Tuesday, June 28, 2011

The Birth Plan...

Some of you have been curious about what I have in my birth plan so I thought I would just go ahead and post it.  A lot of the requests that I make in my birth plan are standard procedure in some areas of the country but not where I live so I have to include them :).  If you are currently pregnant and thinking that you don't need a birth plan, you might want to reconsider.  Making a birth plan gives you the opportunity to research what you and your hubby want for your birth, and it is a great way to talk to your ob about your birth preferences at your prenatals.  You can learn A LOT about an ob by how they react to your birth plan.  If they immediately start acting defensive, using scare tactics (like talking about dead babies) and telling you what they are not going to do before you even get to talk about your birth preferences, then you might want to look into finding another OB.  As a doula, I hear a lot of negative reactions to birth plans by OBs that really surprise me.  They usually say something like "I don't want you to make a birth plan because I don't want you to be disappointed if it doesn't work out that way" or "Birth is so unpredictable.. there is no need to make a plan because it won't turn out the way you planned."  While it is absolutely true that birth is unpredictable, there is nothing wrong with having a plan and making educated choices.  I could go on and on about this but since this isn't a doula blog...I will just get off my soap box and post my birth plan.  Feel free to ask me any questions about it!  And feel free to copy it :)!

Birth Plan

Mother:  Courtney ******
Father:  Shaun ******
Doula:  Maddy ****

All of the below preferences are given with the understanding that medical emergencies can occur.  We will of course be completely flexible in the event of an emergency.

First Stage of Labor:
-No IV just Heplock
-Intermittent monitoring for more range of movement and the use of the shower/tub
-Dimmed lighting
-Limited vaginal checks
-NO pitocin or artificial rupture of membranes
-No pain medication unless requested…please don’t offer medication

Second Stage of Labor:
-Would like to “labor down” until the urge to push is felt
-Spontaneous pushing
-Push and deliver in side lying/squatting/hands and knees positions
-No episiotomy

After Birth:
-Delayed cord clamping…please wait until the cord is no longer pulsating
-No afterbirth shot of pitocin…would prefer immediate breastfeeding and to only use if needed
-Natural delivery of the placenta
-Extended skin to skin contact with mother
-Suctioning/warming/cleaning baby/apgar scores etc while held by mother (skin to skin with warm blanket)
-No eye treatment
-Breastfeeding immediately after delivery
-In-room transition
 Nursery:
-Breastmilk only
-No vaccinations
-Pacifier is fine
-No formula or sugar water

7 comments:

Megs said...

It's funny the comments you posted about the OB's. While pregnant with my son, I had asked my Dr. when would we need to start discussing the birth plan, looking at details, etc, and he gave me pretty much exactly what you said about not being disappointed and that birth plans never really work out so really, we didn't need to talk about one and all those websites you read about are a little extreme. I brushed it off, but now know that I definitely should not have.

Obviously, a lot of unexpected things happened with the birth of my son, thankfully, a C-Section was not one of them. I really hope that things will just happen naturally with this one and he listens to what I want. Because my Dr. has a fabulous bedside manner otherwise. But, I would like to avoid pitocin and an episiotomy if at all possible. So thank you for this birth plan. I will definitely be jotting down some notes! :)

M said...

Thank you for sharing Courtney!

May I ask why you don't want the erythromycin ointment in your baby's eyes? Also, are you doing a delayed vaccination schedule or do you just not vaccinate?

I like the part in your birth plan about being able to labor down and push when you feel it. I hate it when a woman is complete and the labor nurse is counting for them to push and they don't even feel like they have to. I'm going to talk to my OB about this tomorrow I think.

Phillips Family said...

Thanks for posting Courtney, this is SO helpful. I was also curious about the eye treatment.

Courtney said...

Megs--I think they all must talk about it at conventions or something because they all say the same thing!! lol

As far as the eye ointment goes, I don't have an std so she doesn't need it :). I want her to be able to open her pretty little eyes and look at her mama and dada (also helps to be able to see for latch for nursing). Here is an article that explains why they do the drops:
http://childbirth.amuchbetterway.com/newborn-baby-eye-drops-explained/

We vaccinate on a pretty normal schedule...I just don't like the idea of my new baby getting a totally unnecessary shot when it is of no benefit to her(she doesn't need protection from getting a std as a newborn!). They started giving these (hepatitis b vac) to every newborn in the hospital much like the drops because some moms have stds that could be given to baby during childbirth.

Rebekah said...

Thank you for posting this. I am trying to be more informed with my birth plan this time around. I didn't have one at all last time!

Alison said...

I made a plan for Charlotte and when I got to the hospital I am not even sure they had it. I believe it got tossed out with the trash. My OB didn't seem to care too much for it either. With DC I honestly forgot. I know that is horrible, but with both of mine being so close in age and the fact that they didn't even have it my first time around I just didn't fool with it. Ironcially, his birth was more natural than I planned - seeing as I was at 8cm when I got to the hospital and I had him 20 minutes later. There wasn't time to do anything but push out a baby. So glad you are prepared, though. Laboring in the car after planning to have an epidural was a scary experience. Regardless, my little guy made it here and we both did wonderfully. Can't wait to see baby Kate. :)

Rebecca said...

Great Birth Plan! Could not agree with you more on EVERY point!