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My Mercy Birth Plan - Mercy Your life is our lifes work 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and birth date at the top of the form. This personal information is essential for your healthcare team.
  3. Fill in your physician's name and your baby's due date, ensuring that all details are accurate for effective communication.
  4. In the 'My labor support team' section, list the individuals you wish to have present during labor, including their relationships to you.
  5. Check off any comfort measures you plan to utilize during labor, such as walking or using a birth ball, to communicate your preferences clearly.
  6. Indicate your preferences for monitoring contractions and your baby's heart rate by selecting from the options provided.
  7. Specify your choices regarding intravenous access and pain management methods that align with your birthing philosophy.
  8. Complete sections on pushing preferences, umbilical cord cutting, and immediate care of your baby after birth by checking desired options.
  9. Finally, review all entries for accuracy before signing and dating the document at the bottom. Bring this completed plan to a prenatal visit for discussion with your physician.

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Special Care Delivery

We will work with you to create a birth plan that fits your family, while keeping the health and safety of you and your baby as our top priority.

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Mercy Hospital Northwest Arkansas in Rogers

Our patients have access to MyMercy a free app that lets you manage your health and connect with your care team from your computer, tablet device orRead more

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