What is Important For You To Have In Place During Your Labor and Birth Keeping in mind that everything is subject to change as labor unfolds, on a scale of 1 - 10 please rate the importance of having these options in place during your labor & delivery: Mother's Name First Last Father's Name First Last Due Date: What is Important For You To Have In Place During Your Labor and Birth?Keeping in mind that everything is subject to change as labor unfolds, on a scale of 1 - 10 please rate the importance of having these options in place during your labor & delivery:Feeling loved and supported*1 - Not Important2345678910 - Most ImportantFeeling that my wishes are respected*1 - Not Important2345678910 - Most ImportantFeeling in control of my labor*1 - Not Important2345678910 - Most ImportantBeing alert and clear-headed during labor*1 - Not Important2345678910 - Most ImportantHaving the active involvement of my husband*1 - Not Important2345678910 - Most ImportantAllowing labor to begin naturally*1 - Not Important2345678910 - Most ImportantAvoiding medical interventions*1 - Not Important2345678910 - Most ImportantFeeling minimal pain*1 - Not Important2345678910 - Most ImportantLaboring without medication*1 - Not Important2345678910 - Most ImportantUtilizing relaxation techniques*1 - Not Important2345678910 - Most ImportantBeing physically active and mobile*1 - Not Important2345678910 - Most ImportantSpending early labor at home*1 - Not Important2345678910 - Most ImportantProtecting my modesty and privacy*1 - Not Important2345678910 - Most ImportantAllowing labor to unfold on its own*1 - Not Important2345678910 - Most ImportantLetting my instincts guide me*1 - Not Important2345678910 - Most ImportantBeing coached through labor and birth*1 - Not Important2345678910 - Most ImportantExperiencing the sensations of birth*1 - Not Important2345678910 - Most ImportantPushing according to my own urges*1 - Not Important2345678910 - Most ImportantSeeing/touching my baby’s head as it crowns*1 - Not Important2345678910 - Most ImportantBonding with my baby immediately after birth*1 - Not Important2345678910 - Most ImportantLimiting noise/activity during labor and delivery*1 - Not Important2345678910 - Most Important
