Show off our birth plans?

[*GreenMama*]

Hi mamas!

I know some of us have done it before, but for those who only just recently wrote yours, who wants to show off their birth plans?

[Traceyky]

Ummm.. Call my midwife when I think labor has started. fill my birth pool. Eat, drink, be loved. Walk, sit, lay, hike as I please, or at least as my labor directs me. Laugh with my sweet dh, and my midwife. Enjoy my time. Pray no one else in labor calls me. Birth and catch my baby in the pool. Cuddle and nurse. Eventually get out and laugh at my silly, floppy belly that was so full. Clean up and either go to bed or rock a while. Marvel at God's marvelous design and smell my baby.

[Momma Aimee]

here is the one my OB signed off on

Packard Birth Preference and Goals
Packard 2nd child EED 11/6/07

These preferences assume a normal pregnancy and labor. They assume a healthy mom and baby. We trust Dr Minitzer fully and understand that should any emergencies arise these preferences may have to be altered.

General
We are seeking a calm, natural, gentle birth with no stress, no medications and no interventions. We are willing to take the time necessary.
My support people are Scott (Husband) and Amelia (Doula) they will be with me at all times.
I would like time to consider and discuss any interventions (monitions, labor augmentation, medications, etc) with my husband and Doula privately.
We would like to take advantage of the birth ball and squatting bar.

Labor
I would prefer a hep-lock upon admission, not a full IV unless it becomes medically necessary.
I would like to be totally mobile during labor, free to walk or change positions at will.
I would like to shower or soak in a tub to aid in relaxation.
I would like to be able to have food and drink by mouth throughout labor.
I would like to be reminded to stay hydrated by mouth.
I would prefer to keep the number of vaginal exams to a minimum.

Monitoring
We expect intermediate monitoring of the baby’s heart, however we really wish to avoid continuous monitoring.
We will not have any internal monitors (baby or contractions) unless the baby has shown some definite, repeated, or unchanging signs of distress.

Labor Augmentation/Induction
We do not wish to augment labor and delivery or alter the natural process in anyway unless there is a true emergency. We would rather be patient and allow my body to do its job.
We prefer to employ natural methods of encouraging labor first.
We do not wish to have the amniotic membrane ruptured artificially except as a last resort.
We prefer to strip (sweep) the membrane and try other non-drug interventions in place of medication.
We refuse Cytotec which has not been approved by the FDA for use on pregnant woman, nor for labor induction, and has been proven dangerous.
We would like to give labor a good opportunity to re-start naturally, if stalled, before Pit is administered.

Anesthesia/Pain Medication
We realize that many pain medications exist — We’ll ask for them if I need them.
We prefer to utilize a short acting pharmaceutical such as Fentanyl first to try to regain natural management.
We prefer to try a slightly longer acting narcotic pain relief (Nubain, Sublimaze, Stadol or similar) next.
We prefer to save Demerol as a final option.

Cesarean
Unless absolutely necessary we would like to avoid a Cesarean
We would like to attempt forceps, again, or vacuum before a surgical birth.
I would like the cape placed low on my stomach and lowered so I can see the actual birth.
I would like the incision closed in such a way to promote a VBAC.
I would like to hold the baby on my chest immediately after the delivery while I am closed; if not possible the baby should be given to Scott – not placed on a warming table or the nursery or given to a nurse.
Please see separate Cesarean Preference Sheet

Episiotomy
I prefer not to have an episiotomy; I prefer to tear naturally.

Delivery
I would like to be allowed total freedom to choose the position in which to give birth, and the freedom to change positions frequently.
Scott and Amelia will offer physical support.
I prefer to push only spontialus and as hard or for as long as I feel the need (avoiding purple pushing).

Immediately After Delivery
The cord should be allowed to pulse until it naturally stops before being clamped and cut.
I will hold the baby while I deliver the placenta and any tissue repairs are made, if not possible Scott or Amelia will hold the baby.
We would like to view the placenta.
ALL evaluations of the baby are to be done on my abdomen (or beside me on the bed), not the warming table.
Scott will take the baby to be weighed and return the baby to the mother.

Postpartum – dependant on time of day
I will shower ASAP with our doula and change clothing, while Scott holds the baby.
We would like all medical equipment put away or removed very quickly and the bed remade so our son can join us and see his new brother or sister as soon after the birth as medically possible.
Unless required for the health of the baby, the baby is not to be removed from the mother for any reason.
The baby will stay in my room -- all tests and exams will be done there. If the baby must be removed from the mother for the hearing and PKU test the father will be in physical contact with the infant at all times (we prefer these tests be done in the mother’s room),
If the baby must be removed from the mother for any medical reason, the father or another adult designated by us will be with the baby at all times.

