BIRTH PLAN
Due: Jan. 1, 2018
Mom: Janey
111-1111
Partner: George
222-2222
Support: Betty (Doula)
Health Provider: Core Health Group
Delivery Person: City Center Midwives
Pediatrician: Dr Johnson
These are my preferences, goals, and boundaries for a normal and healthy birth. If an emergency arises, I ask for the least invasive procedure possible and would like to be informed before any interventions take place. Please honor the items below when possible.
My sister, Julie will be in the waiting room during the delivery. In case of emergency please contact her at 333-3333. If the baby needs to go to the NICU, please have my sister stay with the baby at all times.