Thank you for taking time to read our birth plan. We are planning an unmedicated VBAC, and wish to keep our birth environment calm and uninterrupted as much as possible. We ask that all procedures, including routine newborn procedures, be carried out with our informed consent. We would not like to receive any visitors or phone calls during labor, birth, or immediately postpartum. Please note that my husband, Jonathan Anderson, has medical power of attorney for me, if the need should arise.
After the initial strip, I would like intermittent monitoring only please, preferably with Doppler auscultation. I decline continuous fetal monitoring, and have been fully counseled with regards to the risks. I am willing to take responsibility for my care and the informed choices that I make. If an extended amount of monitoring is necessary at any point, I would like to use telemetry monitoring.
I would like to wait to have Dr. Elrod do my initial vaginal exam upon admittance. I would like to avoid having different people doing exams. Please minimize vaginal exams. It is very important to me that you wait for me to be ready, and do the exam in the position of my choice, avoiding me being on my back, if at all possible.
I will be using Hypnobabies tracks during labor. Please talk softly, tread quietly, and touch lovingly.
Please DO NOT offer me pain medication. I know what my options are for pain relief. If I do request it, please offer other methods of relief first (i.e. changing positions, hydrotherapy, etc.)
Hydrotherapy is extremely important to me for pain management, including the tub, and shower. Please encourage it.
A HEP-LOCK is OK, but I do not want an IV unless medically necessary.
I would like to be ambulatory during my labor, with the freedom to move around as much as possible.
I would not like to use Phenergan if I am nauseous. It has an effect on me similar to narcotic medications.
I would like to keep the atmosphere peaceful with as few staff in the room as possible.
I would like to wait for the urge to push, and to push spontaneously in the position of my choice.
John would like the opportunity to catch the baby, if possible.
Please place the baby immediately on me, for skin to skin contact.
Please do not use Pitocin during third stage unless medically necessary. If needed, I prefer an IM injection.
Please delay clamping and cutting the cord until it has stopped pulsating.
I would like to keep my placenta. My doula will take it home for me.
IMMEDIATE POSTPARTUM AND NEWBORN CARE
Please perform all initial assessments with the baby in my arms. Delay newborn exams/procedures for at least 2 hours.
I am declining the eye ointment and vitamin K shot for the baby.
Please do not administer the Hepatitis B vaccine to my baby. We will follow up with our pediatrician for that.
We are planning to breastfeed. Please do not give the baby any artificial nipples/pacifier.
IN THE EVENT OF THE UNEXPECTED:
If a Cesarean birth becomes a necessity, we would still like to preserve the sanctity of a gentle birth experience.
I do not want to be separated from my husband for any reason.
Please place the drape low enough so that I can receive the baby to hold skin to skin, with help from my husband, immediately and during the repair.
Please refrain from deep suctioning my baby unless it is medically indicated.
Please perform initial assessments of my baby with the baby in my arms.
We would like to minimize any mother-baby separation. In the event that this is necessary, my husband will stay with me, and our doula will accompany the baby.
Please communicate clearly to me what procedures are being done. I would like conversation in the OR to center around our birth.
I have read and understand this birth plan, and agree to support the desires stated herein, with the understanding that labor and birth may take unexpected turns. We will work together to stay as close to this plan as possible. The expectant parents reserve the right to change their minds with regards to these choices at any time.