Hi ladies 
Due to a myriad of circumstances, I will be birthing via C-section. How doe smy birth plan look? I should add that this hospital recommends rooming in *after* the initial routine nursery visit. My crunchy ped even suggested just rolling over and letting them have their procedure but just to get out of their asap. But that was before she knew about the c/s. I just won't accept that. Any ideas on how to get them on board with the "no nursery visit" thing? I've done my best here, even if I had to fib on a few point
To our caregivers at Cxxxxxxxx Regional Medical Center,
Below is a description of our preferences and things we will/won’t allow for our birth. We completely understand that birth is spontaneous and cannot be planned and appreciate that in an emergency safety comes before bonding, life and death matters are most important. Therefore, we will state what we wish to happen, will not consent to, etc in the event that mother and baby are stable. As well as what we prefer for an emergency situation. We thank you so much for your cooperation and we look forward to a wonderful birth with your help.
Pre-op and During the Procedure:
- I DO NOT CONSENT to interns or students to watch or perform any procedures.
- I am to be modestly draped at all times.
- Please use epidural for anesthesia.
- Please wait until numb from epidural to insert catheter.
- We realize that this is common procedure for surgeons and staff, however this is the birth of our child. Please respect the sanctity of this occasion and keep casual chatter to minimum.
- Please explain the steps of the procedure as they are occurring.
- I understand the importance of maintaining a sterile surgical field. Please leave my arms unstrapped to greet baby. Arms can be strapped if I become unable to maintain them.
- Sutures (dissolving) and Steri-strips instead of staples. NO staples please.
- Father allowed in O.R. for procedure.
- Option to lower screen to view baby’s birth to be offered.
Once Baby is Delivered:
- No vigorous suction, wiping or rubbing, no tight wrapping (burrito baby). Gentle wiping and light wrapping okay.
-No Erythromycin or Vitamin K*
- Healthy baby to be immediately handed to father to be greeted.
- If stable, I will be given the option of nursing baby on table.**
- Father to carry healthy baby behind stable mother to recovery room.
(If general anesthesia is required, baby to be brought to father and the couple to wait for mother in recovery.)
- I DO NOT CONSENT to healthy baby visiting nursery.
Reasons include, but are not limited to:
-Prior PPD due to mother/baby separation.
-Separation delays lactogenesis (milk “coming in”) in many mothers. Ceasarean also does this, so we would like avoid any other hindrances to successful nursing.**
- Baby will receive no artificial nipples, formula, glucose water, or plain water for any reason.**
-Bath to be performed in-room by parents.
-NO CIRCUMCISION and no retraction of foreskin
-Frequent opportunities at the breast should combat any need to test for high/low blood sugar.
-NO VACCINES*
- If baby needs warming, and mother and baby are otherwise stable, skin to skin holding by mother or father.
(If baby’s status requires nursery visits, father to accompany baby.)
-Post-op pain medicine options to be discussed and agreed upon and instructions for nurses for administration to be in place before surgery begins.
* See signed affidavit
**See related accreditation and certifications
Kxxxx xxxx
-has been a La Leche League Leader since 2006
-a Certified Lactation Educator and a Certified Childbirth Educator (CAPPA) since 2008
-has counseled hundreds of mother/baby dyads in numerous states
-nursed her own son from birth in 2005 until his self-weaning in 2007
-is currently nearing the exam certification to become an IBCLC
Due to a myriad of circumstances, I will be birthing via C-section. How doe smy birth plan look? I should add that this hospital recommends rooming in *after* the initial routine nursery visit. My crunchy ped even suggested just rolling over and letting them have their procedure but just to get out of their asap. But that was before she knew about the c/s. I just won't accept that. Any ideas on how to get them on board with the "no nursery visit" thing? I've done my best here, even if I had to fib on a few point
To our caregivers at Cxxxxxxxx Regional Medical Center,
Below is a description of our preferences and things we will/won’t allow for our birth. We completely understand that birth is spontaneous and cannot be planned and appreciate that in an emergency safety comes before bonding, life and death matters are most important. Therefore, we will state what we wish to happen, will not consent to, etc in the event that mother and baby are stable. As well as what we prefer for an emergency situation. We thank you so much for your cooperation and we look forward to a wonderful birth with your help.
Pre-op and During the Procedure:
- I DO NOT CONSENT to interns or students to watch or perform any procedures.
- I am to be modestly draped at all times.
- Please use epidural for anesthesia.
- Please wait until numb from epidural to insert catheter.
- We realize that this is common procedure for surgeons and staff, however this is the birth of our child. Please respect the sanctity of this occasion and keep casual chatter to minimum.
- Please explain the steps of the procedure as they are occurring.
- I understand the importance of maintaining a sterile surgical field. Please leave my arms unstrapped to greet baby. Arms can be strapped if I become unable to maintain them.
- Sutures (dissolving) and Steri-strips instead of staples. NO staples please.
- Father allowed in O.R. for procedure.
- Option to lower screen to view baby’s birth to be offered.
Once Baby is Delivered:
- No vigorous suction, wiping or rubbing, no tight wrapping (burrito baby). Gentle wiping and light wrapping okay.
-No Erythromycin or Vitamin K*
- Healthy baby to be immediately handed to father to be greeted.
- If stable, I will be given the option of nursing baby on table.**
- Father to carry healthy baby behind stable mother to recovery room.
(If general anesthesia is required, baby to be brought to father and the couple to wait for mother in recovery.)
- I DO NOT CONSENT to healthy baby visiting nursery.
Reasons include, but are not limited to:
-Prior PPD due to mother/baby separation.
-Separation delays lactogenesis (milk “coming in”) in many mothers. Ceasarean also does this, so we would like avoid any other hindrances to successful nursing.**
- Baby will receive no artificial nipples, formula, glucose water, or plain water for any reason.**
-Bath to be performed in-room by parents.
-NO CIRCUMCISION and no retraction of foreskin
-Frequent opportunities at the breast should combat any need to test for high/low blood sugar.
-NO VACCINES*
- If baby needs warming, and mother and baby are otherwise stable, skin to skin holding by mother or father.
(If baby’s status requires nursery visits, father to accompany baby.)
-Post-op pain medicine options to be discussed and agreed upon and instructions for nurses for administration to be in place before surgery begins.
* See signed affidavit
**See related accreditation and certifications
Kxxxx xxxx
-has been a La Leche League Leader since 2006
-a Certified Lactation Educator and a Certified Childbirth Educator (CAPPA) since 2008
-has counseled hundreds of mother/baby dyads in numerous states
-nursed her own son from birth in 2005 until his self-weaning in 2007
-is currently nearing the exam certification to become an IBCLC
