April 2016 Moms

Birth Plans

I did a quick search and didn't see anything on here... I've been really overwhelmed with information about how to create a birth plan with Internet searches. I don't want to make one that is too dictator-ish, but I want to express my wish list non the less. I'll post what I have as a comment. (Be nice :P)
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Re: Birth Plans

  • Birth Plan for: My name

    Partner: Name and number

    Obstetrician: Name and number

    Pediatrician: Name and number

    Patient History: I am :P years-old with no previous pregnancies. I am Group B Strep Positive.

    Requests for Labor/Delivery: 

    I would prefer a non medicated delivery. I do have a fear of needles, although I understand I need the usage of an IV for antibiotics, and potentially throughout labor, please give ample verbal warning.

    My partner, NAME, will be present during labor. My mother, NAME, may join if I ask her to. I do not want any other visitors present during labor/delivery.

    Please do not augment labor with pitocin, unless necessary. I would rather try natural methods first.

    For pain I have been practicing visualization techniques, and breathing patterns. Please do not discuss pain medications with me.

    I am requesting delayed cord clamping for 2 minutes after birth, or until cord has stopped pulsing.

    I would like skin on skin with my newborn as soon as possible following delivery and any necessary resuscitation. (Please see requests for newborn care below)

    If C-Section is necessary:

    Please give general anesthesia. I do not wish to be conscious for the procedure.

    I am requesting delayed cord clamping for 2 minutes after birth, or until cord has stopped pulsing, even if C-Section, as long as I am not hemorrhaging.

    I'd like skin on skin with my newborn as soon as possible following delivery and any necessary resuscitation. (Please see requests for newborn care below)

    Requests for newborn care:

    After any necessary resuscitation, please delay routine care (including vitamin K shot, antibiotic eye ointment, measurements, footprints, bath and full assessment) until after infant is breastfed, partner has held the baby, and I am ready to rest.

    Please do not use any soaps or shampoos on the baby when washing, and use plain water instead.

    We have elected to not circumsize, unless there is a medical reason to. In which case, please use pain medication, and my partner (NAME) would  like to be present for the procedure.

    Please do not administer the Hepatitis B Vaccine. All other routine care procedures are fine.

    Pacifiers are fine to use, unless there is trouble with latch, in which case I will request no pacifier use.
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  • Quick disclaimer, this hospital doesn't offer formula unless you specifically ask for it, so I didn't feel it necessary to add that to the list.
  • Wow.... ok.

    I'd say that's pretty detailed. Not how mine would go but that's what makes us all unique
  • MamaRoni said:
    Wow.... ok.

    I'd say that's pretty detailed. Not how mine would go but that's what makes us all unique
    More of a go with the flow kind of person?
  • Detailed and concise - looks great. :smiley: Is the ambience of the room important to you? I specified details like low lighting and/or natural light. Also, are there things you would like access to during delivery? Birthing ball, birthing stool, shower, jacuzzi etc.? I also specified these things in my plan. 
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  • redselig said:
    Detailed and concise - looks great. :smiley: Is the ambience of the room important to you? I specified details like low lighting and/or natural light. Also, are there things you would like access to during delivery? Birthing ball, birthing stool, shower, jacuzzi etc.? I also specified these things in my plan. 
    From what I gathered at the classes I attended they have things like that accessible in each room. I'm pretty open to doing whatever I feel at the time ambiance wise because when I find anything that actually helps me relax it tends to annoy me pretty quickly. No smells though... Lighting I may change on the fly, and I plan on bringing my phone for music, but that's about it, which I don't feel is necessary to write out. Should I?
  • Nah, you probably don't have to write about wanting to play music. I'm sensitive to lighting so that was important to me. I wasn't sure what was in each delivery room but I want them to know that I want to try many different things and I want to be active during labour. 
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  • I'm afraid of writing out a birth plan- for fear it will all go exact opposite of what I want. I have Kaiser and they gave me a paper with a bunch of options in a bunch of categories and I filled it out, but I already want to change a bunch of things. :-/ Honestly- I am terrified of labor. I think yours is good- has options and your wishes in several situations. I'm gonna re-think mine.
  • I'd say about 1/4 of the Ob patients that we see in the office I work at write up a birth plan and most end up delivering nothing like what is on it.
    so instead doc and the NP usually ask what you are most passionate about during labor and delivery. 
    Typical stuff we hear are : no pacifiers, no formula, moms want to give the first bath typically, eye ointment or no, skin to skin ?, etc... They discuss tearing vs episiotomy as well. The rest gets hashed out during delivery as you really can't plan how that will go down. 

    I only work the ob side once a week and the rest is sports med and family med (every dr is different) but others I worked for years ago were big on birth plans mostly the midwives. 

