Post # 1
Officially two days away from my EDD – woohoo! I have an appointment on that day and want to bring my “birth plan” with to go over with the doctor. Last time I spoke with this doctor (there are like 6 at this practice) he was supportive about my wanting an unmedicated birth, but wasn’t much on board with some of the other things I was concerned about (like the constant monitoring – his reply was “it’s just velcro – no needles, it doesn’t hurt!” lol). I was sort of unprepared then and hesitant to state myself, but now that I’m so close, I’ve gained some confidence, so I’m going to ask if I can put my pants back on before we discuss these things and try and see if I can’t get a better response from him. 🙂
But here it is – I tried to keep it short, to the point, and about things I’m most concerned about. I tried to be respectful and to not come across as untrusting. I want to compromise with the nurses (we’re totally bringing them Dunkin Donuts when I go in as a peace offering) and have them on my side, but I have my doubts going in. :S
*Disclaimer: I have totally stolen bits and pieces of this plan from the internets, bloggers, and former Bees. I have no shame – they put things better than I can muster at the moment. 😛
Okay, so what do you think? Should I word it differently/change anything up? I’m going to send it to my doula tonight to critique as well.
Our names are Mrs. & Mr.
Our doula’s name is SupahAwesomeDoula
We are hoping for a natural childbirth without unnecessary interventions or the use of drugs. We have asked a doula to be present during the birth to help us work towards this. We appreciate your support!
This plan represents our preferences; however, I fully understand that labor is unpredictable and, in the event of unforeseen difficulties, it may need to be re-negotiated. I trust my caretakers to make the best decisions for baby’s safe delivery. In the exception of an immediate emergency situation, I would request that any procedures, decisions, and risks be discussed with my husband and I so we have full understanding moving forward.
- I would like the freedom to choose positions, use the shower or bath and walk around in labor as desired.
- I am happy to have intermittent external fetal monitoring unless continuous monitoring is medically necessary.
- I do not want a routine IV, but am okay with a hep-lock IV as an alternative in case of emergency. I would like to use clear liquids (water, ice, popsicles, etc) for hydration as opposed to intravenous fluids during labor.
- I wish to be free of time limits and not have my labor augmented unless in a medical emergency.
- If baby and I are well, I would like to go beyond my due date. I am happy to discuss a plan should my pregnancy reach the end of term at 42 weeks.
Birth and Soon After
Presuming baby and I are well, we’d like:
- To have immediate skin-to skin contact with baby after birth and to begin breastfeeding right away.
- For all newborn procedures (weighing and measuring) to wait until I have had time to bond with and begin breastfeeding our baby.
- For baby to be given only breast milk – strictly no water or formula.
- I would prefer to wait on administering pitocin after delivery unless I need it to control bleeding.
- We will not be circumcising baby.
Post # 3
You might find it helpful to print and bring along a few of the printable practice bulletins from EvidenceBasedBirth to help you make your case for intermittent monitoring, avoiding IV fluids, deferring Pitocin until after birth, etc., if your doctor is giving you static about some of your wishes.
Post # 4
@ZombieBullfrogHoller: sounds great, very straight forward. I’ll be checking back to re read this when I get closer to my due date! Good job!
Post # 5
@KCKnd2: That sounds like a terrific idea! Thank you 🙂
Post # 6
@ZombieBullfrogHoller: Great job! To the point!
I included medical induction wants and want nots as well. Stripping of membranes, breaking waters, etc.
Our Bradley instructor told us to put in a clause about C-Section or in case of emergency. One arm free, baby to stay on mom’s chest while closing, dad to go with baby in the event of an emergency, epidural or general.
Have you thought about Hep B shot, Vitamin K or silver nitrate eye drops? If you are not circum. than Vitamin K is not really necessary and the dose is pretty crazy for an infant. Google it. 😉
GL with everything! We are 10 days away so that excitement is just building and building!
Post # 7
This sounds like you want a birth center birth. I really hope that your hospital is accomodating to your natural birth desires, but I’ve heard all too many negative stories about hospitals interferring which is why I chose to have my natural birth in a natural birth friendly birth center. The birth plan sounds AMAZING, a lot like what I’ll be using. Way to go, natural momma!
Post # 8
Just commenting so I can find this thread again when I need it! Good birth plan!
Post # 9
@quierajen: I really wish I lived in an area where there was a birth center or more natural-friendly-options. Alas. Next time! 😛
@baletrina: Thanks for the tips! I’m super pumped at this point! 😛
@SeaTurtle88: Thanks 🙂
I posted this over at HelloBee, too, and, based on the suggests there have changed ” without unnecessary interventions ” to “with minimal interventions” as not to sounds accusatory 😛 I also took out the induction section all together because I’ll be talking directly to my doctor about this tomorrow and this plan is mostly for the hospital staff when I go in to deliver. And I changed “I do not want a routine IV” to “I do not want continous IV fluids” to be more clear. Sent it to our doula and she approved. Now to give it to the doctor tomorrow and hope I don’t come out crushed 😛
Post # 10
Good luck! Definitely have the conversation while you are fully clothed, so you don’t have the psychological disadvantage of not wearing pants and I hope the practice bulletins from Evidence Based Birth are helpful in making your case for anything your doctor gives pushback against! Let us know how it goes!
ETA: Just thought of something to piggyback on baletrina’s (excellent) suggestion about including a section on C-section directives in case of emergency: make sure to stipulate that if you do need a C-section, you want the incision closed with double-layered suturing. It has a much better record than single-layer sutures for guarding against future ruptures.
Post # 11
I’ve never done this myself, but your list looks pretty good and is reminding me of a bunch of questions I want to ask at my “question appt” this week. 🙂
Post # 12
I just got back from my appointment and it was great. I was so nervous that the doctor would be like “No, this can’t happen” and give me push back against everything and pressure me to induce.
But he came in and was so nice and was like, “Okay, so you know you’re allowed to have the baby now, right? So what do YOU think we should do?” And I was like “Uh, wait as long as possible?” to which he says, “Sounds good to me.” He says he’s not comfortable going past 41 weeks and set me up with a NST for Friday. We’ll see what happens. Hopefully baby will make his debut, but if not I’m going to see if we can’t wait just one more week as long as things are okay.
Then we went over my birth plan. I was on pins and needles and had all my evidence based birth print outs ready to go and to talk about the other research I’ve read and blahdeeblah. But he just read it and went “Awesome. Everything looks fine to me. I would suggest you labor at home as long as possible – you want to come in ready to push out a baby. Because, you know, it’s a hospital and they’ll want to “help” which can sometimes wind up hindering, although that’s not the intention. I want your birth to go the way you want – you call the shots. We’re just there to help when you need us.”
There are no words to express how relieved I am 😀
Post # 13
Commenting to follow!! Good luck! Glad everything went the way you wanted it to!
Post # 14
@ZombieBullfrogHoller: This looks great! Good luck and I’m totally copying this for myself when the time comes! 🙂
Post # 15
@ZombieBullfrogHoller: I just want to point out that plans don’t always go exactly as you imagine and if the dr recommends something that’s different you should listen. Also, as soon as the baby comes out and you hold him, you don’t just start breastfeeding right then and there (at least that was my experience) they NEED to weight an measure the baby immediately to make sure nothing is wrong. If they wouldn’t have done these checks then they wouldn’t have known that my daughter wasn’t warming herself up after the delivery.
Post # 16
@ZombieBullfrogHoller: I’m so glad your appointment went well! Your birth plan looks great 🙂