MOM'S BIRTHING CHART
Please take time to record what occurs during your labor. Describe how your contractions are
feeling: mild, progressing, intense. Write down what you eat, drink, etc. Periodically, time your
contractions.
CTX Mild
Mom happy, able to
relax. Uncertain if in
labor. Alternate rest
and activity.  Sleep.
Drink. EAT. Take a
bath. Start recording.
 CTX  Progressing
Mom having to
breathe. Alternate
rest/activity. Drink. Eat
light foods – soup,
yogurt.
Call Midwife.
 CTX  Intense, < 5 mins
Difficult to relax. Distracted.
Comfort measures. Breathe.
Alternate rest and activity.
Fluids, broths, popsicles, etc.
Call midwife.
 WaterBroke
Time
Color
Amount
Odor
CALL midwife
DATE
TIME
 Time
CTX starts
 Time
CTX ends
 DURATION
 What do your CTX
feel like?

Are you active or
resting?
 What are you
drinking and eating?