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anyone thinking birth plan yet?

post #1 of 7
Thread Starter 
I know there has been a lot of talk about homebirths vs hospital etc. Has anyone planned their birth plan yet? I have a list of do's and don'ts that I want to take with me this time, but no actual birth plan as of yet. what are your ideas thus far?
post #2 of 7
We're planning a homebirth, so if all goes well, I won't need a "plan" and things can just happen naturally and in an environment where I call the shots

But...what I do need to do is plan for the unexpected. If, God forbid, I need to be transferred, I need to gear up for that. Luckily my m/w is also a doula and will be as used to dealing with hospital births as she is homebirths. I think that will help a lot.
post #3 of 7
I don't have a birth plan yet, but I guess that I should do one. I didn't do one with DS 1 because it was supposed to be at a birth center.

This one will be a VBAC at a hospital with midwives. I definitely want to do one this time. I know they do have a worksheet thing that they give you that is a starting point. I was also thinking of posting on here and seeing if anyone had advice.
post #4 of 7
I don't have a set plan yet but I'm getting it all worked out in my mind. I'm planning on a birth center birth, but hoping for a homebirth so I'm spending some time at the thrift shops for old towels, sheets, etc...

Luckily with this being my second and close enough together that i remember how my first one went I'm not that worried about getting it all figured out right now. I know what I liked and didn't like with DS and can work towards the goal of making this time better.
post #5 of 7
I wrote a rough draft up a few days ago and went over it with our doctor today at our prenatal visit.

It doesn't have anything she has any problem with, but some of my requests are definitely in the way of flouting standard hospital policy, so I wanted her to be aware of them and on board before the time comes.

(Though I should note that the hospital's birthing center generally doesn't have a problem with flouting standard policy in birthing, but they like to be aware ahead of time so the nurses can be prepared . . . our FP office actually hands out a packet with a 5-page bullet point list by category of what is standard policy or offered at the hospital, followed by a blank birth plan to fill in that they send to the hospital a month before your due date. It's a pretty cool system.)

Some of the things I wanted clarified before we get there:

*I don't want a heplock; it was distracting last time
*same thing with the periodic monitoring belts; I'd prefer the newer waterproof, wire-free kind if they have it or intermittent handheld Doppler monitoring
*I plan to eat and drink freely during labor
*I don't want pain meds offered to me; at certain points in labor, I'd probably take them up on that offer, but I know I'd regret it
*episiotomy is not an option unless there's an extreme emergency (our lovely doc said, "Well, duh")
*if there is a life-threatening emergency and I need a C-section, I want double-layer stitching of my uterus, not single-layer
*likewise in that situation, I don't want my arms tied down during surgery
*and I want the baby to go to dh asap for skin-to-skin and to me asap(2) for nursing and skin-to-skin (or vice versa if the C-sectioning allows for it)
*let the cord stop pulsing before cutting and dh wants to cut it
*NO circumcision!!!! No retraction of our son's foreskin!!!!
*no eye goop or Hep B vax; probably oral vitamin K instead of the injection (I need to do some more reading on that one)

Some of the standard policy I was fine with and it didn't need to be specified in our birth plan. For example, it's SOP at the hospital for the baby to go straight onto Mama's chest for skin-to-skin time and nursing barring need for medical attention; they don't weigh the baby or interfere with bonding in any way for at least an hour, more if requested. Rooming in of both baby and partner is standard. Changing positions frequently during labor is encouraged; some of the nurses are also trained in massage therapy and can lend a hand during labor.

There are a couple items on the list I also asked my doctor to check out, because I don't remember seeing them offered last time and they sound good to have: aromatherapy and perineal massage during pushing. She's going to find out what the scoop is there and get back to me.
post #6 of 7
I talked to my doctor about birth plans. She said she usually goes over what happens during the whole birth procedure with the patient in the second trimester. At that time, she talks about what her methods are and what the patient wants, etc. From what she's said before, she doesn't go for the whole drug 'em and cut 'em philosophy, so I don't anticipate any significant clashes in belief. She seems to have a rational and open-minded attitude about the whole thing. I am also planning on having a plan written out so that my friend and my mother will have reference to what I want, just in case.
post #7 of 7
I just modified the one I used for my first birth Nothing I want or don't want has changed. It seems a little silly because all of my requests go along with my mw's way of doing things anyway, but everyone at the birth needs to know what I'm going for. I'm also working on one in the event of a hospital transfer (we're planning a HB) which is hard because there are so many scenarios that could follow and may require intervention. So, I'm a little stuck on how exactly to go about that.

Also, my birth plan is broken down into stages (1st, 2nd, 3rd and infant care). Its just easier to follow that way. If you want I can email you a copy and you can see what its all about and maybe use it as an outline.
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