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.
Re: Birth Plan
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.
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.
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.
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!
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.
•A birth plan can be wildly helpful as you prepare for labor and delivery, helping you think through things that you might not know are optional or that you hadn't even realized would happen (e.g. IV vs hep lock, continuous vs. intermittent fetal monitoring, vitamin k shot for baby, eye ointment for baby, delayed cord clamping, etc.) These templates might show you something where you go "I didn't even know that would happen?" so I personally think they can be beneficial for making an educated decision.
•Like PP mentioned, I would figure out the three most important things to you and your partner for birth. Have your partner understand why you want those things, so he can advocate for them (or hire a doula!)
•Speaking of doulas, they're like a walking, speaking birth plan that will continuously communicate your wishes to your medical team. Know that doulas are there for what you want, not what they want (some people think they're only pro-natural but that's not the case if they're good at what they do).
•Know that if you bring a seven page birth plan, it's likely the nurses and docs won't read it. Make it clear and simple to them what you want. Many times your partner will have to do the advocating since nurses will forget what you wanted, so help him prepare for that.
•If there's something you read in a template that you're unsure about or don't know about, I highly recommend https://evidencebasedbirth.com/ to help you read through the unbiased research that has been done on these things.
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...
Together: January 2002
Married: May 2008
Baby: August 2017
Clearly we like to rush along at lightning speed...
Regarding circumcision, I recommended watching this video,
But seriously, it's a tad early to stress something you pretty much have no control over.
5.5.16 | 8.14.17 | 1.30.19
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!
Married: 7/21/12
BFP: 12/4/16 Due 8/8/17 -- Its a boy! Born 8/14/17
BFP: 5/19/19 and MC on 5/27/19
BFP: 6/24/19, MC on 7/24/19
BFP: 10/24, no heartbeat on 11/27, D&C 12/2
Officially diagnosed with Secondary infertility and recurrent miscarriage
IVF started Feb 2020
retrieval and PGT testing: 18 retrieved, 17 mature, 16 fertilized, 9 to blast, 8 PGT normal.
Transfer #1: June 14, 2020
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?
edit sp.
DX: Endometriosis - Stage 4, DOR, RPL
03.2016 - Natural BFP - MC 5w4d
04.2016 - Natural BFP - Chemical
10.2016 - IUI w/ Injections #1 = IUI Cancelled (cyst/no mature follicle)
11.2016 - IUI w/ Injections #2 = BFP, EDD 08.2017 - It's a BOY!
TTC #2 06.2019
08.2019 - IUI w/ Injections #1 = Chemical
09.2019 - IUI w/ Injections #2 = BFN
10.2019 - IUI w/ Injections #3 = BFN
01.2020 - IUI w/ Injections #4 = BFN
08.2020 - Natural BFP - MC 9w5d
11.2020 - IVF Retrieval - 3AB & 4BB
05.2021 - FET #1 = BFP, EDD 02.2022 - It's a BOY!
Together: January 2002
Married: May 2008
Baby: August 2017
Clearly we like to rush along at lightning speed...
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.
1 infant loss
8/17: Our daughter was born
8/18: Our daughter kicked open heart surgery ass
2/19: We lost our son to Prader-Willi/Paradoxical Vocal Cord/ Noonans at 6wks old
4/26/2020: EDD for baby #3!!!
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.
https://evidencebasedbirth.com/the-evidence-for-doulas/
I didn't have a written plan but like @oriole2017 said, it's important to know the options and terms.
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.
DS2: EDD- 09.08.17
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.
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.
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.
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.
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.
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.
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.
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.