Birth Expectation Plan

We have developed a Birth Expectation Plan to help guide you in some of the options that are available to you during childbirth. This also gives you the opportunity to share what your expectations are for your birth experience so that we can partner together. Please use the Birth Expectation Plan to begin conversations with your healthcare provider(s) about the kind of birth experience that is important to you. We encourage you to research all options, and discuss the effectiveness and risks of those that interest you with your healthcare provider(s).

Click here If you would prefer to download a PDF of this form and submit it manually or by fax.

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Patient Information
Care Provider

Environment within the Birthing Suite

The following are the people I want present in room at time of delivery (You may have up to 4 people and one support person)
Pain Management During Labor

Techniques/Positions to Cope With Back Labor

Care During Labor

Delivery Position



Our concerns/priorities regarding labor and birth
Is there anything else you would like us to know about your preferences, concerns:
Have Questions? Call (770) 219-9000
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Copyright ©2016 Northeast Georgia Health System, Inc. | 743 Spring Street Gainesville, GA 30501 | (770) 219-9000