I avoided homework for most of the day today. I felt like I get ONE day off each week, and I wanted to focus my energies on making myself feel good. So, I dressed up-- cleaned a bunch of baby clothes/blankets/etc that we got second-hand, cleaned the baby swing and vibrating chair, edited our baby registry, and typed and finalized our birth plan. While my mom thinks it's foolish, I believe in grabbing the bull by the horns, so here it is:
We have chosen to give birth to our daughter at this hospital because of their wonderful midwifery program and modern birthing center. We have also heard wonderful reviews of this establishment and their labor and delivery unit through friends and neighbors. We realize that every birth experience is different, and it is our desire to have the most memorable and happiest birth possible. We have listed our preferences below. These decisions have been made after a great deal of research, personal consultations with friends and relatives, and thoughts and discussion between ourselves. Therefore, your help in ensuring and attaining these goals is very much appreciated. Please be assured that in the unlikely event of complications, our full cooperation will be rendered after an informed discussion with the doctor and/or midwife executing the change of plan has taken place, and adequate time for private consideration has been given to us.
I plan for my husband and one friend from the following to attend my birth:
<Names omitted for their privacy>
Check-in Preferences
-I wish to enter the hospital walking, instead of assisted by a wheelchair.
FIRST STAGE LABOR
- I request that there be no internal fetal monitoring, however I do not mind FHR monitoring intermittently as necessary.
- Vaginal exams only as absolutely necessary and upon consent. As few as possible, preferred, and as gently as possible to prevent premature membrane rupture.
- I prefer no time limits on my laboring so long as the baby is tolerating the labor well. I would like labor to be allowed to progress without augmentation such as Pitocin or stripping of membranes.
- I wish for my labor support person(s) and my husband to be present at all times.
- I do not want an epidural, regardless of the delivery or emergency procedures take place. I prefer no analgesia or anesthesia, so long as I am able to deliver vaginally. Use tub/shower as desired and able to for pain management.
- I prefer to first try to maintain hydration through drinking clear fluid before being administered IV fluids. If an IV is deemed necessary, I would prefer a saline drip over a heparin lock.
- I want to move around and position myself freely, as my instincts, body, and learning dictates. I.E, I prefer mother-directed pushing.
- Dim lights, soft music (preferably of our choosing, if possible.); No extraneous hospital staff, please.
Second-Stage Labor
- For birthing, I would like to be allowed to freely position my body and not required to lay on my back in stirrups.
- Perineal massage with oil and hot compresses by husband or labor assistant preferred to be used instead of an episiotomy.
- Husband should be given the option to cut the umbilical cord at the appropriate time.
- Husband does NOT want to “catch” the baby or touch her head as she crowns.
- If assistance in delivery is necessary, please use suction rather than forceps.
Please immediately place baby on mother’s abdomen.
- I would like to breastfeed immediately to assist in the natural delivery of the placenta. No Pitocin to assist with placenta delivery.
- No bright lights during bonding, please.
- If the perineum needs stitches, please use a local anesthetic.
After Birth
- The newborn is to stay with parents at all times; no nursery visits please.
- Please delay routine exams as possible to allow as much immediate bonding as possible.
- Please perform all physical exams and procedures in room with mother, or with the baby being accompanied by mother or father at all times.
- If warming is required, I would like to keep the baby against my body with extra blankets.
- Breastfeeding only; pacifier is acceptable however I prefer absolutely no bottles of formula or water.
Birth Plan, if a Cesarean becomes necessary:
I would like for as much of the baby care that is instructed with the vaginal delivery birthing plan to be possible post-cesarean. However, below are the considerations on which I feel able to comment on my preferences.
Prenatally:
- Mother encouraged whenever possible to go into labor naturally before a cesarean is performed.
Delivery:
- Husband allowed in the operating room at all times.
- I do not want anesthesia through an epidural.
- Anesthesia choices to be discussed, including any potential side-effects for the baby and time should be given for private consideration of preferences.
- Parents given the option of viewing the birth (by mirror or lowering the screen).
- If general anesthesia becomes absolutely necessary, father to remain during the birth in order to greet baby upon birth.
After Birthing
- Immediately after the birth: as soon as the baby’s systems are stable: the healthy baby is to be held by the father and placed against mother’s cheek.
- I wish to breastfeed and bond with the baby as soon as the suturing is completed.
- Unless the baby requires special medical care, the baby is to remain in the recovery room with the mother. The father, attendant, and nurse are to supervise baby and help position baby for breastfeeding if necessary.
- Any care given to the baby outside of the recovery room should be accompanied by the baby’s father or the delivery attendant I have brought.
- Mother should have the option to refuse routine, immediate post-operative medications.
- IV and catheter should be removed as soon as possible after birth.
- Parents and healthy baby to remain together in recovery and postpartum where breastfeeding can become established. 24-hour visitation allowed for husband and/or other helper.
- If mother develops a noncontagious fever, the baby should be allowed to remain with mother and continue breastfeeding.
- No formula or water should be bottle-fed to the baby.
We thank you in advance for your support and kind attention to our choices, and look forward to a wonderful birth experience.