It sounds like a beautiful plan hun. BUT, and i only have experience within the UK system, i think it'd be almost impossible to get in a hospital setting over here. They would just say the 4-hourly dilation checks were medically necessary, the fetal monitoring was medically necessary, the augmentation because it's going slower than 1cm/hour dilation is medically necessary. Have you considered a homebirth? It might be MUCH easier to get everything the way you want it...? Will Lisa be delivering you?

Other than that i think your plan is great but i would shorten it a good bit. They don't have much time to read and the shifts might change as you're getting close to birth - the person who signed might not be there... So things like:

I am uncomfortable with the idea of medicine or midwifery students in attendance during my labour. I understand that they need to learn, and how else can they; but as I am anxious enough about giving birth as it is, I do not wish to have any students present. Maybe next time.
I would prefer if we can be left alone as much as possible, as I feel the continued presence of medical personnel will raise anxiety and cause undue psychological stress, and hence the probability of also hindering my progress.
I would shorten to:

I do not consent to medical students or midwifery students being present.
Your reasons are not relevant and none of their concern really.

I am completely uncomfortable with vaginal examination. If and when an examination is required to be performed, I would like them to be kept to a bare minimum. I would firstly like to be informed of what he/she hopes to ascertain from the exam, if it will at all benefit me, and whether it is medically necessary for it to occur. I feel the tension caused from this sort of procedure may be detrimental to my progress.
Could be covered with:

Unless there is a medical emergency, i do not consent to vaginal examinations. If i wish to have the progress of my dilation checked, i will ask.
So for each little paragraph, maybe try to shorten to a bullet point containing only the information you need to convey:

  • I do not wish to be offered pain relief. If i ask for pain-relief drugs i would like to be reminded that i wanted a natural birth.
  • I would like to use warm water, massage and music to help me deal with pain. I would like access to a bath/shower.
  • I do not consent to continuous fetal monitoring except in medical emergency. I am happy with intermittent monitoring.
  • Except in medical emergency i do not consent to vaginal examinations. If i wish to have the progress of my dilation checked, i will ask.
  • I do not consent to medical augmentation except in an emergency.
  • We wish to be fully infomred at all times, please discuss everything which is happening with us.
  • During crowning i would like to be offered the chance to feel the baby's head.
  • I would like to be able to move freely and assume the positions i choose in order to deal with the pain.
  • Unless there are medical reasons why he cannot, we would like Anthony to "catch" the baby and place him onto my chest.
  • I plan to breastfeed and would like to have the opportunity immediately after birth....
and so on.

I'm not sure about the signatures, i don't know if my midwife would have signed it because she represented the hospital (even though it was a home birth) and she was not qualified to make promises or enter contracts on their behalf. It might be fine in Aus or if you have a provate MW though?

It sounds like a great birth. I hope all goes to plan.

Bx