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Discussion Starter · #1 ·
Yes, I am plugging away here...<br><br>
I got started several weeks ago but then didn't get finished. Now I want to do this thing before my doc's appointment, which I have to buzz off to in an hour. I don't want to forget anything - and I want to have a list of questions this time because otherwise I forget <i>everything</i> I want to ask doc. Then it's buh-bye for two weeks.<br><br>
So, any suggestions of components for my birth plan? Did any of you have anything that really helped with your last birth that you could suggest?<br><br>
A bit of background: I am being induced - mind you very gently - with pit and then once labor is established, having the membranes ruptured. This is because of what happened with Josie last time, and it is also to ensure I get a fair VBAC shot as well, since the hospital have a de facto ban during night hours - we're being induced in the early AM. I know I could just refuse a section during the night but really, who the heck wants to sit there and argue in labor? The way I feel right now I'd probably kick someone in the head (hurrah, pregnancy hormones!).<br><br>
However, I am doing Hypnobabies and wish to have a natural birth. So there's my story <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Help me! I'm full of hormonal juice and stressing about hosting Thanksgiving tomorrow and I nneeeeed help! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> Xxx
 

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Fellow VBAC, here. A couple things I can think of: First, find out what exactly they are going to want to do as far as interventions & stuff, if you don't already know - since you're being induced, they will probably want you on continuous EFM. Decide if you are willing to put up with that ahead of time - it restricts you to the bed, and it can really be a concentration-breaker when the 22 year-old nursing school graduate is readjusting it on your belly every three seconds (not that I'm speaking from bitter experience, or anything! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll">). They might try to tell you that the risk of uterine rupture in a VBAC is higher when labor is induced with pitocin, hence the need for the monitor. This might be true, but the risk is still very, very small. Plus it's been shown that EFM is not any more reliable than intermittent monitoring with a doppler in predicting fetal distress.<br><br>
The second thing I can think of is if you do, God forbid, end up with a c-section, it might be good to specify what you want to happen in that case. For example, they don't HAVE to take the baby away from you after the birth (unless there's something wrong, of course). They can weigh, measure, and whatever else right there in the room with you. They can get the baby onto your chest as soon as humanly possible - they can let the baby stay with you in the recovery room, etc. It might be a good precaution to let your wishes be known ahead of time and make sure everyone in the room knows what they are.<br><br>
You could also include in your plan that you're doing Hypnobabies and you'd like the room kept dim and quiet, with as few interruptions as possible, so that you can more easily stay in a relaxed state. Freedom to move around and change positions, eat and drink at will, use the shower or toilet whenever you want, have whoever you want with you as labor support - those things are all very important to me.<br><br>
Good luck! Writing a birth plan is not as easy as it sounds...
 

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Here's mine - feel free to use as much/little as you would like. It was just "approved" this morning.<br><br>
I'd say, with Corbin's birth, the best thing that helped me was keeping the nursing staff hand's off, ability to move around and shifting in positions. That one was purely non-medicated, too.<br><br>
***<br>
Birth Preferences for Angela BS (and husband Paul S)<br><br>
OB - Dr. Ted M<br>
Pediatrician – Dr. Rebecca B<br><br>
Thank you for following and respecting our birth plan as we welcome our son to the world. We truly appreciate your care.<br><br>
We understand that conditions may arise which shall result in some deviation from this plan, but if at all possible; we desire our preferences be followed.<br><br>
WE WANT INFORMED CONSENT FOR ANY DEVIATIONS FROM THIS PLAN.<br><br>
Labor<br>
* I wish to refuse the use of an IV/heplock.<br><br>
Monitoring<br>
* External monitoring should only be used once per hour, unless there are signs of distress.<br>
* I do not want an internal monitor, unless there are signs of distress.<br><br>
Anesthesia/Pain Medication<br>
* Pain medications should not be offered during labor.<br>
* No medications should be administered without my permission (or that of my husband) - to myself or my child.<br><br>
Episiotomy/Natural Tearing<br>
* An episiotomy should not be used.<br>
* My perineum tore during the birth of my first and only child. I would like assistance with massage and warm compresses to avoid a repeat of this.<br>
* I would like to avoid stitches of any possible tear, unless the damage is severe.<br><br>
Delivery<br>
* I would like to push when baby is ready and do not want to be coached to “push” or counted to and would like to be free to move positions, as needed.<br>
* I would like to touch his head as it crowns, guide him out and pull him out of me directly on to my chest.<br><br>
Immediately After Delivery<br>
* Baby will be placed directly on my chest for immediate nursing after delivery; can be weighed/measured at a later time. I will bathe the baby when ready.<br>
* I prefer if suctioning is reserved for use only when necessary but to first allow baby to cough and expel his own mucus.<br>
* The umbilical cord should not be cut until it has completely stopped pulsating and turned white - baby has a birthright to the blood in his cord.<br>
* I will be taking my placenta home with me – please advise Paul on the best way to transport. See the attached form “Release of Placenta and Waiver of Liability.”<br><br>
Baby’s Health<br>
* Baby will not leave the room during evaluations, unless there is a life-threatening emergency, and will be accompanied by Paul.<br>
* Baby will be strictly breastfed and should not be given formula/water in a bottle at any point or a pacifier.<br>
* Baby should not be given a Hepatitis B shot, Vitamin K injection or antibiotic ointment in the eyes.<br>
* Baby will not be circumcised.
 

