Preparing for Birth

Birth Preparation Guide

Everything you need to feel informed, confident, and ready — from your hospital bag to your birth plan and beyond.

When is it Time?

Signs of Labour

It can be hard to tell when labour is truly beginning. Here are the key signs to watch for:

Regular Contractions

Contractions every 5 minutes, lasting 60 seconds, for 1 hour (the 5-1-1 rule). They feel like intense period cramps and do not go away with rest.

Waters Breaking

A gush or trickle of clear fluid from your vagina. Call your midwife or hospital immediately — do not wait for contractions to start.

Bloody Show

A pink or brown mucus discharge (the mucus plug). Labour may still be hours or days away, but it's a sign your cervix is preparing.

Baby Drops (Lightening)

The baby moves lower into your pelvis. You may breathe easier but feel more pelvic pressure and need to urinate more frequently.

Go to hospital immediately if:
  • Your waters break (even without contractions)
  • You have bright red bleeding
  • Your baby stops moving or movements significantly reduce
  • You have severe headache, visual changes, or sudden swelling

Stages of Labour

1
Early Labour

Cervix dilates 0–6 cm. Contractions are mild and irregular. Can last hours or even days. Stay home and rest.

2
Active Labour

Cervix dilates 6–10 cm. Contractions are stronger (every 3–5 min). This is when most mothers go to hospital.

3
Transition

Cervix fully dilated. Contractions are most intense. Usually the shortest phase (15–60 min).

4
Pushing & Birth

You push with contractions to deliver your baby. Lasts a few minutes to 2 hours.

5
Delivery of Placenta

The placenta is delivered 5–30 minutes after baby. You may receive a syntocinon injection to help.

Pack by Week 36

Hospital Bag Checklist

Pack your bag early — babies sometimes arrive before their due date! Click items to check them off.

For You (Labour)
  • Birth plan (printed copies)
  • Insurance/hospital documents & ID
  • Comfortable nightgown or birthing gown
  • Non-slip socks
  • Hair ties and hair clips
  • Massage oil or roller
  • Lip balm (you may feel dry)
  • Snacks and drinks for labour
  • Phone charger + power bank
  • Earphones + music playlist
  • Pillow from home (optional)
For Baby
  • 2–3 onesies (newborn size)
  • 2 sleepsuits / pajamas
  • Mittens and socks
  • Warm hat
  • Baby blanket / swaddle
  • Car seat (essential for going home!)
  • Diapers (pack of small/newborn)
  • Baby wipes (unscented)
For Recovery (After Birth)
  • Loose, comfortable clothes (maternity waistband)
  • Nursing bras (2–3) and breast pads
  • Maternity pads (heavy flow)
  • Pain relief (paracetamol, as directed)
  • Toiletries (shampoo, soap, toothbrush)
  • Healthy snacks for after birth
  • Going-home outfit (loose)
For Your Birth Partner
  • Change of clothes
  • Snacks and drinks
  • Entertainment (book, tablet)
  • Cash for hospital expenses
  • List of emergency contacts
  • Comfortable shoes
Make Your Wishes Known

Writing Your Birth Plan

A birth plan helps communicate your preferences to your medical team. Keep it to one page. Give a copy to your midwife, doctor, and birth partner.

Birth is unpredictable — a birth plan is a guide, not a guarantee. Stay flexible.
Topics to Include:
  • Who you want in the room with you
  • Mobility preferences during labour
  • Pain management preferences (epidural, gas, natural)
  • Preferences for fetal monitoring
  • Episiotomy preferences
  • Cord cutting — who cuts it?
  • Delayed cord clamping preference
  • Skin-to-skin contact immediately after birth
  • Breastfeeding plans
  • Photography preferences
  • If a C-section becomes necessary — your wishes
Pain Relief Options

Pain Management in Labour

Medical
Epidural

Injection into the lower back providing strong pain relief. Most effective option. May limit mobility.

Medical
Gas and Air (Entonox)

Nitrous oxide inhaled through a mask. Takes the edge off pain without fully numbing. Fast-acting and controllable.

Medical
Pethidine / Morphine

Injected opioid painkiller. Relieves pain and promotes relaxation. Can cause drowsiness in baby if given close to delivery.

Natural
TENS Machine

Mild electrical pulses to your back that interrupt pain signals. Best used in early labour.

Natural
Hydrotherapy (Water)

Labouring in a warm bath or birthing pool provides significant pain relief for many mothers.

Natural
Breathing & Mindfulness

Controlled breathing, hypnobirthing, and relaxation techniques can meaningfully reduce pain perception.

Natural
Massage

Lower back massage from a birth partner during contractions can provide significant relief.

Know Your Options

Types of Birth

Understanding your options helps you make informed decisions and prepare your birth plan.

Vaginal Birth

The most common type. Baby is born through the birth canal. Can be spontaneous or induced. Recovery is typically faster than C-section.

Water Birth

Labouring and/or delivering in a birthing pool. The warm water provides pain relief. Shown to reduce the need for epidurals.

Caesarean Section (C-Section)

Surgical delivery through an incision in the abdomen. Can be planned (elective) or emergency. Recovery takes 6–8 weeks.

Assisted Delivery

Vaginal birth with the help of forceps or a ventouse (suction cup). Used when baby needs to be delivered quickly or has a difficult position.

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Ready for the Big Day?

Talk to one of our verified obstetricians or midwives about your birth plan, concerns, or questions.