I have assisted in writing many a birth plan as a doula. I would talk with your mw (do you have an independent mw or a group? do you know who will be at your birth?) more about having a birth plan and what are the routines for their practice. Such as, if they encourage movement and work to keep women out of the bed it would be silly to say "I want to walk and be upright in labor" because it would be a given. I think that birth plans are best when they are very short, absolutely, without exception, 1 page or less and they focus on what makes you and your desired experience unique. Don't put silly things like, "I want to wear contacts or have my glasses on", they don't care, or course you can wear your glasses (only exception is a crash c/s and then, really, do you care? A lot of the online forms still have things like no enema or shaving, this will get nothing but ridicule and laughter from the L&D ward.
So, more constructively, things to include would be:
* a sentence or 2 about you and your experience ie, "I am deathly afraid of needles and want to avoid an epidural at all costs, this is of the utmost importance to me." or "my mother recently died and this is a very emotional time for me, please me sensitive to that fact."
*divide it into 4 sections "labor", "birth" or "delivery" (I hate that word!), "immediate postpartum", and "unexpected situations"
*for "labor" put only non routine things, there shouldn't be much. examples: "I will refuse an IV and hep lock unless my labor becomes long and I am unable to keep myself hydrated orally" or "I am using Hypnobabies, please respect my need for quiet and do not ask me about pain scales, please mark that I refused"
*for "birth" keep doing only non-routine things such as, "I want the squat bar on the bed and the birth stool in the room so that I will have options in pushing positions." "I will not be laying on my back unless I personally find it comfortable, I prefer an upright position" "Please do not perform perineal massage." "The cord is not to be cut until I have birthed the placenta"
*for "immediate postpartum" again, non routine, "Do NOT cut OR clamp the cord until the placenta is born" (yes, I would repeat this) "Do not suction the baby routinely and talk to me if you feel there is a medical need" "the baby is to remain on my chest for all baby checks unless there is a life threatening complication and I expect to have that communicated to me at that time." "we are refusing the eutheryn (sp and no desire to look it up right now!) eye ointment and the vitamin K injection. If there is a situational need for Vit K we can discuss that after the birth." "no management of the 3rd stage, please. If you feel there is a need to intervene, discuss it with me at that time." "I refuse pitocin post birth, if there is a medical need, it can be discussed at that time." (It is becoming routine to administer pit either in the IV or shot in the thigh at the time of the placental birth to assist the uterus in clamping down. I have seen this given without mention or consent many times.)
*"unexpected situations" "if I require a c/s, and it is not a crash under general, I want 2 support persons with me, my husband and my doula (they will *not* allow 2 family, but many anaesthesiologists will allow the doula as a second support). If the anesthesiologist is not in agreement on this, please call in a back up who is." "I want the baby to be placed with me, skin to skin as soon as it's health is evaluated, assistance with holding the baby is appreciated if it is needed."
So, the basic gist is to be straight forward and only address the things that make you unique. If you have anything out of hospital policy such as no IV or monitoring with the Doppler or something, have your midwife sign it, get a copy to take to the hospital with you and request a copy be in your chart that is sent to the hospital. It will make it a little easier during check in. Sorry this is so rambly!