Transfer plan?

[Virginia884]

DH and I need to write up our in case of transfer birth plan. Anyone care to share theirs?

[averlee]

I didn't exactly write a birth plan in case of transfer, but I did prepare some paperwork.

My back-up hospital and CNM group suggested I fill out the pre-admission papers for the attached birth center at their affiliated hospital, a small Seventh Day Adventist hospital, about 10 miles from my home. In case of real emergency, I could also take these same papers to the nearby (lousy) hospital.

The papers included a short questionnaire/worksheet about certain preferences for labor, delivery, and post-partum. These were some of the things I was sure to note:

Labor-

my spouse will remain with me during labor

I prefer not to have an IV and will take food and drink by mouth.

I prefer not to have continuous fetal monitoring.

please no internal fetal monitoring.

no elective pain medication requested during labor

access to jacuzzi preferred

no enemas or laxatives

no pitocin or augmentation of labor 

no artificial rupture of membranes or "stripping"

heat therapy for pain management requested

freedom of movement and positioning preferred.

minimal/infrequent vaginal exams

I prefer a private labor/delivery/postpartum suite.

Delivery-

vaginal delivery preferred to cesarean

my spouse present at delivery

I prefer not to be coached/instructed to push

no episiotomy

no removal of pubic hair

squat, hands & knees, or semi-sit delivery position preferred

prefer unassisted delivery, no forceps, vacuum, or manual extraction

delayed newborn exam

no newborn bath requested

no removal of infant, all newborn exams must be conducted in my presence

oral vitamin K preferred to injectable

delay administration of newborn antibiotic eye ointment

delay cord cutting until delivery of placenta, or at least until cord stops pulsing/becomes limp

cord band preferred to cord clip

no measures to remove placenta until breastfeeding has been established

no manual removal of placenta

no pitocin

prefer placenta incinerated, please do not sell

Post-Partum-

"rooming in" requested

breastfeeding support requested

no formula feeds requested

mother assumes responsibility for infant care including feeding and diapering

please do not remove the infant from my presence for any reason

please no urinary catheters

family suite preferred

tylenol, ibuprofen, naproxen, vicodin, or codeine for pain, please no morphine

vegetarian menu option preferred

early discharge requested

please no formula samples

I also packed a bag for the hospital just in case, because I thought in the event of a transfer, having some of the things we need might make it less stressful. I made sure to have copies of the pre-admission forms, copies of the insurance cards and the business cards of my midwife and pediatrician, and some cash money packed along with the extra clothes & things (sweatpants, T shirts, husband's swim shorts, nursing bra, 2 baby outfits & blankets, my kimono, several giant underpants, and a copy of Cosmo). Then I shut the whole bag in a closet and pretended it didn't exist.

[Graceie]

I had a C sec plan . I copied the ICAN one almost ecactly . I added a few medication issues .

I didnt put down alot of the , no iv no pit no whatever becuse I knew we would not be transfering unless there was something I needed there . I told the midwife not to offer transfer for any other resaon so I knew tranfer would likley be for  C/S

here is my plan

hosptal transfer ;
again a hospital transfer is a absolute last resort for me but i will go if it becomes nessasary for babys health . please talk with me about everything thats going on . keep things has slow and let me control has much has possible .
 have call friends so I wont be alone once midwife and doula leave


no epidurals I react negatively to the medications in it and for a bunch of other resonsons  its not an option for me
in the event that piton is required I prefer narcotics over an epicural

medications to help me relax often do the opposite unless Im  given a high doses need to be avoded  unless absolotky nesasasry and if given I have to start with a high does

I ask that Drs and nurses at the hospital not to announce the babys gender . if Im separated from baby I want midwife to tell me the babys  gender
cesaran delvery ;

I  need to be given benadril with the spinal block has most antistatic make me breke out in hives

I want doula with me at all times
if at all possible I want midwife  present has well

do not consent to tranquilizers, sedatives or amnesiac drugs being administered.
I do not consent to my uterus being removed from it cavity for suturing
I do not consent to weighing, foot printing, eye ointment or other routine tasks except suctioning for the first two hours after birth.  Blood glucose testing is expected. instead, baby to be placed STILL WET immediately on my bare chest and covered with blankets for warmth.
Bulb suctioning only unless baby shows signs of problems.  Any deep suctioning to be performed with a mobile unit while I hold baby or at my immediate side.
I do not consent to the administration of vitamin K or any vaccinations.
I do not consent to tying my arms down unless I am unable to control them.
apart from nessasry suctioning I don't want anything placed in babys mouth
If the baby has hypoglycemia, I wish to use breastfeeding to treat it.  My second choice is pumped breastmilk administered using a non-nipple feeding method.  My last choice is formula (not sugar water).
Baby to remain on my chest or in my arms throughout suturing, recovery, etc.
We intend to keep my placenta.  Please keep it clean and refrigerated.