Page 30 - The Doula Hub - Flip book_Neat

B I R T H P R E F E R E N C E S
NAME: Joanne Smith Thank you for your help and support at the birth of my baby. This is my first baby, a little boy, and I have
chosen a low-intervention, physiological birth in the midwife-led unit. I have been working with my doula to
NHS NO: 551-820-2345 practice slow breathing and natural comfort measures and would like as far as possible to create a calm, quiet
DOB:20/06/1984
environment to help me birth my baby. Once he arrives, I would like to have skin to skin and breastfeed as
BIRTH PARTNER: Lauren Milligan (doula)
soon as possible, and would really appreciate delaying all checks for a few hours. I understand that sometimes
birth takes its own path, but these are my wishes all being well. I really appreciate your support and care at
EDD: 22/04/2021
the birth of my baby.
PLANNED PLACE OF BIRTH: St John’s MLU
MIDWIFERY TEAM: Jade

DURING THE BIRTH
I would like to have a calm physiological birth, so would ask that birth be allowed to take its own course providing it is deemed safe by my care team. I would
like a quiet, dimly lit environment for birth with as few people as possible in the birth space. I would like to be able to eat, move freely, and use any other
comfort measures I need supported by my doula, Lauren. I have practiced natural comfort measures including slow breathing, massage and positions and also
intend to use gas and air. I do not wish to be offered other pain relief - and if I want any interventions, including an epidural, I will ask. I will have vaginal
examinations and heart tone monitoring as necessary, but would ask that interruptions are kept to a minimum.

WHEN BABY IS BORN
I would like to have skin to skin contact
with my baby as soon as possible and
initiate breastfeeding. If my baby needs
to leave the room for any reason, I would
like Lauren to accompany him. I would
like to delay weighing, measuring and
other checks for a few hours to allow me
to spend the first few hours getting to
know him and practising feeding. I am
happy for Vitamin K to be administered
by injection and will take my care team’s
advice about the delivery of the placenta.
I would like to catch the baby and cut the
cord myself, if possible, and for the
clamping to be delayed as long as
possible.