Post your birth plan

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Jenni Beth's picture
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Post your birth plan

I'd like to read everyone's birth plan! It helps me realize if I left something out or if there is something I should reconsider.

Jenni Beth's picture
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Here is mine. I'll come back and edit as I think of stuff. (I will also rewrite it in complete sentences!)

I don't mind having IV fluids but I want to try to do it natural.
No internal fetal monitoring, intermittent OK.
Birth in position of my choice, not restricted to on my back.
Yes to walking while in labor.
Yes to po fluids if I want them (Gatorade, chicken broth).
No epidural unless I ask.
No routine cervix checks.
No membrane stripping or breaking water unless absolutely necessary.
No vac or forcepts for baby.
Absolutely NO episiotomy.
Delayed cord clamp until it stops pulsating.
SO will cut the cord.
Skin to skin right away.
No pulling on placenta to deliver it, no pit to deliver it.
BF right away.
No sugar water, binkie, or formula.
Would like SO to do first bath.
OK on circ, on hospital discharge day, no sooner.
OK Hep B, Vit K, and Gent eye oint.
Want to room in unless I'm absolutely exhausted and need a nap.
On demand BFing.

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I will be delivering at the same hospital where DS2 was born and I am happy with the way they do things there. The only thing I plan on telling them is no episiotomy. When I had DS1 (at a different hospital) they actually did an episiotomy without even telling me! That pissed me off, especially since I always push out my babies very quickly & it was totally unnecessary.

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I am still working on my birth plan. Will post it on this thread tomorrow Smile

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Stay home as long as I can (I went to the hospital at 8cm with Evan)

No IV at the hospital (the port is fine with me and antibiotics if I strep + again). I had IV fluids with Evan and it was a PITA made it hard to move and it's the only thing about that delivery I wasn't thrilled with.

They monitor me if I'm sitting or laying down but if I'm up it can be off that's fine with me.

Pit to deliver the placenta is protocol for my doc and he wouldn't agree to anything else, didn't bother me last time so I have no issue with it.

Likely no pain meds/epidural I didn't have one with Evan and don't intend to this time. Really my reasoning isn't nearly as altruistic as some. I am simply a control freak and I don't like the idea of not being able to get up freely. I took a shower an hour after Evan's birth. I like to be able to move. I like to know I can at any time. I'm weird Smile And I just never found the pain with Evan to be all that bad. Nothing I couldn't tolerate. If the pain this time is much much worse then I might change my mind, it wouldn't be a failure or anything to me

Skin to skin and BF'ing right away is protocol at our hospital. As is rooming in -- BUT if I'm as dead beat tired as I was with Evan I'll send the baby to the nursery like I did with Evan. I had been up nearly 48 hours and I was useless when the nurse brought him in to nurse in the night I was hard to wake up. I'd have been no good with the baby there and DH doesn't stay the night.

No pacifiers or anything off the bat, I'm not against them per say Evan would NEVER take one and now that he's older I'm kind of glad so I might avoid them if I can

Mostly I wing it. And the forceps/vac/episiotomy I'll leave up to my doc. I trust entirely that he'd never do it if not necessary so if he did I'd let him. That being said I pushed out Evan with 2 minor tears so I'm thinking I can handle another one unless it's over 10 pounds LOL

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I've never had a formal birth plan, but I've been relatively happy with both of my births. Then again, I don't go natural, and I think my hospital has some pretty good policies - at least they seem to be similar to my own (very few) wishes.

I'll be getting an epidural. I had one with both DD and DS and was very happy with it both times. Yes, it's a pain not being able to get up, but my pain tolerance is so low that I really can't hack it through labour without one. (I know it probably is physically possible for me to do, but I honestly thought I was going to DIE without it in the past. My labour pains are very severe)

My doc would rather I tear than do an episiotomy, which suits me just fine.

They always ask if DH wants to cut the cord, so that's up to him.

