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Discussion Starter · #1 ·
Hi wise mamas-<br><br>
This is my first baby.... I'm seeing a CNM practice and am co-managed with an OB due to hyperemesis and blood clotting issues. Will deliver in a hospital, but I'm OK with that. Have hired a doula. Am doing hypnobabies.<br><br>
At my last mw appt she said that we could start talking about coming up with a birth plan soon. I have such mixed feelings about birth plans! On the one hand, it seems kind of ridiculous to "plan" something like a birth- kind of like planning the weather. Who knows what is going to happen??? It seems to me that my HCPs are either on the same page as me or not, and writing down a bunch of stuff isn't going to change that. (Plus, some of the ones I've seen have been so obnoxious that they're almost comical.)<br><br>
On the other hand.... I will be in a hospital, and I've been hanging around here long enough to hear the horror stories.<br><br>
Here's what I REALLY want my birth plan to be:<br><br><b>DON'T DO ANYTHING TO ME OR MY BABY WITHOUT MY EXPRESS CONSENT UNLESS IT IS A LIFE-OR-DEATH EMERGENCY.</b> P.S. My DH can speak for me if I am unable.<br><br>
Period. The end! Can I do that? I don't care how its phrased, but that's all I know that I really want.
 

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That sounds good to me. I never had a birth plan. With my second baby, I visited the hospital before labor and the nurse joked that this was a "have it your way" hospital (Burger King?) Anyway, when I was in labor, my husband at the time was there (would that be xdh?) as well as a friend and my sil. The nurse asked me, "Do you want all these people in here?" I could have kissed her. I didn't care that they were there, but just that she asked was so wonderful feeling.
 

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Sounds great for us well-informed birthers, but I doubt that a doctor/nurse/resident will think twice about certain things that they consider routine and safe. I would try to be as specific as possible.<br><br>
ASK before administering medication of any kind.<br>
DO NOT offer an epidural unless I ask for it.<br>
DO NOT attempt an episiotomy.<br>
I WILL LABOR in any position I please. The birthing position is up to me. DO NOT try to force me into any positions.<br>
DO NOT cut the cord without my permission.<br>
DO NOT take the baby away from me.<br>
DO NOT bathe or feed the baby.<br><br>
and some things that I would just want...<br><br>
DO NOT talk to me while I am having contractions.<br>
DO NOT announce the gender (I didn't find out, and I didn't want my midwife or her assistant to be the ones to know first.)<br>
DO NOT harass any people I choose to have in the delivery room.<br>
NO people are allowed in the room without my express permission, (whatever- like male residents, a plethora of people to watch the birth experiment...)<br><br>
Okay, I don't know why I'm getting so heated about this! But have a great birth experience!<br>
(and here's this emoticon for you because I never used it before and it's cute: <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">: )
 

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I don't think a doctor would ever consider "routine" or "standard" care as "doing something" to you. So, as nice as that sounds, I don't think it would have any weight.<br><br>
I think doctors need you to be VERY specific for them to look past procedure.
 

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My little brother's chart had something like "There is NO standard procedure for this infant. Permission must be obtained in writing for ALL procedures. This infant must be accompanied by a family member at all times." on it.<br><br>
Definitely worth putting something on the intake form like "This blanket consent form pertains only to emergency medical care. Consent for any and all non-emergency procedures, such as standard and routine procedures, must be obtained on an individual basis."
 

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<div>Originally Posted by <strong>sapphire_chan</strong> <a href="/community/forum/post/11566422"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My little brother's chart had something like "There is NO standard procedure for this infant. Permission must be obtained in writing for ALL procedures. This infant must be accompanied by a family member at all times." on it.<br><br>
Definitely worth putting something on the intake form like "This blanket consent form pertains only to emergency medical care. Consent for any and all non-emergency procedures, such as standard and routine procedures, must be obtained on an individual basis."</div>
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ooh, i like those! i'm homebirthing this time around, but my sister could definitely use this...
 

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just wanted to chime in...<br><br>
the "unless it is a life-or-death emergency" portion can still be open to interpration. I know it sounds picky but, I can easily see a medical professional saying after something was done without consent, "but, if I didn't do that there could have been a potential risk for death".<br><br>
I'd try to find some other way to define that portion or word it. A had a ton of those situations pop up in the hospital and they definatly twisted my wishes around so they could do what THEY wanted, what was easier for THEM, or what would keep THEM out of liability trouble.
 

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There's a really nice example in the <i>Natural Family Living</i> book. We had originally used one from Earth Mama/Angel Baby site, but it was too long for me, so I just modified the one from NFL. I'll let you know if it works! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue">
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>sapphire_chan</strong> <a href="/community/forum/post/11566422"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My little brother's chart had something like "There is NO standard procedure for this infant. Permission must be obtained in writing for ALL procedures. This infant must be accompanied by a family member at all times." on it.<br><br>
Definitely worth putting something on the intake form like "This blanket consent form pertains only to emergency medical care. Consent for any and all non-emergency procedures, such as standard and routine procedures, must be obtained on an individual basis."</div>
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Yes, this!! and also get a sign to put on the door that says "the patient in this room did NOT sign the blanket consent form. Do NOTHING without express consent." That will help keep employees from barging in and just going about stuff while on "autopilot".....
 

