February 2013 Moms

Birth Plans

I was originally under the impression that the birth plans were really for mothers who were giving natural births and since I am more comfortable with an epidural wasn't really aware of all my options...Now after some research I am seeing there are still alot of things to be decided and was curious what are some of the areas you are putting in your birthplan or just planning on sticking too when you go in? Can you give me some background on why you have choosen that path?

 

 

 

Re: Birth Plans

  • When I gave birth in the hospital I had a birth plan, but I was also having a NB.  But aside from my natural birth preferences, it was important that my MW and nurses were on the same page about what I wanted to be done with my baby after the birth (eye goop? Vit K? cord cutting? immediate nursing? formula? pacis?).

    Now, everything that was in my birth plan was basically ignored and they ended up giving me routine pitocin for my placenta even though I didn't want it (and without telling me) and my baby was given a paci despite me telling them not to, but whatever.  Needless to say, I chose to have the next baby at home.  

    Things to consider in your birth plan - 

    What intervention are you comfortable with?  What are your pain relief preferences?  Are you comfortable with an episiotomy?  Do you want a mirror while pushing?  Do you want to try to push in different positions?  In the event of a c/s, who do you want there with you?  Do you want baby to stay with you while they sew you up, if possible?  

    Even if you never give this plan to your doctors or nurses, I think it's important for you and your partner to make decisions about these things prior to the birth just in case they come up and then ask your doc what they are willing to do at your prenatal visits.  You'd hate to be surprised with a c/s and really want your mother there with your DH too and then all of a sudden be told that she can't come.  At least you can go into it knowing the expectations.

        
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  • I had a super long, detailed birth plan last time. When it came time to discuss it with my doctor, I realized we were on the same page for most things so it wasn't needed. I just had a few things I kept in mind and made sure my husband knew about so he could back me up.

    1. No episiotimy sp?
    2. No mirror i regret this one now, and will request it this time
    3. Labor naturally as long as possible.

    That's really all I can remember. I think the most important part is to really talk to your doctor about what you want and make sure you are on the same page.
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  • I didn't have one. My dr and I decided I really did not need one. I was willing to try natural, epidural etc. I just wanted my baby to come out safe and healthy so I would have done anything to make that happen. Also as far as other things like cord cutting, no paci etc., my hospital asked before they did anything anyways so I didn't need it written down and all their standard procedures would have been what I wanted anyways. I ended up having an emergency c/s so in the end it wouldn't have mattered if I did have one. It's a personal choice and I really didn't see the need for me to have one.
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  • I didn't have a written plan but both and I and DH knew what I wanted to have happen in an ideal situation.  Of course, my situation ended up not ideal due to pre-e, so most of my plans went out the window very quickly.  My best advice is to just advocate for yourself and speak up, and make sure DH is in on the plan in case you're not able to say it yourself at the time.

          DS1: Quinn - 10.22.10 and DS2: Cole - 01.18.13

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  • We are setting up our ideal birth plan with our doctor and we are going the natural birth way, however we do have a list of things we will compramise on if any circumstances arise. Always be firm with what you want and let your doctor know what a second preference is incase a situation comes up.
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  • The Earth Mama Angel Baby website has a birth plan creator I found to be helpful. I will still write out my full plan on my own, but it asked a lot of things I hadn't thought of, it may be a good starting point for you to decide what items you want included in your plan.
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  • I've never had one nor felt the need to have one. The way I see it, if there is something I want, I'll let the doctors know, and if there is something I don't want, I'll let them know that too.  To me, the main objective is getting the baby out safely, not worrying about whether or not music will be played or if I will need an episiotomy.  If the docs think I need one, they'll tell me and we'll go from there.  I had all of these grand plans for labor when I was pregnant with #1 and my plans could not have been farther from what I actually needed in the moment.  For example, I thought I would like a back rub and a exercise ball.  In truth, being touched was extremely uncomfortable and I was much more comfortable in bed than trying to remain upright.  The only thing I am sure to ask for is that I want the baby on my chest as soon as he/she is born...and that's a small enough thing that I can just tell them, plus it's standard practice unless there's a problem.
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  • I had done one in advance because of the class I took, and I was glad I did because they asked for one before they induced me. 

    I knew I wanted to breastfeed, so to me, besides having the baby in the room with me at all times and not in the nursery (unless the baby was being tested for something) my most important things to tell them were that the baby was not to get formula or a bottle at any time (unless medically necessary for some reason) and that the baby was not to have a pacifier.  These two things can complicate breastfeeding (I learned this in my BF class).  Worked like a charm!  They followed my plan, and luckily for me, the baby was nursing fine immediately without any issues.

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  • I didn?t have one and don?t put much store in them tbh.

    In most aspects of my life I?m a control freak, hate surprises and try to plan as much as I can get away with. However for the birth of DS I wasn?t willing to risk having the  stress and associated feelings of dissapointment and or of failure if "My Birth Plan" didn?t work out, which was just as well!