  • Our hospital just created their own birthing plan worksheet. It doesn't include everything that I wanted, but has space for you to write in some of your own notes. Perhaps printing a plan that lets you check off certain things will help you feel less overwhelmed. 
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  • Our hospital just created their own birthing plan worksheet. It doesn't include everything that I wanted, but has space for you to write in some of your own notes. Perhaps printing a plan that lets you check off certain things will help you feel less overwhelmed. 
    Ours does this as well. I appreciate just having options and blanks to fill in; it's nice to not feel obnoxious or too picky because I'm choosing from things that the hospital and staff is comfortable offering. 
  • I agree with @imrachellea  - Also, I want to say that your plan sounds really great!

    3 miscarriages - 1 DS (6) - 1 DD (3)  - #3 due March 30!


  • Forgot to include the I'd rather tear naturally than have an episiotomy... 
  • Our hospital just created their own birthing plan worksheet. It doesn't include everything that I wanted, but has space for you to write in some of your own notes. Perhaps printing a plan that lets you check off certain things will help you feel less overwhelmed. 
    Well that would be helpful. I wish they offered that... Guess I could suggest it lol
  • @Knottie9983816 it seems good to me...my hospital also has a worksheet that goes way into detail, including what position I'd like to give birth from. Some things I think are beyond our control, but yours sounds like you understand that things happen and you'll adapt, but this is your ideal. 

    DH is requesting the metaclorian (sp?) count and a perineal massage..for himself ;)
  • Wow I'm impressed! I'm such a wait a see how things go the thought of a detailed plan actually stresses me out but I think yours sounds to have all of your main points covered. And you can always verbally alter anything you feel needs changing at the time of need be. 
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  • @Knottie9983816 it seems good to me...my hospital also has a worksheet that goes way into detail, including what position I'd like to give birth from. Some things I think are beyond our control, but yours sounds like you understand that things happen and you'll adapt, but this is your ideal. 

    DH is requesting the metaclorian (sp?) count and a perineal massage..for himself ;)
    Not sure how to spell that either, but it would be fun to see if the nurses actually get it ;)
  • @Knottie9983816 it seems good to me...my hospital also has a worksheet that goes way into detail, including what position I'd like to give birth from. Some things I think are beyond our control, but yours sounds like you understand that things happen and you'll adapt, but this is your ideal. 

    DH is requesting the metaclorian (sp?) count and a perineal massage..for himself ;)
    Not sure how to spell that either, but it would be fun to see if the nurses actually get it ;)
    I think he's going to chicken out but I would love to tell that story. 
  • If your hospital doesn't provide a template like some of the PPs have mentioned, here is an option to use. This is what my hospital provides. I'm delivering at a very "baby friendly" hospital, and go with more of the natural care, so some information on here may not be available at your hospital, or it may be slightly different. At least it's a place to start!
  • MamaRoniMamaRoni member
    edited March 2016
    MamaRoni said:
    Wow.... ok.

    I'd say that's pretty detailed. Not how mine would go but that's what makes us all unique
    More of a go with the flow kind of person?
    Nah.... just live in a very rural area and the nurses and doctors wold laugh over a written birthplan. 
    I am personally not an advocate for general anesthesia during childbirth unless absolutely necessary but that's what's great..... we all can chose what we feel the most comfortable..

    Ha... for me... this is baby #5 and will be RCS so I'm just going with it....
  • All the stuff that would be on my birth plan, my hospital does standard. Skin to skin, delayed cord clamping, limited or no interventions unless medically necessary, no pacifiers, baby in the room with mommy. 1 1/2-2 hour bonding time for just mommy, daddy and baby and immediate breast feeding with lactation nurse. They are big on alternate pain control technics too and have a tub or shower in every room. I was surprised to find all of these things to be the hospitals standard... But it's cool! The only thing we had to tell them was no circumcision.
  • allaire314allaire314 member
    edited March 2016
    korpatch said:
    All the stuff that would be on my birth plan, my hospital does standard. Skin to skin, delayed cord clamping, limited or no interventions unless medically necessary, no pacifiers, baby in the room with mommy. 1 1/2-2 hour bonding time for just mommy, daddy and baby and immediate breast feeding with lactation nurse. They are big on alternate pain control technics too and have a tub or shower in every room. I was surprised to find all of these things to be the hospitals standard... But it's cool! The only thing we had to tell them was no circumcision.
    Our hospital is the same! Which is why I'm so glad we chose it. We are having a girl, so no need to even worry about circumcision!

    But @Knottie9983816  it sounds like you've got it pretty well spelled out... I do like the idea of a bulleted list as opposed to sentences though.