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One thing we included at the beginning of DD's birth plan was a little explanation of why we chose our midwife and birthing center. It basically said we want to birth here at this birthing center because we have heard of the outstanding care everyone receives etc. etc., but we would like for you to respect our wishes which are..... It helps start with a nice tone. Our midwife suggested we word it that way and it wasn't something we had thought of. Good luck!
 

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Discussion Starter · #5 ·
Alright! I have made it now! The EFM thing I was concerned about a few weeks ago and took it up with my (naturally minded) male doc (who I really do adore!). He actually told me that I'd be free to move around as much as I wanted, could use the shower and the birthing ball and walk the halls...everything! Which I thought was awesome. I'm totally not worried about <i>him</i> - it's the nurses...lol <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"><br><br>
So here it is: it fits on 2 pages.<br><br>
______________________<br><br><b><span style="font-family:'&quot';">Hello lovely ALMC medical professionals!</span></b> <span style="font-family:'&quot';">Welcome to my birth plan. I understand you probably get a lot of these but very much request that you read this and please, try to accommodate me and my baby as much as humanly possible. Please understand that this plan is written from two perspectives: a mother, wanting a natural, vaginal birth after a cesarean; and a mother wanting a natural, med-free birth after the death of her daughter from complete placental abruption on October of 2008. I really want the most natural, normal, loving circumstances for this birth, and for this child to be brought out into the world in a calm, peaceful way as opposed to a dramatic, traumatic way. This birth plan then, is written with the intent of making this as likely as possible.</span><br><span style="font-family:'&quot';">With that said, I understand more than many how unpredictable life can be. If I should need surgery, we will come to that when we come to it. In the meantime however, here are the thing that I feel would make birthing really great for Isobella Mai (my baby) and I. Thank you so much for reading and I appreciate all you do.</span><br><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please - no constant asking about pain meds or epidurals: I will most certainly ask for these, should I feel I need them. I would much rather have support in my natural childbirth, and a little cheerleading!</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please use "pressure" instead of pain whenever possible because I am using self-hypnosis (Hypnobabies) to help me with birthing, and want to allow myself to think of the contractions as a lot of pressure, rather than abject, sheer pain and terror!</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">I would like to wear own clothes - sarong for comfort (will still allow doctors access but will make me more comfortable).</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please let me have an extra long drip so that I can move around.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please give me the freedom to use the bath or shower, the birthing ball etc.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please give me the freedom to labor in any position.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please, give me the freedom to push the baby out in the position I feel most comfortable in. I promise I won't try to give birth on the roof, but I'd like to be able to, for example, give birth in a squat if that feels right.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please, no episiotomy - I would much rather tear.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">If at all possible, I would like to be able to dim the lights.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">When pushing, I'd like to be able to push when it "feels right" - as much as possible. Please, please, no counting to ten...</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please let my birth partner catch the baby if he can!</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please let the umbilical cord stop pulsating before it is cut. I'd really like Isobella to get all her blood.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">When baby is out, please place her on my chest - I want to bond with her straight away unless there are emergency medical reasons why this cannot be so.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Please, when she is out, do not whisk her off to "give me a rest". Ideally I would love to be able to breastfeed to allow the placenta to come out without a problem.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">Also, because of the circumstances of the last birth, I really would like Isobella and I to be allowed to bond for at least a few minutes before weighing, measuring, and all the rest of the standard procedures. I really want to be able to spend those first moments looking into her open eyes.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">After baby comes, I'd love to be able to be the one to dry her off and wrap her up. Please don't bathe her and dress her for me - again, these moments are not something I got the chance to experience before, so I'd like to be able to do this myself.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">I'd like to room in with my baby at all times. There will always be someone there with me if I need to rest.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">If Isobella should happen to have to be taken to the NICU for any reason, please let my birth partner go with her and be with her as much as possible.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">If I should happen to have a cesarean, please, once again, let me be with my baby immediately afterwards as long as no complications exist. As you can imagine, the last time was very traumatic and I would <i>not</i> like to be separated from my child this time. I'd like to be able to breastfeed as soon as possible after the birth.</span><br><span style="font-family:Symbol;">·</span><span style="font-family:'&quot';">I plan to breastfeed!</span><br><br><span style="font-family:'&quot';">I do believe that is about it: as you can tell, I strongly believe in the natural power and the natural progression of birth, even though it did not go as planned the last time. I feel calm about this birth, unafraid and very much ready. Thank you once again for reading and for helping me!</span>
 