One thing I did request the second time was to not have a catheter, or at least have it taken out sooner after the birth. After DD I had the darn catheter in for at least another 24 hours and it was dreadful. So even though I did have to have one with DS (kinda hard to get up to go pee with an epidural Wink I requested that they take it out right away, and it was removed within a couple of hours after the birth - as soon as my epi was wearing off.

Rooming in is policy at our hospital, and I've always been allowed to breastfeed as soon as I wanted.

I'm hoping for a similar experience to my 2nd birth this time around. I'm happy with my doc and hospital. I'm also excited because since I last gave birth, they have a brand new L&D and Mother/Baby unit! It's supposed to be very nice. And even handier, we moved last year and now live across the street from the hospital. No jokes. I can see the main entrance from my front door. LOL

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no formal birth plan here. With Ds I had an epi and am 99.9% sure I will do it again. I plan on nursing again, so I want to BF asap after birth. Our hospital is big on BF so I have no worries there. Ds' birth was assisted, he got stuck and the doc used forceps. I had a awful time recovering in many ways so I will request that they are not used again. I personally would rather have a c-section (please do not judge me, I have had some of this recently). But with the pyelectasis with our little man this time I am not sure how things will go, so we are just playing it by ear and hoping for a healthy boy no matter how he gets here.

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I had a birth plan per sey but that's kinda out the window with having twins...
I did not want and epi was my biggest thing nor cesearean so I didnt want pitocin...

Now..... my chances of ceaseran are waaaay higher., the epi is protocol for twin deliveries.....
So I am hoping I at least get my vaginal delivery I will compromise and get the epi as much as I was against it after my first....LOl

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Here's mine:

I want to be able to walk around during labor.
Definitely will want an epidural, but when I request it.
No water breaking unless labor has stalled.
Do not want an episiotomy.
I want immediate contact with baby.
I want DH to cut the cord.
Absolutely no pit at anytime during labor, even to deliver the placenta.
No eye ointment.

Jen, I wanted to address a few things on yours, considering this is your first baby. With the IV fluids, if the time comes where you want an epidural, they will not give you one unless you have two liters of fluid in you, and by then it may be too late for the epi if you're refusing fluids. Obviously if you're 100% on having a natural birth, I would refuse the uneccessary IV, too! You shouldn't need an internal moniter for baby unless you're overweight, which you're not. I'm overweight, but never needed one lol! They will need to check your cervex from time to time, to make sure that you're progressing... again, especially since this is your first baby and you don't know how your body is going to handle labor. As far as breaking water, I had to have my bag broken by them with every baby to make labor progress. If you have an epi, you don't feel a thing, and if you don't, it hurts, but not nearly as bad as contractions lol. A lot of times you'll have to decide between vacuum/forceps or a c-section if baby's head becomes stuck in your pelvis, but you won't know this until you're pushing and the doctor is right there. More than likely the doctor won't tell you he's doing an episiotomy because by the time it needs to be done baby's head is crowning, and they would rather cut you than have you tear if they don't think your perinium (sp?) will be able to handle the birth. I had to have one with DS1, and I tore inside in two places. Yes it was painfull, but not nearly as painful as the tears. But with all my other babies, I didn't need to have one, because my body had already gone through a delivery. So, I guess I'm trying to say don't be completely opposed to it, you might need one. For circumcision, you'll have to check with your hospital's policies. I know here in Nevada they don't do it in the hospital, my pediatrician does it, and it has to be done on day 7 or 8 (can't remember which) becuse that's when baby's pain tolerance is at it's highest. Sorry this is so long, but I just wanted to give you my take on certain things.

