Help with my birth plan
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  1. #1
    Mega Poster krazykat's Avatar
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    Default Help with my birth plan

    Anybody want to take a shot at editing my birth plan? My lovely doula helped me. I like what I have, but I am afraid it is too wordy. I also don't know if I want to put "VBAC" in there and draw more attention to it. I thought about just "beautiful birth" or something. I'll post and feel free to give me suggestions. The only part I am pretty firm on is the monitoring statement, because my OB needed it to be pretty detailed.

    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.

    FIRST STAGE:
    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.

    SECOND STAGE:
    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.

    THIRD STAGE:
    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.
    And then there are signature lines for me, my hubby, doula, and my OB at the very bottom. What do you think?
    Ariel & John: Military Family since May 17, 2006

    Sylvia: 12/18/08, Justus: 9/17/10, Bunni: 5/11/12, Surprise Baby: Guess Date 11/5/13



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    Posting Addict cactuswren's Avatar
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    I think it sounds great...I like how it's organized, and very clear. Nothing seems unnecessary to me.
    -Leigh-
    DD Adair Lucille 7/6/10
    DD Faye Louise 10/19/13

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    Posting Addict Spacers's Avatar
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    In many hospitals, non-family people are not allowed in the ICN so your doula wouldn't be allowed to accompany your baby. If she knows that she can do that, that's great; otherwise, you might want to consider changing that part. Also, she has no authority to make decisions for the baby, so it might be wise to plan on DH going with him if it becomes necessary. When Weston was born, my midwife suited up in case DH had to go to the ICN with Weston, she could come into the OR to stay with me.
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    I think it sounds great. Not too wordy at all IMO. I like how it's organized as well.
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    Mega Poster krazykat's Avatar
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    Quote Originally Posted by Spacers View Post
    In many hospitals, non-family people are not allowed in the ICN so your doula wouldn't be allowed to accompany your baby. If she knows that she can do that, that's great; otherwise, you might want to consider changing that part. Also, she has no authority to make decisions for the baby, so it might be wise to plan on DH going with him if it becomes necessary. When Weston was born, my midwife suited up in case DH had to go to the ICN with Weston, she could come into the OR to stay with me.
    That is a good point. I wonder if my OB would have any sway there? I'll ask him about it. The hospital I'll be at really is much much better than most. The only time baby would be in the nursery is if they were getting ready to transport to a higher level NICU. Sooooo, in that case I would want my hubby with her. Hmmm... I'll have to think on this one.

    Do you think I should separate the "baby" plan from the "mommy" plan? Or leave them together as is?
    Ariel & John: Military Family since May 17, 2006

    Sylvia: 12/18/08, Justus: 9/17/10, Bunni: 5/11/12, Surprise Baby: Guess Date 11/5/13



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    Posting Addict AnnaRO's Avatar
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    I like it! It's clear and leaves no room for misinterpretation. I was going to say the same thing about who goes with the baby. Our hospital will only allow mom and dad in the nursery at any point, though different hospitals may have different policies on that. It's so exciting how close we are getting!! I'll be rooting for your VBAC!
    -Anna
    VBA2C blog





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    Posting Addict jolly11sd's Avatar
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    I think it looks really nice! I can't think of any additional changes to make other than what was mentioned.
    ~Joy~ DS1-8/5/05, DS2-10/18/10 (VBAC#1), DS3- 4/11/12 (VBAC#2!)


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    Prolific Poster ftmom's Avatar
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    I think your plan sounds good, very concise. Just wanted to mention that if you want to keep your placenta, there may be additional forms that the hospital requires you fill out, that you can do ahead of time. Something to find out about if you haven't already
    Kyla
    Mom to Arianna (5), Conner (3) and Trent (my baby)

  9. #9
    Mega Poster krazykat's Avatar
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    Quote Originally Posted by ftmom View Post
    I think your plan sounds good, very concise. Just wanted to mention that if you want to keep your placenta, there may be additional forms that the hospital requires you fill out, that you can do ahead of time. Something to find out about if you haven't already
    Haha, yeah I had to fill out all kinds of biohazard forms and everything with DS' placenta lol!! My doula has worked this hospital many times and she said they don't even bat an eye anymore. She says she shows up and says, "I'm here to pick up so-and-so's placenta." And they just bring it right out without any questions asked. Isn't that awesome?!
    Ariel & John: Military Family since May 17, 2006

    Sylvia: 12/18/08, Justus: 9/17/10, Bunni: 5/11/12, Surprise Baby: Guess Date 11/5/13



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