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I think it is a thorough and pleasantly-stated birth plan. Very nicely done!<br><br>
Amy
 

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DDC crashing here. I think thats a great birth plan. Keep in mind you might have to do a few revisions here and there after you speak with your ob/mw but I think it looks great! Im a doula and encourage my clients to create their own birth plan and I do have a few tips for you. First try to keep your birth plan limited to one page, like a resume lol. Drs and nurses dont like to see a laundry list and tons and tons of fine print. (though I dont think yours seems long at all). Second when the big day arrives many nurses and medical staff cringe when they see a pregnant mama come in waving a birth plan with "demands". I try to sugar coat it and bring it with a treat, maybe some cookies for the staff that will be assisting you. I also bring copies and cookies <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> for when the staff changes so one for the AM and one for the PM. I have found 100% success rate with this.
 

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Discussion Starter · #8 ·
Yay! He accepted THE LOT!<br><br>
The only glitch he says, is if I come in in the night in spontaneous labor. Then I might have to do some arguing because they will want to section me. He won't section me though - he wants to be there the whole way and is very excited about it! Yeah! So that's awesome <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
This hospital is the only one within a 70 mile radius that does VBACs at any time, you see... <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/oops.gif" style="border:0px solid;" title="oops">
 

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jayjay--I am so glad that you included the death of your first daughter in the birth plan and that your OB accepted it in full.<br><br>
I think any LD nurse would be extra sensitive to your birthing needs.
 

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That's an awesome-ly (is that a word??) written birth plan! Glad you have such a wonderful OB who's totally on-board. I bet everything's going to go just perfectly for you. Wishing you a wonderful birth!!
 

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Jay, I am praying you get exactly the beautiful birth you want. I just know you will. I like that you said you want to hold Isobella the second she comes out, no matter what. I know they're all interested in what they 'have to do' but they CAN do it all on you! other than weighing, and c'mon, that can wait. And yes a little babe right out of the womb can stay a bit 'grubby' and you shockingly can do the cleaning off yourself <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I didn't get this with a water birth, since DS1 got sorta cleaned off as he came up, but with Dominic I just loved the warmth and mustiness of the amniotic fluid, this may seem weird but I loved being able to smell him on me still even after they'd taken him to the NICU.<br><br>
And once labor gets started, seriously if you can get a moment in the room alone, give that nipple stimulation a try. I was amazed at how effective it was to kick things into high gear! Lots of smooching in between contractions too (ya know, serious make out sessions!). Get those love hormones going <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 
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