August 2017 Moms

Birth Plan

Is there a birth plan discussion? FTM here and I just realized since I'm having a boy that I need to figure out whether to circumcise or not and when. How did that fall off my radar?! lol. Is there anything else specific to a boy I am forgetting? Anyway, I'm browsing birth plans and there are so many things I have to think about. In addition to that, are there any snacks you recommend for labor (provided everything is approved by OB)? I am not looking for whether hospital or OB allows since I'll have that discussion with my OB, but assuming it is, what do you recommend to keep energy up without making yourself sick, heavy, or make you have to go to the bathroom... Does anyone have a good birth plan template? There are so many out there. 
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Re: Birth Plan

  • Most hospitals allow popcicles during labor but bring your own snacks for later. It's important to have a birth plan but remember that ultimately its most important to do what is best for you and baby. I think it all depends on how your pregnancy is going, any complications, pain meds, no pain meds, water birth, birth ball, music etc... and it may change as labor progresses. 
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  • belmont1785belmont1785 member
    edited March 2017
    It's nice to know what you want and how you want things to go. But I personally find it unnecessary to have a written plan. I have 2 or 3 things that are ultra important to me. But in the long run, just want a healthy baby. I ended up getting all three of those things with my first daughter but almost NOTHING else went as I pictured it going. My doctor didn't make it to the delivery. I ended up being induced. I couldn't walk around or use a tub like I planned. 

    My top priorities are/were 1) immediate skin to skin no matter the birth method. 2) I wanted to be awake for the birth in case of c section 3) just my husband and I in delivery room besides doctors/nurses. 

    It's also nice to know if your husband wants to cut the cord...as that part went really fast for us and we hadn't really discussed it. Doctor kinda threw the scissors at my husband assuming he wanted to, and he did it but hasn't really thought about it before that. My husband is pretty squeamish.

    Our nurses/doctors were also very good about asking our wishes ahead of time going over everything thoroughly and jotting it all on a white board in delivery room. 

    Other things to think about are emergency situations. Hopefully you won't have to make decisions like that but if you think about it ahead of time it can be slightly easier. 
  • Yeah written birth plans are a waste. Labor will probably not go as planned. For example, I wanted a water birth with no pain meds. Well my water broke at 36 weeks for two days before I realized what it was, so I was hooked up to iv antibiotics and induced by pitocin. Due to prolonged rupture and ivs, i couldnt labor or birth in tub. And due to extreme pain from pitocin when my body wasn't ready to deliver, I had an epidural. And then I had to push on my back for 1.5 hours! Then my baby needed NICU. Anyway I'm just trying to say you can never plan for what will happen! It is a good idea to have in your head that you don't want pain meds and how you plan to cope with the pain. 
  • edited March 2017
    I wasn't allowed to eat once they started the induction. But for energy, I'd have protein. protein bars, granola bars, nuts, cheesesticks, yogurts (if there is refrigeration) my room had no refrigeration and you weren't allowed to use the staff one, or patient one for own food (that was only for drinks they provide). 

    Circumsion is a preference. Research risks and benefits. Talk it out with your SO. My exhusband insisted on it, so I went with his thoughts. This time, with my bf, if it was a boy I said no we wouldn't be doing circumsion but he insisted...so I'm glad it wasn't a boy lol my son had it done the day before discharge. They gave him Tylenol for pain once. It requires keeping the area clean, and Vaseline n gauze til it heals. 
  • I don't think birth plans are necessary,  just make sure you or your birthing partner are able to advocate your wishes. I wanted a non medicated birth and to labor at home till I wanted to go to the hospital. I wound up needing a scheduled c section due to DS being breech. I was disappointed and I imagine if I'd had an elaborate written out birth plan, I would have been devastated. Like others have said,  healthy mama and baby are priority.

