Get access


A Reality-Based Script for Building Confidence


  • Elaine McEwan Carty cnm, msn,

    Corresponding authorSearch for more papers by this author
    • Elaine Carty is a graduate of the University of New Brunswick in Canada and of Yale University. She is currently Associate Professor of Nursing at the University of British Columbia and Associate Midwife at the Grace Hospital in Vancouver, British Columbia. Professor Carty's current research areas include disability and pregnancy and the consequences of long-term hospitalization in the antepartum period. Recent work has appeared in the Canadian Journal of Public Health, Rehabilitation Nursing, Journal of Advanced Nursing and the Midwives Chronicle.

  • (Dorothy) Tina Tier rn, scm

    Search for more papers by this author
    • (Dorothy) Tina Tier received her nursing education at the Nightingale Training School, St. Thomas Hospital, London and her midwifery training in Britain. She developed, coordinated, and implemented the Nursing Education for Maternal-Fetal Cardiotocography for B.C.‘s Tertiary Centre. She has published in the Canadian Nursing and contributed to Emily Knor's book: “Decision Making in Obstetrical Nursing.” Ms. Tier is currently involved in the clinical teaching for the Faculties of Nursing and Medicine, U.B.C. and holds the position of Antepartum Clinician, Grace Hospital. In addition, she continues to maintain an active clinical practice as an Associate Midwife, Grace Hospital, in Vancouver.

School of Nursing, University of British Columbia, T206-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5 Canada.


Birth plans are based on the individual needs of the couple as they prepare for labor, birth, and the integration of a new member into the family. In this paper, it is recommended that birth plans be developed with the family in their home around 28 weeks' gestation. The plan is then used to guide the participants in a structured birth rehearsal as a yardstick with which to review the childbearing experience and as a framework to evaluate the care provided.