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Discussion Starter · #1 ·
I've been giving a lot of thought to making birth plans. First off, what do you do with them? I go to a clinic with a rotation of 5 doctors plus an OB. Do I just ask someone to put it in my file or do I bring a copy when I go into labour (or should I have one put in my file and bring a copy in case something happens to it <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> )? I'm just wondering where there are so many "hands" in this how that would work since if I just had one doctor who I knew would be attending the birth, I could just go over it with him/her. I may not see each doctor before the end plus some are not as VBAC supportive as others (one actually said he was 99% sure I wouldn't be able to have one <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"> , but just because he says it doesn't make it so). I wish I could pick and choose, but that's just how things are here<br><br>
Second, should I have one for vaginal and for a cesarean? I want to put emphasis on wanting a VBAC, but acknowledge my wants in case I need another c/s. Should they be seperate or one?<br><br>
Next, is there somewhere with a guideline to making a VBAC birth plan? I've seen some for C/S so I have an idea what I want to put in that.<br><br>
Finally, if you had one and feel like posting it, please feel free! It would be very useful <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Thanks!!! And don't feel you have to answer everything as any help would be good!
 

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Discussion Starter · #2 ·
I don't have a primary care physician and I was just given the ok to have a VBAC by the OB, who I won't see again until August 3rd. I don't even know if I'll get a chance to see all the doctors before I give birth to go over it. Basically I've been treated so far as if I'm going to have another C/S so I have no idea what their perspectives are to it except a couple of them think it won't happen (I sure hope they're not on call when I go into labour <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> ).<br><br>
I have an appointment in the morning and I don't think that's enough time to come up with a well thought out one which I know for sure is what I want. Hopefully the next doctor I have an appointment with is one I really like (a woman who I think would be on my side).
 

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I dont really know of a place with birth plans specific to VBACs. When I did mine I just made it like anyone would for an unmedicated vag. delievery. If I were you I would try to get every Dr. that you do see before you deliver to sign the plan, that way the nurses will see that you have the support of at least some of the Drs.<br><br>
This was the birth plan that I wrote for my 1st VBAC. I didnt have a seperate one for a cesarean - I didnt even think of the possibility of having another cesarean.<br><br><i>I have created the following birth plan to help you understand my preferences for my upcoming labor and delivery. I fully understand that in certain circumstances these guidelines may not be followed, but it is my hope that you will assist me in making this the experience that I desire.<br><br>
First stage childbirth:<br><br>
*quiet room, dim lights<br>
* heparin lock instead of IV<br>
*light foods and fluids by mouth<br>
*freedom to walk/move during labor<br>
*no pain medication unless I ask for it<br>
*no AROM<br>
*no vaginal exams unles requested<br><br>
Second stage childbirth:<br><br>
*choice of positions for self-directed pushing<br>
*no episiotomy unless needed for baby's immediate safety<br><br>
Immediately After Delivery:<br><br>
*skin to skin contact for mom and baby<br>
*delayed routine exams to allow time to bond<br>
*cord to be cut by mom and not until pulsing has stopped<br>
*baby bathed by mom only<br><br>
Third Stage Childbirth:<br><br>
*natural delivery of placenta, no uterine massage or pulling on cord please<br><br>
For Baby:<br><br>
*full rooming in with parents<br>
*breastfeeding only, no formula or artificial nipples please<br>
*if baby is a boy, no circumcision<br><br><br>
Thank you in advance for your support and attention to my choices.</i>
 

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We wound up not using any birth plans at all. But we hired a doula, and we went over (in excruciating detail <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">) how we'd like the birth to go, whether as a VBAC or a repeat C. In the end, we just kind of felt like we'd have more success communicating our desires directly as things came up, especially since our hospital is fairly low in interventions (and I had already discussed so much of what I wanted with the drs. at my ob practice). We were pretty confident that because there were 3 of us who knew what we wanted (me, dh, and the doula), we'd catch just about everything. And we did. I know this isn't exactly responding to the original question, but if you haven't hired a doula, I'd really recommend it. They increase the odds of success of VBACs, and it's a good way to achieve what you're trying to get by writing a birth plan.
 

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Discussion Starter · #5 ·
I've looked and there are no doulas here. Closest one is over three hours away <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> . I don't know if I could see all the doctors before the birth. It all depends on how they can schedule me and the doctor availability.<br><br>
I want to try to make it brief and to the point. I like your point format, Lynsey. Some of those things I know I don't have to worry about, but I want to be very clear on some things that I feel are very important. I think the shorter and more to the point it is, the higher the likelyhood of it being followed.<br><br>
I want to try to labour at home as long as I can to prevent intervention but then I'm scared I'll get a little freaked out if I hold off too long. I'll either have to wait for a cab or either of our parents to come in from the county since DH doesn't drive, so either way I'm looking at about half an hour to get to the hospital (unless by some miracle cabs aren't too slow, but I'm sure they'd understand a labouring woman <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> ). Ok, rambling here, but I know that too much time in the hospital can equal a higher probability of intervention.
 