    Regarding circumcision,  I knew we would do it, but ran it by DH as he has a penis and I don't. It wasn't even a question for him. It'll be the same with this LO.  I was nervous because DH was born with hypospadius where the urethra does not come out at the tip of the penis but at a different spot. He had surgery at 9 months old to correct it and they circumcised him then. He had to have general anesthesia.  I had never heard of it, but apparently it's fairly common. Fortunately,  DS didn't have it. It was good to know because my nephew who was just born has it. The doctor didn't check and started the circumcision only to have to stitch him back up. He'll need surgery at 6 months or so.  I would advise making sure they check. What happened to him is not common, but it definitely makes me want to make other moms aware.
  • When the nurse asked me if I had a birth plan, my response was "I have a phobia of nausea/vomit, so anything we can do to avoid that. And I do not want an episiotomy." The nurse laughed and told me nausea is a pretty common part of birth and that the doc on call was infamous for episiotomies. Not very reassuring lol. However, when it came down to it and I wasn't feeling well, they quickly reacted with giving me nausea meds. I was very grateful and never vomitted . My labor stalled at 9cm for 7 hours after a pretty speedy progression before that and I ended up with a c section, so no worry about episiotomy lol. I asked a nurse about drinking water while I was in labor and she told me that more than likely anything I try to get down will end up coming back up. So I decided not to eat or drink anything for the whole 18 hours. Oh and then of course couldn't eat til the next morning after my surgery (so I didn't eat for about 32 hours total). I was so overwhelmed with everything going on that I didn't really notice. I was also on pitocin and fluids from the time I was admitted to my delivery room since my water breaking was how my labor started. 

    I went in preparing for the worst so I think that helped. I knew that if I had to have a c section, it would be ok. Thinking through things, like others said, is helpful when you have to make a decision. I just wanted my baby here healthy. If you have a few things that are extremely important to you, I would just note those to your nurses like I did in the beginning. And then wait and see how everything pans out. If I had a vaginal birth and the OB wanted to do an episiotomy, I likely would have said yes just get my baby out healthy!
  • We prepared a detailed birth plan and then left it at home, oops.  In retrospect I it worked well because it made us consider what was important to us but didn't have the nurses rolling their eyes at yet another complicated birth plan. I don't know if I will put one together again but if I do it will probably be no more then a few sentences.  

    On circumcision our doctor asked before birth so it was already noted in my chart, I am sure we put it in the birth plan that we did't bring as well.  But not having written down wasn't an issue.  I would recommend watching a video of the process and the after care no matter what direction you are leaning towards, so you have an idea of what to expect.
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  • I want to second the Douala.  DH is the one who pushed for one and I am so glad he did.  You will probably not be meeting any of the medical staff until you are in labor and it was nice to have someone there who knew what we were hopping for and had done this before.  I have a clear memory of one point during labor with a nurse on what side my Douala on the other and DH standing there like a deer in headlights.
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  • I've read that your birth plan should fit on an index card. That way the medical staff can know what is really important to you and won't get bogged down by extra words.

    I am planning on circumcising him as I'm Jewish. Even if I wasn't doing it for religious reasons, I would default to my husband on this decision as he has a penis and knows what it's like growing up with one. If I was making the decision myself I pretty sure I would still choose to do it, just because I think the care of a circ'd penis would be easier on him in the long run.

    I'm trying to decide if I'm going to do cord blood banking...

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  • LefinLefin member
    @oriole2017
    Regarding circumcision, I recommended watching this video, https://www.youtube.com/watch?v=Ceht-3xu84I (the elephant in the hospital).  It's very informative.

  • @aehogan90 That is my plan too!  

