Baby steps to a birth plan

Choosing where to have your baby is an important decision to consider early in your pregnancy, or even before falling pregnant, as it will affect which caregiver you choose.

In the book the Antenatal Guide, which comes with a DVD presented by TV journalist Leanne Manas, medical professionals as well as birth centres, hospitals and home births are differentiated.

In the book the Antenatal Guide, which comes with a DVD presented by TV journalist Leanne Manas, medical professionals as well as birth centres, hospitals and home births are differentiated.


During the course of your pregnancy, delivery and the first six weeks with your newborn, you might be cared for by many different medical professionals. Those working as obstetricians or gynaecologists diagnose and closely monitor women during their pregnancies and offer advice for healthy living.

Gynaecologist: Although a gynaecologist primarily specialises in the treatment of diseases and disorders of the female reproductive system, almost all are also trained obstetricians.

Obstetrician: A doctor who specialises in caring for pregnant women through childbirth, and who focuses on labour delivery.


Midwives: These are nurses who specialise in the care of maternity patients and the delivery of babies. You can choose to make use of a private midwife or midwives working at the hospital or birth centre where your baby will be delivered.

Paediatrician: A doctor who specialises in the care of children.


Birth centres: Birth centres are small and run by highly skilled midwives. They often offer a natural approach to labour. In the case of complications during or after labour, you will be transferred to the hospital by ambulance with your midwife.

Hospital maternity unit: This is run by skilled midwives who work shifts. One or two midwives will care for you throughout your labour and birth. If you have been in the care of a gynaecologist through your pregnancy, they will see you during labour or will be called to assist you just before giving birth.

Home birth: Planning a home birth with a private midwife is safe for normal, low-risk pregnancies. All going well, it will be a peaceful, gentle birth experience in the comfort of your own home. You will be transferred to hospital if any problems occur.

It is vital to remember that labour is unique to every woman and involves more than merely arriving at the hospital and giving birth, so be as prepared as you can.

One way in which you can prepare is by creating a birth plan.


Making a birth plan, or birth wish, is a good opportunity to reflect on who you are and what is important to you.

Remember, though, that birth is unpredictable. Use language that reflects an attitude of openness and flexibility. For example, you could start with words like: “If everything goes according to plan, I would like to…”

Potential birth plan decisions:

What are your preferences?

Remember that your partner will be doing a lot of communicating on your behalf during labour, so it is best to ensure you know each other’s thoughts on the birth plan.

At around 36 to 38 weeks, you should give a copy of your birth plan to your doctor or midwife and have a chat about it with them. It is also worthwhile to give a copy to the midwife at the hospital when you are admitted.

Remember, just because you have written something in your birth plan doesn’t mean you can’t change your mind later.

When in labour your feelings might change or circumstances may arise which you had not expected. It is vital that you see it simply as a guideline, not a rigid plan.

The most important thing is to have your baby arrive safely, so if your plans need to change as you go into labour, be prepared to do whatever is necessary to ensure the safe delivery of your baby. - The Mercury