Baby Care
We refuse the eye ointment.
We refuse a routine Vit K shot.
The baby is to receive NO vaccination at the hospital.
The baby is to receive NO medication or tests without prior written consent of the parents.
The baby does not need to be bathed immediately, mother will bath the baby with a nurse attendant after a time of rest and calm.
We prefer to hold the baby – mother or father – skin to skin rather than have the baby artificially warmed.
We do not want our baby admitted to a special nursery merely for observation,

Breastfeeding
I will exclusively breastfeed Our Baby and will begin nursing immediately after birth.
Our baby is not to receive a bottle or soother for any reason.
If our baby is unable to nurse she/he should receive only mother’s milk (or medication) via a nasogastric tube.
We do not want Our Baby to be given a pacifier, other any other artificial soother.

Circumcision
We do not want our son circumcised.

After the Birth
•We may choose to leave at the 24 hours mark, rather than the 48 depending on recovery of the mother and time of day, so to avoid unnecessary time away from our older child.
•Our 24 month old son, Theodore will visit as soon as reasonable to see his new sibling…the length of his stay will be determined by the parents.
•Theodore will stay with us as we feel best for the family as a whole, including possible spending the night with his mother, father and new sibling.

it really is my orginal one with a little bit of wrding changed -- but no preferences changed.


here is my CS one -- which now that baby is not breech, and is growing well, it looks like we won't need... but it was good for me to creat it.

It is not as polished at the real birth plan.

Packard Birth Plan Nov 2007 -- 2nd birth
c-section version

General
My support people are Scott (Husband) and Amelia (Doula) they will be with me at all times.
Scott will go with the baby as soon as he or she is delivered, Amelia will stay with me at all times.
.

Prep
•Please insert the cather after the ansitisha is started.
•I do not want any medication that is going to make me feels drugged or effect my ability to remember the birth and bond immediately with my baby.
•


Actual Surgery

I wish to have an epidural for anesthesia
I would like to have the drape that screens the view of the surgery to be placed low enough on my abdomen to allow my baby can be laid on my chest for bonding\breastfeeding purposes while the stitching phase is being completed.
I welcome discussion during the delivery.
I will not have my hands restrained in any way.
We want Amelia to be allow to photograph the actually delivery and cutting of the cord.
So I can view the birth, please lower the screen just before delivery.
Baby should be placed on my chest immediately, if not possible the baby should be given to Scott immediately, not a nurse and not the warming table.
I prefer the incision be closed with as many layers as possible, I prefer stitches not staples.


Immediately After Delivery
•I would like to see and touch the baby immediately after delivery.
•I prefer to recover in my L and D room with Scott and Ameila present. If not possible I wish to be away from my room and baby for as short a time as possible.
•

After Delivery
•Please do not bath the baby, until the family is back together in the mother’s room and the mother is recovering and calm has been restored.
•I will nurse Our Baby as soon as possible, hopefully in the recovery room or immediately after being closed.
•The pain medication must be breastfeeding compatible.
•I would like the pain medication to be self-admistered and at the lowest level possible.
•I would like to eat and drink as soon as possible.
•I would like to be up and around as soon as possible.
•
•

Postpartum baby Care
If the baby is unable to stay with me, while I am in recovery Scott will remain in the room holding the baby – until I return. The baby is NOT to go to nursery.
Scott will stay in our room with the baby while all baby-testing is done if it is done before I return. If the baby must be removed from the mother for the hearing and PKU test the father will be in physical contact with the infant at all times (we prefer these tests be done in the mother’s room),
We refuse the eye ointment.
We refuse a routine Vit K shot.
The baby is to receive NO vaccination at the hospital.
The baby is to receive NO medication or tests without prior written consent of the parents.
Unless required for the health of the baby, the baby is not to be removed from the mother for any reason. We will have a 2nd adult present at all times to assist Aimee.
We prefer to hold the baby – mother or father – skin to skin rather than have the baby artificially warmed even immediately post delivery – Scott or Amelia can be in skin to skin contact with the baby if the mother is not physically able.
If the baby must go to NICU Scott will accompy the baby and remain present at all time, other adult support will be available for Aimee.
If the baby must be taken to NICU I want to visit the baby as soon as physically possible.
If the baby required care in NICU I would like access to a breast pump immediately so I can pump evety two hours.


Breastfeeding
I will exclusively breastfeed Our Baby and will begin nursing immediately, preferably in the OR, at the latest in recovery.
Our baby is not to receive a bottle or pacifier for any reason.
If our baby is unable to nurse she/he should receive only mother’s milk (or medication) via a nasogastric tube.
We do not want Our Baby to be given a pacifier, other any other artificial soother.
We do not want any formula or anti-breastfeeding materials brought into our room, no gift packs, no promotional material, nothing.

Circumcision
We do not want our son circumcised.

After the Birth

•Our 24 month old son, Theodore will visit as soon as reasonable to see his new sibling (with his own caregiver) …the length of his stay will be determined by the parents.

[Da WIC Lady]

The long version

I posted the short form in the other thread a few days ago... Here's the long (7 page) one that is more for the docs.

