No birth plan. I did not have one with my other three either. Each labor and delivery was different, so I go in open to what is best for our baby. I never actually did a playlist either. My first was 36 long boring hours. The second was 5 hours and we had a great nurse to talk with. Time flew buy. The third was 6 hours and we spent a lot of time online.
I am just like PP. I never had a plan. Don't plan on it this time either except just to get this kiddo out with hopefully an epidural. Didn't have time last time.
Proud Mom to Kaleigh (14yr) Emma (12yr) and Hanna (7yr)
I didn't with my son. I was induced though after they had just stopped preterm labor(figures) so wasn't exactly prepared. I want a mirror so I can see birth better this time. I cannot stand not seeing what is happening to me! Lol I also want my sons pic to look at . I know I am weird but his little face calms me! Hahaha
I'm delivering at a hospital with midwives and have started working on a birth plan. @hikerlady my plan sounds very much like yours, except the water birth - I don't think that's an option there. While a lot is pretty standard for the midwife practice I do want to make sure that I'm very clear, since it is still a hospital.
I've started working on a playlist - music is very calming for me and I feel like it will help. A lot of various acoustic (folk, classical, a little of what I think of as "yoga music"), and some quiet vocal tracks that I particularly love. Looking for stuff I can get a little lost in.
I didn't have a set birth plan with DD because when I was diagnosed with Pregnancy Induced Hypertension it became whatever gets baby out safely. I knew I would most likely be induced and strapped to monitors so my options were limited. I was able to use the stability ball during contractions which was great since I did not have an epidural. I think birth plans are great if there are things you are absolute about. Just be sure to be flexible in case problems arise.
@Sammuelismomma I didn't have a mirror, but had my sister take a picture to see what everyone was oohing and awing about. Worse decision ever. I was expecting to see more progress based on everyone's reactions, but no. It actually discouraged me. Good luck with yours. Are you getting an epidural? I think I had an epidural, it wouldn't have bothered me as much.
I do not have a written birth plan this time or for any of my babies. I'll be at a different hospital this time around which makes me slightly nervous. So I'll probably do the tour this time. I work at this hospital but I'm in HR and not really in the actual hospital. Other than that our plan is to do an epidural like we did twice before.
I've never had playlists either. That sounds fun tho!
1. No episiotomy unless there's a medical emergency
2. I'll probably want an epidural, but would like to try without one. If I do get one, I'd like the dose to be the minimum needed to take the edge off. I don't mind pain, I just want to remain somewhat functional.
3. If I can be vertical or near-vertical while pushing, that would be great. It seems obvious that gravity could help a lot here... I'm just worried about the epidural making that impossible.
4. The fewer people in the room, the better. Doula + nurse, or doula + midwife would be plenty. DH wants to be there and I appreciate the sentiment, but honestly, I think he'll just be traumatized. No filming, photos, etc.
5. If everything is going well, I don't want constant monitoring, i.e. I'd like to be able to move, and I've read constant monitoring increases chances of C-section.
6. If anything ISN'T going well, then I don't want to play Russian roulette with oxygen deprivation and the like - C-Section is fine (only if necessary), and the decision should be made quickly. I need to do much more research on this to figure out when and how to make that call if it comes to it.
7. I'm sure many of the above points will change, either between now and labor day, or on the day itself!
Would love to see other people's plans - past and future!
1. No episiotomy unless there's a medical emergency
2. I'll probably want an epidural, but would like to try without one. If I do get one, I'd like the dose to be the minimum needed to take the edge off. I don't mind pain, I just want to remain somewhat functional.
3. If I can be vertical or near-vertical while pushing, that would be great. It seems obvious that gravity could help a lot here... I'm just worried about the epidural making that impossible.
4. The fewer people in the room, the better. Doula + nurse, or doula + midwife would be plenty. DH wants to be there and I appreciate the sentiment, but honestly, I think he'll just be traumatized. No filming, photos, etc.
5. If everything is going well, I don't want constant monitoring, i.e. I'd like to be able to move, and I've read constant monitoring increases chances of C-section.
6. If anything ISN'T going well, then I don't want to play Russian roulette with oxygen deprivation and the like - C-Section is fine (only if necessary), and the decision should be made quickly. I need to do much more research on this to figure out when and how to make that call if it comes to it.
7. I'm sure many of the above points will change, either between now and labor day, or on the day itself!
Would love to see other people's plans - past and future!
I would let your DH in the room. It is such a special time for the father and it means so much to them. I doubt if you asked many fathers if they were traumatized by the birth of the child they would agree. He might not know what to expect (childbirth classes could help), but he only has one chance to see his child born.
I know military fathers that were deployed and missed their child's birth. I think they would have given anything to have been there for that moment.
