BIRTH AND EMERGENCY PLAN

Learning Objectives:

At the end of this procedure, students are expected to:

⮚ Define birth plan and emergency plan.

⮚ Familiarize with the contents’ information of birth plan and emergency plan.

DEFINITION

Birth Plan - a written document prepared during the first prenatal consultation. Plan
may change anytime during pregnancy if an abnormality develops.

- Contains information on:

a. The woman’s condition during pregnancy

b. Preferences for her place of delivery and choice at birth attendant.

c. Available resources (transportation, companion, money) for her

childbirth and newborn baby.

d. Preparations needed (blood donor, referral center) should an

emergency arise during pregnancy, childbirth and postpartum.

Emergency Plan – Discuss how to prepare for an emergency in pregnancy.

a. Advise on danger signs, signs of labor

b. Where to go?
c. How to go?
d. What to bring?
e. With whom will you go?
f. How much will it cost? Who will pay? How will you pay?
g. Start saving for the possible cost now.
h. Who will care for your home and other children when you are away?

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 Activity 13

Learning Objectives:

At the end of this activity, students are expected to:

⮚ Familiarize birth and emergency plan form.

⮚ Use the birth and emergency plan form.

Direction:
Read the case and fill-up the Birth and Emergency Plan Form.

July 21, 2018 Maria de la Cruz is on her 8 th month pregnancy visit to BHS 4 for her
prenatal check-up. Maria lives at 33 Bonifacio St. Barangay 2 Lucban, Quezon. Midwife Leah
noticed that she has Philhealth. The estimated cost of the maternity package in the facility is
8,500 Php. She asked Maria some questions about her birth plan:

a. Where is her plan to deliver? Who will attend her delivery? She wants to deliver at
birthing home at Barangay Abang. She prefers that whoever attends her delivery
is the one on duty at the birthing home.

b. Who will take her to the birthing home when she is in labor and who will take care
of her children when she goes to the hospital? She prefers that her husband,
named Jose Santos will be the one to accompany her to the birthing home. His
contact no. is 0917 742 4913. Her youngest sister Jocelyn dela Cruz will take care
of her children when she is confined in the birthing home.

c. For the transportation Mrs. Santos prefer is tricycle of their neighbor owned by
Jun Reyes. For possible donor of blood is her sister Maria Dela Cruz if blood
transfusion is needed.

Manual on Maternal Care in Community Health Practice Page 119

 BIRTH PLAN FORM

(Lifted from Maternal and Child Book)

BIRTH EMERGENCY PLAN

I know that any complication can develop during delivery. I know that I should deliver
in a health facility.

I will be attended at delivery by the one on duty at the birthing home.

I plan to deliver at birthing home at Barangay Abang.

This is a Philhealth accredited facility / Yes No

The estimated cost of the maternity package in this facility is Php 8,500.

(inclusive of Newborn Care).

The mode of payment is cash.

The available transport is tricycle of our neighbor owned by Jun Reyes.

Have contacted 0917 742 4913 to bring me to the hospital/health center.

I will be accompanied by my husband, Jose Santos.

Jocelyn dela Cruz will make take care of my children/home while I am in the health
facility.

In case of a need for blood transfusion, my possible donors are:

Maria dela Cruz

In case of complications, I will be referred right away to: ________ ____________

Contact Person: ____________________________________________________

Address: __________________________________________________________

Tel. No.: __________________________________________________________

Manual on Maternal Care in Community Health Practice Page 120