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Birth Plans

post #1 of 10
Thread Starter 

I didn't write a birth plan for my last two births for a number of reasons but I'm feeling compelled to this time, mostly in case we need to transfer for any reason. Also because pretty much my entire birth team is scheduled to go to a conference out of state just a week after my dd so I may very well end up with back up midwives and doulas. I have every confidence in my ability to birth this little guy at home, but *IF* we needed to transfer, there are a number of things that I have preferences about.

 

Has anyone here already written their plan and willing to share?? Especially anyone planning to deliver at home or bc but have a section for "in case of transfer"?

post #2 of 10

This is the one that I used last time.  I had to have copied it from somewhere and added and subtracted some stuff.  I may have found it here :)  I did not end up needing it and decided not to write one this time.

 

Transfer Plan

Mother:                                   Father:                                       Baby:

Expected Due Date:  May 30, 2011

Practitioner: ______________, CNM

Our primary goal is a healthy mother and healthy baby. We believe birth is a normal physiological event and an inherently safe process, and were therefore planning a home birth. We realize labor doesn’t always progress as planned, and although we hoped to still be at home, we are happy and grateful to transfer our care at this point.  We desire a non-medicated labor and birth, limiting the use of medical interventions to that necessary for treatment of an abnormality or complication. We understand that complications can arise unexpectedly, and are grateful for the expertise of our doctors, midwives and the nursing staff, and the technology available to assist us in that event.

Our Preferences

In the absence of an emergency we ask that the following requests be honored:

Labor and Birth

  • We wish to be fully apprised and consulted of all risks and benefits before the introduction of any medical procedures or intervention.
  • We ask that all members of our birthing team remain with us at all times. Because we are a home birth transfer, this includes our  midwife and/or any of her assistants that accompany us to the hospital, whose primary task will be to assist us
  • I would prefer not to have an episiotomy unless it is absolutely needed for the baby’s safety.
  • Unless there is excessive bleeding we would prefer not to have routine pitocin after delivery
  • Unless our baby is in crisis, we wish for her to be delivered directly onto the mother’s abdomen and remain there for bonding and immediate breastfeeding.
  • Please do not allow any visitors at any point in time without asking my permission first

Baby

  • Our baby will be breastfed on demand. We ask that, to help us establish successful breastfeeding, no rubber nipples, sugar water, pacifiers, etc be given.
  • Unless there is a serious medical condition requiring advanced care, we desire continual ‘rooming-in’ with our baby and no mandatory time in the nursery to promote breastfeeding and bonding. If exams, etc, must be done in the nursery, at least one parent will accompany the baby to the nursery and remain there during the exam/procedure.
  • We do not wish for the baby to be bathed in the hospital or by hospital staff. We prefer to wipe the baby down with warm towels or blankets immediately after birth to dry her and for us to bathe our baby for the first bath at home.
  • We would like the option of early discharge for mother and baby assuming there are no over-riding health concerns. We would like to avoid an overnight stay if possible, and would prefer to limit our hospital stay to 12 hours post-partum.
  • Our baby is a boy (according to ultrasound) and we would like for him to be circumcised.

In case of C-section

  • A double row of stitching should be used so that I can birth vaginally in the future
  • I would prefer that my husband or another member of the birth team remain with me at all times. I have anxiety and this would be in everyone’s best interest.
  • Any medications used should be compatible with breastfeeding
  • We would appreciate being kept informed during the surgery
  • If the baby is healthy, please allow the baby to stay with me along with my husband or birth team until surgery is finished.
  • I would like to be able to breastfeed as soon as possible after the surgery

We trust your judgment and know you will help us have the best birth experience possible, and thank you, nurses, midwives and doctors of this hospital, in advance for respecting our preferences for this natural and beautiful process. We are excited for this adventure and feel lucky to have your help, support and guidance.

post #3 of 10

For at home, I don't write one because I've always trusted the midwives I've used at home and we've discussed a lot of things ahead of time. I don't feel that I've discussed as much with this one but she was there last time and I still trust her.    I feel that if I'm in my own home and we feel the need to transfer, I've never heard of a midwife holding a family at home at gun point or blocking the door.  I also tend to be more relaxed at home and not sweat the small stuff that some women do. I just want my baby to be healthy.

post #4 of 10

Thank you, camprunner!! I've been wanting to write an "in case of transfer" plan, but couldn't come up with any kind of format that sounded professional instead of...goofy, lol. This is exactly what I needed!