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I'd love to have a birth plan but I won't because it will upset me if things don't go picture perfect. I would rather have zero expectations and deal with things as they happen. I will have an epi but I have a rather important reason. I lack the enzyme that wakes you up after an anesthetic. If I had to be put under for them to quickly grab the baby during a dire emergency c section, I wouldn't wake up. With the epi if there is a qui k emergency they can csection me right away. Since it can take ten mins or so yo take effect the only other option would be unmedicated csection which I am nit going yo risk having happen to me!!!! Can you imagine surgery with no pain killers or anestetic???!!

The things I can control I will, but they aren't the "important ones". So my version of a birth plan will be things like no visitors other than dh and dd, no pacifier, and formula jf I decide I want it. As for the medical side I'll keep an open mind and decide as I go if I can.

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I'm not writing out a birth plan. BUT by the time I go into labor, I will have spent approximately 12-14 hours directly with my three midwives. My last 4 appointments are all a full hour, and will be dedicated to the little details. That being said, I'm at a freestanding birth center, so interventions aren't really offered except in emergencies.

I'm thinking I'll make a solid point of exercising EVERY day between weeks 36-40. Start evening primrose oil capsules on 1st October. Get acupuncture on 31st October. Labor at home until my midwives tell me I'll fairly close. I might even walk to the birth center. I'm planning on birthing in the tub unless I don't feel like it. I'm going to play some fun music and burn some incense. Biggrin

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"sweetsriracha" wrote:

I might even walk to the birth center.

I'll probably be walking to the hospital too - but it's across the street from my house Wink

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I'm hoping to have a similar experience I did with DS. We are birthing at a freestanding birth center so unless there is an emergency they don't offer intervention.

I will this time spend more time at home and then go in, instead of heading down once the contractions picked up. I would rather be comfortable at home until the time comes, we are a 2 minute drive. Will attempt a water birth again unless the water doesn't help the pain.

No episiotomy, prefer to tear naturally if I do.

I have requested that once lo is here we wait for the cord to stop pulsing and SO can cut it. Will pass placenta without injection unless it is necessary - mw said the muscles which help pass placenta become weaker with each child you have.

Skin to skin contact with SO until placenta passed and then BF .

Will be rooming in, as protocol at the birth centre and SO is allowed to stay with us. BF will be on demand no one telling me when I can and can't!!

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"Starryblue702" wrote:

A lot of times you'll have to decide between vacuum/forceps or a c-section if baby's head becomes stuck in your pelvis, but you won't know this until you're pushing and the doctor is right there. More than likely the doctor won't tell you he's doing an episiotomy because by the time it needs to be done baby's head is crowning, and they would rather cut you than have you tear if they don't think your perinium (sp?) will be able to handle the birth. I had to have one with DS1, and I tore inside in two places. Yes it was painfull, but not nearly as painful as the tears. But with all my other babies, I didn't need to have one, because my body had already gone through a delivery. So, I guess I'm trying to say don't be completely opposed to it, you might need one. For circumcision, you'll have to check with your hospital's policies. I know here in Nevada they don't do it in the hospital, my pediatrician does it, and it has to be done on day 7 or 8 (can't remember which) becuse that's when baby's pain tolerance is at it's highest. Sorry this is so long, but I just wanted to give you my take on certain things.

Thanks for your feedback, Krystal! I've been reading Ina May Gaskin's book Ina May's Guide to Childbirth and a lot of my choices come from her well researched, woman tested and proven methods. A vac or forcepts will be used only as a very last attempt. If you get on all fours, most women can push even the biggest heads out. Including babies with shoulder dystocia...most women without even a tear!

Also, it has been proven that your body knows how to heal itself so if I tear, I tear. My OB knows that she is absolutely not to cut me unless I explicitly give her permission to do so.

As far as circ goes, I'm delivering in the hosptial that I interned at for my BSN so they do the procedure in the nursery. I used to work for the pediatrician who will be Carter's doctor. She has hosptial privileges and will be seeing him in the hospital as well as doing his circ there. Some doctors like to wait a week or so to make sure the baby's Vit K levels are up so they won't bleed too much. However, my diet is already so high in vitamin K and he is getting the shot that I'm not worried about it, as long as Susan waits until the day we are d/c'd to do it. I can chow down on some spinach salad or turnip greens! YUUUUMMMM!!

