This is my first planned hospital birth so I haven't ever had the need to do a birth plan but my OB requested one. Here is what I have so far. I have already forwarded a copy to my doula and one of my friends who is an L&D nurse at our local hospital for their input. Led me know what you think- did I leave out anything or word anything weirdly???
Partner- Mr. Evergreen
Estimated Due Date- May 29, 2011
Blood Type- B+
Care provider- Dr. XXX
My wishes for birth regardless of hospital policy. I understand these are all subject to change in the event of an emergency.
1. I do not want to be induced or have my membranes/fluids artificially ruptured.
2. If I am 42 weeks with no signs of impending labor I would like an AFI, NST and the option to reevaluate the above statement.
3. I prefer to use pitocin as a last result for induction and to not use cytotec at all.
1. If I am not in active labor or am less than 5 cm dilated I will go home.
2. If I am becoming dehydrated I will ask for IV fluids. I decline an IV under normal circumstances.
3. I would like 20 minutes of external fetal monitoring upon being admitted. As labor progresses I would like the baby’s heart rate to be intermittently monitored with a Doppler.
4. I plan to labor in different positions and move around as much as possible.
5. I plan to utilize the shower and would prefer to be undisturbed while in the bathroom.
6. Please keep vaginal exams to a minimum and by consent only.
7. I do not wish to have my waters artificially broken at any time during labor.
8. I am planning a natural childbirth but if I want an epidural I will ask for one. If I decide pain relief is necessary I would only like epidural or spinal anesthesia as my body reacts poorly to Nubain, Stadol and Demerol.
9. I wish to have friends and family present while in labor.
10. If I am GBS + I would like IV antibiotics administered via heplock.
1. Please do not tell me when to push even if I am 10 cm.
2. I do not want an episiotomy.
3. I will not push flat on my back. I may choose to utilize different positions which include squatting and on my hands and knees.
4. We do not know the sex of the baby. Nobody is to announce the sex (including Mr. Evergreen) until Evergreen has had the opportunity to see.
5. Please keep the room as dimly lit as possible and keep noises to a minimum as not to scare the baby.
1. I would like to hold the baby and initiate breastfeeding immediately.
2. I would like my husband to cut the cord when it stops pulsating.
3. All newborn assessments should be performed in my room.
4. I would like eye ointment and Vitamin K to be administered to the baby after he or she has had a chance to breastfeed fully.
5. I decline the Hepatitis B vaccine at this time (I am Hep. B negative)
6. I would not like the baby to be bathed.
7. I wish to take the placenta home.
8. If the baby is a boy he is not going to be circumcised.
9. No bottles or pacifiers.