Hi gals! I'll hopefully be having a VBAC in November after 1 vaginal birth and 1 c-section. Tonight I have an appt with my doula to start crafting a birth plan for my VBAC. What are the most important things to have in it that are VBAC-specific? I know the two major things are that I don't want pitocin and I don't want anesthesia/analgesia because I'm really shooting for not stressing out my scarred uterus too much (don't want contractions to be any stronger than they have to be and don't want anything like an epidural that could slow down my labor). Is there anything else you'd recommend? Of course I'll have other stuff on it like waiting until the cord stops pulsing to cut, but those are mostly general delivery things and I'm really looking for things right now that will increase my chances of a successful VBAC. Thanks!!
- If possible, wireless fetal HR monitor so I can move around and labor in birthing tub (my hospital requires continuous fetal monitoring for VBACs)
- Hep-lock just in case, but no IV fluids unless medically necessary. (It will allow for freedom of movement, plus lots of IV fluids can interfere with breast feeding...and I personally got major shakes from the IV drip when I had my induction with my first)
- I want just the birth team, no students in attendance. (Too many people in and out of the delivery room can cause the body's progress to come to a halt...which can interfere with having a VBAC, since if there's no progress after a certain period, many OBs will advise a C-section)
-Please support my desire for an unmedicated, low intervention birth. If I decide that I'd like pharmaceuticals for any pain, I'll let my birth team know.
- I'd like to eat and drink as much as I'll need to so I'll have the energy I'll need throughout labor.
- I plan on practicing hypnobirthing, so I'd prefer to "breathe the baby out" than push. (My midwife told me that hypnobirthing is highly compatible w/VBAC, since the breathing can help alleviate unneccessary tension in the uterus, especially during the pushing phase)
-I'd prefer to focus on my labor and my birth experience and don't need to be informed of my cervical progress or the station of the baby, unless there's reason for concern. (That pressure to progress could produce the opposite effect!)
When I was researching birth plans, something that helped was that it's better to state what you *want*, rather than what you don't want. The L&D staff will want to know what they can do to help you have a good birthing experience, but being told "don't do this and that" will set a hostile tone.
Many places will require a heplock for VBAC moms, so I would request putting it in the forearm and NOT the hand. It's very hard to grab things with it in your hand and you will be constantly aware of them.