This is what I have- one page for the main stuff, a second, smaller page for the C-section part. I'd like to keep it short and sweet.
Dear Staff- As a second-time mom who has been through the process before, I understand that labor and delivery do not always go as planned. I am aware that if a serious medical situation occurs we will have to adjust our expectations, however at this point I have enjoyed a low-risk, healthy pregnancy without complications and am hoping for my second med-free birth. We appreciate the support and understanding as we strive to meet that goal as we welcome our baby girl. Thank you!
I DO consent to the following:
-a Heplock
-Intermittent fetal monitoring
-Minimal vaginal exams during labor
-Students or residents present during labor
-Pitocin given post birth
-Local pain relief for the repair of any tears
-Vitamin K for the baby
-Cord cut by husband 10-15 minutes after birth
I do not want:
-Pitocin during labor
-Pain medication offered during labor. I will ask if needed.
-Any medical procedures done on myself or my baby without consent.
-An episiotomy. I prefer to tear naturally.
-The baby given bottles or pacifiers. We are hoping to exclusively breastfeed.
-Hep B vaccine or erythromycin eye ointment for the baby.
-Baby removed from my presence or room. If for any reason I am put under GA or unable to be with the baby, I would like my husband with her at all times.
In the event of a C-section:
-I do not want my hands or arms restrained.
-I would like a low, horizontal incision.
-I would like to hold and nurse the baby as soon as possible.
-I would like one labor support person to stay with me at all times.
-Please offer anti-anxiety or anti-nausea meds if they are a safe option.
I don't think I'm missing anything- I really just want what is most crucial to me but if there's anything you think is super important that I don't have, please let me know. I didn't feel the need to mention lights dim, laboring in water, pushing how I want, etc, because I just plan to do it as long as things are okay. Also input on how it's worded? My doula suggested putting what I do consent to first so it comes across positively.
Thanks!
Re: Input on birth preferences
Natural Birth Board FAQs
Cloth Diaper Review Sheet
Loss #6 2014 Loss #7 (chemical) 2014
~DS Born! 2009~
~DD Born! 2013~
I would put that is wanted the baby handed to me right away as long as nothing is wrong. That was something that wasn't done with my son and I was really upset, I thought he wasn't breathing the way they carted him off.