a little early... but birth plans??

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a little early... but birth plans??

anyone thought about this??

i am sooooooooo much more at ease with #2 than i was with #1! having your first baby is so scary, at least it was for me!

for Luke my plan was to try a natural birth, but be open to an epidural if needed. AND if i needed an epidural to wait till I was at least 7cm so i could avoid the complications of stalling labor, epidural fevers, and being stuck in bed. i spent the first 10 hours walking and squatting. i was so tired! but i had alot of back labor and it was so painful to lay down or sit on my birth ball.

I also had the misconception that the pain would be better once i got to push. I had heard that if you can get through transition (supposedly the hardest part) you will be fine and you will actually get relief with pushing. In my mind the pushing stage = less pain. When it was time to push and it still hurt horribly i panicked. Once you lose control mentally its game over. I got the epidural for the last hour or so if my 12 hour labor. I have no regrets. i had an awesome epidural. I could still walk, squat, move my legs, and feel my contractions, but without pain. and i didnt have to feel my tearing or the repair after. my epidural experience was wonderful!

my plan for number 2 is going to be the same. This time i am more prepared though. I know the pain wont get better with pushing. I imagine my labor will be even faster this time. i think 12 hours for the first baby is pretty quick! i did spend three hours pushing though. I will get through transition to the pushing stage with nothing, and then get an epidural if i need it. I'm no hero when it comes to pain, I'm just worried of the complications of getting an epidural too early in labor. Once its time to push, it would be like stopping a train. that baby is coming no matter what Biggrin

i did a hospital birth with a midwife. im planning the same for this one Smile

Jenn0113's picture
Joined: 03/09/07
Posts: 5335

I'm torn with how I want this birth to happen. With birth #1 I was sure I wanted to go 100% drug free. However, after 37 hours of contractions and still only being at a 3-4, I opted for the epi. (not a fan of the epi. sure it took the edge off but I still had pain that was unbearable in my lower parts) Then about 4 hours later I got pitocin to speed things along. I ended up with a csection at the 53rd hour. Blah. I was ok with the csection, I don't have any regrets when it came to my delivery - I did my best and I called all the shots.

This time I'm wanting a VBAC but I keep worrying about stalling again and needed a csection. I'd rather not spend the first day or so of my child's life trying to get my energy back. I obviously have time to decide and don't plan to make my decision until about 37-38 weeks.

Joined: 08/29/08
Posts: 303

Had an easy birth last time around. Contractions started around 7 pm. Left for the birth center around 11 pm. Arrived around 1. Labored in the tub or wherever I felt like for the next three and a half hours. DS1 was coming out with his hands up, so I couldn't actually birth in the tub. Fiddled around with different balls, chairs, whatevers for a bit. A few minutes after 5 am, I was holding him.

The whole process was very much "in the moment." I didn't care about the contractions that had come before, or the contractions that would come later, or time, or measurements, or anything. I was just focused on whatever was happening in that particular moment. The hardest part was towards the end when I was starting to get tired of focusing on the moment and I wanted to switch my brain back to normal thought. Biggrin And of course, about 5 or 10 minutes after I started thinking, "You know, this is getting a little old," it's all over with. Biggrin It wasn't something I'd do for entertainment, but it was a positive experience.

Here's to hoping that TaterTot is a similarly easy experience.

Jenn0113's picture
Joined: 03/09/07
Posts: 5335

"midori_" wrote:

"You know, this is getting a little old,"

Yes - I had that thought a lot too. I enjoyed labor for the most part but after so long you just get tired of it. And once the pain gets so intense, its just too much. (for me anyway)

jeepbaby's picture
Joined: 11/08/07
Posts: 492

My plan:

1. DD goes to Grandma (pr they pick her up from the hospital)
2. Dr. meets me in the parking lot with an epidural.
3. Have baby! Wink

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

I am probably having a homebirth this time. With DD, I spent most of my pregnancy thinking I'd get the epidural like "everyone else" until I did some reading and decided that the drawbacks of the epidural were worth avoiding if I could. It was a little late in my pregnancy to really prepare, though, and it is hard to prepare for something when you have no idea what it is going to be like. I was seeing an OB who was very old-fashioned in his thinking, but switched to a group of CNMs and was very glad I did. I went to the hospital after being up all night with contractions that were mild (but I didn't know that because I didn't know how strong they could be) and they discovered I was leaking amniotic fluid, so they gave me six hours to see if I would progress (I was about 2cm) Then the midwife broke my water completely and started me on a very low dose of pitocin, and the contractions that came were very painful. I found a way to cope and was doing fine, but after being checked a few hours later and learning I was not progressing and they were going to up the pitocin, I lost it mentally and was done. My MW suggested we talk about pain relief and I decided to get the epidural. I was happy with the epidural, no side effects and it wore of just the right amount to help me feel when I needed to push, but it changed the birth experience a lot for me.

