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Old 12-05-2012, 05:54 PM   #11
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Re: Can you critique/offer any pointer on my birth plan please?

Kelsey is right, of course.

but, just so you're not discouraged - my hospital birth was wonderful and besides the emergency csection, things were going exactly how I wanted with my birth plan. This next hospital birth, I expect the same as well, because I've toured the facility and heard what they allow, encourage, etc.

but the other hospital I toured - while also good - was pretty adament that there would be no eating during labor other than clear liquids, so that stood out right away in your birth plan. So, I would expect that you've toured and talked to them by now, but there were some women in the tour on Monday that were due in January, so maybe not.

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Old 12-05-2012, 06:05 PM   #12
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Re: Can you critique/offer any pointer on my birth plan please?

Didn't read all the responses so I might repeat what others said. I am a rn but have never worked l&d. I work ER. My advice would be to speak with the educator on the unit where you will be delivering to make sure everything you want is within their policies. Doesn't have to be what they always do, just as long as it isn't something against their policies or whatever. And then I would have your OB write out orders for everything you want and sign it. Take those orders with you to your induction and make sure they are placed on your chart. The staff might not want to listen to your birth plan but they WILL listen to those MD orders!
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Old 12-05-2012, 06:07 PM   #13
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Re: Can you critique/offer any pointer on my birth plan please?

And of course you are in charge of your body. The above is what I would do to avoid conflict/headaches while you are trying to labor, etc.
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Old 12-05-2012, 06:11 PM   #14
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Beautifully written!
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Old 12-05-2012, 06:58 PM   #15
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Re: Can you critique/offer any pointer on my birth plan please?

Thanks for all the help mamas I have talked with my OB about most all of the things on my birth plan and he is okay with everything. I am planning on taking my plan with me though when we see him again in 3 weeks to make final plans for the induction and will be really asking him about these things and telling him what I would like. The hospital I will be at is pretty mama/baby friendly so I am hopeful that things will go smoothly, though still very nervous and scared too. I so wish I could have this little guy at home like I did my DD.

Anyway, I made some more changes and got it all to fit on one page, except the c-section part, that will be on the back and DH will direct anyone to that information if it ends up being needed (I really hope it doesn't). Here is what I have now, please let me know what you think!


Birth Preferences for A----- ------
Husband/labor support: S--- ------
Due Date: 1/14/2013


We are looking forward to sharing our birth experience with you. We appreciate your reviewing this plan, and would be happy to discuss any questions or comments you have. We understand that there may be situations in which our choices may not be possible, but hope that you will help us to move toward our goals and to make this labor and birth a great experience. We do not want to replace the medical personnel, but instead want to be informed of any procedures in advance, and to be allowed the chance to give informed consent. Thank you!

Please Note
Our baby boy has been diagnosed with the heart defect Tetraogy of Fallot.
Despite this diagnosis our cardiologist, Dr. -----, has said we can have time to hold and bond with our baby before he is taken to the NICU. Please allow us time to hold and bond with our baby as long as he is not showing any signs of distress. Thank you.

Labor
I expect that doctors and hospital staff will discuss all procedures with me before they are performed.
I would like to be free to walk, change positions and use the bathroom as needed or desired.
I will remain hydrated by drinking moderate amounts of fluids (water, juice, ice chips).
I would prefer to not be hooked to IV fluids.
Please limit the number of vaginal exams as much as possible.
I wish to labor freely in the tub or shower.
I prefer that fetal heart tones be monitored intermittently with an external monitor or doppler.
Do not offer anesthesia/analgesia unless I ask for it.
I do not want an episiotomy to be performed. Please administer local anesthesia if a tear requires repair.

Delivery
I will wait until I feel the urge to push before beginning the pushing phase, unless medically indicated.
I would like the freedom to push and deliver in any position I like.
I would like to touch our baby's head as it crowns.
I would like a soothing environment during the actual birth, with dim lights and quiet voices.
I would like to help catch our baby.
Place our baby on my stomach/chest immediately after delivery.
Allow the umbilical cord to stop pulsating before it is cut, ideally wait at least 5 minutes.
My husband S--- would like to cut the cord.
I prefer to wait for spontaneous delivery of the placenta.
I do not consent to a routine injection of pitocin or cord traction to being used.

Newborn Care
I would like to hold our baby skin-to-skin as long as possible after birth and attempt breastfeeding.
I do not consent to administration of eye antibiotics. I will sign a waiver if necessary.
I would like Vitamin K administered orally. I do not consent to the administration of the Vitamin K injection.
I do not consent to the administration of the Hepatitis B vaccine.
We are not having our baby circumcised. Please do not retract his foreskin.

Postpartum Care
I would like my other child to have free visitation access.
I would like baby to room with me at all times once he is released from the NICU.

