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I have written a birth plan that is about a page long and submitted it to my midwives. I am hoping for a VBAC with midwives in a hospital. They are on board with all my choices as far as a non intervention delivery goes but made the comment that some of the things I will not consent to are up to the nurses not them. So, I shortened my birth plan to the things that only pertain to the nurses during and after delivery so I can give them a shorter version of my birthplan, about half a page. My complete birth plan will still be in my file but I am planning on giving all the nurses that are involved with my birth a copy of the shortened plan when I check in to the hospital. Does it sound ok? I kind of think it is rather blunt but then again maybe they will take me more seriously? Let me know what you think about my idea and my birth plan. TIA<br><br>
Thank you for being a part of my birth. Because it can be hard to communicate in labor I wish to make the following known:<br><br>
For the Delivery:<br><br>
I do not consent to a routine IV<br><br>
I do not consent to routine pitocin injection/IV after birth.<br><br>
I do not consent to continuous electronic fetal monitoring; my midwife will monitor the baby’s heart tones.<br><br>
For the _____ baby:<br><br>
We do not consent to the Hepatitis B Vaccine.<br><br>
We do not consent to erythromycin or any other eye ointment.<br><br>
We do not consent to the vitamin K injection.<br><br>
We would like to give our baby her first bath<br><br>
Warming by skin to skin contact not warming tray.<br><br>
PKU test given only after the baby has had time to breastfeed.<br><br>
Myself or my husband will accompany our baby at all times if she must leave the room.<br><br>
Please do not offer formula or pacifiers; our baby will be exclusively breastfed.<br><br>
Thank You,<br><br>
__________
 

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Looks good.<br><br>
Here are a couple of thoughts:<br><br>
I realize that many pain medications exist I'll ask for them if I need them. Please don't offer.<br><br>
I would prefer to tear rather than an episiotomy.
 

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I think a very short, easy to skim plan in bullet points for nurses is a VERY good idea. I did something similar with mine.<br><br>
You might be able to soften the language a little around the edges without filling the page up too much. Saying "I do not consent" is important but then needs to be balanced by something "nice", that gets them on your side as allies.<br><br>
One thing I did was add some language up front, along the lines of "assuming no urgent medical emergency should arise during labor..."<br><br>
Really like your items about baby post-partum like giving first bath, warming skin-to-skin, and not having any separation.<br><br>
Two additional things that were in my birth plan that pertained to nursing staff were: allowing me to move around freely and change positions during labor (assuming midwives will not always be in the room) and NOT coaching during pushing (nothing more annoying than being yelled at or counted at or told how to breathe when you should be listening to your body's cues on when and how to push).
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">I realize that many pain medications exist I'll ask for them if I need them. Please don't offer.</td>
</tr></table></div>
Oh, definitely! I knew there was one I was forgetting!<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">I would prefer to tear rather than an episiotomy.</td>
</tr></table></div>
This one is important for the birth plan you are sharing with your midwives, but probably not for the nurses version. At least, I hope the RNs in L&D haven't started taking up the knives yet!
 

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I like it. I would add that about the pain medication, but it's short, simple, firm and to the point. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 
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