With my DS, I prepared with Hypnobabies, and it helped me to have a really great natural birth experience. I had an 11 hour labor. I stayed home for the first about 8 hours, and left the house when contractions were 2 minutes apart, and I was 8 cm when I got to the hospital. I actually coped with transition really well until I had a cervical lip, and then I had some difficulty pushing at first after it was gone (figured it out with some guidance from my wonderful, supportive OB and the nurse), but once it was all over, it was the most awesome thing ever and I'm SO glad I did it! I'm normally a wimp, but to me, giving birth naturally is totally different. It is intense in both challenging and wonderful ways at the same time. All women and labors are different, though, so I understand that not everyone feels this way.

For anyone who thinks they might want to try natural birth, I recommend taking a good prenatal class that teaches coping techniques for natural birth, choosing a care provider who is experienced in supporting natural birth and a place of birth with a reputation for being supportive of it as well (my two babies births have both been at hospitals that were not the closest hosptial to where I have lived--lived in different states for each of their births), and hire a doula. In fact, I recommend the childbirth class and the doula for EVERYONE, because you don't know how long you will have to cope before you can get an epidural, and it never hurts to have some techniques you can use on your own, instead of having to rely totaly on drugs that someone else has to give you.

JuneorJulyBaby?'s picture
Joined: 10/20/08
Posts: 2479

I never had a "written" birth plan but the nurses asked me tons of questions about what I wanted when I was laboring (I was induced) and again when I was close to pushing.

I wanted an epidural the second I felt anything and i got it. I think it did stall my labor some but I was fine with that. I didn't have any complications with the epidural but I did have a very strong one and was paralyzed from about the boobs down. DH and a nurse had to turn me every 30 min so it wouldn't get more concentrated on one side but that was the only drawback. Because of the pitocin, I knew the pain would be bad and I didn't want to experience that much of it. When I was 8 cm I was freaking out becuase I could feel my contractions and they HURT. I thought my epidural was wearing off but it turns out that was actually what it felt like and the epidural was helping...a lot!

I labored down for a while when it was time to push to help baby move down. The nurse fully supported me and didn't tell the doctor until I was ready. I knew exactly when to push and it didn't hurt at all. Thank goodness for the epidural.

I had a mirror to watch everything while I pushed and they asked me if I wanted to touch his head- I didn't but I think this time I might Smile I had a really good birth experience and it felt really private, even though I was in the hospital. I hope for the same with this baby!

Joined: 09/29/09
Posts: 1346

did any of you use evening primrose oil? im not sure if it was coincidence, but it seemed to have helped me. its supposed to soften the cervix and help you dilate faster once it is time.

i started inserting it nightly after 37 weeks. i didn't think it was doing anything because every time i would get checked i would have no dilation, or my cervix was too high to reach. i delivered 1 week late, so be then i had been using it for 4 weeks straight. after 3 hours of very light labor i was already 5 cm. in 9 hours i was fully dilated. i really had no pain at all with my labor until the last 3 hours. (then it was agony). im not sure if it was coincidence, but i am DEFINITELY using it again this time!

sugspop's picture
Joined: 02/22/07
Posts: 1418

I had a good first birth, so i will likely do something similar. Although i had back labor and couldn't stand it after 2 hours, the epidural did slow things down, but it wasn't that bad really. I could still move my legs and feel the contractions coming etc.

I believe in manifestation so I am going to visualize a lot of my desired outcomes, like not tearing, having a healthy baby, etc.

Oh, and I was two weeks early, which was a god send, and I went into labor naturally.

Joined: 04/10/11
Posts: 1703

"Normal" in my family is 40 hours of torture, so I desperately hope I can do some major drugs! I am being forced into this a more natural route by the lack of an epidural because of scar tissue on my spine. I know that means I need to focus on prenatal classes and get the breathing down. Do you know when it's appropriate to start classes??

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

"triplespiral" wrote:

"Normal" in my family is 40 hours of torture, so I desperately hope I can do some major drugs! I am being forced into this a more natural route by the lack of an epidural because of scar tissue on my spine. I know that means I need to focus on prenatal classes and get the breathing down. Do you know when it's appropriate to start classes??

