Birth Plan

Written by Elena @The Art of Making a Baby on. Posted in My Pregnancy, PREGNANCY

PLEASE READ: I can’t believe I have to make this disclosure but after a lot of initial unsolicited and close-minded (and some helpful and nice) input on the hospital bag post, I’d like to say this:

This is MY birth plan. I am NOT interested in what YOU think my birth is going to be like. Nor what YOU think my hospital will or will not allow, nor what YOU think I can or cannot do.
I did run this whole thing past my OB who delivers exclusively at the hospital I’ll be in and got an approval and signature on everything with a few maybes, with his cell phone number to call in case something isn’t working out.

That being said, you’re welcome to share your experience of YOUR birth and birth plans, as well as give advice based on FACTS pertaining to MY birth specifically, as long as you have read previous posts and know exactly where I stand (in other words, you aren’t a first time visitor who seems to think that they know anything about what I want or need).
I’m very interested in any hypnobabies/hypnobirth birth plans and how things worked out.
Before commenting, please read Childbirth training post, if you haven’t before. Thank you!

I am quite open to many things if need be, however this is my best case scenario of how I’d like things to go in case of a normal uncomplicated and not drawn out labor.
My awesome OB agreed pretty much with everything and as he was going through the points, he kept going “That’s how it normally is” to almost every point.

Obviously, this plan is going to have to be modified, if Alexis doesn’t show up by Thursday and I have to go in for an induction. A few things on here will go straight out the door in an induction situation.
{And obviously, this isn’t the format I used for the actual birth plan. This is just a breakdown. }

BIRTH PLAN

Note: since I’ll be doing hypnosis for relaxation, my husband will be the one communicating with the nurses most of the time.

  • Minimum personnel in the room. No interns or students in the delivery room.
    I’ll be doing hypnosis so I want it as quiet as possible. They can teach kids on someone else. {people relax, it is said as a joke. My own good friend and MIL are both nurses, recently out of training. I just won’t be able to concentrate on hypnosis with people in and out of the room}
  • No regular cervical checks. I don’t want to be informed of progress, either.
    I’m really digging the emotional stages of labor and see them over and over again in birth stories I read, so I would rather go by that since it’s more accurate than dilation. Funny story: my sister who gave birth in Russia 18 years ago told me about her experience. She basically had painless contractions that started at 8pm. At 12am (4 hours later), they suddenly picked up and she was screaming in pain. They checked her- 4cm. No way she can labor for hours like that she thought (there were no epidurals available). 30 minutes later- she was 10 cm and ready to push. My nephew came out with 4 pushes. Another great example of how emotional stages of labor are way more indicative of progress than dilation ( if you don’t know what I’m talking about, you can read it in Bradley Book)
  • No IV unless necessary (hep lock is fine).
    Truth be told I really don’t even want a hep lock. I don’t know how comfortable or uncomfortable I will be and I’d really like to avoid have a needle attached to my arm. Or being pumped full of fluids. But I realize I might not be able to not have either. I am, however, open to an IV, if for some reason, I am unable to hydrate properly and/or my labor is taking a long time. Fluids have its use- that’s for sure- just not as a routine thing in every labor. This was the first item that doc said we might have an issue with the nurses over.
  • No drugs whatsoever (including induction drugs, unless we agreed to them prior to ).
    I don’t want any painkillers, no Demerol or anything of that kind. I’d go for an epidural if I can’t handle the intensity of childbirth before going for other drugs.
  • No Cytotec if induction is necessary
    OB said they don’t ever use it anyways.
  • No amniotomy.
    Really needs no explanation. My doc agrees.
  • I’d like to be able to drink liquids, eat easily digested foods (fruit) during labor, if needed.
    Doc insists that I will not WANT to eat once I’m in active labor. Im not disagreeing but I’d like to decide for myself. I’m not planning on eating anything but easily digested foods, like fruit or juices, or maybe those bars I packed in early labor.
  • No continuous fetal monitoring. 20 minutes on , 20 minutes off is fine.
    This according to the doc is going to be a hard one. The funny part is I totally understand why they want to monitor, however I don’t want to be tethered down. I might be perfectly comfortable in bed and then sure bring it on. But based on everything I’ve read that’s usually not the case. So we are going to allow 20 on and off initially because I totally get why they want it and sort of play it by ear otherwise. If I am comfortable using hypnosis in bed or where the monitor can reach, I am not opposed to constant monitoring, but if it’s going to limit the type of relaxation techniques I can use, then it’s going to have to go. OB wasn’t happy about it, because he gets to track all his laboring patients on his iPhone ( how cool is that?), but he’s too sweet and caring to say no.
  • No epidural unless we specifically ask for it ourselves.
    This is sort of a no-brainer, but I just don’t want to be asked if I want an epidural until I request it myself.
  • No loud noises or push coaching.
    That only refers to initial pushing. Once the head is crowning, my OB will be directing my pushing to prevent tears. I don’t tend to need a lot of loud cheering on and we don’t want the atmosphere to be crazy loud, so none of that “PUSH! PUSH PUSH!” for me. On the other hand maybe I’ll be surprised and that’s exactly what will get me going.
  • I would prefer not to spend any time lying flat on my back, including during pushing stage.
    This one is non-negotiable! Half the hospital births I’ve seen they have women lying on their backs. 45 degree angle is fine, on my back- no!
  • I’d like to push in a sitting squat or whatever position I find comfortable.
    This one I’m really curious about what position I will find best to push it. No way to know until you get there :)
  • No episiotomy.
    Luckily doc agrees.
  • During the pushing stage, I would appreciate warm moist compresses and perineal massage to reduce risk of tearing.
    It’d be really cool if doc remembers to do that. Otherwise hopefully hubby will be in a gathered enough state to remind him.
  • No pulling on baby’s head. I would like to push her out myself.
  • Please delay cord clamping for at least 1-2 minutes. The cord clamping thing was initially “until it’s done pulsating”. After discussing it with the doctor he said that the longer you keep the cord unclamped and the more blood gets in (plus he brought up something to do with the baby being above mothers chest or something like that), the more bilirubin needs to be broken down. So it’s a fine balance between “yes you want the baby to take as much blood as possible to prevent anemia but at the same time you might run the risk of severe jaundice that’s a lot more dangerous”. To be honest I haven’t had time (or more like desire) to look up and see if what he’s saying is correct. He is a really caring doctor so I doubt he’d be saying something that it’s partially true. So we decided to let the cord pulsate for a few minutes and then clamp it. That way we get some extra blood into Alexis, but don’t run a big risk of jaundice.

BABY PLAN

  • We will provide blankets and will dry the baby ourselves {Actually, Andrew will as I’ll be “busy” with other things)
  • Please allow us time to get to know our baby and breastfeed (1-2 hours) before any newborn procedures.
  • All newborn procedures to be done in the room
  • Please no baths
  • Please keep low voices and be gentle
  • Please no eye ointment and no Hep B vaccine.
  • ABSOLUTELY NO formula, sugar water, water.
  • NO artificial nipples (pacifiers or bottles)
Hope this helps some of you who are in the process of writing a birth plan. I will have to change it if induction is necessary by Thursday. I don’t think I’ll post the updated plan since there’ll be far more important things to do. What I will do, however, is write a post on how it worked out for us. I assume, things won’t go exactly as we want, so concessions will have to be made, and it’ll be interesting to see how it all works out.

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