Birth Plans - Mothering Forums

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Old 01-25-2003, 02:46 PM - Thread Starter
 
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I'm writing up my birth plan. Where is a good website to go to make sure I didn't leave anything out that I may not know I don't want <snicker>?

Rebecca

wife since 1992; mom to: J 7-95; H 5-98; C 2-03; S 4-05; Micah Zachary born still UC 4-08; UM 9-08; due June 2010
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Old 01-25-2003, 04:46 PM
 
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www.childbirth.org has an interactive birth plan which helps you write a plan by asking you questions. I used it for my birth plan and it worked great!

"We shape the clay into a pot but it is the emptiness inside that holds whatever we want" Lao Tzu
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Old 01-25-2003, 05:42 PM
 
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I had my plan divided up into sections - first stage labor, pushing stage, and placenta-delivery stage. Then there was a baby care plan. There was also a "basic things to remember" section. I've seen other plans for what to do in case of emergency c/s, sick infant, or stillbirth.

I also think it's a good idea to have a prenatal care plan - what tests you will OK and what you will not, etc.

One suggestion I read in Silent Knife was to write your birth plan on your belly! That way they can't say "Well, I never got it!" It might be good for your OB (if that's what you're using) to have the words "NO EPISIOTOMY" right in her face while she's down there!
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Old 01-25-2003, 08:16 PM
 
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Quote:
Originally posted by Greaseball
One suggestion I read in Silent Knife was to write your birth plan on your belly! That way they can't say "Well, I never got it!" It might be good for your OB (if that's what you're using) to have the words "NO EPISIOTOMY" right in her face while she's down there!
Great idea Greaseball! :LOL
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Old 01-26-2003, 05:23 PM
 
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I heard a doula talk about a client (the pg woman's hubby) who wore a t-shirt that said "Have You Seen Our Birth Plan?" on the front, with the actual birth plan on the back.

If I have to give birth in a hospital, I might write 'no episiotomy' on my belly & thighs, to make my point clear! Good idea!
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Old 01-27-2003, 12:35 AM
 
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In every section of the plan, the main things to remember are: before doing anything, check with both parents, and do not do anything you would not want a total stranger to do to you.

Basic things to remember:

No physical force is to be used against mother or baby.

This baby is not to have "routine" procedures; it is to have individualized care that is specially tailored to meet his or her needs.

Treat this baby like a person and not a medical problem.

Treat this birth like the natural process it is, rather than the medical event it isn't.

The comfort of mother and baby should always come before the convenience of medical staff.

This institution and its workers are here to provide a service to me.

I may change my mind about anything on the plan.
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Old 01-27-2003, 06:31 PM
 
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Rebecca,
It really depends on where you are giving birth! A birth plan for a hospital birth looks MUCH different than one for a freestanding birth center or home birth. Most of the stuff you put in your birth plan (trying to avoid) for a hospital birth, is not even an option at out of hospital births. I have had one in and one out of hospital. Those birth plans were very different. Out of hospital was more about what types of comments were helpful to me and from what views I was comfortable being photographed.
For hospital births, I think it is helpful to phrase things in such a way as to not get the nurses/doctor on the defensive. Instead of a big list of "NOs" try phrasing things in a positive light. Ours said something like "we have prepared for a natural birth. I will drink water so an IV is not necessary for hydration. Thanks for letting me get in any position that is comfortable during labor. I am fine with having my blood pressure checked intermittently but would prefer no other lines hooked up to me. I will be walking and using positions that use gravity to my advantage. Dh will be with me at all times and will be my primary support. Please give us all pros and cons before doing anything to me or baby. Thank you for helping us on this very special day!" or something to that effect.
Good luck!
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Old 01-27-2003, 08:32 PM
 
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Whatever you put in your birth plan, make sure you have someone at the hospital with you who is prepared to act as your advocate.

This person should practice saying things like:
Why can't we wait for a while and see what happens?
or
That's not what we wanted, what other options do we have?
or
What are the side effects of this drug/procedure?
or
We are willing to sign a form to acknowledge that we aren't complying with your suggestion
or
Please explain how this well help. We want to make an informed decision.
or
We don't feel like we know enough to make an informed decision yet.

If you want to do something they don't reccommend you can sign a form stating that you aren't complying with their advice. I did not know this when I went to the hospital, but I wish I had.

A recent issue of Consumer Reports Magazine actually reccommends that nobody at all should be admitted to a hospital without an advocate (they give people the wrong medication and cut off the wrong limb and that sort of thing with alarming regularity) but that goes double for childbirth.

--AmyB
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Old 01-28-2003, 05:44 PM
 
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The forms Amy mentioned are called (at least in my state) AMA forms (stands for against medical advice). When I got to the hospital for our first birth, I told the nurse I would be happy to sign them for whatever she needed and maybe we could just get a little stack of them. We all laughed. Turns out I refused many of their routine procedures but they only made me sign an AMA form for one thing - refusing the vitamin K shot for the baby after birth. The only reason (that I know of) to give your baby that shot is if you have a boy and are planning on circumcising. I believe it helps his blood to clot more efficiently. Babies blood will become more able to clot by themselves but it takes a week or so if I am remembering right. I am anti-circ myself but just in case everyone isn't, I thought I'd mention it.
Kirsten
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Old 01-28-2003, 11:44 PM
 
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Quote:
Originally posted by Kirsten
...refusing the vitamin K shot for the baby after birth. The only reason (that I know of) to give your baby that shot is if you have a boy and are planning on circumcising. I believe it helps his blood to clot more efficiently. Babies blood will become more able to clot by themselves but it takes a week or so if I am remembering right. I am anti-circ myself but just in case everyone isn't, I thought I'd mention it.
Kirsten
We haven't decided for sure whether we will circ (I don't want to, dh does). I asked my ped. about it. He said bring him in at a couple days old for a checkup and circ (if we do it). I told him we aren't doing the vit. k shot (homebirth) and he said it didn't matter that the blood clots fine at a few days old. :

Hopefully he's right, I normally hear you should wait 7-8 days!
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