To my Health Care Providers: Thank you for taking the time to work with us and our birth plan. These are our preferences; however we are open and flexible to any medical intervention that may become necessary in the case of a medical emergency.



My Name: Anna B
My Due Date: November 7, 2007
My Address:
Suffolk, VA
My Doctor: Dr. W
My Partner: Joshua



* As long as the baby and I are healthy, I would like to have no time restrictions on the length of my pregnancy.
* I would like to discuss laboring at home as long as possible.
* I trust that my practitioner will seek out my opinion concerning all of the issues directly affecting my birth before deviating from my plan.
* If NST observation becomes necessary after my due date, I am flexible and support this procedure.
* If I go past my due date and the baby and I are fine, I prefer to go into labor naturally rather than be induced.
* During a vaginal exam, I prefer at no time to have my membranes broken unless there is an emergency situation.
* If I am less than five centimeters dilated and my water has broken, I would like the option of returning home.



* If induction becomes necessary, I would like to try natural induction techniques first(with the guidance of my practitioner).
These are the natural induction techniques I would like to try:
- Breast stimulation
-Walking
- Herbs
- Enema
-Sexual intercourse
*If Medical induction becomes necessary, I prefer to try:
- Stripping membranes
- Prostaglandin gels
- Rupturing membranes
* If my water breaks before I go into labor, I would like to:
have no time limits and talk about alternative treatment such as antibiotics.



* Upon arrival at the hospital, I prefer to have my partner with me at all times.
* Please, no residents or students attending my birth.
* I request the following people to be present during my labor and/or 2nd stage labor:
- My Partner: Joshua Beasley
- My Mother: Mary Martina
* I prefer to give birth in a birthing room.
* I prefer to give birth in room with a shower and/or bath.
*If birth equipment is available, I would like to use:
-A birthing ball.
-A birthing tub/pool/shower.
- A birthing stool.
-A squatting bar.
*Miscellaneous environmental requests:
* I would like to have dimmed lights.
* I would like for people entering the room to speak softly.
* I would like to play music.
* I would like to wear my own clothes during labor and delivery.
* I would like to be reminded to remove my clothing during the actual delivery.
*I would like to have a TV available.
*I would like to have a VCR available.
*I would like to have my birth photographed.



**I would like to have no restrictions on food or fluids during my labor.
**I prefer to have a heparin or saline lock.



*Please only offer pain medications if I ask for them.
**I am prepared to try to handle pain with these natural and alternative methods:
-Breathing techniques.
- Distraction techniques.
-Massage.
- Visual imaging work.
- Deep (or guided) relaxation.
- Water/bath/shower.
- meditation
*Other considerations :
**Ultimately, I want to be able to walk around and move as I wish while in labor.
** Ultimately, I would like to feel unrestricted in accessing any sounds of chanting, grunting, or moaning during labor.
* Please keep my door always closed during labor.



* I prefer the baby to be monitored externally, intermittently.
* I have prepared for this birth with Lamaze techniques.
*I have prepared for this birth with Prepared Childbirth Class and meditation.



* As long as the baby and I are healthy, I prefer to have no time limits on pushing.
*I would like to be encouraged to try the following different positions for labor:
- Squatting.
- Hands and knees.
-Standing upright.
-Side Lying.
-Whatever feels right at the time



*I will ask for an enema if I feel that I need one.



* I prefer to have no episiotomy and risk tearing (unless I'm having a medical emergency).
*To help prevent tearing, please apply:
- Perineal massage.
- Encourage me to breathe properly for slower crowning.
*Other labor considerations:
-If possible, please allow the shoulders and body of my baby to be born spontaneously, on their own.
-Please use a local anesthetic for repairs.
-No stirrups please unless I'm having a medical emergency.

* If intervention is needed for an assisted vaginal birth, I prefer forceps.
* I would like to view the birth using a mirror.
* I would like to touch my baby's head as it crowns.
* I prefer to have the lights dimmed for delivery or, if it is daylight, to access only natural light.
* It's important to me to push instinctively. I do not want to be told how or when to push unless it is to prevent injury.
**After Baby is Born:
**As long as my baby is healthy, I would like my baby placed immediately on my abdomen following the birth.
** Please put my baby skin-to-skin on my abdomen with a warm blanket over it.
*** Please do not separate me and my baby until after my baby has successfully breastfed on both breasts.
*** Please delay all essential routine procedures on my baby until after the bonding and breastfeeding period (i.e., bathing).









***If a C-Section is not an emergency, please give us time alone to think about it before asking for our written consent.
*My partner(s) is(are) to be present at all times during the c-section.
* Ideally, I would like to remain conscious during the procedure.
*I would like the baby to be shown to me immediately after it's born.
* I would like to have contact with the baby as soon as it is possible in the delivery room.
* I prefer to have a hand free to touch the baby.
* If possible, please discuss anesthesia options with me (including morphine options).
* I prefer a low transverse incision on my abdomen and uterus.

