You’ve got this.

Motherly’s Birth Class Printable Workbook

AND WELCOME TO MOTHERLY’S BIRTH CLASS!

We are so thrilled that you are joining us, and honored

to be here with you on this incredible adventure. This

workbook contains your class homework, that will help you

take what you’ve learned in the modules and translate it into

a plan that works for YOU. Feel free to invite your partner

to work on it with you, and have fun! Remember to take

some deep breaths, and trust your inner awesomeness.

You’ve got this!

xo, Diana

Hi there

My Water Broke Log

DATE

COLOR

PLAN

NOTES

AMOUNT

Call your doctor or midwife to notify them and discuss the plan. TIME CALLED:

Is the baby moving? YES NO SAME AS USUAL MORE THAN USUAL LESS THAN USUAL

TIME

ODOR

Contraction Log

START TIME END TIME DURATION FREQUENCY

Coping Skills Reminder Sheet

DANCE/SWAY

LUNGE

SQUAT

HIP PRESS

LOWER BACK DIAMOND PRESS

BIRTH BALL

SWAY SIDE TO SIDE

HIP CIRCLES

LEAN FORWARD ON PARTNER

HIP PRESS

LOWER BACK DIAMOND PRESS

REBOZO/WOVEN CLOTH

- SUPPORT LOWER BACK

WATER

- BATHTUB

- SHOWER

- WASHCLOTH

MUSIC

RELAXATION MP3S

VOCALIZATION

BREATHING

PLEASANT SMELLS

MANTRAS

Mantra Sheet 1

My baby and I

are safe

I am birthing with women all over the world

I trust myself and

my body

Breathe in calm, breathe

out tension

Mantra Sheet 2

Breathe

I am remarkable

Each contraction brings me closer

to meeting my baby

I’ve got this

WHERE WOULD YOU LIKE TO GIVE BIRTH?

WHAT COPING SKILLS DO YOU WANT TO USE?

ARE THERE ANY INTERVENTIONS YOU HAVE

STRONG FEELINGS ABOUT? PLEASE SHARE HERE.

GIVEN THAT THE SITUATION ALLOWS,

WOULD YOU LIKE THE FOLLOWING FOR

YOUR BABY?

HOW DO YOU FEEL ABOUT PAIN MEDICATION SUCH AS EPIDURALS AND OPIOIDS? WOULD YOU LIKE

PEOPLE TO OFFER THEM TO YOU, OR DO YOU PREFER TO INITIATE THE CONVERSATION IF DESIRED?

WHO WOULD YOU LIKE TO CATCH YOUR BABY?

WHO WILL ATTEND YOUR BIRTH? (partner, friend, family, doula, etc.)

(ob/gyn, midwife, etc.)

UNSUREYES NO

Cord blood banking (If

yes, company/public bank

name: )

Delayed-cord clamping

Skin-to-skin

Breastfeeding

Bottle-feeding

Eye medication

Vitamin K injection

Hepatitis B vaccine

Nursery or in-room care

Circumcision

My Birth Plan

DO YOU HAVE SPECIFIC REQUESTS FOR YOUR BIRTH?

DO YOU HAVE PLANS FOR YOUR PLACENTA?

IF SO, PLEASE WRITE THEM HERE.

ARE THERE CULTURAL CONSIDERATIONS THE TEAM SHOULD KNOW ABOUT?

IS THERE ANYTHING ELSE YOU’D LIKE TO SHARE WITH THE TEAM?

FULL NAME:

DUE DATE:

WHAT COPING SKILLS DO YOU WANT TO USE?

DO YOU HAVE PLANS FOR YOUR PLACENTA?

IF SO, PLEASE WRITE THEM HERE.

GIVEN THAT THE SITUATION ALLOWS,

WOULD YOU LIKE THE FOLLOWING FOR

YOUR BABY?

WOULD YOU LIKE A GENTLE CESAREAN SECTION? WOULD YOU LIKE A CLEAR DRAPE?

WHO WILL ATTEND YOUR BIRTH? (partner, friend, family, doula, etc.)

UNSUREYES NO

Cord blood banking (If

yes, company/public bank

name: )

Delayed-cord clamping

Skin-to-skin

Breastfeeding

Bottle-feeding

Eye medication

Vitamin K injection

Hepatitis B vaccine

Nursery or in-room care

Circumcision

My C-section Birth Plan

DO YOU HAVE SPECIFIC REQUESTS FOR YOUR

BIRTH? IF SO, PLEASE WRITE THEM HERE.

