Comfort Preferences
Use this table to record your preferences for labor comfort . Keep in mind that you may change your mind once in labor . Discuss your preferences with your birth team in advance and be sure to confirm that they will be available to you .
1 . No thank you 2 . Possibly 3 . Yes please
Comfort Technique |
Your Choice |
Medical Options |
Your Choice |
Massage |
1 |
2 |
3 |
Counterpressure |
1 |
2 |
3 |
Deep breathing |
1 |
2 |
3 |
Moving / position changes 1 2 3
Sterile water blocks |
1 |
2 |
3 |
Nitrous oxide |
1 |
2 |
3 |
Opioids |
1 |
2 |
3 |
Epidural 1 2 3
Preview
Heating pad 1 2 3 What are your top preferences ?
Shower 1 2 3 _______________________________________
Water immersion ( tub ) 1 2 3 _______________________________________
Meditation / prayer 1 2 3 _______________________________________
Visualization / imagery 1 2 3 _______________________________________
Hypnotherapy |
1 |
2 |
3 |
Music |
1 |
2 |
3 |
Audio affirmations |
1 |
2 |
3 |
Doula |
1 |
2 |
3 |
TENS unit |
1 |
2 |
3 |
Acupuncture |
1 |
2 |
3 |
Acupressure |
1 |
2 |
3 |
Homeopathy |
1 |
2 |
3 |
_______________________________________ _______________________________________
Is there anything you are absolutely opposed to using ?
_______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________
22 Comfort Preferences