MOTHERLY’SBIRTH CLASSPRINTABLEWORKBOOK

You’ve got th is .

INTRODUCTION

Hi there, and welcome to Mother ly 's Bi r th Class!

We are so thr i l led that you are jo in ing us, and honored to be here wi th you on th is incredible adventure. This workbook contains your c lass homework, that wi l l help you take what you've learned in the modules and t ranslate i t in to a plan that works for YOU. Feel f ree to inv i te your partner to work on i t wi th you, and have fun!

Remember to take some deep breaths, and t rust your inner awesomeness.

You've got th is !

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

P lan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

P lan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

Plan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

Plan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

I t r u s t my s e l f and

my b ody

My baby and I a r e

s af e

I am b i� h ing w � h

w om en a l l o v e r � e w or l d

B r e a� e i n ca lm ,

b r e a� e ou t t e n s i on

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

Plan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

B r e a� e I ’ v e g ot � i s

I am a bada�

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

Plan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

Plan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

MY WATER BROKE LOG

Date:

Time:

Amount :

Color :

Odor :

Baby moving (yes/no, same as usual , more than usual , less than usual ) :

•Cal l your doctor or midwife to not i fy them and discuss the plan.

T ime cal led doctor/midwife:

Plan:

Notes:

CONTRACTION LOG COPING SKILLS REMINDER SHEET

•Dance/sway•Lunge•Squat•Hip press•Lower back diamond press •Bir th bal l•Sway s ide to s ide•Hip c i rc les•Lean forward on partner•Hip press•Lower back diamond press •Rebozo/Woven Cloth -Support lower back Water -Bathtub -Shower -Washcloth •Music•Relaxat ion mp3s•Vocal izat ion•Breathing•Pleasant smel ls•Mantras

MANTRA SHEET 1

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

MANTRA SHEET 2

Cut out and br ing the mantra(s ) the resonates most wi th you to your bi r th , or make your own!

BIRTH PREFERENCES WORKSHEET

THE BIRTH

Where would you l ike to give bi r th (c i rc le )— hospi ta l /b i r th center/home

Who wi l l take care of you in labor— obstetr ic ian/midwife/doctor of osteopathy/ fami ly physic ian (c i rc le ) YOUR TEAM

I f you have a partner, wi l l they at tend your bi r th? Yes/no/unsureWi l l you hi re a doula? Yes/no/unsureOther fami ly members or f r iends that wi l l a t tend your bi r th

How wi l l you handle v is i tors in the f i rs t 24 hours of your baby’s l i fe?

First week?

First month?

CIRCLE YOUR FAVORITE COPING SKILLS

Dancing LungingSquatt ingHip press/ lower back diamondBir th bal lRebozo/woven c lothBathtubShowerWashclothMusicRelaxat ion MP3sBreathingPleasant smel lsMantras

PAIN MEDS

Do you want pain medicat ions to be of fered to you dur ing your bi r th? Yes/no/undecided

I f so, how? (example: only when I ask for them, or of fer as soon as possible) PLACENTA

Are you planning to bank your cord blood?I f so, have you arranged a serv ice?Do you want delayed cord c lamping? Yes/no/unsureDo you want to see you placenta af ter i t is born? Yes/no/unsureDo you want to have your placenta encapsulated? Yes/no/unsureI f so, have you contacted a specia l is t?Would you l ike to take your placenta home for other use? Yes/no/unsure CULTURAL CONSIDERATIONS Do you have any cul tura l , t radi t ional or re l ig ious considerat ions that you would l ike to share? BABY CARE Immediate skin- to-skin wi th your baby? Yes/no/unsureVi tamin K? Yes/no/unsureEye ointment? Yes/no/unsureI f you are having a boy, do you plan to c i rcumcise? Yes/no/unsureAre you planning to breast feed? Yes/no/unsureDo you want to room-in wi th your baby? Yes/no/unsure WHAT ELSE? Is there anything else you’d l ike us to know, to help us take the best care of you and your fami ly dur ing and af ter your bi r th?

HOPES + FEARS

LABOR/BIRTH When you th ink about you bi r th , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

PARENTHOOD When you th ink about becoming a parent , what fears come up?

For each fear, can you ident i fy why you are afra id of i t?

What st rategies can you use to overcome each fear?

THE ULTIMATE BIRTH PACKING LIST

Mama

Pa�ner

BabyGeneralCLOTHING

2 changes of c lothes

Robe

Materni ty leggings

Breast feeding f r iendly top

Nurs ing bra

Socks

Comfy undies

Going home out f i t

F l ip f lops

Glasses ( i f you wear them)

COSMETICS

Toothbrush

Toothpaste/mouthwash

Shampoo/condi t ioner

Cosmet ics or to i let r ies

Body washes + lot ions

Deodorant

Chapst ick

Hair brush

Hair t ies

Breast pads

Nipple ointment

Picture ID

Insurance card

Hospi ta l paperwork

Phone/camera

Bat tery charger *w/ long cord

Snacks

Comfy pi l low

Gatorade/coconut water/ ju ice

Notebook and pen

Magazine/book

Quarters ( for vending machine)

Extra plast ic bag

Earplugs

2 changes of c lothes Toi letr ies

Bathing sui t *water b i r th

Sneakers and f l ip f lops

Snacks

Magazine/book

Important phone numbers (relat ives, doula , b i r th photographer,

p lacenta encapsulator )

Cute out f i t for baby

Carseat

Blanket

Bi r th preference sheet Bi r th bal l

Rebozo

MP3s

Essent ia l o i ls

Visual e lement (beaut i fu l photo)

Mantras

Earplugs

Bi�hing

POSTPARTUM PREP CHECK LIST

Items to Have Ready F�d Prep

Big cup wi th st raw

Comfortable underwear

Pads

Padsic les

Hemorrhoid cream

Witch hazel pads

Nipple ointment

Comfortable pjs

Nurs ing bra

Robe

Nipple ointment

Nurs ing pi l low

Changing stat ion on each f loor of house

Nursing stat ion on each f loor of house

Snacks *easy to eat wi th one hand

Trai l mix

Granola bars

Cheese st icks

Frozen meals

Take out menus

Postpartum doula and/or baby nurse

Babysi t ter for o lder s ib l ingsHouse c leaner

Schedule relat ives/ f r iends to come help

He lpers to Consider

Home PrepO�er