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How to write a birth plan: what to include and why

A birth plan communicates your preferences to midwives and doctors at a time when you may not be able to explain them clearly. Here is how to write one that is useful without being prescriptive.

What a birth plan is and is not

A birth plan is a statement of preferences, not a script. Birth is unpredictable and the best midwives will refer to your plan while adapting to circumstances. Write it as preferences ('I would prefer' rather than 'I must have') and discuss it with your midwife at your 36-week appointment so it can be filed with your notes.

What to include

Pain relief preferences (gas and air, epidural, water, TENS, hypnobirthing). Labour environment (lighting, music, who is present, minimal examinations). Delivery preferences (positions, delayed cord clamping, active or managed third stage). Immediate post-birth (skin-to-skin, feeding intention, vitamin K). Include allergies and any medical conditions.

Print two copies

One for your notes, one to include in your hospital bag. Use our free birth plan template — it covers all the sections your midwife will want to see.

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Frequently asked questions

Should I share the birth plan before going into labour?
Yes — at your 36-week appointment. Your midwife can flag anything that needs discussion or that hospital policy affects, and it can be filed so the team know your preferences from the moment you arrive.
What if things don't go to plan?
They rarely do exactly to plan. A birth plan is most useful for the 70% of labour that goes broadly as expected. For the 30% where interventions are needed, the plan helps midwives understand your underlying priorities so they can still honour the spirit of your preferences.