Breastfeeding
I plan to breastfeed and want to nurse immediately following the birth.
Do not give our baby supplements (including formula, glucose, or plain water) without my consent.
I would like to meet with the staff lactation consultant.

*In the Event of a Cesarean Section Delivery*
I feel very strongly that I would like to avoid a cesarean delivery, however if a cesarean becomes necessary, I expect to be fully informed of all procedures and actively participate in decision-making.
I would like my husband Sean to be present during the surgery.
Please explain the surgery to me as it happens.
I would prefer general anesthesia in an emergency only.
I would like to have a respectful atmosphere without chatter during any part of the surgical procedure.
If possible, please do not strap my arms to the table during the procedure.
If conditions permit, I would like to be the first to hold our baby after the delivery.
If possible, I would like to breastfeed our baby immediately after the birth.
I would like our plans outlined here for after the birth to be followed as closely as possible.
Please lower the screen just before delivery so I may see the birth of the baby.
I prefer a low transverse incision
Please use double-layer uterine suturing to close my incision.
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Old 12-05-2012, 07:22 PM   #16
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Beautiful! I could probably take notes from you on how to sound firm withOUT sounding like the patient from hell. Haha.

Do you have a doula? I think one would make things a LOT more smooth for you during the birth, especially if it's something that's not typical for the doctors or nurses to deal with (like eating... Or walking around... You know, normal things for humans to do.). We are planning a HB, but if extenuating circumstances arise and we do have to transfer or plan a hospital birth, our doula will be coming with us as support for our decisions, and so DH doesn't have to worry about doing all the "bullying", if you will, by himself.
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Old 12-05-2012, 07:25 PM   #17
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Re: Can you critique/offer any pointer on my birth plan please?

good job!
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Old 12-06-2012, 05:49 AM   #18
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Re: Can you critique/offer any pointer on my birth plan please?

Great job!
If it were me, these were the things that I noticed that I would take another look at:

1. After baby is born I agree that the placenta should stop pulsing. However, sometimes it is nice to get that shot of pitocin to lessen bleeding. My at home midwife even carries it with her just in case.

2. I would have them ASK YOU if they can do vag checks...not just assume that they can.

3. Are you planning on taking an herbal bath after? would you even mention that?

Otherwise - I think it rocks! Great job for you being so in charge of your birth.
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Old 12-06-2012, 03:26 PM   #19
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Re: Can you critique/offer any pointer on my birth plan please?

Quote:
Originally Posted by KelseyH View Post
Beautiful! I could probably take notes from you on how to sound firm withOUT sounding like the patient from hell. Haha.

Do you have a doula? I think one would make things a LOT more smooth for you during the birth, especially if it's something that's not typical for the doctors or nurses to deal with (like eating... Or walking around... You know, normal things for humans to do.). We are planning a HB, but if extenuating circumstances arise and we do have to transfer or plan a hospital birth, our doula will be coming with us as support for our decisions, and so DH doesn't have to worry about doing all the "bullying", if you will, by himself.
Quote:
Originally Posted by EmilytheStrange View Post
good job!
Thanks ladies And thank you for your help getting it to this point! It was hard to find that balance Kelsey of being firm without giving that patient from hell impression, haha! We are planning to take in a bunch of mini muffins for the nurses/NICU staff/whoever is there so hopefully that will help them see I am not a witch too
I don't have a doula, I have considered it, but we are really tight on money right now and can't afford it. I have a friend who was going to go to the class and become one, but she hasn't done it yet and when I talked to her about it she didn't seem super interested in being a doula for us anyway. I suppose I could try and find someone who just finished classes and needs experience to get certified still, but it's hard since we are traveling 3 hours away to have him too, so I'd probably want a doula that is down where we are delivering. I don't know. Hopefully my DH will be enough support.

Quote:
Originally Posted by mammacandoit View Post
Great job!
If it were me, these were the things that I noticed that I would take another look at:

1. After baby is born I agree that the placenta should stop pulsing. However, sometimes it is nice to get that shot of pitocin to lessen bleeding. My at home midwife even carries it with her just in case.

2. I would have them ASK YOU if they can do vag checks...not just assume that they can.

3. Are you planning on taking an herbal bath after? would you even mention that?

Otherwise - I think it rocks! Great job for you being so in charge of your birth.
Thanks I didn't have any bleeding issues with my DD, that is why I put that in there, but I am open to the shot of pitocin IF it is deemed necessary, I just don't want it for no reason if my body is handling everything fine on it's own, you know? I'll consent if my dr says he thinks it necessary. I'm not planning an herbal bath, no. I did with my DD but we were at home and I was able to have her with me. This time I just want to shower and get myself to my son in the NICU as quickly as I can! It's killing me that I have to be separated from him and I want to be with him as much as I can.
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Old 12-07-2012, 11:32 PM   #20
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Your birth plan is so well thought out! I will definitely be coming back to this thread when I start writing my own and good luck with having the L&D you're hoping for!
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