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CONTRA COSTA HEALTH SERVICES CONTRA COSTA REGIONAL MEDICAL AFTERBIRTH PREFERENCES WORKSHEET PAGE 1 OF 3Name:___ Birthdate: ___ Due Date: ___ We want our patients to have a safe, personal and meaningful
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How to fill out birth preferences worksheet page

01
Gather all necessary information such as your preferences for labor, delivery, and postpartum care.
02
Review the birth preferences worksheet page to familiarize yourself with the various sections and options available.
03
Fill out each section of the worksheet page with your preferences in detail, being as specific as possible.
04
Consider discussing your preferences with your healthcare provider to ensure they are aligned with your medical needs and the policies of the facility where you plan to give birth.
05
Save a copy of the completed birth preferences worksheet page for yourself and provide a copy to your healthcare provider and birthing team.

Who needs birth preferences worksheet page?

01
Expectant parents who want to communicate their preferences for labor, delivery, and postpartum care to their healthcare provider and birthing team.
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The birth preferences worksheet page is a document where individuals can outline their preferences and plans for childbirth.
Pregnant individuals are required to file the birth preferences worksheet page.
To fill out the birth preferences worksheet page, individuals can provide information on their preferences for labor, delivery, and postpartum care.
The purpose of the birth preferences worksheet page is to help healthcare providers understand an individual's preferences and wishes for childbirth.
Information such as pain management preferences, birthing positions, and preferences for interventions may be reported on the birth preferences worksheet page.
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