Example of a birth plan if you are planning a Caesarean
The following is simply an example of what can be possible to include on your birth plan for having a Caesarean birth. You can add, change or delete any aspects to suit your needs.
Woman's name...................................................
What you like to be called (e.g. Katherine or Kate)..............................
Partner or support person's name..............................
(This is the person who you intend to be with you in the operating theatre)
The doctor performing the operation (if known).............................
The anaesthetist (if known).........................................................
This plan outlines our preferences. We understand that the plan may change. In the event that the operation is not affected by complications my partner and I would prefer:
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The anaesthetic to be discussed with us outlining the benefits and risks of each choice. We understand there may be medical reasons affecting the preferred choice of anaesthetic. Our preference at this stage is for: |
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An epidural |
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A spinal |
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A combination of spinal / epidural. |
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A general anaesthetic (made asleep). |