Birth Preference Plans

Anna Marie Windsor, MD Obstetrics/Gynecology Aurora Advanced Healthcare Aurora Advanced Healthcare — Whitefish Bay Clinic

January 05, 2010

There’s no such thing as being too prepared, especially when it comes to motherhood. So it’s no surprise that a “birth plan”, or “birth preference plan” as it’s more accurately described, is becoming a very helpful tool for mothers today. A birth preference plan is defined as a communication tool that outlines a mother’s wishes and helps everyone understand her preferences for labor and delivery. The main goal of this list is to make mother and baby as comfortable as possible so that the birthing process can go as smoothly and safely as possible.

When beginning the process of deciding one’s birth preference plan, I recommend attending a birthing class, such as the one taught at Columbia Center. It often helps with starting to decide preferences and considering available options. A woman can learn what to expect during these classes and therefore, can plan her preferences accordingly.  When starting this process it is important to ask what will be the most important aspects of the birthing process. This can range from who will cut the umbilical cord to medicinal administration. For example, a woman may write that she prefers no pain medications unless she asks for them specifically.  Another woman might prefer that she have an epidural available as soon as it is medically acceptable to have one. It is all determined by what is going to be most comfortable for the mother while insuring the safety and health of her baby.

It is important to remember that birthing is a natural process that cannot always be planned. Sometimes unexpected occurrences arise and take priority over a mother’s birth preference plan.  But it's a good idea to think about preferences prior to your delivery.  Birth preference plans don’t always need to be written down, though many women feel more comfortable putting their thoughts, feelings, and desires on paper.  A mother’s birth preference plan can be and should be discussed with her physician prior to her delivery so that her physician can evaluate if her wishes insure her and her baby’s safety. A mother’s birth preference plan should also be discussed with those involved in her birthing process, including her husband, partner, and/or support person/ doula (if she plans one). The participation of a support team can help to decide what is best for a mother during her birthing process.

Obviously, healthy moms and healthy babies are the main goals during labor and delivery, but different preferences among women can be recognized and respected in healthy birthing.  Again, it’s important to review a birth preference plan with your physician to be sure they are also comfortable with it and feel that the preferences are safe for both mom and baby.  You should be flexible and understand that some preferences might be safe in one birthing situation, but might not be safe in another birthing situation.