 

I'll be tweaking it to say something about the placenta, for sure...I'm not encapsulating or anything like that, but with my first birth I had to transfer, and the OB who was on call apparently thought it was ok to sit there and hang onto the cord while the placenta was still attached to me (pestering me to push the damn thing out like two seconds after the birth! grr!). It was THE MOST uncomfortable feeling to have that being pulled on, especially when I'm trying to recover from birthing a child who is currently screaming and being kept away from me!! So yeah. Just a little stressful. Leave the poor baby and cord and placenta and me ALONE until I'm ready, thankyouverymuch! :P

post #5 of 10

I only have an emergency c-section plan because I sort of assume that would be the only reason I'd end up transferring (an emergency).  I'm happy to post it if anyone thinks it would be useful.

post #6 of 10
Thread Starter 

Thanks for sharing yours Camprunner! Brooklyn, I'd love to see yours too - emergency is pretty much the only reason we'd be transferring too (as I've had 2 hb's already, I'm confident we can handle just about anything!)

 

Ompha - that would make me crazy! Keep your grubby hands off lol!

post #7 of 10

I'm interested in seeing the c-section one as well! If I transfer to the hospital for any reason that's NOT for a c-section, I'm probably there for the meds, so I don't really feel a need to have a birth plan in that case lol.

post #8 of 10
Quote:
Originally Posted by firespiritmelody View Post

Thanks for sharing yours Camprunner! Brooklyn, I'd love to see yours too - emergency is pretty much the only reason we'd be transferring too (as I've had 2 hb's already, I'm confident we can handle just about anything!)

 

yeahthat.gif

 

Ompha - that would make me crazy! Keep your grubby hands off lol!

 

Yeah, it pretty much took all of my remaining strength (which was minimal) to NOT kick him in the face, LOL...especially when right after I birthed the placenta he started stitching up my tear (badly...apparently OB's at my hospital only learn how to stitch up episiotomies, haha) without numbing the area first...took forever too...he was NOT my favorite person that day!

post #9 of 10
Quote:
Originally Posted by brooklyn_warbler View Post

I only have an emergency c-section plan because I sort of assume that would be the only reason I'd end up transferring (an emergency).  I'm happy to post it if anyone thinks it would be useful.

That's what I thought and was actually told by my first homebirth midwife but I've been doing more research since then and honestly if you are transferring due to complication from thick merconium, a c-section could actually make that worse.  There are other things too such as a maternal fever. I don't know if that's an automatic c-section?  I seem to learn a little more each time I have one about the potential complications.  All of them a very low chance of happening but none the less there are a few that aren't an automatic c-section.

post #10 of 10
Quote:
Originally Posted by camprunner View Post

That's what I thought and was actually told by my first homebirth midwife but I've been doing more research since then and honestly if you are transferring due to complication from thick merconium, a c-section could actually make that worse.  There are other things too such as a maternal fever. I don't know if that's an automatic c-section?  I seem to learn a little more each time I have one about the potential complications.  All of them a very low chance of happening but none the less there are a few that aren't an automatic c-section.


I transferred with my first because he was in distress...I'd been pushing for over two hours without much progress, and he started passing meconium and his heart rate started going way down with each push, so there was concern that his cord was being pinched somehow. Once we got to the hospital and they hooked up the monitors, the nurse told me he looked just fine and I could go ahead and push! 20 minutes later he was born without any c-section necessary.

 

Anyway! That's why my "in case of transfer" will likely have more detail to it, but I am very interested to hear what is in peoples' "in case of c-section" plans too, because I don't know much about that!

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