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Creating Your Hospital Plan

Thinking about your time in the hospital and giving birth can cause dread and stress in a birth mother. For, above everything else in the adoption journey, the hours spent in the hospital are perhaps the most difficult of all. Lots of moving pieces. The delivery. Deciding what will happen after. It’s a lot to process.

At Adoption Choices of Nevada, your adoption caseworker is both your advocate and support with this portion. She will answer any questions and address any concerns you have, and guide you through creating your hospital plan. Step-by-step, she will help you determine what you want your hospital experience to look like.

Before the Birth

When creating your hospital plan, try and think about how you want things to go. Include any doctor’s appointments you have before the baby comes, and make sure to keep them all. Decide if you want the adoptive parents to be present at any of them. Remain as healthy as you can be, and follow any and all dietary restrictions your care team suggests. Know that your doctors have your best interest, and that of your baby, at heart. For instance, if you can’t have coffee after a certain time in the pregnancy, it’s best to start preparing early to combat any caffeine headaches or other withdrawal symptoms that could make you feel sick. Your doctor and medical professionals will have all the best advice regarding you can and can’t have throughout your pregnancy.

Because birth and delivery can be unpredictable when it comes to duration of time, it’s important to choose a hospital that’s close to where you live. This will ensure that you can get to the labor and delivery department on time. If you’d like to remain in the hospital after the baby’s delivery, make sure that you let your adoption caseworker know this in advance so they can arrange it with the hospital staff. Before the big day, discuss with your adoption caseworker about your selected hospital’s adoption strategy. These can vary from hospital to hospital, so it’ll be important to learn everything you can to prevent any unexpected surprises.

Your Hospital Plan

Envision how you’d like your hospital plan to go. Who would you like in the delivery room with you? Who will be cutting the umbilical cord? Do you want an epidural? If you’d like pictures taken of you and the baby, when should that happen? Hospitals offer the option of coaching during delivery. Is this something you’d like, or would you like to follow your own instincts? Be sure to discuss all of this with your doctor and adoption agency as well, as they can help provide further information.

After the baby is born, would you like to hold him or her? If so, what are your thoughts on skin-to-skin versus not? Do you want alone time before inviting the adoptive parents in? All of these details and more are important to think about. It will help you decide how you want to remember the day. If, on the day, you change your mind about anything, that’s ok too. But, it’s essential to have a plan laid out beforehand to help the day go smoothly for you.

After Delivery

In the state of Nevada, you have a 72-hour window before you have to sign the relinquishment paperwork. Your caseworker will be there to support you, and talk you through all the available options. The pros and cons, any and all questions, etc.. During this time, you are welcome to visit the baby in the nursery as much as you like. Or, if you choose Cradle Care, you can arrange a visit that way as well.

This is your time. Your hospital plan. No one is going to rush you or try and change your mind. Be sure to take as much time as you need before signing.

Creating Your Hospital Plan

Hospital adoption plans vary greatly from person to person. Some birth mothers want to bring the adoptive parents into the birth and delivery process as much as possible, to allow them to experience it. This may include the prospective adoptive mother or father getting the cut umbilical cord or being the first to hold the baby. But, if this doesn’t sound like you, there is no pressure. Creating your hospital plan means customizing the experience to what would make you feel the most comfortable.

Many birth mothers report that holding their baby helps with the healing process, while others prefer not to see their baby at all. There is no right or wrong way to go about this. It’s whatever feels best to you. What you feel capable of handling. Your caseworker will help you determine what you want your hospital plan to look like, and will understand if you change your mind about anything on the day of. The whole purpose of creating your hospital plan is to give you an idea of what to expect, and for your caseworker to help you navigate it as smoothly as possible.

Adoption Choices of Nevada

If you are currently in the process of adopting a baby and have any questions or concerns, feel free to contact, Adoption Choices of Nevada. You may visit the website here or contact us by 775-825-4673 (Reno Office) or 702-474-4673 (Las Vegas Office). Our hours are Monday through Friday, 9am-5pm PST.

Support Adoption Choices

CrowdriseAdoption Choices, Inc. is partnering with Crowdrise, a fundraising website for nonprofits, to help our adoptive parents and birth parents with much needed financial assistance. We understand that expenses keep clients from fulfilling their dreams. Both with birth parents making a plan for adoption, and with adoptive parents growing their family. It is our mission to provide financial assistance through grants and scholarships, awarded annually in November, in honor of National Adoption Month. Funds assist adoptive parents with matching and placements, adoption finalization and helping birth mothers improve their lives through higher education — and much more.

However, we can’t do it alone. Please read up on our programs and donate money where you are able. Your donation will make a huge impact.

About the Author

Rachel RobertsonRachel Robertson is a published journalist, book editor, certified Publishing Specialist, and aspiring novelist. She graduated from Central Washington University (CWU) in March 2011, having found her writing voice within the Creative Nonfiction genre and grew to work as a freelance book editor for small presses all across the United States.

In June 2018, she embarked on an internship with Virginia Frank and came on board with Adoption Choices Inc., Not for Profit 501(c)(3), in December 2018. Between her mutual passion with adoption and surrogacy, and her own personal history with adoption, Rachel is excited to research and share topics each week that will spread awareness and better serve the faithful patrons of Adoption Choices Inc.

When Rachel isn’t haunting her local Starbucks or Barnes and Noble, she’s avidly pouring over her Writer’s Digest subscription or cozying up with a cup of tea and book. She currently resides in the beautiful Pacific Northwest with her beloved wife and Border Collie.




Adoption, Lifetime. “How to Create a Hospital Plan That Works For You.” How to Create a Hospital Plan That Works For You,

Adoptions, Lifelong. “For Birthmothers: Creating Your Adoption Birth Plan.” LifeLong Adoptions,

“What Happens At The Hospital Before, During & After The Birth?” Adoption Network, Adoption Network Law Center – Safer Than Adoption Agencies,

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