Maybe I need to search our ddc, since I haven't been on much and may have missed this. But I'm getting anxious about the birth, so I finally made up a birth plan. I posted an earlier version on Birth and Beyond, but maybe I'll get more feedback here, and you gals can post yours too and we can get a discussiong going.
Some things are noticably absent from my birth plan, for space sake--I don't want it more than a page--like I don't mention much about pitocin induction, because I don't think it's a likely scenario. My first labor was only 4 hours, and I'm already dilated to a 3, 75% effaced, and her head is engaged, and that was at my 36 week appointment Monday. So I didn't mention it in my bulleted list, although I mention it in passing with some other "routine interventions" that I want discussed before they are done down at the bottom.
I also didn't mention anything about food. I know they don't like it and it's 'agains the rules' at my hospital, but I don't want to put it in there that "I will be allowed to eat if I am hungry," or because I think the nurses will just laugh, or think I am going to be an antagonistic patient. I'm trying to come across as nice and cooperative, so that maybe they'll allow some of the other things I really want, like not making me get out of the tub to monitor me. But my husband knows that if I start lacking in energy, or if I say I'm hungry, he's supposed to make sure I get food, and tell any nurse to leave me alone, he's not going to starve his laboring wife! Do you think that's bad? I'd rather deal with the situation *if it presents itself* rather than make it an issue when it may not be one.
I'm also not saying a lot about infant care here because most of the infant care will be done by totally different staff on a different floor of the hospital anyway, and I don't want to take up valuable space. Also, I'm still not sure about some things, like whether I want Vitamin K shots, or the Hep B. Does anyone know if both of those are things they do right away? Like before we leave the labor/delivery room and go down to the mother/baby floor? If anything, I will request that those shots not be given for several hours after birth, so that we can have time for bonding and baby getting used to the world before she gets poked too much!
Anyway, here's my plan, after that longwinded background! Let's see yours, and hear some thoughts/critiques!
Birth Plan for Cathryn & Matt S.
We are happy to be planning the birth of our second daughter, and have chosen you to share this time with us. Below is an outline of our wishes and preferences. We appreciate your help in facilitating a natural labor and delivery, without the use of drugs or unnecessary interventions. We realize that many of the requests below are already routinely practiced, for which we are extremely grateful. Above all, we desire a healthy mother and baby, and you have our full cooperation in the event of an emergency and the need for intervention, upon the briefest of explanation.
Labor & Birth
•A calm and peaceful atmosphere so that I can concentrate on my Hypnobirthing and remain relaxed. We would like to keep lights dim if at all possible, and also ask that those in the room speak quietly and calmly.
•No mention of “pain” or “hurt.” Please do not ask me to rate how painful the contractions are or how badly it hurts. Alternatively, ask how comfortable I am.
•Please do not offer me drugs. I know what is available and will request it if I feel it is necessary. Please encourage me in my desire for a drug-free birth by suggesting natural comfort and relief measures.
•Freedom to walk around, use the tub or shower, and assume whatever position is most comfortable
•Intermittent manual fetal monitoring. If an underwater Doppler is available, we request that it be used instead of asking me to get out of the tub if that is where I am comfortable.
•Fluids to drink instead of intravenous hydration. (IV’s are very difficult for me)
•Mother-directed pushing. Please don’t count or “coach” me, except for gentle guidance if I am about to tear.
•Perineal support to avoid tearing. No episiotomy, please. I would prefer a tear to a cut.
•Allow the cord to stop pulsating before it is clamped and cut. Allow Matt to participate in clamping and cutting.
•Immediate skin to skin contact. Please help me open my gown and place my baby on my chest and cover her with warm blankets.
•Allow a non-managed third stage. I would like to deliver the placenta naturally. Please don’t use cord traction or artificial oxytocin to speed the placental delivery.
•A chance for breastfeeding and bonding by having all tests and procedures performed with baby on my chest or in her dad’s arms.
•I would like to give my baby her first bath.
•No eye antibiotics, please.
We realize that special circumstances may arise that will prohibit some of these preferences from being met, and that may require medical intervention. In such a case, we would like to know how urgent the situation is, along with all other options available. Please discuss these things with us before any intervention is decided upon, including such things as: starting an IV, using continuous electronic fetal monitoring, rupturing membranes, artificially inducing or speeding up labor, or any other medical interventions.
Thank you for taking the time to read our birth preferences. We sincerely appreciate your time, attention and care on our behalf. Thank you so much for sharing this beautiful event with us!