Hospital Transfer Birth Plan

rica21483 · June 2012

I am going to have my baby at a birth center. We are asked to think about a birth plan in case we are transferred to the hospital. The most common reason for transfer is failure to progress, so I would be transferred for Pitocin or Cervadil. If I am transferred, it is because I really need to be, so a regular natural birth plan isn't really pertinent.

I've thought of not having any mention of pain medication, but that is about it. I will probably have to have an IV due to the medications, have constant monitoring, and have my movement restricted due to the IV.

Has anyone thought about this or have any ideas to help? Thanks!

bdutton0005 · June 2012

Usually you can move with the IV it is just a headache because you have to take the pole with you. The only time I was restricted ws after my water broke. As far as constant monitoring they would take mine off so I could get up and walk untill my water broke. SO I think the most important thing is to find where they will transfer you too and ask about the facilities policies

jennyann28 · June 2012

I agree with PP about finding out about the hospital's policies. My water was broken, and I wasn't restricted in the slightest. Also, you shouldn't need an IV for Cervidil - that is not an IV med. I'd probably include your wishes for after the birth, as well as for the case of an emergency c-section.

dmhrn13 · June 2012

I think you're on the right track with "If I'm transfered its because I really need to be". That will mean you need help & it does mean giving up freedoms of a birth center.

They should know you only want the needed interventions to get your baby out safely if you're transfered from a birth center.

Cervadil is for cervical ripening, you will be past that point if you need a transfer. It would probably be Pit & with that you do need an IV, monitoring. Thats about it. You should still be able to change positions in & around the bed, standing & squatting, etc.

Why don't you keep it simple with wanting to choose positions, still drink fluids & what you want when baby is out- skin to skin, no taking baby away to do weights, shots,etc. Keep it really short so they are more likely to follow it.

Good luck- hopefully- this is a needless conversation!

amandaleigh1 · June 2012

I am planning a natural birth in hospital. The only part in my birth plan that is going to specifically address interventions is what I want to happen in the event of a c-section- who is in the room, getting immediate skin to skin and bfing, for instance. Once interventions like pitocin start, iv and monitoring are pretty much going hand in hand and there aren't as many preferences for how it happens.

robyn2201 · June 2012

You already received some good advice from the other ladies. One thing I didn't see mentioned might be mother directed pushing.

ETA: Oh, how about delayed clamping of the cord.

rica21483 · June 2012

Thanks for your help. I ended up with 3 different plans. One if I go into labor before 37 weeks, one if I'm transferred during labor, and one if I need a c-section. Hopefully none will be needed!

Hospital Transfer Birth Plan

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