I really believe that whether or not labor is "torture" is highly subjective. I think about 98% of "pain tolerance" is mental. There are some circumstances (such as back labor or induction) that tend to make a labor more painful, but having a long labor is not always necessarily completely horrible. Someone on the birthing naturally board was explaining that childbirth is similar to exercise--intense exercise can be pretty painful, but athletes are able to reframe that pain to recognize that it means their body is working, they get through the pain because reaching their goal is worth it to them.

Most classes like you to come in the late second or early third trimester, though a few will start earlier. You can probably reserve your spot any time, though. Have you looked into what is available in your area? Are there any independent instructors or is there just the hospital classes? You might also consider the Hypnobabies homestudy course, which you can start anytime, though it is recommended to wait to really get into it until a little later in your pregnancy, because there is daily practice involved and some people get burned out from doing it if they start early.

Panonim's picture
Joined: 11/11/05
Posts: 439

It's not too early to think of birth plans! I only wish that I had started early on when planning my first birth. :confused:

My first was a typical hospital birth with OB - epidural, forceps and all that jazz. In retrospect, we realized how many risks we took and that we are not at all comfortable with that level of risk.

My second was a typical home water birth with midwife and we were 100% happy with our birth experience.

This time, we are planning and preparing for another home water birth with our wonderful midwife. Smile

Panonim's picture
Joined: 11/11/05
Posts: 439

"MrsMangoBabe" wrote:

I really believe that whether or not labor is "torture" is highly subjective. I think about 98% of "pain tolerance" is mental. There are some circumstances (such as back labor or induction) that tend to make a labor more painful, but having a long labor is not always necessarily completely horrible. Someone on the birthing naturally board was explaining that childbirth is similar to exercise--intense exercise can be pretty painful, but athletes are able to reframe that pain to recognize that it means their body is working, they get through the pain because reaching their goal is worth it to them.

Most classes like you to come in the late second or early third trimester, though a few will start earlier. You can probably reserve your spot any time, though. Have you looked into what is available in your area? Are there any independent instructors or is there just the hospital classes? You might also consider the Hypnobabies homestudy course, which you can start anytime, though it is recommended to wait to really get into it until a little later in your pregnancy, because there is daily practice involved and some people get burned out from doing it if they start early.

I agree! In my hospital birth, I had an epidural placed at around 5 cm (and had 100% pain relief after that). In my homebirth, I had zero pain relief. Length of labours were almost the same. Guess which one I found more torturous? The hospital labour, hands down. It's all about environment and support. I definitely recommend you find a doula to support you!

Panonim's picture
Joined: 11/11/05
Posts: 439

"Panonim" wrote:

I agree! In my hospital birth, I had an epidural placed at around 5 cm (and had 100% pain relief after that). In my homebirth, I had zero pain relief. Length of labours were almost the same. Guess which one I found more torturous? The hospital labour, hands down. It's all about environment and support. I definitely recommend you find a doula to support you!

And by "you", I mean triplespiral. Not MrsMangoBabe. LOL Smile

Joined: 04/10/11
Posts: 1703

"Panonim" wrote:

I agree! In my hospital birth, I had an epidural placed at around 5 cm (and had 100% pain relief after that). In my homebirth, I had zero pain relief. Length of labours were almost the same. Guess which one I found more torturous? The hospital labour, hands down. It's all about environment and support. I definitely recommend you find a doula to support you!

Thanks, I've been thinking about it. I looked into it just a bit and found that the cost is about the same as a used car ... hmm ...

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

I did natural birth with my first baby (which I now regret because I had horrible back labor, had an epesiotomy, and tore in two places on the inside during pushing). I was in such excrutiating pain that I didn't get to enjoy the birthing experience at all and was just screaming the whole delivery.

With my second baby I had the epidural at the first twinge of pain because I was so shocked and shaken from my first labor that I didn't want to feel a thing! That epidural went great, and I was able to experience the entire thing and focus on my baby instead of the pain.

With baby number three I wanted to hold out as long as I could without the epidural, but definitly knew I wanted one. I just didn't want it to stall labor at all. I was induced around 7AM, water broke at 11AM, got the epidural at 12PM, and she came at 3:48PM!

With this baby I plan on doing it the same as #3... holding out as long as I can bear the pain and then getting the epidural for when it comes time to push. I like being able to walk around, which my hospital has no problem with... lets hope everything goes according to plan!

