(Closed) Birth Plan Critique

posted 6 years ago in Pregnancy
Post # 3
Member
1336 posts
Bumble bee
  • Wedding: October 2010

Looks pretty comprehensive to me…only thing I would say is that while hopefully your birth goes exactly how you want it to be, if for some reason there is a need for an emergency c section, you’re probably not going to get a “discussion”. They’re going to be pulling cords, rushing around the room, etc.

They shoved a clipboard in my face while they were rushing me into the OR (baby’s heart rate was dropping dramatically, doctor said we couldn’t wait another minute).

Post # 5
Member
2095 posts
Buzzing bee
  • Wedding: September 2011

The only change I can see if is it is necessary for internal monitoring, you may want to keep that as an option. I know we had to go that route because the contractions and hb were not showing on a regular basis.

Post # 6
Member
1621 posts
Bumble bee
  • Wedding: September 2012

Looks like a well thought out and informed birth plan.  Just out of curiosity (please feel free to not answer if you don’t want to), I’m wondering what your thoughts are about declining the oxytocin to remove the placenta?

Post # 7
Member
1482 posts
Bumble bee
  • Wedding: July 2010

I think it looks very well thought out. The only thing I can think of clarifying is the C-section part… it sounds like you’re of the “only if absolutely medically necessary for the health and safety of mom and baby” camp and so maybe something about that should be included so that that is clear in the birth plan? It might be better than saying you want to be a part of any conversations about it (although you could certainly keep that in there).

Post # 8
Member
5655 posts
Bee Keeper
  • Wedding: April 2011

I think it looks good! Stay home as long as possible & know the reasons/research behind what you’re requesting… Including Darling Husband because you’ll be kinda busy. 😉

Post # 9
Member
3363 posts
Sugar bee
  • Wedding: September 2009

I would also add “no pacifiers.” A nurse gave my nephew one without asking his mom!!  He was only a day old and she was breast-feeding.

Post # 10
Member
510 posts
Busy bee

Just commenting on this post so I can reference it later:) 

Post # 11
Member
1774 posts
Buzzing bee
  • Wedding: September 2009

I think this birth plan will make it harder for your doctor and nurses to do what is in their best judgment.  As someone who has delivered many babies, seeing a birth plan like this makes us think high-maintenance and that you don’t trust the team working for you, even if those aren’t true.  While it may not be right, I have seen countless times where providers or nurses spend less time with patients who have these requests and more time with patients they consider “nicer” and “more appreciative.”

Time spent writing a birth plan is better spent choosing the best physician, and then trusting his or her judgment.  If you don’t trust their judgment, why are you going to them?  

Post # 12
Member
1621 posts
Bumble bee
  • Wedding: September 2012

@guitargirl: With the exception of her preferences about augmentation and management of the third stage, all of the issues that she lists are actaully best practices based on solid evidence.  So….I would imagine that (hopefully?) most care providers would already be adhering to most of this as a part of their “best judgement”.  

And, perhaps more importantly, just because a woman thinks about her wishes, informs herself of the options and their risks and benefits, and is a PROACTIVE consumer of health care, doesn’t make her “high maintenance”  or “less nice” or “less appreciative”.  It also doesn’t mean she doesn’t “trust” her care providers.  What it does mean is that she’s her own best self advocate for what she wants given the appropriate clinical scenario.  

Also, lest we not forget (and I work in the industry so I do know) that not all doctors or nurses always do what’s in their “best judgement”….sometimes, they do what’s in their “best interest”.  Like putting a healthy, unmedicated, uncomplicated woman on EFM just because it’s easier to monitor centrally than to actually spend enough time to do intermittant ausculation. 

Post # 13
Member
2063 posts
Buzzing bee
  • Wedding: August 2012

@cdncinnamongirl: +1

And less attentive nurses is not always > more attentive nurses. 

Post # 15
Member
198 posts
Blushing bee

@abbyful:  oh my god how do you KNOW all this stuff?? I’m 29 weeks exactly, i think from my baby bump thread stalking that i’m only a few days behind you (yaaay) and I dont know about half this stuff!! I think I want what you want though! (Although this may be a case of last minute copying someone else’s homework ha ha) Did you read books to decide what you wanted from you birth, or talk to people?

Post # 16
Member
198 posts
Blushing bee

god I’m naive…

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