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Carla,<br><br>
Laboring at home for awhile is a good idea. We stayed at home until I felt like pushing before we left for the hospital. Thats how I got everything I wanted in the 1st stage childbirth part of my birth plan! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
Good luck!
 

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on the birth plan...keep it to under a page. folks inthe hosptal might be busy and you want them to see the whole thing.
 

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Discussion Starter · #8 ·
Actually at my appointment today I didn't have to bring it up as one of the first things they did was give me a pre-registration form for admittance and a birth plan <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> . They have all the proceedures that may come up and a space to put your wishes and at the back you can make notes. I'll bring it in to my next appointment to go over with the nurse and doctor, they'll put a copy in my file and I'll keep a copy for when I'm in the LDR. Whew! They also went over in detail what would happen where I'm going VBAC. They will not induce (that was a biggy). They want everything as natural as possible, which is how I want it.<br><br>
They don't want me to go more than 10 days over and at that point they would do a c-section, which is fine with me. However, I will be doing all I can at home to prevent it to coming to that. Just because they won't induce me at the hospital doesn't mean I can't do labour inducing techniques at home <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> (lots of walking, lots of nursing DS, some *wink wink*, *nudge nudge* <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">, as a last resort if I go a week over, castor oil or herbs, ect...). I'm really hoping not to go over though.<br><br>
They don't circ newborns and it is all rooming in (although they will take the baby if you want them to, but I never had to even with DS after my c/s). They're very pro-breastfeeding from the start, the sooner the better and dont' use artificial nipples unless you're bottle feeding. As far as I know they don't do episiotomies unless they're using the forceps which is very rare here.<br><br>
I think I feel a lot better about this. I'm going to go over everything tonight with DH and make sure he understands what it's all about so he can be a strong part of my support team <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> .
 

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Hey, I'm new here, I have a VBAC birth plan that I made up if anyone wants to see it, here is the link: <a href="http://www.freewebs.com/icanofalaska/files/birthplan.doc" target="_blank">http://www.freewebs.com/icanofalaska.../birthplan.doc</a><br><br>
this is the one I gave to my doc and my doula, for the nurses I had condensed versions of only the relevant stuff on index cards.
 

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Carla,<br><br>
Im glad to hear you had a good appt. and are feeling better about your situation! It sounds like you will be birthing in a very mother friendly hospital.<br><br>
Keep us updated!
 

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Hey Carla, that appt sounds great.<br><br>
I myself negotiated to be allowed to go up to 2 full weeks over (at my practice, normally, they do repeat Cs no later than 41 wks). For me, it was a critical thing: I had my baby at 41 wks, 5 days... I really needed the extra time. It's good that you got 10 days, but you might want to try to push for even more, if you can.
 

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Discussion Starter · #12 ·
I think a lot may depend on my assesment on August 3rd. That's when I see the OB again and if I haven't given birth by then, I'll see what I can talk him into <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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<div style="font-style:italic;">Carla,<br><br>
Laboring at home for awhile is a good idea. We stayed at home until I felt like pushing before we left for the hospital. Thats how I got everything I wanted in the 1st stage childbirth part of my birth plan! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
Good luck!</div>
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Will you be delievering at Harris????? I had my last baby there and it was a WONDERFUL hospital! I had a traumatic birth but the hospital was great!! Just make sure you put a sign on your door to keep out the cafateria and cleaning staff, they just walk right in though a close door without knocking!!!! GOOD LUCK! I hope you don;t need one but if you do they have an EXCELENT NICU!!!
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>my~hearts~light</strong></div>
<div style="font-style:italic;">Will you be delievering at Harris????? I had my last baby there and it was a WONDERFUL hospital! I had a traumatic birth but the hospital was great!! Just make sure you put a sign on your door to keep out the cafateria and cleaning staff, they just walk right in though a close door without knocking!!!! GOOD LUCK! I hope you don;t need one but if you do they have an EXCELENT NICU!!!</div>
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Angela,<br><br>
Were you speaking to me? I wasnt sure, but saw that you live in TX like I do... I am having a homebirth with this baby, but my DD was born in Granbury. (I dont actually live in Ft. Worth, but a small town SW of there). Where do you live?<br><br>
If you were talking to me, you can PM me! Maybe we can get together sometime. I dont know many people from mothering that live around me.
 

