Home Birth Plan

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Do you need an effective Home Birth Plan? Download this professional Home Birth Plan template now! 

This easy customizable Home Birth Plan can be used for any kind of personal matter. We support you by providing this Home Birth Plan template, which will save you time, cost and efforts and help you to reach a higher level of success in your life!

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(hypno-birthing CD, homeopathic remedies, Bach Rescue Remedy, aromatherapy oils, herbal medicines, music etc.) To my birth partner, please remind me to use the above during labour Lighting and music – do you have any preferences Birthworks Birthing Pools: support 7 days a week: 0333 240 9710 (call charged at local rates) Birthworks: Birth Plan for a Homebirth www.birthworks.co.uk Pain relief: How do you plan to manage pain If any, what form of pain relief would you like, and in what order (TENs, massage, water, gas and air, pethidine, etc.) During the birth: Who can be present at the birth How do you think you might like to give birth (squatting, kneeling, standing, in bed, all-fours, on floor, in pool etc.) Do you intend to give birth in the pool or on “dry land” Would you like to feel your baby’s head or view it using a mirror What are your feelings about having an episiotomy How would you like this handled if it becomes necessary Are you intending to “catch” your baby, or your partner Do you want to find out what sex your baby is, or is it OK for your midwife to say After the birth: Would your partner like skin-to-skin contact Do you or your partner want to cut the cord When do you want the cord cut Straight away or when it has stopped pulsating Do you want your baby to be given Vitamin K YES: Injection / Orally / No Do you wish to stay in the pool with your baby after delivery Or would you like the pool empty and refilled to enjoy later Would you like to be left alone with your baby and partner after delivery Birthworks Birthing Pools: support 7 days a week: 0333 240 9710 (call charged at local rates) Birthworks: Birth Plan for a Homebirth www.birthworks.co.uk Delivery of the placenta: Would you like to deliver the placenta naturally Would you like your baby to suckle to encourage third stage Would you like a managed placenta delivery (where the midwife gives you an injection of syntometrine to speed the delivery up) Do you intend to deliver the placenta in t

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