Cesarean Goddess' Birth PlanMy Cesarean Birth Plan
I am having a planned cesarean section the third week of June. My cesarean is being planned for mid-day. I chose to plan my cesareans because my first was a very bad emergency situation in which I felt the entire thing and felt out of control. When planning I arrange everything in advance, including who administer anestesia, my nursing care, and who assists my doctor in performing the surgery. I literally have my hand in every decision that is made, including the type of anestesia that is performed, what drugs are given to me during the actualy surgery, and what happens after the baby is born barring no complications.
Here it is:
As this is a planned Cesarean birth we are looking forward to a positive birth experience. We want to participate in this birth to the fullest. We have listed our preferences below; these decisions have been made after research, consultation, and thought. Therefore your help in attaining these goals is very much appreciated.
We would appreciate preoperative blood work and tests to be done on an out patient basis, and hospital admission on the day of the birth.
My sister, ****** , is to stay with me the entire time, even for procedures and administration of anesthesia. [note to readers, my sister is a former L&D nurse]
I would like an epidural for pain relief with continued pain relief with a PCAP. [note to readers, I had a failed spinal with my first csection. I had an epidural with my second with continued pain support for 17 hours after surgery through a PCAP that was hooked into my epidural cathetar. I was able to mover around, but did not have anything impairing my brain function.]
I would like the catheter put in after anesthesia is administered.
I do not wish to have medical students present during our cesarean.
My arms are not to be strapped down unless general anesthesia becomes necessary during an emergency. [ It is customary during surgical births in the USA to strap the arms down, like you are Jesus Christ, to the operating table. Not all doctors or hospitals do this, but it is the "norm".]
I would like the option of viewing the birth either by lowering the screen or positioning a mirror.
I welcome conversation during the delivery process. [ Some people request music, dim lights, and no talking at all. It's really up to you. ]
If my baby needs assistance during the delivery process, if possible please use a vacuum verses forceps. [ I've had one baby delivered with use of the vacuum with no visible problems or effects. I know too many babies harmed by forceps, in vaginal and surgical births, this is why I have made this request.]
We would like to take photos of the birth as it occurs. [ This will be up to your doctor or hospital, most doctors can have hospital policy waved. ]
I would like to see the baby immediately after birth if at all possible. I would also like to be given the baby or have it held near me in the OR. If at all possible, we would also like to be able to have a pillow up under Kim’s head so that she can have a better view and be more comfortable during the surgery.[thank you Shannon for this tip!]
No mind-altering drugs are to be administered without Kim’s expressed permission. I am aware that some hospitals routinely sedate the mom for the repair portion of the surgery. It is important to Kim not to feel drugged or be unable to remember the events of the birth. Kim would like to avoid having nausea medications administered unless absolutely necessary, Zofran is preferred if the need arises. [ Phenegran makes most people drowsy and can interfere with nursing after surgery. Also, sedative are often administered in the IV routinely before the surgery actually begins in the IV to "calm" the patient.]
If at all possible we would like that the baby’s father, Jeff, be able to cut the cord. [ I am not asking that he trim it at the warming table for baby, but actually enter the sterile field to cut the cord. My OB is going to try and accomadate this request, with respect given to the sterile field.]
Kim prefers that the outside incision be sutured with stitches and not staples. [ There is a small risk of infection from sutures, however I think the benefits outweight the cons. I have had both, and the stitches left me with a nicer cleaner incision, and I felt as if I was held together better.]
Below is our birth plan geared towards the care of our baby. Some things are bolded for emphasis.
We want to participate in our baby’s care to the fullest. We have listed our preferences below, these decisions have been made after research, consultation, and thought. Therefore your help in attaining these goals is very much appreciated. Our pediatrician is Dr. Dan ***** at Children’s Medical Group.
The baby’s father, Jeff ********, is to be with the baby at all times following the birth.
Kim wishes to have the baby with her in recovery so that she can breastfeed immediately. [ readers note that I request to recover in a Labor & Delivery Room so that I can have my baby immediately and have my husband and sister with me (or other guests) Find out your hospitals policies about recovery areas, some will not allow you to have your baby or your partner with you.]
NO EYE OINTMENT is to be administered to our baby at ANY TIME. Kim, the baby’s mother has been tested for all STDs and was negative and since this is a cesarean birth our baby is at no risk of eye infection. This has been discussed prior to the birth with our baby’s pediatrician.
We have refused the Hepatitis B vaccine at this time.
We do consent to having the Vitamin K shot administered to our baby.
All tests and procedures are to be done in the presence of one of the baby’s parents, and with our expressed consent, barring no emergency situation.
Please do not bathe our baby. [note to readers, bathing a baby after delivery can often lower their temperature, resulting in having to go and stay in the nursery. Cesarean birthed babies already have a disadvantage to vaginal birthed babies because they tend to have a harder time maintaining their temperature, this is why we forgo the bath, and do one later that I can participate in seeing and/or being involved in it.]
If our baby is a boy, do not circumcise.
[ we are expecting a girl, but just in case!]
Our baby will be breastfed. Please do not give our baby pacifiers or bottles.
We would like our baby to room in with us. Kim will have someone with her at all times to assist her with the baby in anyway. [note to readers, most hospitals will not allow rooming in for cesarean birth mommas unless they have help, this is the hospitals policy I am going too]
Do not come and take our baby to the nursery unless we request it. Any procedures or pediatric checks can be done in our room. This includes ultraviolent light therapy for jaundice. [ note to readers, if they tell you they can't do the therapy in your room, they are bull sh*tt*ng you. I specifically note this because my babies often get jaundice do to ABO incompatibility.]