I wrote a birth plan for the gov't hospital I want to have my unmedicated birth at. Could you all pls help me refine it? Or help me consider points that I have left out?
According to my doc, I am the first woman registered for a delivery at this hospital who will be showing up with a birth plan (besides the emergency cases that are transferred from the ritzy private American Hospital), so I tried to make the tone a bit gentle.
•If labour begins naturally, I want to labour at home until I experience 3 contractions every 10 minutes. At that point, I will admit myself into the ER at Al Wasl Hospital.
•I want to receive a pubic shave, but I do not want an enema to be performed.
•I am willing to have labour induced if my baby appears to be in distress/ has trouble breathing.
•In the labour room, I would like my trusted friend Leslie N with me all the time, even when the nurse/ midwife examines me. I want to have either Leslie or my husband Ziad A with me when I deliver.
•I would like to be mobile during labour, and would prefer intermittent foetal heart monitoring rather than continuous. Also to keep me mobile, I do not want an IV drip. If an IV is necessary, I would like one with a heparin lock so I remain mobile.
•My tolerance to pain is generally high, but if I need pain relief, I would like to use entenox (gas and air) as it won't cross the placenta and affect my baby. I would like to use other means of relaxing my body to cope with pain during active labour such as using a birth ball and use of warm water in the bathroom.
•I want to drink water/herbal tea and eat light food like dates to maintain energy levels during active delivery.
•In the delivery room, I want the lights in my room to be set to “low”. I want to be free to adopt any position, particularly the “down on all fours” position, when delivering my baby. I will prefer a quiet delivery with undirected pushing instructions from the midwife.
•I want to avoid an episiotomy: I would like the midwife attending me to keep that in mind when I am delivering my baby’s head, and quietly guide me to push in such a way that I do not tear excessively. She may also provide perineal support.
•Once the midwife sees that my baby is breathing well, I want my baby delivered straight to my chest, before he is cleaned and while the umbilical cord is being clamped and I am delivering the placenta.
•Unless I am categorized as high-risk, I want to deliver the placenta physiologically (without oxytocin).
•I would like the vitamin K shot, blood screening tests, hearing test, head measurement and record of baby’s temperature and weight to be delayed for 1 hr so that my husband and I can have some quiet time alone with our baby.
•I want to breast-feed right away, and I would like to receive the full support of the post-natal team and hospital lactation counselors in teaching me breast-feeding skills. I would prefer to have my baby sleep with me in my room from the beginning.
•If my baby develops abnormal jaundice within the first 24 hrs after birth, I would prefer that the doctor treat my baby using portable phototherapy lights if available. I want to continue breastfeeding my baby on demand through his jaundice.
•I want my baby to be circumcised within the first week of his life, following the sunnah (lifestyle example) of the Prophet Muhammad, sallallahu `alayhi wa sallam.
Anything I haven't considered? Thanks!