    It?s pretty obvious to most anyone that anything can and often does happen during L&D. So I think as a PP said - as long as the end goal of a healthy baby and mother - is kept paramount, then I?m sure eveything else will fall into place.

    Any really strong feelings ref painkillers, an episiotomy, skin to skin, etc shld be gone over with your birth partner so they can advocate for you. A few bullet points - say 5 or 6 should be enough, but huge detailed plan just isnt realistic.

    When push comes to shove! Mother Nature won?t be told what to do Big Smile

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  • I am a labor nurse and pregnant with my first. I can see how most people think a birth plan would be important... but most nurses and Dr.'s see a birth plan as a ticket to a c-section... or anything you wouldn't have wanted in the first place. Not sure how it happens, but when people come in with birth plans the opposite usually happens. I think it would be good just to tell your Dr. and nurses your plans or write down the key things. 
  • I was planning on going natural the first time, but ended up with a 17 hour, dry, back labor, so I had the epidural. My birth plan was still useful though. Here are some key points:

    No episiotimy (sp?) 

    Baby directly to mother unless there is a problem   

    Delayed eye ointment & vitamin k shot until after BFing attempt

    In case of c-section: stitch to allow for future VBAC, father goes with baby while I recover

    This time I will add allow eating and drinking during labor to my birth plan. I had a long labor and vomited a lot during the labor. I was starving by the time I got to recovery and it was 5am so it took forever to get food to my room.   

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  • For #2 I was much better prepared about what I wanted and didn't want, so one of the first things I said when I got to L and D was " I'm not sure the proper time to discuss this but I just wanted to say I would like an epidural...it doesn't hurt yet, but I want one, and if at all possible I'd like to avoid an episiotomy." Anything else was negotable for me.

     Actually it all was negotiable it if was medically necessary, but my decision came from my experience with my first. Super painful, no epidural because the nurses said it was too late to get one (I was dialated at 7 upon arrival) and I ended up getting an episiotomy that time, which sucked.

     

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  • imagebrooke_07_xoxo:
    I am a labor nurse and pregnant with my first. I can see how most people think a birth plan would be important... but most nurses and Dr.'s see a birth plan as a ticket to a c-section... or anything you wouldn't have wanted in the first place. Not sure how it happens, but when people come in with birth plans the opposite usually happens. I think it would be good just to tell your Dr. and nurses your plans or write down the key things. 

    At one time I was intrigued with L and D nursing, but I think that was just because I was pregnant during nursing school. I think it takes a special person to work L and D. I wonder if I'd have the patience. It's difficult when someone needs a life saving procedure and because they don't understand the ramifications of not doing it they refuse. This is my first birth as a nurse and I plan to let the L and D nurses guide me, I work in ER, I don't see or deal with much of what they deal with(we only get preggo people before 20 wks). I'll let their expertise guide me.

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  • imagebrooke_07_xoxo:
    I am a labor nurse and pregnant with my first. I can see how most people think a birth plan would be important... but most nurses and Dr.'s see a birth plan as a ticket to a c-section... or anything you wouldn't have wanted in the first place. Not sure how it happens, but when people come in with birth plans the opposite usually happens. I think it would be good just to tell your Dr. and nurses your plans or write down the key things. 

    At one time I was intrigued with L and D nursing, but I think that was just because I was pregnant during nursing school. I think it takes a special person to work L and D. I wonder if I'd have the patience. It's difficult when someone needs a life saving procedure and because they don't understand the ramifications of not doing it they refuse. This is my first birth as a nurse and I plan to let the L and D nurses guide me, I work in ER, I don't see or deal with much of what they deal with(we only get preggo people before 20 wks). I'll let their expertise guide me.

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  • I have some things that I feel strongly about. I know that our hospital LOVES to offer epidurals, DH is under instruction to help keep them from asking me too much as I want to decide if I need one or not. He also knows what to do if the baby and I have to be separated. Other than that I'm not writing a birth plan.
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  • imagesecondaryPULSE:
    I'm not sure why it won't let me quote with the mobile versionbut in regards to brooke_07_xoxo's point This is exactly why I'm planning a homebirth. /headdesk

    Ditto.  My friend is a nursing student and recently did her L&D rounds.  After hearing the stories it made me glad to be having another homebirth.  She said the nurses would get the birth plans, take them back and roll their eyes together at them.  What a shame that we have come to this - where mothers wishes are mocked and ignored.  This made my friend decide to switch to L&D nursing in the hopes that she can be a voice for those mothers whose wishes aren't being respected.

        
  • Most of the items on my birth plan went out the window. I won't give birth in a hospital again. 

    That said, it is good to have one. It's good to visualize how you want things to go and be ready to advocate for what you know is best. There are many, many decisions beyond just epi or no epi.  

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