Tania Fragoso
  • TF

VIRTUAL - Birth Planning session

TF

Tania Fragoso

Perinatal Counsellor & Coach

120 Minutes
Personal Information
Please enter your first name.
Please enter your last name.
Please enter a valid email.
Additional Information

Logistics & Medical Context

Establishing the foundational details of the birth environment.

Establishing the foundational details of the birth environment
 Full Name & Pronouns: 
Please enter your response.
 What is your date of birth? 
Please enter your response.
Estimated Due Date
Please enter your response.
Contact Information: Best phone number and email for our week of support
Please enter your response.
Partner/Support Person: Name and their intended role during your birth
Please enter your response.
Place of Birth: 
Please select your response.
Medical Care Team: Who is your primary care provider or specialist
Please enter your response.
Health Background: Are there any specific health conditions (like Diabetes) or routine medications we should factor into your planning? 
Please enter your response.

Your Planning Path


Broad areas to determine the session's direction.
Primary Focus: Which of these areas do you want to prioritize during our session? 
Please select your response.
Key Goals: What are the top three things you want to achieve or clarify by the end of our call?
Please enter your response.
Current State of Planning: Do you already have a draft of a birth plan or have you attended any preparation classes? 
Please enter your response.

Advocacy & Communication



Identifying key needs for support in the birth room.
Language & Understanding: On a scale of 1–10, how comfortable do you feel advocating for your needs in the local language?
Please input a number between 1 to 10
Decision-Making Style: How do you best process information when a decision needs to be made (e.g., do you need time to think, or do you prefer a quick explanation of pros/cons)?
Please enter your response.
Intervention Preferences: What are your current feelings about medical interventions or pain management? 
Please enter your response.
Support Expectations: How would you like your support team to respond if you feel overwhelmed or change your mind about your original plan?
Please enter your response.

Life & Household Logistics 

Managing the "big picture" of the transition to parenthood
Immediate Postpartum Vision: What does "family bonding" or your ideal first few hours after birth look like? 
Please enter your response.
Household Support: Do you have pets (like dogs or cats) or other children that require a care plan?
Please enter your response.
Post-Birth Village: Will you have family visiting or any hired support (like a postpartum doula) in the weeks following your birth?
Please enter your response.

WhatsApp Support Prep 

Getting the most out of the 7-day follow-up access 
Follow-up Needs: What is one area of your birth or postpartum plan that you anticipate needing to "brain dump" about after our call?
Please enter your response.
Messaging Preference: For our week of support, how would you like to receive communication from me?
Please select your response.
Back