Family Birth Plan
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Our Family Birth Plan Name of Mother: Anticipated Birth Date: Mother s Support During Labor/Delivery: M.D.. Comments: Anesthesia/Pain Medication (Your nurse and an anesthesiologist will be able to answer question about medication during labor and delivery) Y/N (Check to indicate yes) I would like to be asked if I would like to have narcotic pain relief.. Comments: Delivery of Baby Y/N (Check to indicate yes) I would like to be allowed to choose the position in which I give birth, including I would like and /or nurses to support me and my legs as necessary during the pushing stage..
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