    I am simply planning to do exactly what is needed to have a safe delivery and a healthy baby!  I have been giving some encouraging words to my son to come at any time during the day except for rush hour!  We live less than 2 miles away (but not walkable) from the hospital, but during rush hour it can take over an hour to get there (and Yes I know I can call an ambulance if needed, but I would rather not have to do that!)!  Heres to a middle of the night hospital trip!  
    **TW Loss/pregnancy mentioned**
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  • My experience last year as a FTM my birth plan went out the window and I just made decisions when needed and asked.
  • JWatt5JWatt5 member
    edited March 2017
    My plan is...get that baby out healthy and keep me healthy while you're at it as best you can please. The only thing I want is to be able to make decisions WITH my doctors/nurses/DH. I'd like to be educated on processes enough to know what I'm deciding on and if I happen to not understand, know that the doctors going to take the time to explain it to me so DH & I are making informed decisions. The decision on which hospital to birth at was largely based on the hospital's overall philosophy on birthing, their nursing staff and then accessible facilities like being attached to a Sick Kids Hospital to make life easier if that happens to be needed. I feel like I'm going to be in good hands which really alleviates some anxiety being a FTM.

    Feel the same as some here about the circumcision. It's up to DH - he has one, I don't. While the change of it not covered by our health plan happened recently as it's not deemed a medical necessity and we aren't religious I also haven't found a glaring reason to deny my DH's wishes to have his son's penis circumcised. 

    Is delayed cord clamping the normal procedure now in anyone elses hospital as well? - I honestly didn't know anything about it until last week. For my hospital, it's their standard practice now (waiting 3-5 minutes/cord stops pulsating), unless you choose otherwise. Then it's also choice to completely wait until the placenta is delivered altogether - I need to do some more research on which way to go but any STMs with advice?

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  • aehogan90 said:
    My plan is as follows: have baby in the safest way possible.

    But seriously, it's a tad early to stress something you  pretty much have no control over.
    This. STM here, and the first time I threw my birth plan out the window to make sure my baby and I left alive. 
  • Mango517 said:
    I've read that your birth plan should fit on an index card. That way the medical staff can know what is really important to you and won't get bogged down by extra words.

    I am planning on circumcising him as I'm Jewish. Even if I wasn't doing it for religious reasons, I would default to my husband on this decision as he has a penis and knows what it's like growing up with one. If I was making the decision myself I pretty sure I would still choose to do it, just because I think the care of a circ'd penis would be easier on him in the long run.

    I'm trying to decide if I'm going to do cord blood banking...
    @Mango517 Are you doing a hospital circumcision or waiting until 8 days to do a bris? I'm debating which way to go as I'm also Jewish.
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  • aehogan90 said:
    My plan is as follows: have baby in the safest way possible.

    But seriously, it's a tad early to stress something you  pretty much have no control over.
    This!  Educate yourself on all the possibilities,  have an idea of how you would like things to go, but remember to be flexible and this is one of those things that often doesn't go according to plan.  The doctors and nurses are the experts, most of us are not. Have faith in them and as long as the baby is born safely and healthy, that's what's important.  


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  • I think that it really depends on where you will be delivering whether you should have a detailed birth plan or not. I live in a rural community where they only have one or two patients delivering/laboring at a time. I think the birth plan template I had was around 4 pages, and my nurses read it front to back and did everything in their power to stick to it. If you deliver in a busy hospital, I would be willing to bet that most of them go unread. Just be sure that you and your partner know what is important to you.
  • @Kathryn0903 I've gone back and forth on what to do, but I think I'm going with just getting it done at the hospital because that's easiest for me. I don't see myself wanting to plan or throw a bris 8 days after birth!

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  • @mango517 I was starting to think the same thing.
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  • Where I am delivering is like a pregnancy hotel, very nice but giant and always crazy busy. Thus having to move rooms from delivery to postpartum. So, I have no doubt the nurses etc will not take a single look at some detailed plan. 
    I have thoughts on things I would like/ do not want. My DH knows my main things. As long as I can at least communicate those, and if they need to change based on circumstance, I understand, I just want them to talk to me before making decisions and going.
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  • I am thinking of writing it out, but more to have a discussion with DH and my doula. Although, during our hospital tour, someone asked about bringing a birth plan and the nurse leading the tour said it was a great idea and they love having them.

    I want to think about and be aware of my options (and know what the various things actually mean) and then have some idea how I feel about them. That way, even if I end up having to throw my whole idea out the window, DH and my doula will know that I might feel upset or weird about the path we end up taking, and they can support me through it.

