18/11/2025
Plan A, Plan B, Plan C: Why Your Birth Preferences Need Flexibility
You've likely heard of a "Birth Plan," but I prefer to think of it as Birth Preferences, and you need more than one!
Labor is unpredictable, which is why preparing for multiple scenarios is the best way to feel in control and have a satisfying birth no matter what path your birth takes.
Here is the simple framework I use with my clients:
Plan A: The Ideal Birth
This is the birth you dream of, your ideal environment, coping techniques, and support team.
Maybe this is a birth where you are offered pain medication the moment you enter the hospital. Maybe this is a homebirth where you are surrounded by your loved ones. Whatever it is, this is what you dream of when you visualize giving birth.
Plan B: The Medicalized Birth
Life happens! Sometimes intervention is necessary or desired. Planning for medical scenarios helps you retain autonomy.
You have options even when words like “induction” or “vacuum” are in the conversation. When you choose your path through a medicalized birth, you will have a more empowering and satisfying experience.
Plan C: The Cesarean Birth
A planned or unplanned cesarean delivery is still a powerful birth. Having preferences ready means you are informed, not overwhelmed.
Many people think they have no choices at all when it comes to a cesarean birth, but you actually do! We discuss these powerful points of choice when we talk about Plan C.
The Takeaway
Your preferences document isn't a rigid contract but rather a communication tool for you and your partner and your care team.
What does your birth plan look like? Let me know in the comments!