I'm LOVING Ina May Gaskins book...it has taught me so much about what our bodies are capable of doing. I'm so confident that this will be a good birth. Being a nurse I do know that complications arise and that things don't always go according to plan, and I am open to changing that plan for the safety of my baby. However, this plan is written for an 'ideal' situation so that everyone who is taking care of me knows my wishes and I don't have to worry about repeating myself at shift change or when I'm pushing. Smile

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"TLotus" wrote:

I am still working on my birth plan. Will post it on this thread tomorrow Smile

TAMARA!!!!!!!!!!!!!!!!!! Where is yours? I have been looking forward to it! Biggrin

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Jen, I've never heard of this book before... and I had no idea that you were a nurse! That sounds fantastic though, you know so much more with your first baby than I did lol... I went in scared to death, did it natural, and it was not at all what I expected!

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You know what they say...too much knowledge can be a dangerous thing! Hahaha. My main experience is with pediatrics, geriatrics, and hospice. I did NOT like OB when I was in school. Now I've been reading and studying and pulling out my old notes and books. I would have made an A+ in that class if I had been pregnant years ago! Biggrin I'm so facinated with the natural birth process, especially since it goes against the traditional medical model and has better out comes. Check out Ina May Gaskin's book. It is very empowering. Even if you choose an epidural it will still having you walking into your birth thinking you are the woman!

I hope I don't chicken out at the last minute. I have some friends who haven't been very encouraging and actually tease me about my decision to try it natural. That bugs me a little bit but my SO and my mom are 100% supportive and will be in the delivery room so that is all that matters. I'm working on quiet meditation and positive affirmations to completely get rid of my birth fears. I think it will go so much smoother if I walk in there without that fear.

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"Jenni Beth" wrote:

Thanks for your feedback, Krystal! I've been reading Ina May Gaskin's book Ina May's Guide to Childbirth and a lot of my choices come from her well researched, woman tested and proven methods. A vac or forcepts will be used only as a very last attempt. If you get on all fours, most women can push even the biggest heads out. Including babies with shoulder dystocia...most women without even a tear!

Lurker- I just wanted to pop in and say you are ABSOLUTELY right! Smile DD had shoulder dystocia (she was OP and weighed 10 lbs 4oz) and I did it naturally with no interventions or episiotomy and I barely tore at all. Actually, I didn't tear until the nurse reached in to unwrap the umbilical cord that was around her neck. Even then it was only a very small 1st degree resulting in oh, maybe 2 stitches. It was fantastic, and it is possible. Smile

I just wanted to encourage you and say that I hope you get the birth you want!!

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no birth plan here. i've had a child before and know that things just do NOT go as planned. you just never know what's going to happen. i guess the only thing i can say is that sometimes i think people put too much pressure on themselves to have a birth plan and don't think enough about the fact that the baby doesn't care WHAT you wrote down on your birth plan - they just care about coming out and being healthy! having a plan is great - just don't put too much pressure on yourself to do everything perfectly according to plan. it just won't happen.

that being said, nobody asked my opinion so i get it, shut up nance.

i was induced at 38 weeks with thomas because he wasn't growing and they wanted him to come out. i know i can't "plan" this but i'd love to go into labor naturally this time. you know, just to see what it's like!

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Jen you can totally do it! I'm with Nancy on recognizing whatever happens the end result of a healthy baby is the only priority that matters. I always feel badly when moms feel like "failures" for everything from delivery to bf'ing. But I totally think you can have a natural birth! I did with no plans at all except the determination to be able to move! And Evan was big with big ole head and shoulders! 2 small tears 1st degree no real pain in healing and one 500mg ibuprofen after all was said and done. And I had pitocin to help me when I stalled and I didn't find it horrible at all. I was scared of it but it just got me over a little hump and I was so tired it was probably best I had the help. So you can do it! Just remember not to be hard on yourself if in the moment you decide what you want is something different, the end goal is all that really matters!

