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My birth plan. I need more suggestions for things I may have forgotten.


Forum: Pregnancy and Motherhood After Loss

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  #1  
April 16th, 2010, 08:48 PM
GeekMom's Avatar Mega Super Mommy
Join Date: Feb 2010
Posts: 2,294
General Information

Name: Amanda
Partner's Name: Jeremy
Doula/labor assistant:
Due Date: October 6th 2010

Allergies: None
Blood Type: O Negative
Rh Factor: Rh Negative

Health Care Provider Name: Doctor
Hospital/Birthing Center where you plan to deliver: Hospital

Labor induction/augmentation

If I go past my due date if baby and I's health is not at risk, I would prefer to be induced

I would prefer trying the following methods to induce labor:
* Stripping or breaking membranes
* Breast Stimulation
* Castor oil or enema
* Walking
* Sexual Intercourse
* Pitocin

Environment
I would like the following to be present during labor: Chosen Friends
I would like the following to be present during actual birth: Jeremy
I would like to bring music.
I would prefer dim lighting.
I would like to wear my own clothes.
I would like to be able to walk around, mobility is important to me.
I would prefer a warm bath over walking. Please let me try that if I do not feel up to walking.

Equipment

I would like the following equipment available to me. If unavailable, I would like to bring them with me, if possible.
* Birthing bed
* Birthing pool or tub
* Shower

Preparation

I would prefer to be given an enema
I would prefer to be able to eat and drink during labor.
If I need an IV, I would like to use a heparin or saline lock

Monitoring

I would prefer no monitoring to be done if there are no signs of distress.
I would prefer external monitoring if monitoring is necessary.
I am comfortable using an internal monitor.

Anesthesia - Pain medication

I would prefer to try laboring without pain medication. I will ask if I would like something for pain. Please do not ask me.
I would like an epidural.

First Stage of Labor

I do not want to be seperated from my partner during labor or birth.
I would like no time limits on laboring and prefer labor not to be augmented unless medically necessary.
I would prefer vaginal exams kept to a minimum.

Episiotomy

I'd prefer not to have an episiotomy.

Second Stage of Labor (pushing)

I would like to be able to try any position comfortable during pushing.
I would like to wait to push until I feel the urge even if I am fully dilated.
I would like no time limits on pushing.

After Birth

I would like my partner to catch the baby.
I would like to have baby placed on my chest immediately after birth.
I would like to have my partner cut the cord.
I would like to have baby\'s first bath and assessment to be done in my presence.
I would like baby to room in with me.
I would like baby to stay in nursery at night so I can rest.
I would like to stay as long as possible.

Cesarian Section

If c-section is necessary, I would like my partner present
I would like to touch baby after birth.
I would like partner to hold baby after birth.
I would like to breastfeed baby as soon as possible.

Breastfeeding

breastfeed
I do not want my baby to have a pacifier.
I do not want my baby given any formula or water.

Circumcision

I would like my baby circumsised in the hospital.
I would like anesthesia used during circumcision.
I would like to be present during circumcision.

Additional Comments

No advice will be given from any nurses or doctor's about how I should handle my labor.
No one touches me or my stomach with out asking my permission.
No one touches my child (after delivery) with out my permission.
I will not be lectured like a child about how to do anything with my baby.
I do not want anyone to try to comfort me other than my partner and friends.
No one shall touch me during delivery other than the doctor, the specialist that may do my epidural and my partner.
I do not want a preacher and/or priest visiting me.
I do not want anyone to tell me what I can and cannot do unless it will put me or my child at risk.

