How to Write a Birth Plan: A Gentle Birth Preferences Checklist for Australian Mums

“Birth is not only about making babies. Birth is about making mothers — strong, competent, capable mothers who trust themselves and know their inner strength.”

—Barbara Katz Rothman

Birth Preferences Checklist: Gentle Questions to Help You Write Your Birth Plan

Preparing for birth can feel exciting, emotional, and sometimes overwhelming. One of the most empowering things you can do during pregnancy is think through your birth preferences ahead of time.

Whether you’re planning a hospital birth, birth centre birth, home birth, vaginal birth or caesarean birth, having a clear birth preferences list helps you feel informed and prepared.

This birth preferences checklist is designed as a gentle guide, not a rigid template. They are preferences, to fit with the flexibility needed for the unpredictability of birth, instead of strict plan where you may feel flustered or upset if things don’t happen exactly how you thought. There are no “right” answers. These questions simply help you reflect on what feels aligned for you and your baby and the experience you’d like.

They’re also wonderful questions to talk through with your partner, support person, doula, midwife, or care provider if you’re unsure about any options.

One of the easiest ways to write your own birth preferences is to go through the questions below and jot down your answers in simple dot points on paper or in a notes document on your phone. Keep it clear and brief, so it can be quickly read and understood when the time comes.

Personal Details

  • What is your name?

  • Who will be your support person, and what is their relationship to you?

  • Will a student midwife or additional support person be present?

  • What is your estimated due date?

Before Labour Begins

  • Are there any medical considerations, health factors, or personal choices you would like your care team to be aware of?

  • What type of birth are you planning?

    • Vaginal birth

    • Planned caesarean birth

    • Open depending on circumstances

Your Ideal Labour Environment

  • Would you like to eat and drink during labour?

    • Yes

    • Light fluids only

    • Guided by care provider

  • How would you like to move during labour?

    • Free movement and upright positions

    • Mostly on the bed

    • A mix of both

  • What kind of atmosphere feels calming to you?

    • Dim lights

    • Music

    • Quiet room

    • No strong preference

  • Would you like photos taken during labour or birth?

    • Yes

    • No

    • Only certain moments

  • Are you interested in using water for comfort?

    • Shower

    • Bath

    • Birthing pool

    • Not planning to use water

  • If available, where would you prefer to birth?

    • On a bed

    • In a birthing pool

    • On a mat or floor

    • Open to what feels right at the time

Birth Positions & Pushing

  • Do you have any preferred birth positions?

    • Upright (standing, squatting)

    • Hands and knees

    • Side-lying

    • Semi-reclined

    • Open to guidance

  • How would you like to approach pushing?

    • Body-led / following natural urges

    • Coached pushing

    • Flexible depending on circumstances

  • How would you like your care provider to support the birth of your baby?

    • Minimal hands-on unless needed

    • Gentle guidance throughout

    • Follow provider’s recommendation

Monitoring & Examinations

  • What type of fetal monitoring are you comfortable with?

    • Intermittent monitoring

    • Continuous monitoring

    • Wireless monitoring if available

    • As recommended

  • Are you open to vaginal examinations?

    • Yes, as recommended

    • Only if necessary

    • Prefer to limit

    • Prefer to decline unless medically required

  • How do you feel about breaking the waters (artificial rupture of membranes)?

    • Open if recommended

    • Only if medically necessary

    • Prefer to avoid if possible

  • Are you comfortable with a cannula or IV during labour?

    • Yes

    • Only if needed

    • Prefer not unless required

  • If labour slows or complications arise, how do you feel about:

    • Oxytocin for induction or augmentation

    • Episiotomy

    • Assisted birth (vacuum or forceps)

(Open / Only if medically necessary / Prefer to avoid)

Pain Relief Options

Which birth pain relief options are you open to?

  • Movement and position changes

  • Water immersion

  • TENS machine

  • Sterile water injections

  • Gas and air (nitrous oxide)

  • Epidural

  • Other medical pain relief

  • Undecided and will see how labour unfolds

Cord & Placenta Preferences

  • When would you prefer the cord to be clamped and cut?

    • Immediately

    • Delayed cord clamping

    • After placenta is delivered

    • No preference

  • How would you prefer the placenta to be delivered?

    • Physiological (without medication)

    • Active management (with medication)

    • Open to recommendation

  • Are you comfortable with cord traction or uterine massage if needed?

    • Yes

    • Only if medically necessary

    • Prefer to avoid if possible

Immediately After Birth

  • Who would you like to hold your baby first?

    • Mother

    • Support person

    • Shared

  • Would you like immediate skin-to-skin contact?

    • Yes

    • After initial checks

    • No preference

  • How are you planning to feed your baby?

    • Breastfeeding

    • Bottle feeding

    • Mixed feeding

    • Undecided

  • Would you like to begin feeding as soon as baby shows readiness cues?

    • Yes

    • No preference

    • Open to guidance

If a Caesarean Birth Is Needed

  • Would you prefer to remain awake (spinal/epidural) if possible?

    • Yes

    • No preference

    • Follow medical advice

  • Would you like clear drapes if available?

    • Yes

    • No

    • No preference

  • Would you like one arm free to hold your baby if possible?

    • Yes

    • No preference

  • Would you prefer delayed cord clamping if appropriate?

    • Yes

    • No preference

    • Follow recommendation

  • If you are unable to do skin-to-skin immediately, who should?

    • Support person

    • No preference

Newborn Care Preferences

  • Where would you like your baby to stay after birth?

    • In my room (rooming-in)

    • Nursery as needed

    • No preference

  • If baby needs to leave the room, who should accompany them?

    • Support person

    • No preference

  • When would you prefer baby’s first bath?

    • Immediately

    • Delayed

    • No preference

  • What are your preferences regarding newborn medications and vaccinations?

    • Vitamin K

    • Hepatitis B vaccine

    • Other newborn procedures

(Consent in advance / Discuss at the time / Decline / Undecided)

Postnatal Care

  • Do you have any dietary requirements?

  • Do you have any allergies?

  • How would you like medications or injections handled during recovery?

    • As recommended

    • Discuss before administration

    • Only with explicit consent

Writing Your Birth Preferences

Once you’ve worked through these questions, write your answers in clear dot points. Keep your birth plan simple and easy to scan. A one-page document is often ideal.

Bring a copy in your hospital bag and keep a digital version on your phone. Share it with your support person so they feel confident advocating for you if needed.

Remember, birth is beautifully unpredictable. Your preferences are not about controlling every outcome, they’re about helping you feel informed, supported, and heard.

If you’re unsure about any of these options, use this list as a starting point for conversations with your partner, doula, midwife, or care provider.

Informed, supported mothers make confident decisions and that calm clarity is something you’ll carry with you long after your baby is in your arms 🤍

 

About the Author

Sarah Iskandar is a Brisbane newborn, baby, and family photographer specialising in natural, heartfelt photography for growing families. As a mother of four, she understands how quickly the newborn and motherhood seasons pass, and is passionate about capturing genuine connection in a calm, relaxed environment. Based in Raceview, Ipswich, Sarah offers maternity, newborn, and family photography sessions designed to preserve the beauty of early motherhood and the tiny details you never want to forget. If you’re looking for a trusted Brisbane newborn photographer who values warmth, authenticity, and timeless imagery, Luminous Family Photography would love to document your story.

FAMILY PHOTOGRAPHER BRISBANE | NEWBORN PHOTOGRAPHER BRISBANE

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