I've never done an official "birth plan" before. I'm really thinking of putting a very few bullet points on a piece of paper to give my nurse this time. Also, some very basic reminders for DH. I don't really have many things that I'm a big stickler about but I do have some specific things I would like to go differently this time.
So here's what I'm planning to write down and give the hospital staff:
- Plan to have a natural L&D; not wanting an epi or other pain meds. A local is fine if need some stitches post delivery.
- Would like to labor down once complete until I feel the urge to push (not start pushing just b/c I'm 10 cm)
- Try different pushing positions according to how I feel
- Delay cord cutting (like at least 3 to 5 minutes) and hopefully have baby placed on me immediately
So that's it...my goal here is few interventions during laboring, just let me do my thing. With the second and third items I'm trying to avoid tearing this time and although the pushing phase has gone very quickly for me in the past, I've never felt the urge to push and have just actively worked to push baby out while laying flat on my back. I'm thinking if I wait for the urge and get in better position then maybe it won't be as much work and I can control the exit better so I don't tear. I really have no clue on this but there is that saying about how doing the same thing and expecting different results is the definition of insanity. So just trying something different.
Anyone else preparing or did prepare any "birth plan"? Do you have any thoughts about what you are expecting / hoping for with this birth?
Those look like great, easy to follow, simple points to have on a paper. It will be handy to have just so they know your preferences.
I agree about people are often encouraged to push just because they are 10 cm. With my #3, I was 10 cm but he was still at a -1 station. Thankfully they recommended waiting for him to move down on his own some more before I started pushing, which doctors don't often do. I waited another hour until he was at +2 station and started feeling more of an urge.
Since the standard is the birthcenter is most of my list, I just have a few silly requests. Like keeping the room as dark as possible for most of the time, and keeping people quite though I may wind up wearing my headphones for a while. My sister wants me to make her a plan-ish of sorts so she knows what sorts of things I want and don't want.
Sounds good. Since I have had a midwife for my last 4 births, I've never had anyone telling me to push, and honestly, I haven't really pushed at all with my last 4 babies!! There have been a couple contractions here and there where I did bear down slightly, but I have NEVER felt the urge to actively push. My body still shoots those babies out within about 15 minutes of having my water broken though (once I'm 9-10 cm). Yes, I would say your body will likely do a fine job of laboring down the baby all on it's own. If you do get the urge to push, then by all means push, but in not, just let your body do its thing. ETA: Oh, and I did not tear with any of my last 4 deliveries either!
One thing I'm putting on mine is to not OFFER pain meds...but wait for me to ask. That's key. A friend said she had to refuse an epi like TEN times! WOAH!
I've read so many positive things about waiting to push until you have the urge. I hope you are able to do that! It definitely helps with tearing less. Also, if you can not be flat on your back, that should help too. Can you squat to push?
Oh, and another thing about pushing. It may not be the norm, but I actually PREFER to be on my back or a little on my side/back to push. When I'm sitting straight up or squatting there is just WAY too much pressure on my cervix. Some women may need the help gravity provides. I do not, and it's way too intense for me! Don't be afraid to do what feels right for you, whether that's on your back, or squatting, or something else. Just do what works!!
Heather, very good question! Yes, it's supposed to be a good pushing position that increases the pelvic outlet size but I can't for the life of me envision getting into a squatting position and being comfortable pushing that way. I think hands and knees makes a lot more sense to me just thinking about it. Or also perhaps standing and leaning over the bed. I wonder how the staff will deal with that...I'm sure it's not something they are used to. My OB says I can do whatever I want but he's also never actually attended me for delivery
Laurie, good point and advice. I wonder about this b/c I feel like I may be more comfortable just laying down; back or side. But I want DH and/or my nurse (if I'm lucky) to help me try things, if I feel like it, when I get to that point to see what does really work for me. My gut feeling is laboring down and not working to push baby out will be the really effective part to the end of not tearing.
Ya, I'm no expert at the whole thing...it's just based on things I've read. LOL. And like Laurie says, what works for one, might not work for another.
I'm pretty sure my hubby and doula will have to help me get into positions. Something like this looks good for squatting...having the support would be good.
I've always felt just right with the amount of incline the hospital bed has. It's just the right amount of gravity for me.
I don't have a ton of preferences. Mostly, I don't like being bossed around. Don't tell me to push. Don't tell me how to breathe. In fact, don't even look at me unless I tell you to.
Past that, I dot feel too strongly about anything. If I want pain meds, I will tell you. Don't ask me. That's the only other one.
Great list. I agree 100% with laboring down also. I had to wait for my doc to make the drive to the hospital and in that time could feel him moving down from probably -1/0 to +2. It was hard towards the end to not push but it paid off huge when I got to push and felt for the first time in all 3 births that I could actually push productively and it only took a few.
As far as what I had "planned" I had requested skin to skin after the birth but wasn't able to do that because of him swallowing a lot of blood on the way out. I wasn't planning on delayed cord clamping but in my case it wouldn't have been the best choice because they needed to get him sucked out and monitored ASAP once he was out . Point being, I think it's great to have specifics you'd like to have during your birth but keep an open mind for situations that may come up. I was mildly bummed that I didn't get to have that skin to skin moment but I did later and at the time the most important thing was to make sure he was taken care of. I just know people who feel they've "failed" if they don't get every single thing they hope for when we can never predict exactly how a birth will go.