Recovery:
* If my baby is healthy, I would like to hold my baby and nurse it immediately in recovery.
* I would like to sign any waivers necessary to permit me to be with my baby in recovery.
* As long as my baby is healthy, I would like my partner to be the babys constant source of attention until I am free to bond with it (i.e., holding, skin-to-skin contact, etc.).
* I would like to have my catheter and IV removed ASAP after my recovery period.
* Please discuss my post-operative pain medication options with me before or immediately following the procedure.
* Please wait for the umbilical cord to stop pulsating before it is clamped.
* Please allow my partner to cut the umbilical cord.
* I would like to have a post partum abdominal support device.


Placenta:
*I would prefer for the placenta to be born spontaneously without the use of pitocin, and/or manual extraction. I would like to wait 12-24 hours before determining if pitocin is medically necessary. I am willing to be monitored for excessive bleeding during this time.
* I would like to delay routine pitocin after the placenta is born unless there are any signs of hemorrhaging.
* I would like the option of taking home the placenta.



*** If the baby has any problems, I would like my partner to be present with the baby at all times, if possible.
*** I would like to have routine newborn procedures delayed until bonding and breastfeeding have occurred.
*** I would like all newborn routine procedures to be performed in my presence.
***Administration of Eyedrops:
I would like no administration of eyedrops to my baby and am willing to sign a formal waiver if need be.
***Vitamin K:
I would like only the orally administered vitamin K to be given to my baby.
Immunizations:
*** I prefer any immunizations be postponed to a later time.

***Bathing Baby:
Please do not bathe my baby with detergents or soap to preserve the protective properties of the vernix.
***Circumcision:
Please do not circumcise him.
Please do not retract the foreskin.
*PKU:
We would like routine PKU testing to be done before we leave the hospital.
***Feedings:
My baby is to be exclusively breastfed.
I would like to see a lactation consultant as soon as possible for further recommendations and guidance.
***Do not offer my baby the following without my consent:
- Formula.
- Pacifiers.
- Any artificial nipples.
- Sugar water.
- Administration of the above without my consent will result in charges of assault.
***If my baby's health is in jeopardy, I would like:
-To be transported with my baby if possible.
- My partner to go with the baby.
- To breastfeed or express my milk for my baby.
- To have no time restrictions with my baby.
-To have as much bodily contact with my baby as possible.
-To be offered a room at the hospital for the duration of my baby's
stay (within reason).
*** If there is an issue with hypoglycemia, I prefer to breastfeed frequently and have tests done in the room. If it is a true emergency, I prefer the baby receive glucose by IV.
***I would like my in-hospital routine to be:
Full rooming in, no separation, no exceptions, unless my baby is sick.



*Other hospital preferences:
I prefer a private room.
I prefer to have my partner stay with me for the duration of my hospital stay.
I would like my other children (regardless of age) to be allowed to visit with me for as long as they wish or as long as hospital policy permits.
I would like my guests to be permitted to stay as long as they wish.

--------------------------------------------------------------------------------




I know... it covers just about everything...

Anna

[BabyBugsMom]

I'm in the "less is more" camp, so our birth plan is pretty bare-bones:

Sarah * Birth Plan

*My husband, **, will be with me at all times. Hopefully my mother, **, a licensed doula, will be here, as well.
*My hope is to have a nonmedicated, natural childbirth. Because of this, we would like minimal fetal monitoring, no IV (I am willing to have a hep lock if necessary), and the freedom to be as mobile as I choose.
*If at any point pain meds become necessary, under no circumstances should I be given morphine.
*After the baby’s birth, we will be rooming in and breastfeeding exclusively. The baby should be brought to me immediately (barring any emergency), and is not to leave our room without ** (father) being with him/her at all times.

Further explanations:
*This is my fifth pregnancy and sixth child. At this point, dh and I both have confidence in my body's ability to successfully birth, my mental strength during labor, and dh's excellent support and coaching.
*We have dealt with an emergency during labor (undiagnosed twin in breech/transverse position going into distress, emergency section) and have since had two successful VBACs.
*Because of the hallucinations I had while taking morphine after the section, I never want to have morphine again.
*We will be declining some procedures for our baby that are generally considered routine in most hospitals. It's dh's job to be both my advocate during labor and our child's protector after birth.

[monocyte]

still working on mine...maybe later I'll get it up and done!

[lisalulu]

I'm not doing one for my midwives but still have to come up with something in case of transfer!

[Heather Marie]

This is my birth plan. Our MW has signed off on it and I go over it with the nurses at the hospital at the end of October during preadmission.

The XXX Family Birth Plan

Mother-to-be: Heather XXX
Birth Partner: Patrick XXX
Practitioner: Allison XXX
Place of Birth: XXX Hospital
Due Date: 11-10-2007

Dear Staff of XXX Hospital,
I look forward to sharing my upcoming birth with you. I have created the following birth plan to help you understand my preferences for my upcoming labor and delivery. I fully understand that in certain circumstances these guidelines may not be followed, but it is my hope you will assist me in making this the experience I hope for. If you have any questions or suggestions, please let me know.

