Please review this for me, and give me any advice on wording, errors, and order as well as anything I might have missed. Note that it breaks into two pages. The first page is for non-emergency situations, and the second page is for emergency situations.
"Last Name" Twin Birth Plan
We have been doing everything we can to have the healthiest possible pregnancy and minimize the
risks associated with multiple pregnancy. However, we recognize that multiple pregnancy, labor and birth entail more risk than single-infant pregnancy and birth. We understand the need for flexibility during labor, birth and postpartum, and we know that a healthy outcome for the babies and Mom is the main goal. Our doula and LC, name here, will be present with us for labor and recovery.
Normal, spontaneous vaginal birth
No IV fluids unless Strep B positive. Heplock placed upon arrival please.
No epidural, see emergency Cesarean plan below
Please allow for natural progression of labor
We prefer intermittent, portable FHR monitoring
Minimal vaginal examinations
Please allow for freedom of movement in labor
Please do not ask if Mom requires pain relief- she will let you know
Mom prefers to push from the squat bar, at her own pace
Dad would like to cut both umbilical cords
Afterbirth, pending no emergency medical assistance is required
Please place Baby A on Mom's abdomen, unwrapped with blanket over her back until labor continues
While Baby B is being delivered, our doula will hold Baby A to allow Dad free hands to cut B's cord
Please allow for natural delivery of placenta, which will be saved for examination
All testing and shots are to be done while Mom, Dad or doula is holding babies
Mom and Dad will take care of infant baths
We decline the infant eye ointment and the Hepatitis B vaccine
Please use local anesthetic for stitching
We prefer no bottles or pacifiers without our request
Ultrasound identifies both babies as girls, but if any baby is male we request
-Dad is to stay with Mom at all times
-Spinal is preferable form of anesthetic
-If catheter is to be placed, please place after the spinal
-Please lower the drape as each baby is born
-Please free one hand after both babies have been born so that Mom can touch each baby before recovery begins
-Please use a horizontal incision and double-layered suture to prevent problems with future births.
- General Anesthesia in the dosage that will allow for minimal time unconscious to allow for breastfeeding as soon as possible
-Dad is to remain with babies, not with Mom
-Please allow our doula to return to Mom if Dad has to leave to remain with babies
-If one baby is required to go to the NICU and one baby is not, please allow the baby that is not with Dad in the NICU to be in Kangaroo Care with our doula until Mom is no longer unconscious.
-No matter what situation arises during any baby’s NICU stay, we expect to be part of any discussion of, and to give permission for, any medical intervention being considered for our children.
-Please understand that we lost our son to SIDS in 2012 and that we need as much information as possible about the state of our babies.
-We intend to begin pumping to induce lactation as soon as possible, so thank you in advance for Kosiar's excellent pumping facilities.