Birth Plan for Kathy Jo, Jerome and Baby #2 Peterson (Due Date: 8.8.03)
We wish to share our hopes for the birth of our baby with the staff of Fairview University hospital. These decisions have been made after much research, consultation and thought. Your help in attaining these goals is very much appreciated. We understand that birth is unpredictable and trust in the expertise of the Midwives of University Specialists and nurses. You can be assured that in the unlikely event of complications, our full cooperation will be rendered after an informed discussion with the midwives has taken place and we have had adequate time for private discussion. We hope to birth our baby as safely and naturally as possible without medical interventions unless the benefits outweigh the risks. I understand that final decisions will be discussed and agreed upon in the delivery room with Kathy’s well-being and the safe birth of our baby as the most important considerations.
•Second baby (Charles Andrew - March 19, 2001)
•Kathy is a WAHM whose primary focus is Charlie. She does some grant writing, marketing and selling on EBAY from home.
•Jerry is a painting contractor and owns his own business. He will take at least a week off after the baby is born.
•We are committed to as natural of a birth as possible.
•Kathy is the oldest of five and Jerry is the oldest of three.
•We have chosen Angelyn Rosemarie, (our mother’s Angela and Lynda) and Edward John (Kathy’s brother and Jerry’s father).
Our labor and delivery preferences:
•Labor companions will include doula Carrie Dunbar (and/or backup, Sarah Biermeyer) and possibly, Christa Bauman, friend and photographer. Jerry will be present at all times.
•Plan to use tub for comfort, prefer room (462 & 460) with larger tubs as she’s a bigger woman.
•Kathy prefers the room to be dimly lit, calm and quiet. We will provide our own music. She requests to not be interrupted during contractions.
•Kathy prefers to not have residents or students during labor and delivery.
•Vaginal exams only upon consent, as few and as gently as possible to avoid premature rupture of membranes.
•Kathy hopes to change positions when need be, walk around as much as possible, squat, be on all fours, use tub, shower, etc. (prefer not to have bed broken apart)
•Since mobility is important, Kathy would like Intermittent Monitoring for as long as possible. During active labor she would like a waterproof telemetry for monitoring.
•Wish to not have constant fetal monitoring, which will impair her movement and may stall labor which would cause more interventions.
•Kathy may wish to drink tea and juice and have Popsicles that she will provide for nausea or exhaustion. She may also wish light snacks during the first stage of labor.
•Please do not offer pain medication. We hope to avoid the use of all medication.
•If she needs an IV, she prefers heparin or a saline lock.
•When she is fully dilated, she will trust her body's instincts to push the baby out naturally. She would like to feel the urge to push before starting this phase.
•Kathy prefers to not be coached in pushing or contractions, except during crowning she welcomes staff coaching and assistance for slow, natural pushes to avoid tearing.
•As long the baby's heart tones are good and that the baby is receiving sufficient oxygen, she would like to be free of time limits on pushing.
•She prefers perineal massage with oil by midwives and hot compresses by her doula or Jerry rather than episiotomy. Kathy would rather tear a bit than an episiotomy.
•Kathy prefers to not have artificial rupture of membranes.
•Jerry will announce gender and will place baby skin-to-skin on Kathy, immediately following the birth with cord attached and he will cut the cord after pulsing stops.
•Please do not wipe the baby’s hands.
•Kathy would like to breastfeed immediately, or shortly following the birth.
•It is our hope that this will be sufficient to control bleeding, as Kathy prefer’s not to receive pitocin, uterine massage or pulling on the cord unless bleeding is excessive.
•Please delay all routine exams and procedures and perform in mother’s room; weighing, vitamin k, antibiotic eye ointment, etc. until at least one hour after the birth to allow time for bonding.
•To protect the baby’s eyes, please no bright lights during bonding.
•If warming required, mother will hold baby on chest with blankets.
•Mother or father will bathe new baby in the tub with them.
•If there are complications during or after labor, we prefer to be informed immediately. If the baby needs to be taken from the room, Jerry will go with the baby and doula will stay with Kathy.
•If stitching of perineum necessary, please use local anesthetic.
•Kathy and Jerry ask that the baby not receive sugar water, formula, water or pacifier.
•Newborn to stay with parents at all times, not in the nursery, please.
•If baby is a boy, no circumcision.
•We would like all phone calls held until we inform staff we are ready for phone calls.
•Jerry to stay over with mother for first night, prefer double bed.
•If Kathy has c-section, she prefers a spinal if time permits and wishes for Jerry and Doula to be present in the operating room.
•Kathy and Jerry prefer to hold baby immediately after c-section if baby is doing well and baby to stay with parents for first feeding, breast feeding.
•Delay all routine procedures until after.
•Please remove IV and catheter as soon as possible following baby’s birth.
We thank you in advance for your support and kind attention to our choices. We look forward to a wonderful birth.