Sincerely,

Heather XXX

LABOR
•I would like to be free to walk around and change positions at will throughout labor.
•I would like the birthing tub, birthing ball, birthing stool, and squat bar made available to me throughout labor.
•I would like the environment to be kept as quiet as possible and the lights in the room to be kept dim during and after my labor.
•I would like to wear contact lenses or glasses at all times when conscious.
•I would like to eat and drink to comfort.
•I do not want an IV unless I become dehydrated.
•I would prefer to keep the number of vaginal exams to a minimum.

MONITORING
•I would prefer to have intermittent monitoring with the Doppler if necessary.
•I would prefer not to have continuous fetal monitoring or an internal monitor unless it is required by the condition of my baby.
•If continuous fetal monitoring is required I would prefer a telemetry monitor.

LABOR AUGMENTATION/INDUCTION
•I would prefer to use natural methods to start/speed labor (walking, nipple stimulation, etc.).
•I would prefer not to have the amniotic membrane ruptured artificially.

ANESTHESIA/PAIN MEDICATION
•Please do not offer me pain medications, I will ask for them if I want them.

CESAREAN
•Unless absolutely necessary, I would like to avoid a Cesarean.
•If a Cesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.
•I would like my birth partner, Patrick XXX, present at all times if my baby requires a Cesarean delivery.
•I would like the surgery explained as it is happening.
•I would like pictures taken throughout the procedure.
•So I can view the birth, I would like the screen lowered just before delivery of my baby.
•I would like one hand free to be able to touch my baby.
•I would like my birth partner, Patrick XXX, to cut the cord and announce the baby’s gender.
•If my baby is not in distress, my baby should be given to my birth partner, Patrick XXX, immediately after birth.
•I would like a double layer Cesarean closure.

BIRTH
•I would like to choose the position in which I give birth (birthing tub, standing, squatting, etc.).
•Even if fully dilated, and assuming my baby is not in distress, I would like to try to wait until I feel the urge to push before beginning the pushing phase.
•I would prefer to tear than have an episiotomy, but please use compresses, massage, and positioning.
•I would like to be able to see my baby’s head when it crowns with a hand mirror that I brought along and to touch the baby’s head.
•I would like my birth partner, Patrick XXX, to catch and announce the baby’s gender.

IMMEDIATELY AFTER BIRTH
•I would prefer that the umbilical cord stop pulsating before it is clamped or cut.
•I would like my birth partner, Patrick XXX, to cut the cord.
•I would like the baby placed on my abdomen while I expel my placenta and any tissue repairs are made.
•I would like to keep my placenta – I have provided a zip bag with my name.
•I plan to keep my baby near me following birth and would appreciate if the evaluation of my baby can be done with my baby on my abdomen.
•I would prefer to hold my baby rather than have him/her placed under heat lamps.
•If my baby must be taken from me to receive medical treatment, my birth partner, Patrick XXX, will accompany my baby at all times.
•I would like to delay the eye medication for my baby until a couple hours after birth.
•I would like oral Vitamin K be given to my baby rather than an injection.
•I would like my birth partner and I to give the baby’s first bath.

POSTPARTUM
•I would like to have the baby ‘room in’ and be with me at all times.

BREASTFEEDING
•I plan to breastfeed my baby and would like to begin nursing very shortly after birth.
•I do not want to have any bottles given to my baby (including glucose or plain water).
•I do not want my baby to be given a pacifier.

CIRCUMSION
•I do not want my baby circumcised.
•I do not want my baby’s foreskin retracted.

SICK BABY
•I would like to begin breastfeeding as soon as possible.
•I would like unlimited visitation for myself and my birth partner, Patrick XXX.
•I would like to be able to handle my baby (kangaroo care, holding, care of, etc.).
•If the baby is transported to another facility move us as soon as possible.

[GinaRae]

STILL haven't written mine. Ugh...

[*GreenMama*]

Here's mine, which my midwife already read and agrees is fine!

Natural Birth Plan for Cindy & Paul XXX

In preparation for a natural birth we have chosen to use the Bradley Method for labor and delivery and feel well prepared for when the time arrives. We want to keep a “homebirth” type of atmosphere, as we both whole-heartedly believe that labor is a natural process, NOT a medical event. We want as few medical interventions used as possible and a peaceful environment.

Unless medical problems arise, in which case we expect both the problem and any procedural changes to be discussed with us, we have certain requests as explained below. If our plans cannot be carried out because of specific policies/conditions we wish to be informed ahead of time. We are striving for as normal, safe, and serene a birth as possible.

