Sorry for the long response, but here ya go!!!
Originally Posted by mama_rad
I happened to talk to a nurse and asked if I could refuse an IV (thinking if come into hospital less than 10cm again) she said to talk with my Dr, but that they still like to prep for one in case of an emergency. Well I know my Dr. is ok with going natural and I have yet to clarify the being hooked up to an IV ... she did say hooked up to monitors is hospital policy, but that can be done intermintly (sp?). So ok even though hated the thumb hook up for my bp, attached to the bed/ monitors was not comfortable.
Frantically wrote one up yesterday because we were meeting with a MW that could possibly be on rotation when we deliver (California: Kaiser Health plan, who delivers will be whoever is on duty) and wanted to go over with her what might be different from the hospital's "standard" policy.
To answer a couple of your questions above, what is really significant is the nurse said they LIKE
to prep. That is THEIR preference but CAN NOT make you (at least that has been MY experience) if you specifically say, NO IV PREP. Of course it's easier for them to have it all done. My MW even said, "well, it's good to have it in and ready in case of an emergency, blah blah blah"... but in case of emergency, hello, they will get it in (think of all the emergency IVs EMTs and emergency room personelle put in daily!!)!
I was glad I didn't have one in last time because in a moment of weakness, I said, "I can't do this, I need drugs". They couldn't get the IV in easily/quickly and as they tried again I realized, "stop, I need to push!!!"
Hooking up to monitors: My hospital policy is as long as you are not high risk preg, 10 minutes per hour they want you hooked up. Of course it is easier for THEM if you stay hooked up the whole time so they don't have to do it over and over again, but again, we are talking about THEIR comfort, not yours. I'm asking not to be hooked up and in fact am even looking into alternatives for fetal monitoring besides the belt because it really threw me off in my relaxation last time. I realize it may be a battle I won't win, but I WILL NOT have it on other than those 10 minute intervals.
Other things I addressed in my BP (that I think would be different from standard hospital policy or practices):
-Do NOT OFFER me drugs. I will let you know if I want to go there.
-Minimal number of vaginal exams
-Allow me to breath baby down and let body naturally pulsate baby down birth canal: no coaching or telling me to "push" (we are doing HypnoBirthing so this is part of that training)
-Wait for natural placenta delivery, NO CORD TRACTION
-Allow vernix to be absorbed into baby's skin, delay "cleaning or rubbing"
-NO antibiotic ointment in baby's eyes, NO Vitamin K (unless traumatic birth), No Hep B shot (I recommend doing your own research on these and making up your own mind-There isn't even a form we can complete before hand to not have this done, we have to tell them right then and there and then diligently watch to be sure it isn't done anyway)
-Breastfeeding only, NO bottles, formula, pacifier or artificial nipples.
Some other things, like place baby on mother's body immediately for skin to skin contact is standard practice in the hospital I'm delivering in so I won't leave it in BP although right now it is in there. Asking alot of questions during the hospital tour is really important because so much of these things are really done by the nurses or midwives if you hospital provides these like mine(Dr only shows up very last minute!!). Having your doctor sign off on it ahead of time and bringing a signed off copy is a good idea.
Sorry this is so long. Feel free to PM me if you want a copy of the whole enchilada.