    I also want early skin to skin contact/ability to breastfeed and delayed cord cutting.
    We are also going to try to labor at home as long as possible to minimize interventions.
  • My opinion on them is that I'm going to have one, not detailed to where they won't read it just what I want and don't want. Mostly everyone on here including those that said not to bother with a plan have said to know what you want and don't want like, I don't want meds, I don't want an episiotomy, I want skin to skin. That's a birth plan :) not written down and at the very least just detailing one or two things. There are a few replies on trusting your medical team. I will and do trust me OB but I can't say I will give blind trust in the hospital. Some hospitals have higher c section rates than others and you can't always pick your hospital you deliver at. So while they may be quick to jump to a c section that may not be in my plan. I've heard of stories where they can rush to actions instead of letting the process flow naturally. They can force pushing when pushing isnt necessary, etc. I don't want to have to tell them everything I want and don't want in the moment. My friend didn't need or want an IV and wound up telling three nurses every time they asked about her IV. That's something that will go in the plan. I will be flexible and do what's best for my baby but I don't want to be pressured in the moment to do something against my wishes if baby isn't in harm. Many of the moms I talked to felt this way in the moment of it happening and looked back and said I wish I hadn't done that or I won't do that again with #2. Like having to keep waiting it out to get breastfeeding to work when she just wanted baby to eat and try again later. She was still groggy from meds and tired from labor that she really just couldn't advocate for her wishes. I'm going to write it out so there's no doubt what I want and at least SO has it written in case he gets caught in the moments and needs to advocate for me like my friends SO had to advocate for her since she was unable. There's so many things for a FTM to remember that I'm hoping by writing it down I can keep it all straight. The hospital recommended one and said they'll ask for it upon admittance so I'd like to think they'll use it. :) There are great recommendations on here. I appreciate it. Even the advice about being flexible. I know that's important. 
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  • Does anyone have experiences or advice around having a doula? I think that this may be a great option for us, but no one I know has ever used one.
  • @erindippity I would check out this article and then let me know if you have any questions. I had to go through doula training before midwifery school so I can answer those questions, but not the ones around what it's like on the mom's side (I'm a FTM).

    https://evidencebasedbirth.com/the-evidence-for-doulas/
  • It's also important to talk to your OB about the key points that matter to you. For me, I wanted an epidural, skin to skin, and to forgo a C-section for as long as possible. These presences were put in my chart so regardless of who deliver my daughter, they would know. All three things were things my OB would have recommended anyway. After that conversation around 36 weeks, I wasn't as worried. 

    I didn't have a written plan but like @oriole2017 said, it's important to know the options and terms. 
  • We dont really do birth plans here. During the course of pregnancy the mw asks the basics, who will cut the cord, how do you feel about painkillers etc, but its quite basic. Our country is more geared for natural birth so there are less options. delayed clamping is standard and ive never heard of eye drops. She asked if we wanted the vit k shot (yes) - my advice echos PPs, keep it really simple. Decide on the few most important things for you, and then just go with the flow. You are less likely to be disappointed if your 5 page birthplan doesnt happen, and your advocates are more likely to be able to support you well then if they have to remember 30 different things, and the level of importance of each thing. 
  • I agree with most of the PPs.  Just keep in mind what is important to you, but be flexible.  Your birth experience won't be ruined if you have an epidural when you didn't want one, or vice versa.  In the end, healthy mom and baby are what's important.  