General
As we said above, we are striving for a natural birth, and want to keep a “homebirth” type of atmosphere. To that effect:
·We expect to be part of the decision making team and to be consulted and fully informed of risks and alternative measures before any medical procedure even if it is “standard.”
·We are requesting the Birthing Suite on the 4th floor.
·We would prefer the birthing team kept to a minimum, which would exclude any residents, trainees, students, and other non-essential personnel.
·My support people are: the father, Paul XXX, and my Doula. Paul and the Doula will be with me at all times of labor and delivery.
·I do not want to be offered pain medication or an epidural. Instead, please make suggestions of non-medicated pain relief as you see fit!
·I’d rather not have any pitocin administered before, during, or after the birth! We prefer natural methods to stimulate labor and the after birth process.
·I will not be consenting to ANY antibiotics during labor, regardless of the Group B Strep test findings, or the gestational age of the baby. I am allergic to MANY antibiotics, and contracted a life-threatening c.difficile infection after my son’s birth due to the antibiotics and subsequent hospital stay.
·I plan on drinking water/juice to remain hydrated during labor, therefore, I do not want an IV unless and until I become dehydrated or a medical emergency arises as deemed by my midwife. If I am in early labor and it is found that I am minimally dehydrated I would like the opportunity to drink plenty of fluids before an IV is used. I also intend to eat if I am hungry but do not plan on having anything close to a full meal.
·If for some reason I do consent to an IV or heplock Paul and I expect to be asked about ANY AND ALL fluids, drugs, etc to be administered. Nobody may put anything into my iv or heplock without my or my husband’s express consent unless there is a medical emergency occurring at that time.
·I can get through a lot as long as I know that everything I’m thinking and feeling is normal. Please only act like there is something wrong if there IS something wrong. Otherwise, if everyone remains calm and soothing in voice and action I have a much better chance of keeping my peaceful state and letting nature take its course.

Labor
·We understand that a fetal monitor will ibe used for approximately 20 minutes upon entry to the birthing room to get a baseline reading. Thereafter, we request freedom of movement with minimal, intermittent monitoring.
·We need the initial blood test to include the Cord Blood Registry mother’s blood sample.
·I wish to remain mobile throughout labor and request the ability to change position at will. This includes standing, walking, squatting, use of the birth ball and tens unit I will be providing, shower/tub, etc.
·I ask to be able to control the environment in which I labor as much as possible, including the use of low lighting, my own music, use of massage techniques, warm compresses, etc.
·If an amniotomy might be indicated Paul and I expect to be asked before any rupturing takes place so we can give or deny consent.
·I do not want an episiotomy without medical reason. I am preparing with Kegel exercises and perineal massage. I did not need an episiotomy during my last birth and I would rather risk a tear than cut through muscle. Plus, with the c. difficile history I’d like to avoid that area altogether.
·No forceps or vacuum extraction, unless they must be used to avoid a cesarean section.
·Unless absolutely necessary, I would like to avoid a cesarean section. If a cesarean section is indicated I and the father, Paul XXX, expect to be fully informed and to participate in the decision-making process.

Delivery
·If at all possible I would like to try a water birth. I would like the room lights to be low.
·I would like to be allowed to choose the position in which I give birth, including squatting, water birth, leaning, supported squat, all fours, whatever seems to be best at the time. I wish to avoid delivery in the prone or “stirrup” positions as they make no use of gravity.
·My back/neck/shoulders are very weak, and I see a chiropractor 2x a week to that effect. If I end I in a position where I need to use my back/neck/shoulders extensively to help pushing, they need to be supported with each contraction to lessen the damage done. Please feel free to remind my husband and doula of this.

Immediately After Delivery
·We do not wish to cut the cord ourselves. We trust your staff to do it for us.
·We are banking placental blood with Cord Blood Registry. We ask that you please follow the procedures necessary to ensure the safety and integrity of the cord blood.
·Barring complications, I’d like the baby to be placed on my stomach/chest upon delivery.
·I would like to breast feed as soon as possible to help bond with the baby and naturally expel the placenta.
·We would like to hold off from the antibiotic eye medication for the baby for the first couple of hours for bonding purposes, or at least until the baby has been breastfed. Please make sure to thoroughly wipe any excess ointment from the baby’s eyes as Cindy is ALLERGIC to many antibiotics and should not touch the excess if at all possible.
·The baby is not to be taken to the nursery without medical reason. This includes being “sent up” ahead of me. The baby will instead remain with me in the birthing room until you have a room available for us.

Postpartum
1. Nursing
Our goal is to have a completely breastfed infant. To ensure this is the case we request the following:
·I would like a private or semi-private room with no roommate if available. I am willing to pay for this.
·I would like to have the baby “room in” and be with me at all times, 24 hours, including during visiting hours. I understand that this will mean that most of the baby care responsibility will be on me and look forward to it. I further understand that hospital policy dictates that should the baby need the nursery after being exposed during visiting hours that the baby would have to be isolated.
·Unless medically necessary as deemed by our pediatrician, (Dr. Burton Banner,) we do not wish to have any bottles/pacifiers given to the baby including glucose water, plain water, or “jaundice water.”
·If the baby needs formula for any reason Cindy will be using a Supplemental Nursing System (SNS.) The SNS is a formula dispensing device that is hooked up to the mother’s nipple during feeding so the baby will receive any colostrum or breast milk available during the feeding as well as the formula. It is proven to help eliminate nipple confusion and fosters a nursing relationship for infants needing formula before the mother’s breast milk fully comes in.
·I would like to meet with a lactation consultant//La Leche League rep if possible.