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Discussion Starter · #10 ·
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<div>Originally Posted by <strong>bobandjess99</strong> <a href="/community/forum/post/11568090"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Yes, this!! and also get a sign to put on the door that says "the patient in this room did NOT sign the blanket consent form. Do NOTHING without express consent." That will help keep employees from barging in and just going about stuff while on "autopilot".....</div>
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Can someone talk me through NOT signing the blanket consent form? I know that's a strange question, but.... what will the response from the hosp folks be? What are my rights in terms of NOT signing? What will the consequences be?
 

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<span style="font-family:'Comic Sans MS';"><span style="font-size:medium;"><span>I didn't have a birth plan for my first baby either (mostly had no idea what to do); but there were also FAR too many mistakes made at DS's birth...including the biggest regret of my life: circumcision. This time will be much much different!! (Thank you, MDC!!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">)<br><br>
I just finished my birth plan for this delivery yesterday. Possibly just in time too; because I very well might be in labor right now. Here it is, feel free to take whatever you want from it; of course you should research the things I've already researched (ie: the vitamin k shot) and adjust according to what you want done. Make sure you go over what "standard procedures" will be done, and ask more than once to be sure everything is covered for you to look into what you do and do not want. Also, cover things that are not standard procedure, just in case (ie: the hepB shot isn't 'standard' here, unless the mom has been diagnosed or something. But I put it in there to be certain baby doesn't get it)</span></span></span><br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;"><span style="font-size:medium;"><b>Birth Plan For Mother's Name</b><br>
Partner: Partner's Name<br>
Secondary Support Person:____________________<br>
Date:</span><br><br>
I would like minimal medical intervention, most specifically in the ways listed below. <i>Should a life-threatening emergency develop that risks the life of the baby or myself, it is understood that upholding my wishes as listed below may no longer be possible.</i> In the event of an emergency, I would like both of my support persons to be informed together (unless unusual circumstance prevents this), and consent for medical procedure for both myself and baby can be obtained from them as well.<br><br><b>IV / MEDICATION:</b><br>
I do not want an IV inserted for myself or for baby unless medically necessary. Before any medication is administered, I would like for my support persons to be consulted and informed of what it is and what the purpose of the medication is.<br><br><b>LABOR INDUCING DRUGS:</b><br>
I do not want to be given Pitocin or any similar drugs that induce labor or speed up the process of labor.<br><br><b>EPIDURAL / PAIN MEDICATIONS:</b><br>
I do not want an epidural or any other pain medications. I do not want drugs offered to me or suggested to my support persons.<br><br><b>EPISIOTOMY:</b><br>
I do not want an episiotomy.<br><b><br>
DELAYED CORD CLAMPING / CUTTING THE CORD:</b><br>
I would like the cord to remain attached until it is certain that it has stopped pulsating. I would like Partner to be given the option to cut the cord first; and if he declines, I would like the secondary support person to be offered the option.<br><br><b>HEPATITIS B SHOT:</b><br>
I do not want the baby to receive a Hepatitis B shot.<br><br><b>VITAMIN K SHOT:</b><br>
I consent ONLY to give the baby a vitamin K shot that is free from preservatives.<br><br><b>EYE OINTMENT:</b><br>
I do not want eye ointment administered to the baby (including but no limited to Erythromycin, Gentromycin or Silver Nitrate).<br><br><b>FORMULA / FORMULA SUPPLEMENTING:</b><br>
I do not want baby to be given formula as a primary OR supplemental source of nutrition.<br><br><b>CIRCUMCISION:</b><br>
Under <span style="text-decoration:underline;">no</span> circumstances is the baby to be circumcised. Should it be found to be medically necessary; I will research my options <i>after</i> leaving the hopsital before consenting to circumcision. Any pressure otherwise will not be welcome.<br><br><br>
______________________ . ____________________<br>
mother's signature . partner's signature<br><br><br>
_______________________ . ____________________<br>
secondary support person . attending midwife<br><br></td>
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<span style="font-family:'Comic Sans MS';"><span style="font-size:medium;"><span>Good luck in your labor and delivery!<br><br></span></span></span>
 

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<div>Originally Posted by <strong>Belia</strong> <a href="/community/forum/post/11571190"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Can someone talk me through NOT signing the blanket consent form? I know that's a strange question, but.... what will the response from the hosp folks be? What are my rights in terms of NOT signing? What will the consequences be?</div>
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You can write stuff on the form before signing it. At one doctor's office I went to, the form had something like "agree to all procedures" and I added "after explanation of the procedures decide whether to" before it and initialed and dated the addition and the doctor seemed to make extra sure I understood why he was recommending a given test and such.<br><br>
So you'd still be signing the consent form, but it wouldn't be the full blanket consent.
 
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