Cara B. Design Studio

Your Personalized Birth Plan Graphic with scrabble letters spelling out Birth Plan

Using the form below, answer the questions to have your personalized birth plan emailed to you.  You’ll receive a PDF that you can print out, which will arrive in your email within a few minutes!

Birth Plan
Name
ie. 01/01/2021 or January 1, 2021
ie. Hospital, Home Birth, Birth Center, etc.
Name of your OB/GYN
*If you do not have an OB, leave blank
Name of your Midwife
*If you do not have an Midwife, leave blank
Aside from your partner, who else do you want to have with you, if anyone?
Aside from your partner, who else do you want to have with you, if anyone?
Do you want someone taking photos and/or video?
Equipment you'd like available for labor
Atmosphere/Ambience Preferences
Delivery Preferences
Vaginal Birth Pushing Preferences
Birthing Position Preferences
Episiotomy Preferences
Pain Medication Preferences
Students and/or Resident Present
Fetal Monitoring
I'd like to hold the baby:
I'd like my partner to cut the cord
Circumcision preferences (boys only)
Delayed Cord Clamping Preferences
Living arrangements for duration of hospital stay