    I wanted an epidural with DS, and DH wanted to cut the cord.  That was our only plan.  Neither ended up happening bc of a decelerating heart beat and that labor happened too fast.  But we both were fine when it was all said and done.  
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  • I just discussed my birth plan with my husband and the doctor. I never wrote it down.
    I wanted to have a med free birth as much as possible. I wanted to avoid a c-section unless it was an emergency. And I told my husband to stay by my head. 
    I had to have pitocin because I stopped dialating. I had to beg for an epidural because my husband was really trying to meet my wishes until I cried. The contractions would wake me up screaming after I got the pitocin and I was laboring all night haha. 
    My doctor told me I had 20 minutes more to push before he was going to take me for a c-section. 9lb baby stuck in the pelvis of a sz 2, I immediately got her down but I couldn't get her passed the 'hump' after an hour. Well the 20 mins turned into over 2 more hours and I wanted him to mention creation again, but I did it. I'm glad he didn't mention it, because I was feeling weak and ready for it and baby was never in distress. 
    And my husband did not stay at my head. He went down and told me he saw the hair (lies) but that how I got the oomph to finally get her out.

    So I only kept one part of my birth plan. Mine will be the same this time around.  
  • AB518AB518 member
    I don't plan on writing anything down for a birth plan. I feel like if I have a written birth plan that I am more than likely to deviate from that plan.  Also, I know that the nurses, midwives, and physicians at my hospital routinely ask about what I consider important.  In addition, my OB has provided me with information about things that I do need to think about ahead of time such as cord blood banking.  

    I am planning to just adapt to my situation the day I go into labor knowing that I have done my research ahead of time.  I will hope for the best, but I will plan for the worst; I would rather think about decisions that I would make in worst case scenarios when I am not feeling stressed. 
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  • I just have to say that Pitocin changes EVERYTHING. My water broke with my first, and as soon as I got to the hospital, I was started on Pitocin. I went 7 hours med-free and it was terrible. Asked for pain meds, but didn't want an epidural yet. They gave me Stadol which just made me feel loopy and crazy. Never again. Ever. After my epidural I slept, but labor slowed. In total it was 18 1/2 hours. 

    With my daughter I woke up from a dream that someone was punching me in the stomach. Turns out I was having contractions. Started timing them. They got to be 4-5 minutes apart so we drove to the hospital. I was CONVINCED they weren't real and they weren't doing anything, because of how manageable and tolerable the pain was. Turns out, Pitocin just makes them soooo much more painful...because I was dilated to a 3 and progressing very well. 

    The only thing I asked my doctor this time as far as a "birth plan" goes, is to let me go into labor naturally unless it's a safety issue for the baby. I want to avoid Pitocin at all cost and being induced means getting Pitocin. I'm okay carrying up until it isn't safe anymore to avoid it. 

    So many factors during labor and be delivery and I've just learned to trust the doctors and nurses to do what is best for me and baby. So many things could be stressed about, but long-term they just simply won't matter. 

    As for circumcision, I left it up to my husband. He has a penis. I don't. He is circumcised and happy with it, so we chose to do the same for our son, and we'll also have this baby circumcised. I also work at a hospital, and the number of elderly men that come in with infections from not cleaning well under their foreskin is shocking. 
  • I never wrote a birth plan and it would've gone out the window anyway.  I was put on bed rest 1 month early with my first and induced for medical reasons 2 weeks early.  I ended up with a c-section after a 24 hour failed induction where I never progressed past 4-5 cm.  I have a very narrow pelvis and between that and DS's position, my OB told me afterwards that I would've ended up with a c-section no matter what.

    With DS2, I had a scheduled c-section, but was willing to try for a VBAC if I went into labor on my own.  My water broke 6 days before the scheduled c-section although it was a slow leak at first.  Once my OB confirmed that it had broken and we went to the hospital, my labor went pretty quickly.  I went from 4-10 cm in an hour, but when it came time to push DS2 didn't even tolerate practice pushes.  We tried a few times and it was obvious he was in distress with pushing so I ended up with another c-section.  I'm glad I at least got the experience of an attempted VBAC.

    This time, I'm hoping to make it to the scheduled c-section date.  There are a few things I want to discuss regarding the procedure, see if skin to skin can be done right after and I want to continue our tradition of DH telling me the sex, but other than that, I won't have a birth plan.