Joined: 09/29/09
Posts: 1346

"Starryblue702" wrote:

I did natural birth with my first baby (which I now regret because I had horrible back labor, had an epesiotomy, and tore in two places on the inside during pushing). I was in such excrutiating pain that I didn't get to enjoy the birthing experience at all and was just screaming the whole delivery.

you poor thing!!!! that is exactly what epidurals are for. that sounds so traumatic. i can't even imagine. you must have been so anxious about having your second one.

our plans sound pretty similar. my birth with Luke went so well i dont wanna change a thing! i was walking till it was time to push. then i got my epidural for the last hour. for me it was wonderful. I was starting to get so scared from the pain. the epidural changed it from a scary situation to the best most wonderful experience of my life. im actually really excited to give birth again!

OliveOly's picture
Joined: 08/03/08
Posts: 158

With ds I had. epi at 4cm. I wanted to go drug free but I have zero pain tolerance and it was painful. After the epi was great I dilated quickly. Rested and was ready to push when time. Only drawback is my legs were numb and a couple hours later I had to pee but it would just not happen so I had to have a cath but the labor and birth was a great experience for my husband and me. Same plan for #2.

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

"Carolyn85" wrote:

you poor thing!!!! that is exactly what epidurals are for. that sounds so traumatic. i can't even imagine. you must have been so anxious about having your second one.

our plans sound pretty similar. my birth with Luke went so well i dont wanna change a thing! i was walking till it was time to push. then i got my epidural for the last hour. for me it was wonderful. I was starting to get so scared from the pain. the epidural changed it from a scary situation to the best most wonderful experience of my life. im actually really excited to give birth again!

Well, seeing as he was my first baby, I didn't even know the difference between back labor and regular labor (like I ended up having with my other two!) so I didn't know any better until after he came and I explained what I had been feeling to the doctor. By the time she came to deliver the baby it was too late for the epidural so I just had to get him out on my own. I remember thinking that I wish I could shut up because I know I was screaming so loud and I was scared that I was freaking out every other woman giving birth in the other rooms! When my MIL came in after he was born, she said that she could hear me all the way out in the waiting room! :rolleyes:

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

Krystal, I have a good friend IRL who had a similar traumatic natural back labor experience with her first baby and a similar good epidural experience with her second, so I understand what you're saying. This friend is semi-crunchy and understood why natural birth was desirable, but for her, it was just not worth the pain. Back labor is a completely different animal.

I recently read a book about back labor that you might find interesting--at least the technique it teaches would be worth trying before getting the epidural. It's called "Back Labor No More!" and I reviewed it here: http://birthunplugged.blogspot.com/2011/05/theres-more-to-back-labor-than-fetal.html

triplespiral, if you find a doula who is working on her certification and needsexperience, she might give you a discount--that is what I did. I did one birth for free in January and am doing another for a discount in August, which are the two births I'll need for my certification. The cost varries by area. I will be charging $450 per birth from now on, but I know the average in my area is really on the low end compared to other areas. Some doulas offer discounts for financial need and some even accept barter payment. But anyone who has used a doula will tell you that the cost is worth it.

Joined: 04/10/11
Posts: 1703

"MrsMangoBabe" wrote:

K
triplespiral, if you find a doula who is working on her certification and needsexperience, she might give you a discount--that is what I did.

Oh, good call! I'll give that some thought and ask around.

PAmom2boys's picture
Joined: 04/29/09
Posts: 1494

plan:

go to hospital full term have a baby. Not in the car Lol

thenamezkrista's picture
Joined: 12/03/08
Posts: 246

I was 9 days past due so it was an induced labor. They started me on Pitocin the first day at 7:00 a.m. continued to pump me with it going up every 4 hrs as needed for two days. Well on the third day I was only 3 centimeters dialated and having full on contractions all three days. My OB said she would give me until 6pm and if I wasn't dialated to 7cm then I'd be going in for a C-Section. Well, the pain grew unbearable by the third day. I couldn't walk because the pitocin was overfilling in my body basically and swelling in my legs and feet. I was so beyond scared of the epidural because I have a herniated disc and I read that you can become parlyzed if they push it or anything with the needle. So I opted for Stadol. Most women are against it, but I loved it! It's just like the nitrus oxide (laughing gas) It makes you feel like you're not in pain, but you can feel everything. I was in so much more of a stressed free state. It was great. Only downfall, they only can give it to you five times. And you usually need it every two hours. So I had to give in to the epidural Sad . Well, my gut was right... my back got all screwy, I couldn't lay on it, and only my right leg was numb. I had feeling everywhere else. So, I ALMOST had a natural delivery. I felt everything while he was coming out. I think this time I'm going to wait till late in the game for the Stadol and use them while I'm pushing. I'm still exploring my options..

