Own your birth plan like a mother

Welcome to Inspira’s birth plan tool! Take this quiz to create your birth plan and feel ready for delivery. When you're done, you can print it, save it or even share it with your doctor.

First, let's get to know you.

What's your name?

When is your baby due?

Now tell us how you’d like to plan.

I'd like my plan to have:

SOME DETAIL About 4 minutes
to complete

MODERATE DETAILAbout 7 minutes
to complete

MAXIMUM DETAILAbout 10 minutes
to complete

Let’s begin with the type of delivery you plan on having:

I plan on delivering vaginally

I’m going for a VBAC (Vaginal Birth After Cesarean)

I’ve scheduled a C‑section

Will you bring anyone with you for support? (Check all that apply)

My partner/spouse

My doula/professional birth coach

Another friend or family member that’s not my partner

Other:

Who is in the operating room with you?

Just my partner/spouse

Just my doula/professional birth coach

Another friend or family member that is not my partner

Who is in the operating room with you?

Let’s set the mood for your delivery.

Now let's talk about your delivery.

What's the vibe in your delivery room?

I prefer a quiet environment

A little noise doesn't bother me

Doesn't matter to me!

What's the vibe in your delivery room?

What's the lighting situation?

Dim those lights!

Leave 'em on

Doesn't matter to me!

What are you listening to?

I like any and all music

I've been curating a playlist since I found out I was pregnant

Something that calms me down

Anything that amps me up!

Silence is golden

Anything else?(Check all that apply)

I’d like to keep my glasses on/contact lenses in the entire time

I’m bringing my own pillow

I’ve got my own custom blend of aromatherapy

Other:

Are you interested in a Family-Friendly C‑Section? This approach is designed to allow you to be more a part of the birth and may be an option for planned C‑Sections/depending on doctor recommendations. (Check all that apply)

No, I’m more comfortable with a traditional C‑Section

Yes, I’d like to see the birth if possible

Yes, I’d like to be able to hold baby right away and breastfeed if possible

Yes, I’d like to have baby with me as much as possible

Now let’s talk about your actual labor.

How do you feel about moving during labor?

I don’t need to move that much

I want to be able to change positions at any point

Walking during labor is important to me

I’m ready for a dance party!

How do you want to monitor the baby’s heartbeat? (If your pregnancy’s been healthy, this may be an option. In addition to the below options, sometimes babies need internal monitoring of their heart rate.)

I want to be on the move with only wireless fetal monitoring

I’d prefer to stay in bed with continuous fetal monitoring

If it’s an option, I don't want continuous fetal monitoring, just periodic monitoring

I’m not sure

How often do you want a vaginal exam?

Doesn't matter

Let's keep the exams to a minimum

Would you like any pain medication?

I'd like an epidural/spinal

I’d like IV pain medication

I’d like pain medication by mouth

I don’t want any pain medication

I’m not sure yet, but I’d like to keep my options open

When do you want the medication offered?

Offer it as soon as possible

Offer it if I seem uncomfortable

Offer it when I ask

N/A

When do you want the medication offered?

It’s time to push – you’re almost there, Mama! You opt to:

Deliver in a hands-knee position

Go with a squatting position

Have others support my legs, I don’t want stirrups

Stay put, I’ve got an epidural

It’s time to push – you’re almost there, Mama! You opt to:

If you need a C‑section, who would you like to have in the operating room with you?

Just my partner/spouse

Just my doula/professional birth coach

Just my friend or family member

If you need a C-section, who would you like to have in the operating room with you?

If you need a C‑Section, do you have any special requests for the operating room? (Music, etc.)

Baby's here! Woo-hoo!

When do you want to hold the baby/have skin-to-skin contact? If you need a C‑Section, you will be offered the opportunity for skin-to-skin contact in the operating room whenever possible!

Right away!

Let's cut the cord and do tests first

When do you want to hold the baby/have skin to skin contact? If you need a C-Section, you will be offered the opportunity for skin-to-skin contact in the operating room whenever possible!

Who is cutting the cord?

My partner/coach

My partner/coach is not cutting the cord

Will the baby be circumcised?

Yes, before we’re discharged

Yes, after we’re discharged

N/A

Almost there, Mama! Just a few more questions.

Do you have a pediatrician? If so, what is your pediatrician’s name?

Do you plan on breastfeeding?

Yes, I’d prefer no bottles at all

Yes, supplementing with bottles

Last question! You got this!

Do you have a pediatrician? If so, what is your pediatrician’s name?

Almost there, Mama! Just a few more questions.

Anything else we should keep in mind? Check all that apply

I want to give my baby a pacifier, and I’ll bring one to the hospital

I’d prefer not to be separated from my baby during our hospital stay

Other:

Last question! Will you take a class before your delivery?

Yes

No, I took one for a previous pregnancy. I’m all set!

No, I don’t plan on taking one