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Discussion Starter · #1 ·
So I finally tackled it and this is the 1st draft of our birth plan. What do you guys think?<br><br>
Thank you all for being apart of our birth experience! My husband _____ and I have planned as well as prepared for a peaceful, nurturing, natural labor and birth and would like for things to unfold with as few interventions as possible. We would like to be fully informed of any and all procedures and tests on either mom or baby before they are performed. We also want to be informed and aware of all of our options in the event that an emergency should arise. Thank you all for taking the time to read over and honor our preferences.<br><br><br><br>
●Husband and doula(s) present throughout labor and birth<br>
●Freedom to walk, move and change positions throughout labor and birth<br>
●Freedom to eat and drink throughout labor and birth<br>
●Use of the shower or a tub as desired<br>
●Ability to control birth environment including temperature, lighting and music<br>
●No vaginal examinations unless the mother feels ready to push<br>
●Use of gentle, controlled pushing, no coaching please<br>
●Use of upright labor and birth positions, no supine position for pushing<br>
●Massage and support of perineum to avoid tearing<br>
●If tearing of the perineum does begin to occur, no epesiotomy, allow tear to occur naturally<br>
●Natural methods of strengthening labor if needed, such as walking and nipple stimulation, no pitocin or any other medications please<br>
●Please, do not offer drugs of any type for pain relief to the mother<br>
●No IV, electronic fetal monitoring, stripping of membranes, breaking of bag of waters or use of forceps or vacuum extraction<br>
●After the birth immediate contact between mother and baby: do not announce baby’s sex, leave vernix on baby, baby placed on mother’s chest, breastfeeding encouraged, mother, father and baby left undisturbed for 30 minutes to an hour following birth with any newborn procedures performed afterward<br>
●Delay clamping and cutting of umbilical cord until blood stops pulsing<br>
●Placenta delivered spontaneously, no pressing on uterus, tugging of the cord or medication please<br>
●Full informed choice regarding all newborn procedures including application of eye ointment, vitamin K injection, PKU test and Hepatitus B vaccination<br>
●Baby to be kept with mother and father, not in nursery, with no offers of formula, water, glucose solution or pacifiers<br>
●There will be no circumcision if baby is a boy<br><br><br><br>
We understand that labor and birth is unpredictable and will modify our birth plan if there is a medical necessity to do so. Thank you all for helping to make the birth of our baby a joyful event!<br><br>
mcb and hubby’s signatures<br><br>
We would love to bring the placenta home with us to bury and would like to put this in the birth plan but we live in a highrise and do not have our own yard. I'm thinking about getting a tree of some sort that we could put on the balcony and planting it there as no matter where we move in the future, our plants and such will always be with us, just like our munchkin <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"> . And if we are ever in the position to buy a house, we could plant said tree in our very own yard. What do ya'll think?<br><br>
We also want to get the doc(s) that I am seeing for prenatals to sign it.<br><br>
Thanks for any input you may bestow mamas! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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Discussion Starter · #2 ·
Oh, and I have certain words and phrases in bold type that did not show up on the copy and paste that I did from Word such as <b>No vaginal examinations</b> and others. Do you guys think that the bold face comes across as bossy and therefore would put the already gotta be routine types of folks on staff more on the defensive? We plan on bringing in treats to butter them up, heh, heh... <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/mischievous.gif" style="border:0px solid;" title="mischief">
 

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Discussion Starter · #3 ·
Trying to minimize the fighting I may have to do but if so be it <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/fencing.gif" style="border:0px solid;" title="fencing">:.
 

