Birth plan for 2nd CSection?

Gingerweaver · February 2013

What does your BP include? My first CS was an emergency and I'd like things to be calmer this time.

UFMADDIE09 · February 2013

Is there really anything you can plan about? The only thing I can think of is what meds, if any, you'll take after. I'm telling them zero narcotics this time around. Other than that, there isn't much you have a say in.

Gingerweaver · February 2013

This time I would really like to breast feed ASAP, touch my baby, specify drugs, noformula, etc. just wondering if anyone has written a BP for csection :

ali26 · February 2013

Gingerweaver:
This time I would really like to breast feed ASAP, touch my baby, specify drugs, noformula, etc. just wondering if anyone has written a BP for csection :

in my hospital, you can't hold your baby in the OR:(. This really bothered me last time and still does but they say the temp is too low for a newborn and they whisk the baby away almost immediately. I've seen tons of pics of parents holding their newborns in an OR so I think this is BS.

Anyway, last time I had said no formula, and although it took about an hour to hold Dd they waited for me to feed her and all went well. I guess if something unexpected happens to delay your recovery for several hours it would be different but even with vaginal deliveries it often takes at least a half hour to begin to nurse. The nurses were really good about helping me lift her to feed her the first day if I was alone in the room.

My hosptial sends a packet regarding feeding and pacifier preferences ahead of time and I found they stuck to it pretty well so it might help to have it in writing and then reiterate it to whichever nurse will be in charge of your baby in day 1.

I have no specific plan regarding meds but last time I only took a few doses of Percocet in the hosptial. I had no IV drugs after the operation. It wasn't my choice just the way they did it and how I responded to everything I guess. If they are coming into your room offering you pills you can find out your options and its easier to say no to that than if they are putting something in an IV. I figure I could feel completely different this time and want to leave my options open here.

magdalina.h · February 2013

I just wrote down that I wanted to see him right away and that he was not to get formula or sugar water unless both of us consented. My emergency c/s and my rcs were actually both very calm.

pepomntpat · February 2013

If I need another c/s I will be insisting on immediate skin to skin contact (and it is BS that the temp is too low-mom's skin and a nice warmed blanket will take care of that).

You can also add if you want the curtain lowered to see LO emerge. There is a great youtube video about a natural c-section that may give you some ideas of what might appeal to you.

ETA: Link to natural cesarean video.

https://www.youtube.com/watch?v=m5RIcaK98Yg 

UberBiz · February 2013

After my emergency c-section, there was NO WAY I would have been able to hold DD in the operating room. I wasn't awake and coherent til almost 5hrs after the surgery. I'm hoping the RCS this time goes a LOT smoother, but I'm not expecting much. As long as I can hold him whenever I am able, then I can try to nurse. I'm not opposed to formula before that if needed, though. My DD obviously had some, and at other times while we were still in the hospital, and after we left we EBF and she nursed for 2 1/2 years.

I'm a go-with-the-flow kind of person, so I'm not really making any plans for how I want things to go, cuz you just never know. As long as we are both healthy afterward, things like skin-to-skin, formula, or pacifiers aren't on my priority list.

starsjaime · February 2013

Just have your hospital bag packed with what you need. nothing to plan for...at least you know what to expect this time. Hopefully it will be a little calmer for you though!

My C-section was planned (She was breech) and it was a positive experiance.

Ana0927 · February 2013

I had a birth plan for #1 and it went out the window when I had to have a c/s (breech baby). When I checked into the hospital I just told the nurse that admitted me that I wanted to hold the baby after she was born, no pacifiers, and no formula. I will do that same with this baby.

kat1221 · February 2013

I had a birth plan for my RCS. I found some great examples online. Mine had things like:

-skin to skin ASAP

-BF ASAP

-I didn't want my arms tied down

-DH to go with LO if she needed special care

-I wanted to see DD as soon as she came out

Some of this will depend on your hospital's policies as well. Some don't allow Skin to skin in the OR. Mine did and they also encouraged BFing ASAP so there didn't have a recovery area. They took you straight to my room and I was BFing within 45 minutes of DD's birth.

Good Luck to you!!

sbartschke · February 2013

Baby was to stay with me in recovery

Skin to skin time in recovery

Immediate BFing

Delayed bathing to allow vernix to soak in

No arms tied down

No pacifier unless we initiated it

Get up ASAP

Cath after spinal

If baby requires special care DH was to stay with LO

No family meets LO until we have had our time to bond (recovery made this easy to enforce)

gingerfamily · February 2013

My first c-section was not a good experience. I used that as a learning tool to tell the dr exactly what I wanted the 2nd time. It was a much calmer and beautiful experience. Good luck!

BossMamma83 · February 2013

I actually printed the The Bumps birth plan off the site after searching for one fine tuned for C-Sections and not finding one. But this one is pretty detailed. I plan to go over it with my doctor at my next appointment. I will be delivering at a different hospital and I'm not sure of what that hospital allows in the OR or not. Last time I was able to kiss baby and touch him, my arms were pretty weighed down from the drugs, but the nurse helped me nurse him in the recovery room where it is freezing. But I think it's pretty good and covers just about everything. Take a look at it.

sonshine0609 · February 2013

My 1st c/s was an emergency & a horrible with a horrible rural hospital. My 2nd was much more calm & a much better experience at a much better hospital. This one I want to make more of an empowering birth-like experience since it will most likely be my last. I've been reading tons on other plans & natural/gentle c/s & have put together a jumbled up plan based on what I've found. I intend to go over it with my Dr next visit. The way I look at it the the success of BPs for c/s depend a lot on the mother/dr/hospital being on the same page. The more informed you are earlier you open discussion with the hospital & doc the more likely you are to get what you want. I always think its foolish when someone says that you don't have much of a say. It's your body & your baby. Hospitals don't give you options because you either don't ask for or advocate for them. Their job is to take care of you as quickly and well as possible & the easiest way for them to ensure they do this is to follow procedure. It doesn't mean thing CAN'T be done different or that they SHOULDN'T just that it takes a little more forethought & effort.

sonshine0609 · February 2013

BTW I have things like:

Meds I would prefer during & after surgery (certain meds during can cause memory loss or shakes or nausea, certain after meds make me pass out of have delusions)

Warm blankets during surgery

My mother takes no pictures (she posted pics of my surgery of FB last time she is grounded!)

We intend to donate cord blood

skin to skin contact

No eye gel, or Hep B shot for baby

Ect

Danni7535 · February 2013

My hospital encourages skin to skin, so while I was being stapled shut the nurse had lo try to breast feed. She was holding him on me while he was swaddled. It was different, but I'm glad we did it. We've had a successful breast feeding relationship ever since. My husband also went with DS to the nursery while I was in the recovery room. Another thing we requested was to have DS sleep with us and not in the nursery.

ETA: I didn't go in having a birth plan because I thought that might sour my relationship with the nurses. Instead I just talked to them and said that I wanted to breast feed and have lo sleep in our room. I just thought giving them a typed "birth plan" was pushy. I wanted to keep on the nurses' good side since I was going to need their help breast feeding.

ejs207 · February 2013

I delivered at a large, research hospital. Two things from my original birth plan that were relevant for the c section were:

1: only one student observer at a time, I understand its a teaching hospital but I don't want to be put on show

2: everyone needed to introduce themselves and explain their role. Made me understand who all theses random people in the or were and what they where there for. And when a nurse is whisking your baby off to clean or weigh her, at least you know who is holding your baby.

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