Can anyone share their induction/cesarean birth plan?

Re: Can anyone share their induction/cesarean birth plan?

• E&RMommy

  June 2010

  You might want to ask your nurses about their policies when you check in for your induction.  We only allow one person into the OR at all three of the hospitals where I work.  Additionally, all three of my hospitals do not allow any filming/taping/photography in the OR.  Best of luck....I hope your birth experience is a good one!!

  Three losses in 2009; Boy/Girl twins born in 2010

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• flyer23 member

  June 2010

  Hey, I'm in Dallas, too! Where are you delivering, if you don't mind me asking? And who is your doula? (Feel free to PM if you prefer.)

  Anyway. Have you talked over the induction stuff with your OB/midwife? Using prostaglandin gel first and starting Pitocin on the lowest dose is going to be his/her call. So if s/he is onboard, you shouldn't even need to put that in your birth plan, and if s/he is NOT onboard, putting it in your birth plan isn't going to make a bit of difference. Same goes for all the c-section stuff -- it might be fine, but it might also be totally against policy.

  Also, you might want to talk about ramping up the Pitocin slowly if your body does not take over with natural labor on its own (or if your OB/midwife is unwilling to turn off the Pit). It's fine if you have to keep getting it, you just don't want them cranking it up like crazy if you're already in a good contraction pattern.

  Good luck to you! DD was a 42-week induction and I was sooooo bummed about it beforehand, but it ended up being an amazing experience. You're going to meet your little one soon! YAY!!!!

  Mommy to DD1 (June 2007), DS (January 2010), DD2 (July 2012), and The Next One (EDD 3/31/2015)

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• dangerkitty102

  June 2010

  flyer23:

  Hey, I'm in Dallas, too! Where are you delivering, if you don't mind me asking? And who is your doula? (Feel free to PM if you prefer.)

  Anyway. Have you talked over the induction stuff with your OB/midwife? Using prostaglandin gel first and starting Pitocin on the lowest dose is going to be his/her call. So if s/he is onboard, you shouldn't even need to put that in your birth plan, and if s/he is NOT onboard, putting it in your birth plan isn't going to make a bit of difference. Same goes for all the c-section stuff -- it might be fine, but it might also be totally against policy.

  Also, you might want to talk about ramping up the Pitocin slowly if your body does not take over with natural labor on its own (or if your OB/midwife is unwilling to turn off the Pit). It's fine if you have to keep getting it, you just don't want them cranking it up like crazy if you're already in a good contraction pattern.

  Good luck to you! DD was a 42-week induction and I was sooooo bummed about it beforehand, but it ended up being an amazing experience. You're going to meet your little one soon! YAY!!!!

  I'm delivering with a hospital midwife at Baylor, and my doula is Delilah Ray (www.cherishedbirth.com). I was a little hesitant to go the home/birth center route - so the hospital midwife at Baylor seemed like a great alternative. They are a very natural friendly hospital and most of their standard procedures are what i would ask for anyways.

  I have discussed the induction with my MW and the plan is already to start on the prostaglandin gel then slowly with the Pit. Really this is just so anyone else (nurses, on call OBs etc) know the plan too. Or if my MW slips on the sidewalk and sprains her ankle as she's leaving for the hospital that morning and I end up with someone random.

  We haven't talked c/s details since she obviously wouldn't be the one to do it. I forwarded what I had to my doula and added in a line about double surturing for a later VBAC attempt, not having my hands restrained and being able to hold the baby "as soon as possible" after the birth since "immediately" won't be an option (nurses have to check him out first to make sure he's breathing, different from a vaginal delivery). But she assured me this hospital is the most "keep mother and baby together" hospital in Dallas.

  Glad to hear your 42-wk induction was a good experience! Obviously I'm hoping and praying for the same! 
  

  >

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• momofolivia

  June 2010

  my suggestions (induced at 41.5 weeks):

  - IV v heplock?
  - lights/music in your birthing room? 
  - Should the nurses suggest the epi for you, or do you want them to not mention it until you give them the OK (my nurse made me tell her twice that is what I wanted so she was certain)?
  - Do you want to know your progress after internals (this might discourage you if your nurse says "you're only X cm")?
  - any postpartum requests if you don't have a c/s: catching the baby, rooming in, eye cream, pacifiers, formula/water, etc.

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• Klikina member

  June 2010

  My c/s preferences were pretty much the same as yours. When I went over our plan with my OB, she made the suggestion of getting a spinal instead of an epi, because an epi takes so much longer to work. You may want to look at the differences and see what you think.

  

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• rcollier_17

  June 2010

  No adivce from me. Just GL and hope that everything goes well for you! There are definitely drug-free induction stories out there, so I hope yours will be one of them!

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• Dobie_Mama

  June 2010

  Should I end up with a repeat c/s, my preferences include:

  - Spinal vs. epidural

  - Spinal placed before the catheter

  - My doula & DH to be allowed in the OR

  - Photography allowed (this one is a long shot. we were not allowed last time)

  - At least one hand to be free (another long shot, but worth asking)

  - The curtain to be lowered when DD #2 is born

  - Skin to skin ASAP

  - Establishment of BFing ASAP

  - No pain management medications other than Toradol & Motrin to be administered
  

  - Incision to be closed with internal double stitching, glue & steri-strips externally 
  

  
  
  

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• duncanpowers

  June 2010

  I would put a note in that if you do require an IV/have a hep lock/use an epidural, that you will still be asked and informed prior to every change in dosage, additional drug used, procedure done, etc. When my friend labored with a spinal and had an IV, I saw them stick all kinds of things in there and do an episiotomy without ever informing her. She was laboring and didn't notice, so if I hadn't told her, nobody ever would have.

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• flyer23 member

  June 2010

  dangerkitty102:

  I'm delivering with a hospital midwife at Baylor, and my doula is Delilah Ray (www.cherishedbirth.com). I was a little hesitant to go the home/birth center route - so the hospital midwife at Baylor seemed like a great alternative. They are a very natural friendly hospital and most of their standard procedures are what i would ask for anyways.

  Oh, you are in good hands! I saw Cecily (and Jane, before she left) with DS, up until I switched to homebirth at 36 weeks, and I adored them! Probably the hardest part about switching to homebirth was having to leave them. And from everything I've heard, Delilah is awesome too.

  Given that, I wouldn't stress too too much about the little details. Your preferences sound pretty standard under the circumstances. Baylor and Cecily will probably do the right thing, and Delilah will get them back in line if they don't

  Good luck again! You'll do great

  Mommy to DD1 (June 2007), DS (January 2010), DD2 (July 2012), and The Next One (EDD 3/31/2015)

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• Ready2006 member

  June 2010

  It looks good. I'm rooting for you--I hope they're able to get things moving so you can have the delivery you want. Vibes, well-wishes, and hugs headed your way!
  

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