepared without locking you in.

Inside Baby Novum: use the in-app birth plan builder to fill in each section step by step. Save, share with your partner and export as a PDF for your hospital bag.

Track it all in the app

Build your birth plan inside Baby Novum

The in-app birth plan builder walks you through every section, saves your choices, and exports a clean one-page PDF — perfect for your hospital bag.

Download on the App Store

Free to download  ·  No account required  ·  iOS only