I need to finish the final draft for my appointment this week. Did a preliminary review with my OB. Depending on when I deliver, she may be OOT, so it would be ideal to have a copy in my file for the midwives and whatever doctor is at the actual delivery.
Things on it: *No episiotomy -- I included that I have a tendency to keloid scar as extra warning *Trying for unmedicated birth, but reserve the right to ask for an epidural. Included using a TENS machine and changing position, plus trying the equinox before the epidural. *Delayed cord clamping *Wanting to see a lactation consultant (I wasn't able to take any of the breastfeeding classes my hospital offers because you have to book those as soon as you get your BFP) *I'm all for drugs after baby is born
Both my OB office and the hospital suggested writing one, so I did. All of the big things (no episiotomy, limited internal checks, skin to skin, etc.) are their usual practice anyway so I just wrote down key decisions or things that would be helpful for staff to know. We are pretty open minded and will stay flexible if things go differently than we expect. Here is mine.
Preferences for Mom: • Planning a water birth. • Will be utilizing Hypnobabies techniques. • Only my husband and medical providers will be in the delivery room. • My husband will be staying overnight with me and baby, until we are discharged.
Preferences for Baby: • Our pediatrician is Dr. XX at XX Practice, xxx-xxx-xxxx. • Baby will receive the following: Eye Ointment, Vitamin K, Hepatitis B vaccination. • We plan to breastfeed. • We will not be circumcising.
Things you May Need to Know: • I am Rh-. • I have already received a TDAP vaccination (at 34 weeks). • I am a vegetarian.
Post by lotsofdotts on Jan 25, 2015 15:55:16 GMT -5
Since this is my third, I'm not going to write one. I hope to not have an epidural since I felt so much better after delivering without one than with one. I'm pretty laid back about it, and my DH knows what I want and what I want to avoid. The bottom line is that I trust my OB practice and they talk before doing anything unless it is a life or death situation. In that case, I trust the medical professionals' judgment.
This birth plan is amazing. Want to piss off all the nurses in L&D? Ask your nurse if she's "read your birth plan" while she's trying to admit you and get you set up. You'll get a forced smile and then be the butt of constant nursing station jokes all night. Well someone's gotta be that patient I guess!!
My cnmw asked us to submit one, I looked at the one we did last time took a bunch of things off it and handed it in. We're trying to go intervention/med free again but aside from that it says who is my primary Dr, who should be in the delivery room, that we want to do skin to skin, EBF, circ and to talk to us about any changes in progress or process.
Get her out as safely as possible. Yes to epidural, immediate skin to skin. I didn't get that with ds, since he had to be suctioned for passing mec in utero. Everything else, I trust my dr.
Post by boxerrrmama85 on Jan 27, 2015 7:02:13 GMT -5
We had a birth plan that specified my 'ideal' labor and delivery as I saw it and it also included a "but if shit gets real" section (and yes I actually titled it that) that told doctors and nurses to do whatever was medically necessary to ensure my health and baby's health. I had a few nurses stop by to tell me that they loved what I had written and the flexibility of the plan.
The plan definitely opened dialogue and I felt very informed about my options (even during blinding pain!)
We had a birth plan that specified my 'ideal' labor and delivery as I saw it and it also included a "but if shit gets real" section (and yes I actually titled it that) that told doctors and nurses to do whatever was medically necessary to ensure my health and baby's health. I had a few nurses stop by to tell me that they loved what I had written and the flexibility of the plan.
The plan definitely opened dialogue and I felt very informed about my options (even during blinding pain!)
This exactly! I had gone over it with the awesome nurse that we had but we weren't able to follow 98% of it because of all the complications I had. But it being so basic and the "if shit gets real" part helped!
Post by munchkin8590 on Jan 27, 2015 7:53:52 GMT -5
I'm kind of just going with the flow this time since last time my birth plan got thrown out the window pretty quickly when I wasn't dilating on my own. Get the baby out safely is what I'm thinking this time.
I mostly finished mine last night. It asks that in no complication labor they don't offer me pain meds (I'll ask if I feel I need them), and that I prefer to be able to move around and change position during labor and delivery.
I also specified some if shit goes down stuff: in the case the baby needs immediate medical attention and can't do skin-to-skin that I would like DH to accompany her, and if possible, hold her.
That if possible I'd like to exhaust other methods of induction before trying pitocin. That if c-section is necessary I'd prefer regional anesthesia and pain meds afterwards that don't make me too loopy.
And some info about how I metabolize anesthesia differently than average so checking in with me on pain levels is important.
For me it is about clarifying for myself and DH what I hope birth will be like, and thinking through possible complications so that I have less fear should they happen. And what I have learned is that it all comes down to the fact that I want to be as active and present in the birth of my child as possible and I hope the people around me can help support that.
I think it was a good preparation exercise even if I didn't give it to my care providers. But they have requested one, so I don't feel like I am imposing by offering it.
Post by allonsy221b on Feb 3, 2015 18:49:01 GMT -5
My doctor requested for me to write a birth plan, I used one of those fill in the blank things and it's a page long after some editing. I feel like it's too long for the basic things I want. Are any of your birth plans a page or longer?
Yup, I submitted my birth plan to my midwife a few weeks ago. It's written on a 2-page form provided by the hospital, and has a fair amount of detail. It's 95% the same as the plan for my first.
Some of the more important things to me:
-I prefer an natural, unmedicated birth with as few interventions as possible, though of course I understand that medical necessity may change things. -As few people in the L&D room as possible -I'd like to be able to walk around, change positions, use a birthing ball, and use the shower/tub to help manage pain. I prefer intermittent auscultation to continuous or intermittent fetal monitoring. -I'd like to be able to labor in an upright position -Don't offer me an epi unless you think that I need it to help labor progress. If I feel like I need one for the pain, I'll ask. -No episiotomy unless medically necessary. I prefer to tear naturally. (Well, ok, prefer not to tear at all, but I'd rather tear than get an episiotomy.) -Immediate skin to skin -Breastfeeding as soon as possible -No formula or pacifiers -Delayed cord clamping -No bathing the baby for 24 hours
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