Although the pregnant woman has the right to exclude all third parties from
consultation about her medical care, most women want to involve other
persons in their decisions. The birth plan should include the names of any
persons the patient designates to receive information about her pregnancy.
The patient may also want to sign a durable power of attorney to delegate the
right to consent to care to a third party if she becomes medically incompetent
to consent to her own care. If the patient wants her husband or other person in
the delivery room, this should be stated in the birth plan. The plan should
discuss any restrictions on the presence of this third person (special training, a
hospital orientation tour, etc.) and under what circumstances the person will
be excluded. It is recommended that the husband or other person mentioned
in the plan also be requested to read and sign the relevant portions of the plan.