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HYPNOBIRTHING HUB BIRTH PLAN EXAMPLE
Our names are Sarah Smith & Joe Bloggs
We like to be called Sarah and Joe
Attending our birth: Sally Smith (sister)
Other notes: Hypnobirthing Hub
We have chosen Hypnobirthing Hub, as our method to have a natural childbirth without
unnecessary interventions. We have been trained in this child birth education method and
are aware of our birth options.
We have given careful consideration to each specific request in our plan, and we feel that it
represents our wishes at this time. We realise that as labour ensues, we may choose to
change our thinking and wish to feel free to do so.
We're looking forward to a normal pregnancy and birth and understand that these choices
presume that this will be the case. Should a special circumstance arise that could cause us
to deviate from our planned natural birth, we trust that you will provide us with a clear
explanation of the special circumstance, the medical need for any procedure you may
anticipate, and what options might be available. In such an event, please know that you will
have our complete cooperation after we have had an explanation of the medical need and
have had the opportunity to discuss the decision between ourselves.
In the absence of any special circumstance, we ask that the following requests be honoured.
Thank you in advance for helping us obtain our wish for a joyous, memorable, and most
satisfying natural birth.
Please make this information known to any other doctors, or midwives who may be attending
the birth.
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Long–range planning works best in the short term. | Doug Evelyn