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"Jenni Beth" wrote:

TAMARA!!!!!!!!!!!!!!!!!! Where is yours? I have been looking forward to it! Biggrin

Sorry so late! LOL! Here's mine!

Pre-Admission

We would like to complete all forms prior to labor; and to stay at home as long as possible. If upon arrival to the hospital Tamara is deemed to be in early labor (less than 4 cm, with no complicating factors), we will decline admission until a later time when Tamara feels to be more progressed.

Upon Admission

Hydration: We ask that Tamara hydrate herself with water and juice as desired, and will be happy to accept a Heparin Lock. IV to be implemented only in the event of complicating factors.

Movement: We ask that Tamara be allowed to move about freely and to assume any position that she finds comfortable.

• Monitoring: It is our desire to decline continuous EFM, but prefer intermittent monitoring when necessary.

• Room Environment: We will be performing various techniques of self- hypnosis and for this reason we ask to be allowed to bring soft music, use dimmed lighting, and ask for the staff to kindly use a low voice - avoiding references to "pain", "hurting" or "hard work". These words are disruptive to our hypnosis process, and we thank you for respecting our unique needs.

Photography: We would like to have the opportunity to record our baby’s birth with still photography and video camera.

Birth Support: We, Tamara and Byron, will be supported by our professional labor assistant, Allegra. She is a certified Doula and has attended many hospital and out of hospital births, including cesarean sections. We will require her continuous presence during our labor and birth. We authorize her to be present during any examinations or procedures.

• Management of Labor: It is our strong desire to allow our birthing to proceed upon its natural course, in the absence of complications, without restriction to time. If an increase of oxytocin becomes necessary, we would like to use natural methods before our consent will be given for the use of Pitocin or AROM. In addition to labor support, we will use a TENS Unit to help with labor pain management.

• "Pushing": Because we are using hypnosis for childbirth pushing techniques, Tamara will be using positions she finds effective, and this will be completely mother-directed. We ask that the staff respect our request and not direct us how to push, or count to ten, or yell.

Perineal Massage: We ask that the staff assist us with warm compresses and olive oil massage of the perineum. We have been preparing for a birth with no episiotomy and appreciate your patience and support as our baby crowns.

Birth of our Baby: Please allow our baby to be born without pulling on his/her head or turning it unless there is shoulder dystocia. We also ask that the cord be allowed to stop pulsating before clamping or cutting, and Byron will cut it at that time. Tamara will hold our child in her arms immediately upon birth. Tamara will hold baby against her skin and will ask for blankets to be placed over them both. We ask that any newborn procedures be delayed until we have had some time to get to know one another - up to two hours. (bathing, eye drops, foot prints etc.)

Birth of Placenta: We ask that Tamara’s placenta be allowed to deliver without the use of traction. We understand that this may take a few extra minutes and we certainly appreciate your patience with us. For personal reasons, we would like to save the placenta to take home. We will sign any documents in advance to facilitate this.

Breastfeeding: We will be exclusively breastfeeding our baby and request that no bottles of any kind, pacifiers or artificial nipples be given to our baby, and he/she will be rooming in with Tamara. Thank you for all of the care we've received during our pre-natal visits and in advance for the respect and assurance we know we'll receive from you during our birthing.

I think I need to add something about having minimal vaginal checks... I think I left it out because I will labor at home as long as possible. Hopefully, I will arrive just about ready to push! LOL!

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I'm keeping an open mind for my birth. But I do want to have some form of pain meds. Only my hubby and best friend in the room for the delivery and first 2 hours after. BF a must right away!!! I want to do either a side lying or hands and knees postion? Any suggestion would help. My only concern is that my hospital is 30 miles away and my husband is a contractor and might not be able to get to me fast if there is a problem Sad

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Tamara, awesome work!

just out of personal curiosity, are you declining group b strep testing?

