Inspired Comforts

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Birth preferences sheet

Preview the template below. Print directly from your browser, or download the printable PDF for the formatted single-page version.

Inspired Comforts Toolkit

A short sheet for the L&D team and your partner: what you’d like, what you’d avoid, and what you’re flexible on. One page is enough. Bring 3 copies — one for the chart, one for the room, one for your partner.

About me

My name
Partner / support person name
OB / midwife / doula
Pediatrician (if known)

During labor I would like

Pain management preference
Movement / position preferences
Music / lighting / atmosphere
Who I want in the room

Things I would prefer to avoid (if medically possible)

Interventions I’d rather discuss first
Things I’m flexible on

Immediately after birth

Skin-to-skin preferences
Cord clamping preferences
Feeding plan (breast / bottle / both)
Other notes for the team
By the Inspired Comforts editorial team · inspiredcomforts.com

For inspiration only. Customize for your situation. Always consult your medical team. Inspired Comforts is not a medical provider.

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