Birth Plan Checklist

Pain Relief

Massage
Hot/cold packs
Hypnosis
Relaxation
Shower or bath tub
Breathing techniques
Movement (walking, swaying, rocking)
Acupressure
Acupuncture
Meditation
Epidural or spinal anesthesia
Narcotics
Sedatives and tranquilizers
None at all

Induction

Medically Induced

Pitocin
Prostaglandin gel
Amiotomy
Stripping of membranes
Cytotec
Cervadil

Self Induced

Acupuncture
Walk
Castor oil
Nipple stimulation/thumb sucking
Sexual intercourse (if bag of waters aren't broken)
Herbs

Episiotomy

Yes
No

Delivery Positions for Labor

Semi-sitting with footrests or stirrups
Side-lying
Lying prone
Squatting
Hands and knees, pelvic rock
Standing upright
Walk
Lunge

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