2. Other
·In the event that the baby is a boy he will NOT be circumcised.
·I, Cindy XXX, do not give my consent for ANY medical procedure, including blood tests, vaginal exams, etc, to be done to me after the birth while I am sleeping unless there is a documented medical emergency! If there is a medical reason that is not an “emergency” I should be woken to gain consent, or my husband, Paul XXX needs to be asked for his consent. Once I have gone to the maternity ward nobody should be touching my vaginal area without my consent, for any reason, unless there is a documented medical emergency.
·Assuming everything is normal, we want to be released from the hospital as quickly as possible, preferably no later than 24 hours after delivery.
·The baby’s pediatrician, Dr. XXX, will administer all vaccinations in his office, so we will not be consenting to any vaccine administration in the hospital.
·If the only thing barring us from leaving the hospital is a mandated hearing test, we would rather be released from the hospital and will be happy to bring the baby back for an appointment.

[lovebug]

:

this is great info mamas i hope you dont mind me :ing around

[Momma Aimee]

lurk away I freely admit my BP for Theo was mostly stolen

Aimee

[monocyte]

days later, im still doing mine...


are cs preferences totally necessary??

I'm just thinking if I need one, it'll be an emergency, and I will have some unknown ob doing it, not my warm fuzzy cnm...

[Momma Aimee]

I'm just thinking if I need one, it'll be an emergency, and I will have some unknown ob doing it, not my warm fuzzy cnm...

obs want to know too -- mine wanted to talk about every possiblity -- so he can do as much as he can for me even in an emergency or a crital situation.........some situations are crital or requie an OB without being an out and out life and death instant emergency...

anything you can do to make the birth more your own

[xelakann]

Free Standing Birth Center/Water birth Preference Sheet

This is for my waterbirth at a birth center... a lot of what we want they automatically do.

BIRTH PREFERENCES

Pre-Admission Requests
We request:

*To consider artificial initiation of labor only if labor is unusually delayed and there is medical urgency, and to delay artificial induction of labor for a reasonable period after the release of membranes if mother and baby show no signs of infection.


During First-Stage Labor
We request:

*That staff refrain from offering of medication or labor-enhancing procedures unless requested.

*Minimal number of vaginal exams, with permission.

*To not be told what dilation the cervix is if I am to be checked.

*That labor be allowed to take its natural course without references to "moving things along" or "augmenting labor." And to be fully apprised and consulted before the introduction of any medical procedure--augmentation, amniotomy, membrane stripping.


During Birthing
We request:

*That natural expulsive pulsations of the body be allowed to facilitate the gentle descent of the baby, with mother-directed Birth Breathing to crowning. Birth companion will offer prompts. No coaching.

*Use of HypnoBirthing breathing techniques--not other methods.

*Use of warm compresses. No perineal massage.


Following Birthing
We request:

*Immediate skin-to-skin contact, with baby placed on mom's stomach or lower chest. No wrapping of baby. Father/birth companion joins in this bonding by placing hand on baby's back under warming blanket.

*No milking of cord unless there is volume deficiency.

*Cord to be clamped and cut only after pulsation has ceased.

*That father/birth companion will cut cord after it stops pulsating.

*No cord traction, manual removal or use of Pitocin for removal of placenta unless necessary.

*No Pitocin post-placenta unless excessive bleeding noted.


For Baby
We request:

*Allow vernix to be absorbed into baby's skin; delay "cleaning or rubbing." Use of a soft cloth, not terry, when rubbing is appropriate.

*Decline use of eye ointment.

*Oral Vitamin K to be used rather than an injection if available.

*Breastfeeding several times during the first few hours of baby's life.

[Momma Aimee]

*To not be told what dilation the cervix is if I am to be checked.

intresting .. i had never seen this prefereunce before ... cna you explain the WHY behind it for me?

[JamesMama]

I stole my template from Aimee, my midwife signed off on all of it but the PKU yesterday, since it's 'state law' I'll probably just roll with it, it's not THAT huge a deal. I know we don't have to worry about most of them, and I know for sure we don't have to worry about CF as I've been tested and I'm not a carrier but o'well. Better deal with the stupid heal prick than worry about CPS and all that.

Douglas Birth Plan Nov 2007 -- 2nd birth

General
*My support people are Josh Douglas (Husband) and -------------(Doula) they will be with me at all times.
*Our son James will visit the labor room as we, the parents, see fit.
*I would like time to discuss any interventions (monitions, labor augmentation, medications, etc) with my husband and Doula privately.

