I too am having a homebirth (HBAC). I actually wrote 3 birth plans - one for homebirth, one for hospital vaginal birth, and one for cesarean birth.
I have my home visit with my midwife, her assistant, my doula and friend who will be attending my birth next week. I think a birth plan is useful (it was really empowering to write it) even for homebirth, since in reality unless you've delivered with the same midwife before, you don't *really* know what she will be like during your actual delivery.
For me it's really important that we're all on the same page (including DH) and I've found that putting my wants/hopes/preferences down on paper that I think that will be accomplished vs. just relying on the conversations we've had over the past 8 months.
Anyway, here is the wording from my c-section part of my birthplan:
In the event of an emergency c-section:
• Please remain respectful of my wishes as outlined above (in hospital vaginal birth plan)
• If a c-section is needed, spinal anesthesia is preferred if time permits. [dh], [midwife] and [doula] to be present in the operating room.
• [dh] would like to take pictures and/or videotape of birth
• I wish to be kept fully informed of all my options in the matter, and kept abreast of what is happening to me and my baby at all times
• I do not want my arms strapped down
• Please use a double-layer suture to close the incision on my uterus
• Please do not use staples to close the outer incision [I had staples before & had 18 months of everyday pain - want to try just stitches this time, which friends have had better luck with]
• Please take measures to ensure that adhesions are not formed as a result of the surgery, including but not limited to the use of adhesion prevention product(s) near the incision site
• If possible, I would like baby evaluated, tested, and cleaned while laying on my chest before I am taken to recovery
• [mom] and/or [dh] prefer to hold baby immediately after c-section if baby is doing well and baby to stay with parents for first feeding (breast feeding ONLY)
• Delay all routine procedures until after [mom] has regained consciousness
We thank you in advance for your support and attention to our choices. We look forward to a wonderful birth.
If the baby is ill:
• I would like to nurse if possible and give the baby pumped milk if not. Bottles of formula, sugar water, water or pacifiers are NOT to be given without our consent.
• We plan on staying with the baby as much as possible.
• We plan on practicing kangaroo care.