help with triplet birth plan

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Birth Plan for Miriam and Ron's Triplets
Personal Wishes
•We request that the number of staff present be kept to the minimum necessary for an optimal outcome.
•We would like to photograph or record the babies' birth on videotape.
•My support team is Ron, my mother, Patti, my father, Gene , and my step-mother, Lorraine.
Birth
•I would prefer a regional anesthetic (epidural, spinal block, etc.). If general anesthesia is necessary, I would prefer the type and dosage be given in a way that allows me to regain consciousness as quickly as possible.
•I would prefer to be catheterized after receiving an anesthetic.
•I would like my husband present at all times for emotional support.
•I would like to see and touch each baby after an initial examination determines each is in stable condition.
•I prefer post-operative analgesic medication that allows me to remain alert and able to interact with my babies.
Recovery
•I prefer that each baby remain with me in the recovery room, unless a particular baby requires special care due to its medical status. Should a baby (babies) require special care, Ron will accompany them and my mother, Patti will remain with me.
•I prefer a private room for the recovery period.

Breastfeeding
•I expect to breastfeed any stable, healthy triplet when the infant(s) exhibits feeding cues.
•If any or all babies require NICU care, I would like to initiate breast-milk expression within 3 hours of birth. We want our babies to receive as much of my colostrum and milk as possible. Further, I would like help to initiate breastfeeding as soon as any baby shows signs of interest or begins to coordinate sucking and swallowing.
•I would like the staff's help to breastfeed or pump within several hours of birth if I experience a complication that interferes with immediate breastfeeding or milk expression.
•We prefer no artificial infant formula, bottles of any kind or pacifiers be given to any baby, unless found medically necessary and after consultation with us.

Postpartum
•I expect to keep any stable, healthy triplet stay in my room with me as soon as possible. I understand that the degree of rooming-in depends on both the babies' and my conditions after birth.
•We prefer that any physical examinations, tests, etc. of the babies take place in my room.
•We will be abstaining from the antibiotic eye medication for the babies.
•I would like to have my husband or another support person remain in my room.
•I prefer medication options that allow me to remain clear-headed and able to interact with my babies and support persons.
•Should any of our girls turn out to be boys, we do not want him/them circumcised.
NICU
•We would like to initiate skin-to-skin "Kangaroo" care as soon as possible.
•If two or more of our babies require NICU care, we would like them to be co-bedded in a single crib as soon as two are medically stable.
•If co-bedding is not possible, we would like their cribs/isolettes to be placed side-by-side.

Ron and I understand that this is a high risk pregnancy and delivery and that our children face potential complications, including but not limited to, a NICU stay. We are flexible with our birth plan when the situation requires it, but expect to be part of any discussion of and give permission for any medical intervention being considered for our children. Should Ron or I be unavailable or unable to discuss any medical issues, we ask that Miriam's father, Gene, or Miriam's step-mother, Lorraine, be allowed to receive any medical information and make decisions on our behalf. We also request that the information given to other family members be kept to a minimum without our express consent.