I have my a/s Thursday (I'll be 21 weeks), and I plan on talking a little more in-depth with my OB about natural birth. We touched on it at my last appointment, but I had more questions about what I needed to be doing now (in terms of nutrition, exercise, etc.), so it kind of got glossed over, and that was two months ago (I had no insurance and had to cancel my last appointment, but now I'm covered and good to go!). For the record, I live in a small town in East Texas, there are no midwives or doulas or any other support for natural birth within an hour of where I live, so DH and I are kind of alone in this, and my mother is being extremely supportive (so much so I'm changing my mind about not having her in the room with us, just to have the extra support. She's also really good at talking with medical staff and getting them to agree with her, as I've seen from her staying by my grandmother's side several times). From our previous talks, my OB has never witnessed a completely natural birth, but seems interested in helping me achieve one, if somewhat skeptical. His c/s rate is low for this area (only around 10% for ftm's), and we've already talked about extending his induction deadline to 42 weeks (his practice's policy is 41 weeks, but he's willing to go to 42 as long as I consent to additional scans to ensure baby's health and practice natural induction methods), even though I can tell it makes him uncomfortable. I have already written a rough draft of my birth plan and have been doing a LOT of research (I'm a nursing student anyway, I've just kind of added this into my studies), but I'm worried if I go into that much detail with him on this appointment, we won't get very far.
So I guess that's a long paragraph to ask: What topics do I need to make completely sure I cover at this appointment? Is now a good time to bring my birth plan, or should I wait until I'm happy with the finished product (it's a bit too long right now)?
If I don't like his answers, there's not much I can do, really, except prepare for a fight come January, or try to convince him otherwise. There are 3 other OB's in town, but they're all extremely knife-happy (we're talking c/s rates upwards of 50%, even for first timers) and jack***es (I've been to all 3 before this OB moved to town, and hated them, even when I was a teenager just seeking b/c).