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Plan before labor

Emergency Care and Transport Plan

A client-friendly worksheet for backup contacts, hospitals, routes, records, and family logistics.

Cleveland Homebirth educational resource: Emergency Care and Transport Plan

Why every family makes a plan

  • Most planned births do not require emergency transport, but complications can arise in any setting. A written plan reduces confusion and supports faster communication if hospital care becomes appropriate.
  • The plan is reviewed during prenatal care and should be complete with your birth supplies by about 35-36 weeks.

Choose and document

  • Your preferred hospital and the closest hospital capable of emergency obstetric and newborn care.
  • The primary route, an alternate route, typical travel time, parking or emergency entrance, and who will drive when ambulance transport is not required.
  • Primary midwife, backup midwife, assistant, obstetric consultant if applicable, pediatrician or family physician, emergency contacts, childcare, and pet care.
  • Where identification, insurance information, medication list, prenatal records, and a hospital bag will be kept.

During a transfer

  • Julia makes every effort to notify the receiving facility, provide a concise report, and share records with your permission.
  • When circumstances allow, she remains with you as an advocate and labor support person. She does not have hospital privileges and will not direct hospital medical care.
  • Emergency medical services may be activated when a condition is time-sensitive or life-threatening.

Review your plan

  • Reconfirm the plan if you move, change hospitals, change pediatric providers, or learn about road closures or major construction.
  • Make sure every support person knows the plan and understands that consent, safety, and clear communication guide decisions.

Related resources

Keep preparing with clear, practical information.

Read another guide online or return to the full client resource library.

Informed decision-making

Prenatal Bloodwork: Questions and Choices

An overview of common prenatal labs, what they can show, and questions to discuss before testing.

Read guide

Understanding sensitization prevention

Rh Factor and Rh Immune Globulin

A plain-language guide to Rh incompatibility, antibody formation, testing, and Rh immune globulin decisions.

Read guide

Imaging decisions

Prenatal Ultrasound: Uses, Benefits, and Questions

A balanced overview of why ultrasound may be offered, what it can and cannot show, and how referrals work.

Read guide

Questions belong in care

A handout cannot know your history.

Bring your questions to Julia or the appropriate physician, imaging professional, pediatric clinician, laboratory, or specialist before making an individual decision.

Call Julia Free consultation