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The Birth Plan for Pregnancy Loss handout is a powerful tool for assisting the pregnant woman who has received a diagnosis of expected loss in childbirth from their care provider. This two-page birth plan allows doulas to prepare the pregnant woman and her family for the grieving process. It can help reduce the trauma and stress of having to make difficult decisions in the moments immediate before, during, and after birth.
Included in this form are checklists for:
- Support techniques
- Medical interventions
- Pushing options
- Cord cutting
- Comfort care
- Postpartum requests
This download includes both a colored and black and white version of the birth plan, available in PDF format. Source files are also included in .ODG (LibreOffice Draw) format.
(Note: this handout is available for free to students of New Beginnings Doula Training from the student dashboard > doula tools.)
DISCLAIMER: Information provided in this handout is exclusively for non-medical reference only. Always consult with your local care provider for any medical-related questions.