What should go in a maternity passport?

A maternity passport can include pregnancy information, health needs, communication preferences, reasonable adjustments, contact details, and information that helps maternity teams give more consistent support.

Can I use a maternity passport from booking to postnatal care?

Yes. A maternity passport can help keep important information visible across booking appointments, antenatal care, labour and birth, postnatal care, discharge, and follow-up.

Can partners or carers help complete a maternity passport?

Yes. A partner, family member, or carer can help complete the maternity passport so communication support and preferences are captured clearly.

How do I share a maternity passport with maternity staff?

Know Me is designed so the maternity passport can be previewed, downloaded, printed, or emailed to share with midwives, obstetric teams, and hospital staff.

Maternity Passport

by Know Me

Share your pregnancy information, health needs, preferences, and contacts with your maternity team.

Start Now

Prefer a paper or offline version?

Download a blank Know Me maternity passport template to type into offline in a PDF app, or print and complete by hand.

Create your maternity passport

Fill this in to create a one-page summary you can download or email to maternity teams.

7 days

Saved in this browser for 7 days

Your information stays on this device for 7 days and is then deleted automatically.

Choose an Image Style

Realistic

Illustrated

Easy on the i

No Images

About Me

My name is

I like to be called

My date of birth is

Day

Month

Year

My NHS number

My religion, culture or beliefs

My language(s) and nationality

How I like to be contacted

These are example options. Select the ones that are right for you.

Phone call

Text

Through someone else

The people important to me are

These are example options. Select the ones that are right for you.

Family

Support staff

Friends

Add your own

Completed by

Things I like to talk about

My Pregnancy

Expected due date (EDD)

In case of emergency (ICE) contact

Blood group

How I would like to give birth

Birth method

Where I plan to give birth

Where I will go if I have a concern about pregnancy

Key maternity contact numbers

Community midwife's phone number

Hospital phone number

General Practitioner phone number

How many pregnancies I have had

Things I am excited about for this pregnancy

Things that interest me about this pregnancy

Things I am worried about in this pregnancy

My preferences when having ultrasound scans

I prefer abdominal ultrasounds only

I will tuck the towel into my pants myself

I will put the gel on myself

I will wipe the gel off myself

Tell me the sex of my baby

Other ultrasound preferences

My birth plan

My Health

My health conditions and diagnoses

These are example options. Select the ones that are right for you.

Learning disability

Autism

My mental health

My eating, drinking and dietary needs

List any dietary requirements, food preferences or speech and language advice

These are example options. Select the ones that are right for you.

Peg or tube fed

I have a plan from a healthcare professional

I need adapted cutlery or plates

I have restricted foods

I like to eat in private

My allergies are

My Needs

How I communicate and what support helps

These are example options. Select the ones that are right for you.

Spoken language interpreter

BSL or signing support

Makaton

Pictures or symbols

Advocate, carer or supporter with me

Add your own

How I communicate pain

These are example options. Select the ones that are right for you.

I cannot use standard pain scales

I mask pain

I tolerate severe pain for a long time

I become distressed when I am in pain

I need information shared with me in this way

These are example options. Select the ones that are right for you.

Easy Read

Written down

Email summary

Pictures

Symbols

Add your own

When communicating, these reasonable adjustments will help me

These are example options. Select the ones that are right for you.

Please talk slowly and clearly

Please give me time to respond

Talk me through procedures slowly, step by step

Please write down the key points I need to remember

Give clear instructions with time frames

Use a now and next approach

Keep me updated if things change

Add your own

Reasonable adjustments I need accessing healthcare

These are example options. Select the ones that are right for you.

Longer appointments

Minimal waiting time

Quiet waiting area

Side room

Step-free or wheelchair access

Add your own

I get anxious, stressed or scared when

These are example options. Select the ones that are right for you.

When I am anxious, stressed or scared I might

These are example options. Select the ones that are right for you.

Cry

Shout

Self Stimulate

Withdraw or go silent

Meltdown or shutdown

Add your own

Items that help me feel more relaxed

These are example options. Select the ones that are right for you.

Weighted blanket

Sunglasses

Ear defenders

Headphones

Exercise ball

Add your own

Things you can do to help me feel more relaxed

These are example options. Select the ones that are right for you.

Give me time to settle

Reduce noise and activity

Dim the lights

Take me to a quieter area

Hold my hand

Reassure me

Leave me alone for an agreed time

Add your own

When I feel overwhelmed it can feel like

When I feel overwhelmed, you may notice

How you can help me if I feel overwhelmed

How to help me during tests or medical procedures

These are example options. Select the ones that are right for you.

Distraction

VR headset

iPad or tablet

Music

Small talk

Silence

Step by step guide

Add your own

Have you ever had a blood test?

Is there anything else maternity professionals should know

These are example options. Select the ones that are right for you.

Lasting Power of Attorney (LPA)

ReSPECT form

Advance Decision to Refuse Treatment

Communication or behavioural plan

Medication adjustments

Add your own

Sending and Local Information

Your address

Your postcode

We use your postcode to show local information.

Email address

Add your email address to receive your health passport

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