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Yours seems very concise to me! Do you have any specific things you would like to add in case of a c/s, etc.? We had a few: that one parent was to remain with the baby at all times and that nothing was to be done to her w/o explanation/consent; that I would like to breastfeed in the first hour after a c/s, if possible; that I would like to room-in; sew incision with a double row of stiches rather than a single row; and that we would strongly prefer oxygen delivered via nasal tube to an oxygen mask (this is probably just a personal thing, though--oxygen masks that cover both the nose and face make me freak out; they tried to use one when I had my wisdom teeth out and I panicked).<br><br>
As for the bold stuff: I tried to be very polite in my opening disclaimer, included a thank-you, and so forth--but I also wanted to express strongly the things about which I feel strongly. So I put a few "no"s in bold when it related to things that were extremely important to me:<br>
*Under NO circumstances is Amanda to be given Cytotec<br>
*We will breastfeed. Please do NOT give baby any formula, sugar water, bottles, pacifiers, or artificial nipples.<br>
*We respectfully DECLINE:<br>
-Hepatitis B vaccine<br>
-antibiotic eye ointment<br>
-routine administration of Pitocin after birth, except in case of hemmorhage, and then only with express consent of mother or father<br>
(the hospital that I would transfer to is generally very natural-birth friendly, gives EVERY mother a shot of Pitocin after birth <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: )<br><br>
I also divided my birth plan into sections (Labor/Birth/Post-Partum), but mine was longer than yours, and I figured it would be easier since we do not PLAN to give birth at the hospital (i.e., if we showed up post-partum due to a problem, that would be the only section they had to look at). Because we're not planning a hospital birth, the whole birth plan was an odd exercise for us--that is, we will likely only be at the hospital in the event of an emergency, at which point much of what we would "like" becomes moot.
 

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You may want a vaginal examination when you arrive... that could determine if you want to labor somewhere besides the hospital grounds.<br><br>
My water broke (at 3am Thanksgiving morning) with dd#1 and I walked & walked the same hallway for over 16 hours and when they checked me (at 7pm) I was still at 1cm. I would have rather spent the day with my family. I'm not going in until the baby is ready to pop (even if my water breaks!).
 

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Discussion Starter · #6 ·
Thanks ladies, this has been quite helpful! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"><br><br>
Amanda that's good, something I hadn't thought about really. I will definitely add specifics in case of c/s.<br><br>
Julie, I am contemplating having a vaginal exam upon arrival to see how far along I am as we will be laboring at home for as long as possible. Till babe is ready to pop, yep, that sounds good to me! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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I think your birthplan looks great! VERY well written!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"><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;">We would love to bring the placenta home with us to bury and would like to put this in the birth plan but we live in a highrise and do not have our own yard. I'm thinking about getting a tree of some sort that we could put on the balcony and planting it there as no matter where we move in the future, our plants and such will always be with us, just like our munchkin</td>
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FYI - You actually shouldn't bury the placenta in with a potted tree....it's too strong of a fertilizer and will burn the heck out of the tree. We had to dig a separate hole and plant ours several feet from our tree.<br><br>
You might consider another special place to plant it like one of your family homes?? Or freeze it until you are ready to plant it.<br><br>
DD was born in June and we had her dedication and tree-planting ceremony in October -- we just kept it in the feezer until we were ready!<br><br>
Or maybe just save something smaller like the umbilical cord...I would think that could be planted in with a potted tree. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shrug.gif" style="border:0px solid;" title="shrug">
 

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Your birth plan looks great...BUT... it's important to discuss all this with your care providers. What are their policies? Will they go along with your birth plans? Do any of your birth plans conflict with their standard of care? Keep in mind that informed consent and emergencies don't exactly go together - in my experience, medical care providers will go with their standard procedures in emergencies (or what they perceive to be emergencies). Do you have a doula or someone who will "enforce" your birth plans? If your dh is going to enforce these birth plans, does he understand every single item and why it's in the birth plan? Keep in mind that you may not be in a mental space to discuss these issues, or even talk at all (that was my experience).<br><br>
Also, I think it would be a bit better to have your birth plans stripped down as much as possible - totally simple point form would be best.<br><br>
I guess I feel that my best protection is to <b>start</b> with care providers who would follow my birth preferences as a matter of course, not as an exception.<br><br><a href="http://listserv.buffalo.edu/cgi-bin/wa?A2=ind9603&L=pnatalrn&D=0&T=0&P=12804" target="_blank">Here's an example of what one L&D nurse thinks about birth plans and how she deals with them...</a> <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:
 