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Hi,<br>
I am also trying for a VBAC- my due date was actually this past Sunday!<br>
I have a wonderful doctor and midwife who were kind enough to discuss this with me already- The midwife especially. She now does primarily homebirth but will acompany me in the hospital as a doula and she knows what its like to be on either side.<br>
You first want to make sure you don't unnesecarily upset the staff at the hospital. Like, if you want totally natural or don't want your baby to have a certain shot- or whatever- than what you don't want to do is remind the staff as soon as you get there. Birth is so unpredictable and it will only tick them off and they'll brand you.<br>
Second- make it short and sweet. The main emphasis should be on the fact that you would ask them to kindly inform you about any procedure and ask your permission before they perform it on you. Make it even just that. The midwife I am using said they will not look at a long drawn out birth plan. They need to see foremost that they CANNOT DO ANYTHING to you without your consent. That will scare the hell out of them.<br>
Just remember you are on their turf so to speak. I don't know how many copies you will need to make as it seems like you have many doctors who could be available. I would just bring 5 or 6 and see if they need them all. Make sure you have a copy for the nursery and your baby as well.<br>
Hope this helps! For your sake and mine!<br>
Leila
 

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Discussion Starter · #16 ·
Actually here they are very good about telling you what they are going to do, ask consent, make sure you understand the risks/side effects, ect.... before doing anything. I will say that for them. Trust me, I was warned about 50 times the dangers involved if it came to the point that I would need a c-section and what they would try instead and I would have final approval (they were trying to scare me from having one, but it ended up I had a true need for one). I've also been told what they will and will not do and most of their will not do's are my do not do's, so it makes it a lot easier.<br><br>
We don't have a nursery here or anything like that, so that's not an issue. The nurses are really, really good about reading your files here and helping as much as they can with your wishes. They were super the last time and I noticed most of them are still here so that makes me feel more comfortable.
 

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Well thats good- it sounds like the hospitals area little better than where I live. I'm in Palo Alto, CA- in the Bay Area. I guess the midwife was warning me because the staff hospital I will be going to (Stanford) tend to be pretty interventionist.<br><br>
Wow- that sounds like the opposite of what I've heard for c-sections around here. I guess it also depends on the doctors though- and whether they are motivated by profit. But for my daughter(19 months old) who was a footling breech I had no choice but a c-section either.
 

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By the way........we did it........VBAC.........4/15/04!!!!!!!!!!!!!!!!<br><br>
this is a copy of the birth plan that we wrote up.<br>
as far as who you should give your plan to. in my opinion, anyone and everyone who may be at the birth. including friends and family. we even handed out copies to the nurses on the floor so it wasn't just in my file.<br><br>
i agree with laboring at home for as long as possible, and get to know the various stages of labor so you'll really know when it's time to leave. with us we had a terrible time finding a doc that would LET me VBAC and ended up locating one an hours drive away (i was 6months preg when we finally found this guy), he ended up being on vacation when i went into labor and his partner was there for the birth.......he was so amazed that i didn't have any intervention, and a VBAC (he made me feel great about it -looks good for other VBAC mamas)<br><br>
oh -one other thing i learned .......if you are knowledgable about the labor and delivery process and are confident then the hospital staff will see that and hopefully say "hmm, they really know whats going on, lets just give them the space they need to labor and they'll call on us when/if they need us." oh, and one more thing, i'm usually always on the defensive and it did me well to try and be positive and kind instead, it makes a world of difference if it feels like you are all working together!<br><br>
good luck to you!!!!!!!!!!!!!<br><br>
ANYWAY........ here is ours;<br><br>
To whom it may concern,<br><br>
We are really happy with our choice of Dr........and..........Medical Center for the upcomming birth of our baby.<br><br>
This is a very special event in our lives. We take our responsibility of being good parents very seriously and want to do what is best for our baby. Through experience and education we have developed some preferences which may be different than your standard routine. I'm sure we can all work together for a healthy baby and a positive birth experience.<br><br>
We are looking forward to having a natural childbirth. Please don't offer us any pain medication. We will let you know if we need it.<br><br>
Relaxation is an important part of our birth training, so privacy and quiet are needed. Also since we (the mother and father) are working as a team, we do not want to be separated<br><br>
We respectfully request ample time to labor and the freedom to move, walk and change positions as often as necessary. We also hope to avoid an episiotomy.<br><br>
Please understand that we feel very strongly about breastfeeding and bonding. When our baby is born we wold like for him/her to go directly to the mother. Also we would prefer that any routine procedures (vitamin K, bathing etc) be performed in the room with us.<br><br>
These are our preferences in the case of an uncomplicated labor. Of course we will be flexible on all these points should a complication arise and will do whatever is necessary to keep mother and baby safe.<br><br>
Thank you so much for your kind attention. We look forward to sharing this amazing event with the very special people on your staff!
 
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