ARE THERE CULTURAL CONSIDERATIONS THE TEAM SHOULD KNOW ABOUT?

IS THERE ANYTHING ELSE YOU’D LIKE TO SHARE WITH THE TEAM?

FULL NAME:

DUE DATE:

WHICH HOSPITAL WOULD YOU LIKE TO GIVE BIRTH IN?

WHAT PROVIDER WILL ATTEND YOUR BIRTH?

Hopes + Fears

LABOR + BIRTH

PARENTHOOD

When you think about you birth, what fears come up?

When you think about you birth, what fears come up?

For each fear, can you identify why you are afraid of it?

For each fear, can you identify why you are afraid of it?

What strategies can you use to overcome each fear?

What strategies can you use to overcome each fear?

The Ultimate Birth Packing List

Mama General

Partner

BabyCLOTHING

COSMETICS

2 changes of clothes

Toothbrush

Maternity leggings

Shampoo/conditioner

Nursing bra

Body washes + lotions

Comfy underwear

Chapstick

Flip flops

Hair ties

Robe

Toothpaste/mouthwash

Breastfeeding friendly top

Cosmetics or toiletries

Socks

Deodorant

Going home outfit

Hair brush

Glasses

Breast pads

Nipple ointment

Birthing

Cute outfit for baby

Birth preference sheet

Carseat

Birth ball

Visual element (beautiful photo)

MP3s

Picture ID

2 changes of clothes

Hospital paperwork

Bathing suit (if water birth)

Blanket

Rebozo

Mantras

Essential oils

Battery charger with long cord

Snacks

Comfy pillow

Important phone numbers

(relatives, doula, birth

photographer, placenta

encapsulator)

Notebook + pen

Extra plastic bag

Insurance card

Toiletries

Phone/camera

Sneakers + flip flops

Snacks

Magazine/book

Gatorade/coconut water/juice

Quarters for vending machine

Magazine/book

Earplugs

The Ultimate C-section Packing List

Mama General

Partner

BabyCLOTHING*

COSMETICS

2 changes of clothes

Toothbrush

Maternity leggings

Shampoo/conditioner

Nursing bra

Body washes + lotions

Comfy high-rise underwear

Chapstick

Flip flops

Hair ties

Robe

Toothpaste/mouthwash

Breastfeeding friendly top

Cosmetics or toiletries

Socks

Deodorant

Going home outfit

Hair brush

Glasses

*Clothes should be high-rise

or loose, so they don’t rub

your incision.

Breast pads

Nipple ointment

Birthing

Cute outfit for baby

Birth preference sheet

Carseat

Visual element (beautiful photo)

MP3s

Picture ID

2 changes of clothes

Hospital paperwork

Bathing suit (if water birth)

Blanket

Mantras

Essential oils

Battery charger with long cord

Snacks

Comfy pillow

Important phone numbers

(relatives, doula, birth

photographer, placenta

encapsulator)

Bendable straws

Quarters for vending machine

Insurance card

Toiletries

Phone/camera

Sneakers + flip flops

Snacks

Magazine/book

Gatorade/coconut water/juice

Magazine/book

Notebook + pen

Extra plastic bag

Earplugs

Postpartum Prep Check List

Have Ready

Home Prep

Food PrepBig cup with straw

Changing station on each

floor of house

Pads

Hemorrhoid cream

Nursing bra

Nipple ointment

Comfortable underwear

Padsicles

Nursing station on each

floor of house

Witch hazel pads

Comfortable pjs

Robe

Nursing pillow

Snacks that are easy to eat with one hand

Granola bars

Frozen meals

Trail mix

Cheese sticks

Take out menus

Helpers to Consider

Other

Postpartum doula and/or baby nurse

House cleaner

Babysitter for older siblings

Errand runner

Schedule relatives/friends to come help

People to drive you to appointments for first 6 weeks

C-section Postpartum Prep Check List

Have Ready

Home Prep

Food Prep

Helpers to Consider

Other

Big cup with bendable straw

Changing station on each

floor of house

Pads

Hemorrhoid cream

Nursing bra

Nipple ointment

Comfortable high rise

underwear

Padsicles

Nursing station on each

floor of house

Possibly place to sleep

on first floor of the house

Witch hazel pads

Comfortable pjs

Robe

Nursing pillow

Snacks that are easy to eat with one hand

Postpartum doula and/or baby nurse

Granola bars

House cleaner

Frozen meals

Trail mix

Babysitter for older siblings

Cheese sticks

Errand runner

Take out menus

Schedule relatives/friends to come help

People to drive you to appointments for first 6 weeks