Can anyone else give me some suggestions or tips?
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  #2  
April 17th, 2010, 07:56 AM
KDD's Avatar
KDD KDD is offline
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Posts: 16,068
I'm pretty new to all this, but it seems to me that you've covered most everything.
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  #3  
April 17th, 2010, 09:16 AM
dee68's Avatar Platinum Supermommy
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Location: Illinois ( originally From New Jersey:)
Posts: 13,040
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sounds like you know what you want....but keep in mind.....these little babies sometimes have other plans for us
and sometimes we can't always have everything go as we would like.....and IF it doesn't, do not feel bad....as long as baby is delivered safe and sound that is the most important thing
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  #4  
April 17th, 2010, 09:44 AM
*MomofO&Nat*'s Avatar Kelly, Massachusetts Mama
Join Date: May 2009
Location: In the 'burbs of Boston, MA
Posts: 2,519
I agree with dee, mine went nothing like I planned and I had minimal control because it was an emergency situation. Sometimes, you just have to give up a bit of the control because you have to trust your doc knows what is best for baby and you. The part you mentioned about nobody touching the baby without permission...I see where you are coming from, but baby will be cared for in the nursery by numerous nurses and such on such a regular basis that you might not even know it is happening if it is during all hours of the night. You won't want them waking you up each time someone needs to bathe/check baby, trust me or you will get no sleep at all. My first pregnancy really opened my eyes to all this, but I went in thinking I would call the shots as well. Not so much unfortunately. I hope you have better luck than I did!
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  #5  
April 17th, 2010, 10:45 AM
kellyanne's Avatar Mega Super Mommy
Join Date: Dec 2005
Location: Washington
Posts: 1,960
I think birth plans are very important. In the very least, making one forces you to research and think about all of the choices we make during labor. Are you planning a natural childbirth? I would add a bit more to your pain management section. You said you want to labor naturally, then you say I would prefer and epidural. I would just clarify exactly what you want. "For example, I would like to labor naturally using pain management techniques such as breathing, walking, different positions, warm bath, etc. I do not want to be offered pain medication. If I decide to get pain medication, I would prefer an epidural rather than IV medications." I'm not sure if that is what you were going for or not. Also, know that if you get an epidural, you will likely be monitored continuously. If you are delivering at a hospital, you will usually be able to tour the facility before delivery, so you know what things are available to you. You will also be able to ask questions about the "rules"....for example, they may not allow your partner to catch the baby. After that visit, you can update your plan so that it is more concise.
We've all heard the "nurse from he!!" horror stories, but in my experience, the nurses can be a really great resource for labor, child care, etc. (We had a nurse who was a master baby soother...it was amazing) I would consider changing your wording slightly so that it doesn't sound like you don't want a nurse anywhere near you.....you wouldn't want them to read your birthplan and get put off to the extent that they do indeed make things worse for you. My birth plan had a short cover letter, which explained our preparation for birth (Bradley classes, reading, etc), our respect for the staff, and our hope that they would respect our wishes as well.

Some things you might add:
Calls and visitors to your room after baby is born
Feelings about episiotomy vs tearing
How long you want to hold baby before weight, eye drops, etc...do you want to nurse first
How long after birth before visitors are allowed in your room
How long you want to go past due date before induction if there are no health risks - talk to your doc about this, he should be okay with at least 1 week and usually 2 weeks.
You'll also have to change "no monitoring" to "intermittent monitoring" as no hospital will allow NO monitoring.
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  #6  
April 17th, 2010, 01:24 PM
Member
Join Date: Mar 2010
Posts: 47
When I was in the hospital they asked me: "Do you have a birth plan?"
I replied "yeh, I plan to have the baby. Why? Does anyone else plan differently?"

LOL! I had never even HEARD of a birth plan! Talk about an OLD mommy!!!
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  #7  
April 19th, 2010, 11:58 AM
~*Kixs*~'s Avatar Platinum Supermommy
Join Date: May 2007
Location: North Texas
Posts: 12,787
I think it sounds good. You know what you want and are open to the possiblity of needing additional assitance.

One thing I would add is you state that you want the baby to be in the nursery at night so you can rest. And you also state that you do not want your baby to be given formula or water. Maybe rephrase the nursery part like this: I would like my baby to go to the nursery at night so I can rest. But I want my child brought to me on demand (or every 4 hours...whatever) for BF. This will prevent your baby from getting formula.

And I agree with the pp about the nurses. I get that you don't want to be pestered and have 100 people putting their hand on you and in you but some nurse's can be amazing!!!

I had 2 nurse's that I just loved loved loved when I labored with my DS. (I had a 17 hour labor so the nurse's had a shift change.) They were both such and encouragement to me! One nurse even held back my leg while I pushed so I did not have to be in stirups. She was my biggest cheerleader and so envolved with my family she even cried with us when my son was born. I really credit my great deliever and my sucessful VBAC to her. Just think about. That is the great thing about birth plans...they can be updated whenever you want.

O' and you forgot to put in the clause about "diddling the bean" I still can't stop giggling over that
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Last edited by ~*Kixs*~; April 19th, 2010 at 12:05 PM.
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  #8  
April 20th, 2010, 08:29 PM
GeekMom's Avatar Mega Super Mommy
Join Date: Feb 2010
Posts: 2,294
lol .....i thought everyone called it diddling!
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