    ETA:  spelling is hard!
  • When I mentioned a birth plan to my midwife she was like "why?" as the hospital is already very big on natural birth with alternative pain relief before considering an epidural, offers delayed cord clamping, has bath tubs and birthing balls in the rooms, does not offer episiotomies and encourages skin to skin and breastfeeding immediately after birth. :sweat_smile: 
    I think I might bring one any way regarding my wishes for the pain relief methods and wishes for the labor like dim lighting and candles regardless in case of language miscommunication. This way it will be written down and I won't have to spend extra energy explaining it to them or have my husband remember everything. :) 

    But yeah, I'd second the bulletin list methods to make it easier for the nurses to read at the hospital when it's time! 


        

  • Mine will go like this... lol.... go into labor.... call doc... he'll meet me at hospital to check my progress while the OR crew busily sets up.... I'll then be taken to OR to get spinal and be prepped.... hubby can't come in until they are ready... my nurse anesthesia provider is a trip and will keep me calm... last time he had my sister (like a second mom but she moved 5 hours away) on speaker phone the whole time.... hubby and mom will come in
    Section will be done. I get to see and kiss baby and he's taken to nursery whileI am put back together.... hubby usually goes too leaving me with mom and OR crew. 20 minutes in recovery and then I get to go to my room and wait  my on baby.
    They are SUPER RURAL... and with csection don't do skin to skin or delayed clampingor any of that....so I just roll with it :)
  • cmjenkies said:
    This may be UO but relevant to this thread - extensive birth plans make me LOL. I truly do not understand the point. I guess birth is unpredictable so it gives you some modicum of 'control' but at the end of the day, happy health babt
    In my case my only worry is that they won't understand me due to the language difference. I wouldn't make an extensive birth plan as I am a go with the flow kinda person and I would just do whatever is best for me and baby in the moment :sweat_smile: 


        

  • @elasticheart13 thanks for not calling me out on my unfinished thought there haha. I agree that your language barriers are definitely an exception to the rule for me too. 

    PS: JW, what time is it where you are? It's 11:30A here. 
  • @cmjenkies I feel the same way. Although, I will say that the hospital I'm delivering with tells you over and over that a birth plan is actually a "wish list".  They can provide anything that you list that you need, but when it comes to anything medical, they're going to tell you if you can or can't do it your way depending on how you're progressing. Only reason I made one is because the hospital gave me a blank one and it's basically a check list
  • cmjenkies said:
    This may be UO but relevant to this thread - extensive birth plans make me LOL. I truly do not understand the point. I guess birth is unpredictable so it gives you some modicum of 'control' but at the end of the day, happy health babt
    In my case my only worry is that they won't understand me due to the language difference. I wouldn't make an extensive birth plan as I am a go with the flow kinda person and I would just do whatever is best for me and baby in the moment :sweat_smile: 
    Exactly this. I did my birth plan in (painstakingly) in French and English. 
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  • cmjenkies said:
    @elasticheart13 thanks for not calling me out on my unfinished thought there haha. I agree that your language barriers are definitely an exception to the rule for me too. 

    PS: JW, what time is it where you are? It's 11:30A here. 
    :wink: 
    It's 5:52 pm here right now and I am ready to reheat some awesome beef enchiladas I made for dinner yesterday :sunglasses: :yum: 


        

  • ejledejled member
    If y'all are interested, I printed out my birth plan from The Bump. It is fairly detailed, but is concisely categorized and easy to ready with bullet points. 
  • My only other thought (along with bullet pointing and generally agreeing with @cmjenkies ) is if you have any permanent BC requests in the case of a c-section. I need to have a serious talk with DH about that potential, because I'm all for tying tubes now if they already have me open, but I think he'd potentially like a third bio-child before we start adopting. As of now, chance of a c/s is really low, but we need to have the conversation just in case. 
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  • I feel like a birth plan is less for you and your doctor and more for the nurses and whoever is your advocate in the room. Making sure DH knows my birth plan means that he can better communicate my wants if for some reason I can't. We've discussed beforehand what things are important to me (ex: no pain medication) and what things are extremely flexible (ex: induction or c-section). It means that if I somehow manage to take a nap during labor, he can tell the nurses to leave me alone and not ask about pain meds, because I don't want them. It also means he can tell the nurses what position I want to push in when I'm unable to due to contractions.

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  • I'm just wondering how everyone found out about specific hospital policies? I haven't really been able to find much about the hospital I'm delivering at and what's normal procedure. 
  • WBORDERS said:
    I'm just wondering how everyone found out about specific hospital policies? I haven't really been able to find much about the hospital I'm delivering at and what's normal procedure. 
    I did a series of birthing classes through the hospital. That's how I found out that they restrain your arms during a c section of you are awake and had an anxiety attack. Lol I'm GREAT when it comes to medical stuff, I swear >.>
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