Free Template: Birth Priorities
What’s Included in the Birth Priorities Template
This printable two-page worksheet is more than a birth plan—it’s a conversation starter to help you feel calm, confident, and connected throughout labor, birth, and postpartum. Inside you’ll find:
🖊️ Front Page: Your Birth Preferences at a Glance
– Space for parent(s) names and care team notes
– Sections for Labor, Delivery, and Newborn care options
– Checkboxes for common choices like pain relief methods, cord clamping, fetal monitoring, and newborn procedures
– A special “code word” section for epidural plans (so your team knows your intentions without disrupting your flow)
💬 Back Page: Communicate Who You Are
– Fill-in-the-blank prompts to help your team understand your emotional needs and preferences
– Sections include:
• Top Priorities
• I’m Excited About, I’m Nervous About…
• I Feel Safe When…
• Please Say Things Like, Don’t Say Things Like…
• My Love Language Is…