I know in terms of my own preferences, if I were needing to write a birth plan, I would put something about how unless there is a medical necessity, I prefer to give verbal consent for all touching, especially internal.

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"Jenni Beth" wrote:

I hope I don't chicken out at the last minute. I have some friends who haven't been very encouraging and actually tease me about my decision to try it natural. That bugs me a little bit but my SO and my mom are 100% supportive and will be in the delivery room so that is all that matters. I'm working on quiet meditation and positive affirmations to completely get rid of my birth fears. I think it will go so much smoother if I walk in there without that fear.

I hope everything goes well and exactly as planned for you! I was very much like you with our first baby. I actually did it naturally, although I didn't do much reading up on anything nor did I take any classes. I figured that they didn't have books or classes for thousands of years, so what does it make any difference (lol)? I ended up having the worst back labor imaginable, which I hear is way worse than just regular contractions. Not to mention that I needed an episiotomy and tore twice on the inside... it was a nightmare. Because of my horrible experience I knew there was no way that I would never birth without an epi again (#2 and #3 were both induced with pit, and I hear those contractions are way worse than normal, too!) so I guess I've never experienced a normal contraction style labor. I just remember the pain being so bad that it made me almost not want to have any more children. So I guess what I'm trying to say is, don't consider it chickening out or any type of failure on your part if you decide to go for the epi! It made my second and third deliveries so much more enjoyable, as I was able to have total peace and really enjoy every minute of it! I know everyone's pain thresholds are totally different, and no two deliveries are alike, but it's the way I have to go lol!

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"sweetsriracha" wrote:

Tamara, awesome work!

just out of personal curiosity, are you declining group b strep testing?

I know in terms of my own preferences, if I were needing to write a birth plan, I would put something about how unless there is a medical necessity, I prefer to give verbal consent for all touching, especially internal.

Thanks!

I'm not declining group strep. Just asking for delayed testing...and all the immediate procedures they normally do right away.

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Tamara, Your plan looks awesome! I really need to get mine down on paper.

I was talking about my birth plan to one of my friends(who is also an RN) the other day. She laughed at me and said, "The nurses at the hosptial are going to HATE you! You're going to be one of those pain in the butt patients." I know my birth plan deviates heavily from traditional hospital protocol so I'm thinking of hiring a doula. At least that way the nurses won't feel like they have to "look out" for me as much.

Krystal, Thanks for the encouragement. I am going to give this my best shot at natural. If I can't do it, I can't do it. But then everyone will be saying "I told ya so!" and that makes me mad. I'm going to try my dang hardest! Just have to keep thinking positive thoughts!

Christina, get in the position that feels best to YOU at the time. You won't know until you get there. I just finished reading Ina May's Guide to Child Birth by Ina May Gaskin. Check it out. It has tons of good information, especially on birthing positions. If there is one thing I've learned from her book it is that the uterus and vagina are amazing, powerful things! If a man could do with his penis what we can do with our uterus, he'd be bragging all over the place! lol Wink

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"Jenni Beth" wrote:

Tamara, Your plan looks awesome! I really need to get mine down on paper.

I was talking about my birth plan to one of my friends(who is also an RN) the other day. She laughed at me and said, "The nurses at the hosptial are going to HATE you! You're going to be one of those pain in the butt patients." I know my birth plan deviates heavily from traditional hospital protocol so I'm thinking of hiring a doula. At least that way the nurses won't feel like they have to "look out" for me as much

Thanks, Jenni! I think getting a doula is a great idea! I hired mine at 16 weeks and we have been getting to know each other since. By the time for me to deliver, she will know my wishes and me well enough to advocate for me effectively if and when I need it. I'm excited to have a doula this time! Smile