Thanks for the feedback!
We mostly labored at home with DD and were at the hospital about an hour before she was born. Unfortunately, she was in distress and it was pretty hectic. I was only a 4 when we arrived so they were prepping to do a c/s, bit doc agreed to try other things first (AROM, internal monitor, amnioinfusion, IV fluids, oxygen). They worked to help stabilize her heartrate and she came out very quickly. Unfortunately she had meconium (twice. . .) and the placenta ruptured. I lost a *lot* of blood but the doc did a great job getting me cleaned out and I did not end up with a tranfusion (though clinically needed one- we did high iron diet instead and kept checking. I bounced right back!). So DH is a little worried about a repeat. . .
We are planning to go to the hospital a *little* earlier this time just because we are concerned the baby may come faster. Fortunately, DH has been through it all once and is pretty prepared to wave the nurses away.
I called to get the standard admitting procedures so I know what I need to have in my birth plan and it is getting more extensive. As long as everything is normal: No IV, heplock only. Intermittent monitoring (10 min/hour or 4 contrx). Fluids (electrolyte soln) as desired in addition to ice chips. Freedom to move around (they have a labor in bed only except to go to the bathroom and over 60% are catharized to eliminate this need. . .grrr). No pulling on legs during delivery due to symphysis pubis dysfunction. No counting or yelling.
I haven't had the long talk with the doc yet, but I told him my desires and that I would write it up into the birth plan. We are planning that for this next appointment. I am sending them a copy before so he can review it and we can talk about any changes he wants to make. THen I am getting him to sign it and put it in my chart because I am NOT having all that nonsense if things are progressing normally. We have been through it before and needed interventions last time, but we had informed consent with all of them. Hopefully, these will not be unreasonable requests!