Birth plan – what should it include and how is it used?

Short answer: A birth plan, also known as a labor plan, is a voluntary document where the person giving birth can write down expectations, needs, concerns, and wishes for the medical staff. It is a communication aid – not a guarantee that the birth can be carried out exactly according to the plan.

Why write a birth plan?

1177 describes the birth plan as a way to provide the staff with extra information on how they can best help and support. It can also help the pregnant person and any partner or support person to think through what feels important in advance.

What can the letter contain?

• name and personal identification number
• things the medical staff should know about you
• previous experiences of pregnancy or childbirth
• things you are particularly worried about
• wishes regarding communication and information
• thoughts on pain relief
• wishes regarding movement and birthing positions
• how a partner or support person should be involved
• wishes regarding environment, calm, music, or lighting when possible
• thoughts about the time immediately after birth

Keep the letter short and prioritized

A clear plan of one or two pages is often easier for the staff to absorb than a very long document. Feel free to start with the three or four most important points.

Wishes may need to change

Childbirth cannot always be predicted. Medical conditions can change quickly, and medical staff need to adapt care based on safety and the current situation. The letter should therefore be seen as a basis for dialogue and participation, not as a medical instruction that must be followed regardless of the circumstances.

Discuss the letter with your midwife

It can be valuable to bring the draft to a visit at the antenatal clinic. Then questions can be clarified, worries discussed, and items already in the medical record can be distinguished from personal wishes.

Common mistakes

• the letter becomes so long that the main wishes are lost
• wishes are formulated as absolute demands even though the care situation may change
• important medical information is only included in the letter and not discussed with a midwife
• the partner's role has not been confirmed with the person who will be giving birth

See the Mallbutiken birth plan template.

FAQ

Do you have to write a birth plan?

No. 1177 states that it is voluntary.

Is a birth plan legally binding?

No, it should not be described as a binding agreement on exactly how care is to be carried out. It is an aid for communication, wishes, and participation, while care must simultaneously be adapted to the medical situation.

When should the letter be written?

There is no set time. Many people write it during the final weeks, but it can be started earlier and adjusted after discussions with a midwife.

This article provides general information and does not replace medical advice. Please address medical questions to a midwife or other medical staff.