Labor
*I would like to be totally mobile during labor, free to walk or change positions at will.
*I would like to shower or soak in a tub to aid in relaxation, even if membranes have ruptured
*I would like to be able to have food and drink by mouth throughout labor.
*I would prefer to keep the number of vaginal exams to a minimum.

Monitoring
*We will not have continuous fetal monitoring unless it is required by the baby's condition.
*We will not have an internal monitor unless the baby has shown some definite, repeated, or unchanging signs of distress.

Labor Augmentation/Induction
*We do not wish to augment labor and delivery or alter the natural process in anyway, unless required by babies health
*We prefer natural methods of encouraging labor.
*We do not wish to have the amniotic membrane ruptured artificially.
*We prefer to strip (sweep) the membrane and try other non-drug interventions in place of medication, and only if my health or babies health require it
*We refuse Cytotec.
*We would like to give labor a good opportunity to re-start if stalled before Pit is administered.

Anesthesia/Pain Medication
*We realize that many pain medications exist — We'll ask for them if I need them.
*We strongly prefer not to have any phamicutal pain management suggested.

Cesarean
Unless absolutely necessary and totally unavoidable, we would like to avoid a Cesarean.
We would like to attempt forceps, before a surgical birth.
If a Cesarean delivery is indicated, I will be fully informed and to participate in the decision-making process.
I would like Josh and -------- present at all times if a Cesarean delivery is necessary.
I wish to have an epidural for anesthesia.
I will not have my hands restrained in any way.
So I can view the birth, please lower the screen just before delivery.
Baby should be given to Josh immediately after birth and not removed from the mother sight, unless there are health issues.
I will nurse Our Baby as soon as possible; within 30 minutes of birth, even after a C-section.

Episiotomy
*I prefer not to have an episiotomy; I prefer to tear naturally.

Delivery
*I would like to be allowed total freedom to choose the position in which to give birth.
*I prefer to push only spontialus and as hard or for as long as I feel the need (avoiding purple pushing), and NO COUNTING
*We prefer Josh to catch the baby

Immediately After Delivery
*Josh will cut the cord.
*The cord should be allowed to pulse until it naturally stops before being clamped and cut.
*I would like to hold the baby while I deliver the placenta and any tissue repairs are made.
*ALL evaluations of the baby are to be done on my abdomen, not the warming table.

Postpartum
*Unless required for the health of the baby, the baby is not to be removed from the mother for any reason. The baby will stay in my room -- all tests and exams will be done there.
*If the baby must be removed from the mother, the father or another adult designated by us will be with and in physical contact with the baby at all times.

Baby Care
*We refuse the eye ointment.
*We refuse a routine Vit K shot.
*The baby does not need to be bathed at all in hospital.
*We prefer to hold the baby – mother or father – skin to skin rather than have the baby artificially warmed.
*We do not want our baby admitted to a special nursery merely for observation,
*The baby is to receive NO vaccination at the hospital.
*The baby is to receive NO medication or tests without prior written consent of the parents.

Breastfeeding
*I will exclusively breastfeed Our Baby and will begin nursing immediately after birth.
*Our baby is not to receive a bottle for any reason.
*If our baby is unable to nurse she/he should receive only mother's milk (or medication) via a nasogastric tube.
*We do not want Our Baby to be given a pacifier, other any other artificial soother.

Circumcision
*We do not want Our Baby circumcised if male

After the Birth

*We may choose to leave at the 24 hours mark, rather than the 48 depending on recovery of the mother and time of day, so to avoid unnecessary time away from our older child.
*Our 34 month old son, James will visit as soon as reasonable to see his new sibling, likely as soon as medical personnel have left the birth room and the bed is remade, depending on time of day

My midwife said her standard of care is to now allow the cord to stop pulsing due to the health benefits to the baby. And they are fully on board with DH catching the baby which is WAY cool. Only thing they are fighting me on is the IV which sucks. I used my arms to hook my legs and fold myself in half while pushing for James and ended up ripping out my IV. I might just demand it be removed for pushing and they can just deal.

[monocyte]

Originally Posted by xelakann

*To not be told what dilation the cervix is if I am to be checked.

I had this with DS, and I also have it with this one. I was just "checked" as I had a night of contractions (mw really was interested to see if I had any changes since I was an induction with DS and a cervix of a 15 year old virgin...) but I didnt want to know as it really doesnt matter.

[Momma Aimee]

I stole my template from Aimee, my midwife signed off on all of it but the PKU yesterday, since it's 'state law' I'll probably just roll with it, it's not THAT huge a deal. I know we don't have to worry about most of them, and I know for sure we don't have to worry about CF as I've been tested and I'm not a carrier but o'well. Better deal with the stupid heal prick than worry about CPS and all that.

I gues i won't waest time asking if we could skip it on This baby -- i was hopeing, given Scott adn I are parents to Theo and Theo's test was fine ....

but, i do know it is state law here, and really only a minor thing to 'give in on".

Anyone else ask not to be told how dilated they are -- ??? how did this help you?

AImee