Considering that my last labor was 45 minutes from my waking up in pain to arriving at the hospital about 4 minutes before delivering, I don't see the point in writing a birth plan. Ha!
I actually had a checklist from the hospital with my first where I marked things that I wanted or didn't want (a mirror, an epi, visitors, etc.) but I haven't filled out anything like that with my other three births.
With labor and delivery I'm pretty much a take it as it comes kind of a gal.
As for a playlist, I'm thinking I won't have time for that either.
Kelly, Mom to Christopher Shannon 9.27.06, Catherine Quinn 2.24.09, Trey Barton lost on 12.28.09, Therese Barton lost on 6.10.10, Joseph Sullivan 7.23.11, and our latest, Victoria Maren 11.15.12
Secondary infertility success with IVF, then two losses, one at 14 weeks and one at 10 weeks, then success with IUI and then just pure, crazy luck. Expecting our fifth in May as the result of a FET.
I have to be induced, medical necessity, but I have a plan.
Plan A, Epidural and vaginal birth.
After that, I decided things I'd be ok with if it makes my life easier, and things I'd be ok with if it keeps my baby from being at risk. I mean I hate the monitors, but have to have them. I hate the IV but have to have that too. So that's why plan A is so simple.
Plan B, no Epidural and Vaginal birth (have to keep in mind that the meds aren't always possible due to availability of the DR and my clotting factor)
Plan C, C-section, epidural or spinal block if possible
Plan D, C-section under general anestesia... Hey at this point, whatever it takes to save me and baby right?
Just keep in mind that Plan A doesn't usually go exactly as planned especially as you add more and more things to it. Be a little flexible because Baby doesn't always have the same plan as you. Hope everyone has a healthy delivery as close to your Plan A as possible!
Labor at home, preferably alone with some music, for as long as possible. No medication at the hospital as far possible. I want to move around and I'm thinking of the squat position for birthing.
Post-partum: BF/skin-to-skin ASAP. Cord cutting only after pulsating has stopped. H to cut it if he wants. No Hep B vaccine. Vit K and eyedrops OK.
I think I'll have H be my advocate rather than write up the plan with so much up in the air with any birth. And I hope I'll have a firmer understanding of what I want after my birth classes and hospital tour next month!
I'm surprised so many people don't/didn't have birth plans!! I did with DD and will likely have the exact same one with this baby. The hospital I delivered at has a spot to post it clearly on the wall and all staff really did take the time to read and honor it. I don't remember everything but some things included:
- labor at home as long as possible
- No IV needle inserted when I arrive "just in case"
- Intermittent monitoring
- Don't bring up meds to me unless it's an emergent situation
- Labor in the tub, on a ball, use Hypnobirthing techniques, and exercises from doula
- just DH, doula, and medical staff in the room
- no episiotomy, just let me tear
- push in a squatting position, sit down for last push(es) in order to be ready for skin-to-skin more quickly
- no shots, bath, weighing, etc for first hour or two for skin-to-skin
Of course, not everything went according to plan but a lot of it did! I got stuck at 9cm for 10 hours, DD's heart rate dropped and I developed a 102 fever, so I got a "whiff" of pitocin to get me across the finish line. I ended up hemmoraging from the long transition phase so needed some interventions and closer monitoring for the blood loss and fever/potential infection. Other than that, it really helped to have some goals and ideas about what I would do in different situations.
Labor and delivery can be very unpredictable and decisions have to be made quickly. Rather than call it a birth "plan," I think birth "recommendations" or "guidelines" would be more realistic.
I had a very brief one with baby #1. I didn't want to do one at all, but DH asked me to. It was basically what I wanted my husband to decide for me if I couldn't make the decisions myself. (I'm the one with medical training, so he actually asked me to write it). I don't remember exactly what was in it, but I know it covered circumstances where I would accept a transfusion for myself and/or the baby, and circumstances where it was ok to give the baby formula and/or IV fluids instead of breastmilk. The entire thing was less than a page.
I just want to say thanks to all of you ladies who have shared your plans/non-plans. I'm at the point where I need to start considering all of this, and seeing your plans have been both insightful and a little push to get things started.
PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age.
Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins. First natural PG 9/27/11; mc: 1/20/12 First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D. IVF #1:
10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s
showed 6 follicles in my right & 9 in my left. Rx: 150 Bravelle &
150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET
11/2/12: CANCELED. All 5 came back from PGS as having "severe
abnormalities." IVF #2:
1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left.
Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every
morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13:
CANCELED. All embryos (he even sent the ones not growing) came back from PGS as
having "multiple severe abnormalities." IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3
follicles in my right & 4 in my left. Rx: 150 Bravelle& 150
Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ. ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0. Five day ET 3/16/13: one
early blast, grade Fair. 3/24/13 AF came a day before beta. BFN IVF #4:(Added acupuncture to this cycle.) 3/25/13 WTF & Baseline:
FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5
follicles in my right & 4 in my left. Rx: 225 Bravelle& 225
Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ. ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2
(Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd
stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and
focus on living childless, due to the extremely poor quality of my
eggs. ***Decided
to stop trying and live CFNBC. I couldn't adjust. So, six months later... IVF #5: Changed RE. Going to one of the big name clinics now.
OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14. BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14 2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily 2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox 2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again. IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR). 5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23 6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox. 7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB! EDD 3/18/15!
Re: Birth plans and playlists
I've started working on a playlist - music is very calming for me and I feel like it will help. A lot of various acoustic (folk, classical, a little of what I think of as "yoga music"), and some quiet vocal tracks that I particularly love. Looking for stuff I can get a little lost in.
@Sammuelismomma I didn't have a mirror, but had my sister take a picture to see what everyone was oohing and awing about. Worse decision ever. I was expecting to see more progress based on everyone's reactions, but no. It actually discouraged me. Good luck with yours. Are you getting an epidural? I think I had an epidural, it wouldn't have bothered me as much.
Me 36 DH 39
BFP 11/28/14 ~ MMC 12/29/14
TTCAL Siggy Challenge
I've never had playlists either. That sounds fun tho!
I know military fathers that were deployed and missed their child's birth. I think they would have given anything to have been there for that moment.
I actually had a checklist from the hospital with my first where I marked things that I wanted or didn't want (a mirror, an epi, visitors, etc.) but I haven't filled out anything like that with my other three births.
With labor and delivery I'm pretty much a take it as it comes kind of a gal.
As for a playlist, I'm thinking I won't have time for that either.
Kelly, Mom to Christopher Shannon 9.27.06, Catherine Quinn 2.24.09, Trey Barton lost on 12.28.09, Therese Barton lost on 6.10.10, Joseph Sullivan 7.23.11, and our latest, Victoria Maren 11.15.12
Secondary infertility success with IVF, then two losses, one at 14 weeks and one at 10 weeks, then success with IUI and then just pure, crazy luck. Expecting our fifth in May as the result of a FET.
This Cluttered Life
I have to be induced, medical necessity, but I have a plan.
Plan A, Epidural and vaginal birth.
After that, I decided things I'd be ok with if it makes my life easier, and things I'd be ok with if it keeps my baby from being at risk. I mean I hate the monitors, but have to have them. I hate the IV but have to have that too. So that's why plan A is so simple.
Plan B, no Epidural and Vaginal birth (have to keep in mind that the meds aren't always possible due to availability of the DR and my clotting factor)
Plan C, C-section, epidural or spinal block if possible
Plan D, C-section under general anestesia... Hey at this point, whatever it takes to save me and baby right?
Just keep in mind that Plan A doesn't usually go exactly as planned especially as you add more and more things to it. Be a little flexible because Baby doesn't always have the same plan as you. Hope everyone has a healthy delivery as close to your Plan A as possible!
Factor V Leiden Homozygous, Advanced Maternal Age
TTC #1, 5 yrs, PCOS, Femera + Ovidrel.
IUI#3 BFP, DD 5/31/2012
TTC #2, 2 yrs, PCOS, Femera+Ovidrel
IUI#2 BFP!
- labor at home as long as possible
- No IV needle inserted when I arrive "just in case"
- Intermittent monitoring
- Don't bring up meds to me unless it's an emergent situation
- Labor in the tub, on a ball, use Hypnobirthing techniques, and exercises from doula
- just DH, doula, and medical staff in the room
- no episiotomy, just let me tear
- push in a squatting position, sit down for last push(es) in order to be ready for skin-to-skin more quickly
- no shots, bath, weighing, etc for first hour or two for skin-to-skin
Of course, not everything went according to plan but a lot of it did! I got stuck at 9cm for 10 hours, DD's heart rate dropped and I developed a 102 fever, so I got a "whiff" of pitocin to get me across the finish line. I ended up hemmoraging from the long transition phase so needed some interventions and closer monitoring for the blood loss and fever/potential infection. Other than that, it really helped to have some goals and ideas about what I would do in different situations.
**siggy warning**
Current Age 35, DH 33
Married 9/2011
BFP 8/2012, Miscarried 9/2012
BFP 9/2012, DS 6/2013
BFP 6/2014, Miscarried 7/2014
BFP 7/2014, DD 4/2015
My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.
PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins.
First natural PG 9/27/11; mc: 1/20/12
First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0. Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN
IVF #4: (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...
IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
EDD 3/18/15!