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Discussion Starter · #9 ·
<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>dharmama</strong></div>
<div style="font-style:italic;">I think your birthplan looks great! VERY well written!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"><br><br>
FYI - You actually shouldn't bury the placenta in with a potted tree....it's too strong of a fertilizer and will burn the heck out of the tree. We had to dig a separate hole and plant ours several feet from our tree.<br><br>
You might consider another special place to plant it like one of your family homes?? Or freeze it until you are ready to plant it.<br><br>
DD was born in June and we had her dedication and tree-planting ceremony in October -- we just kept it in the feezer until we were ready!<br><br>
Or maybe just save something smaller like the umbilical cord...I would think that could be planted in with a potted tree. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shrug.gif" style="border:0px solid;" title="shrug"></div>
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Thanks for the info mama! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> Hadn't really thought about <b>how</b> powerful a fertilizer said placenta would be. C'mon mcb, think! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/nut.gif" style="border:0px solid;" title="nut"> I would be all about freezing it until we have a better place instead but as on board as DH is for everything we've been discussing, the thought of the placenta in our freezer is not something that he is too fond of. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shrug.gif" style="border:0px solid;" title="shrug"><br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
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<div>Originally Posted by <strong>Ksenia</strong></div>
<div style="font-style:italic;">Your birth plan looks great...BUT... it's important to discuss all this with your care providers. What are their policies? Will they go along with your birth plans? Do any of your birth plans conflict with their standard of care? Keep in mind that informed consent and emergencies don't exactly go together - in my experience, medical care providers will go with their standard procedures in emergencies (or what they perceive to be emergencies). Do you have a doula or someone who will "enforce" your birth plans? If your dh is going to enforce these birth plans, does he understand every single item and why it's in the birth plan? Keep in mind that you may not be in a mental space to discuss these issues, or even talk at all (that was my experience).<br><br>
Also, I think it would be a bit better to have your birth plans stripped down as much as possible - totally simple point form would be best.<br><br>
I guess I feel that my best protection is to start with care providers who would follow my birth preferences as a matter of course, not as an exception.</div>
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Yeah, I'm expecting some static. I've found out what some of their policies are but am going even further at my next prenatal on the 31st which is when I plan on sharing my birth plan with the doc(s) I've been seeing. I'm prepared to compromise on certain things (like intermittent monitering instead for example) if they start flipping out too bad. My DH, my sissy and my best friend will be there as my all around support team. They're all pretty headstrong, <b>especially</b> my sister, and will be on alert. They are to be my eyes and ears as I'm sure I will be in a totally different place. I've been discussing things with DH for a while and we will continue. He's been very on point thus far. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumbsup.gif" style="border:0px solid;" title="thumbsup"> I also am going to go over things more with my sissy and friend as well, so that they are absolutely and completely aware of where I'm at.<br><br>
I agree with you 100% that the best protection is to start with care providers who will follow your plan as a matter of course <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/nod.gif" style="border:0px solid;" title="nod">, which is why I will be scraping together every dime, penny and nickel I find so that the next time I will be able to have the <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/waterbirth.jpg" style="border:0px solid;" title="Waterbirth">: <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/homebirth.jpg" style="border:0px solid;" title="Homebirth"> that I so desperately want. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> Dealing with the hospital I've been going to, the OBs who can be so snarky and condescending to me and the medical system in general has been a real PITA and not something I care to repeat. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
I'm trying to wait as long as I can to go to the hospital then get in and out as quickly as possible. I'm very on guard and am trying to just let things flow and get my head in a good place but they make me nervous. I don't have the comfortable relationship and trust in these people that I would like with a care provider. I know that to them I am just another number. Hence, my DH, sis and friend will be there to have my back, absolutely makes me less paranoid.<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;">
<div>Originally Posted by <strong>Ksenia</strong></div>
<div style="font-style:italic;"><a href="http://listserv.buffalo.edu/cgi-bin/wa?A2=ind9603&L=pnatalrn&D=0&T=0&P=12804" target="_blank">Here's an example of what one L&D nurse thinks about birth plans and how she deals with them...</a></div>
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:puke<br>
I have no words, just unbelievable.... <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><br><br>
Thank you all so much for your input, believe you me, you guys are helping me to bring so many things together. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 
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