     I'm Jewish so if it's a boy, we'll have a traditional bris several days after we're home from the hospital.
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  • middy411middy411 member
    edited April 2017
    @AdvoCyndi30 I had the opposite experience with Pitocin. Though, I had heard that it makes labor more intense and painful. My water broke also so they started me on pitocin as soon as I got to the hospital. After 7 hours of not really being sure I was even having contractions (I could see them on the screen but felt almost nothing) I started to feel some intense pressure. Kind of like if you have a bad gas cramp. It was enough to stop my breath but I wouldn't call it painful. I went ahead and got the epidural because I was 5cm by that point and had no intention of feeling pain or waiting til I couldn't stand it (friends told me not to wait haha). Long story short I progressed great until I hit 9cm then my labor stalled for 7 hours and my baby still hadn't dropped. We opted for a c section to get her out safely after 18 hours total.

    ETA: I started feeling a lot of pain during the time my labor stalled at 9cm. The nurse told me the epidural only worked for my midsection and that once my pain moved low it wouldn't really be effective. I had never heard that from anyone else's experience so I'm a bit skeptical on what she was telling me. Anyways, I survived and once they finally stopped pumping me full of medicine to try and get the baby out, I was relieved for it to be over.
  • ....... 

    As for circumcision, I left it up to my husband. He has a penis. I don't. He is circumcised and happy with it, so we chose to do the same for our son, and we'll also have this baby circumcised. I also work at a hospital, and the number of elderly men that come in with infections from not cleaning well under their foreskin is shocking. 
    Thanks for this; I'm leaving the circumcision decision up to my husband as well if we have a boy this time. We're at a hospital that doesn't offer it, so we have to go elsewhere and pay to get it done. Friends of ours chose to not have their son circumcised, and he just had to get it done at 5 years old because it was too tight and cutting off circulation. That's likely rare, but the infections are what scare me the most.
  • @AdvoCyndi30 ugh I also had pitocin for induction after water breakage with no contractions. The nurse called it a devil drug. The pain was even worse after they fully broke my water. I too got an epidural. From start of pitocin to pushing time was 10 hours. I hope I can experience natural contractions this time. I'm excited to feel the difference. 
  • My birth plan pretty much just includes hoping that baby stays put until the scheduled c-section. As long as that happens, everything should go smoothly.

    A lot of the things that were in my overly-detailed first birth plan almost 11 years ago are now standard practice at our hospital: delayed cord clamping, immediate skin-to-skin, mommy/baby suite (no nursery, but most nurses will help out & take baby if mama needs a break or a nap).   

    The only other thing I'm planning in terms of the delivery is to stay at the hospital as long as my insurance will allow (usually 4-5 days for a c-section). I was discharged on Day 2 after my last c/s because I wanted to go home & had no complications. But my pain got so out of control. This time I'm reminding myself that I'm having major surgery & I need to let the hospital manage my pain while I heal up properly before going home. 
  • AdvoCyndi30AdvoCyndi30 member
    edited April 2017
    @middy411 That is a strange statement for the nurse to make. I was numb all the way to my toes and never felt anything once the epidural was started! 

    With my daughter, I had a perineal/urethral tear, and the doctor said, "I'm so glad you had an epidural or this would be excruciatingly painful!" 

    @brookedeyo I have heard that it is worse after your water breaks, burn hearing what @middy411said makes me wonder if I thought just depends on the person and the circumstance! 

    @HappyToBeHere I literally never even THOUGHT about it before it was time to to make the decision. I wasn't handful for my husband because he he was like, "That's a no-brainer!" and made the decision. I started in healthcare after that's and I'm so glad now that we had it done. I respect everyone's personal decision, but for us, circumcision was the right one. 
  • @AdvoCyndi30 Your reaction is exactly what other people said to me. I'm pretty sure my nurse was lying and just trying to keep me calm instead of telling me my body didn't fully take to the epidural. 

    I will say, I think my birth experience is NOT the norm. I have no idea how contractions weren't painful for me for that long especially after my water breaking and being on Pitocin. I wouldn't expect it to be as blissful the second time around but I'm having a repeat c section so we may never know. 
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