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

"PAmom2boys" wrote:

plan:

go to hospital full term have a baby. Not in the car Lol

:clappy: ditto lol!

@ thenamezkrista, that's horrible! I'm so sorry that you had a bad experience with the epidural. That actually happened to me with my third baby. When they gave it to me, all of the medicine was going to my right side, and I could feel everything on my left. I quickly told them about it and the anesthesiologist came in and fixed it ASAP. Did you tell them about it? Did they just not do anything to try and fix it?

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

The epi I had with my DD worked better on my left side, but after lying on my right side for a while, it evened out. When I was pushing, my left leg was numb and my right had feeling, which was kind of weird. I tore a tiny bit with that birth (did not tear at all with my natural birth with DS), and we thought I was still numb enough from the epi to do the repair, but I didn't feel any pain with the first stitch, but did with the second! So, I guess my coverage was a bit spotty at that point. My midwife immediately stopped stitching and gave me a local anesthetic to do the rest of the repair. I think it was Carolyn who said she was glad she had the epidrual for her tearing and repair, but my understanding is that women who tear during natural births don't feel the tearing because of the pressure on the tissues from the baby's head, and the doctor or midwife most definitley should always use a local anesthetic for stitches on an unmedicated woman.

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

@mrsmango, I had natural childbirth with my first baby and I didn't feel the tearing on the inside or the episiotomy (she gave me a local anesthetic for the latter) but I certainly felt the pain as she was fixing me up! My first was the worst experience by far... epidurals just seem to by my Godsend lol!

I'm_a_pepper's picture
Joined: 10/25/05
Posts: 606

I have had both vag. and c-section births, and much prefer the vag. one, but my last was a c-section so it will be repeat c-section for me this time at 39 weeks (assuming I last that long). I do not like the thought of having surgery again, and I have thought about a vbac, but I came to the conclusion that the risks are too high for me personally. I do have some things in mind that I learned last time from my c-section so I will put to use this time.

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

I think I'm just going to roll with it. I'm going to take some classes so I have some tools in place to try and go as long as I can, if not the whole way, without pain medication. But I know myself and my pain tolerance, so I'm open to pain meds. I'll wait as long as I can. I would like to avoid an epidural because the needle in my spine scares me, but I will likely go for it if alternatives don't work. I'll be going to the hospital with my midwife handling the delivery. I hope to stay home as long as I can though, I hate hospitals! Lol! Oh, and our extended medical covers 80% of a private room, so I think it would be about $200. We are going to go for that and stay the two days after delivery.

thenamezkrista's picture
Joined: 12/03/08
Posts: 246

"Starryblue702" wrote:

:clappy: ditto lol!

@ thenamezkrista, that's horrible! I'm so sorry that you had a bad experience with the epidural. That actually happened to me with my third baby. When they gave it to me, all of the medicine was going to my right side, and I could feel everything on my left. I quickly told them about it and the anesthesiologist came in and fixed it ASAP. Did you tell them about it? Did they just not do anything to try and fix it?

yeah, they just said that it would be too painful to fix it at this point because once I got it I progressed so quick.
I REALLY hope this labor is alot better. I'm going to research it more I think.

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

@hilary... I promise the quick prick of the epidural needle is nothing compared to the pain of the contractions, especially since first babies tend to take around 12 hours or more to come... and the needle is only in there for 30 seconds... just long enough for them to thread the thread through, which the medicine drips out of. Then they just tape the thread down to your back (it's literally the size of thread that you sew with, so you don't even feel it). It's a Godsend, I promise!

.hilary.'s picture
Joined: 01/31/10
Posts: 1505

Oh thanks!!!! That makes me feel better. For some reason I thought it was like a needle in there all the time :eek:

JuneorJulyBaby?'s picture
Joined: 10/20/08
Posts: 2479

"Starryblue702" wrote:

@hilary... I promise the quick prick of the epidural needle is nothing compared to the pain of the contractions, especially since first babies tend to take around 12 hours or more to come... and the needle is only in there for 30 seconds... just long enough for them to thread the thread through, which the medicine drips out of. Then they just tape the thread down to your back (it's literally the size of thread that you sew with, so you don't even feel it). It's a Godsend, I promise!

Yes, for a long labor, the epidural IS A GODSEND! Smile