Our Birth Plan

Obviously this is what it all comes down to!

Anyone who knows me would say I am pretty type A. I like to have a plan and be organized and know what to expect and be in control. My poor husband. 😉 He is definitely not like this. The ying to my yang. He puts up with it well.

I knew I wanted to have a birth plan so that Matthias, myself, my doula and midwife would all be on the same page about some of the bigger decisions that are made “in the moment”. I wouldn’t want to leave Matthias in the thick of it to make some hard decisions when I am so blissfully out of it in labor, so I thought it would be best for us all to have a discussion before hand so that we know if complications do arise how to handle them and in what progression we would like to proceed with medical intervention.

I don’t need to be told that labor and delivery never go according to plan. That’s not what creating a birth plan was about for me. I am aware of the things that go on in delivery rooms, the complications that can arise, and the various ways that health care providers can treat these things. For me, creating a birth plan was a method of communication for consistency, so that our wishes can be heard, even if they don’t come to fruition. So without further ado, here is our birth plan! (P.S. I know it looks long and detailed, but a lot of this stuff was already discussed with my midwife prior to, it’s just all in one central place now!) :)

Birth Plan

The safety of the Baby and Amie precede any requests in the list below.

Labor

  • Please do not offer narcotic analgesia or an epidural
  • People present in the labor room: Amie, Matthias, Doula, Midwife, and second Midwife for delivery. Amie is okay with having another nurse present if required
  • Amie would like to be able to eat and drink as she feels appropriate
  • Amie would prefer natural pain relief techniques and the use of the birthing pool/tub
  • The only medication Amie feels comfortable using to manage pain is Entonox/Laughing Gas
  • Amie would like to avoid all artificial forms of induction including the use of Cervidil and Oxytocin
  • Amie would prefer to not have internal fetal monitoring, she is okay with EFM (External Fetal Monitoring), including continuous and intermittent auscultation
  • Amie would prefer to only have her midwife, Melissa, do internal exams
  • Amie would prefer to not have an IV, unless required for a specific procedure or treatment of GBS (Group B Strep)

Delivery

  • Amie is open to all pushing positions, and ideally, would like to push in the birth pool/tub
  • Amie would prefer spontaneous pushing, but coaching on method/technique is welcomed
  • Please do not let Amie push for longer than 2 hours. Unless birth is imminent, after 2 hours she would like to discuss her options for safe delivery of the baby
  • Amie would like to avoid having an episiotomy, and the use of the vacuum and forceps. If these are required, she would prefer vacuum over forceps

Immediately After Delivery

  • Please delay cord clamping until after the cord has stopped pulsating
  • Amie would prefer to have the baby immediately brought skin to skin and to breast feed as soon as possible after delivery
  • Matthias will cut the cord
  • Please do not give Erythromycin Eye Ointment to the baby, Vitamin K injection is Okay
  • Amie would prefer to deliver the placenta naturally, but is okay with interventions if necessary
  • Please save the placenta for encapsulation, we will provide a cooler

Postpartum Recovery

  • Amie would like to be discharged home from the hospital as soon as deemed safe by the midwife
  • Amie would like to perform the initial baby bath with Matthias
  • Please no formula – we will provide EBM (Expressed Breast Milk). If low CBG’s (Blood Sugars) are a concern, please discuss options with Amie

Unplanned C-Section

  • Amie would like to be awake for the Caesarian
  • Matthias will remain with the baby at all times, upon return to Unit 25 he will do skin to skin until Amie comes back from the Recovery Room
  • If necessary, please give EBM to baby prior to the use of formula
  • If possible, please use sutures instead of staples
  • If possible, please delay cord clamping

Will I be upset if all of the things on this list don’t happen? Of course not. At the end of the day, I know that labor and delivery require me to give up control over the situation and trust that my body and the team around me will make the right decisions to get our little girl out safely. Will I be upset if I end up having a c-section vs. a vaginal delivery? Absolutely not. Thank goodness we have that option available to us to ensure the safety of ourselves and our baby’s. And if it happens to me, well I can 100% rest assured that my midwife and doula and husband and myself tried very hard to have a vaginal delivery and that doesn’t always work out. NBD. :)

I’d love to hear your feedback and/or questions! Did you have a birth plan? Did it help or hinder your labor and delivery experience?

11 thoughts on “Our Birth Plan

  1. This looks great Amie! Your birth plan looks very similar to mine. And hey, sometimes labour and delivery DOES go according to plan! But no matter what happens, by having a plan it means we’ve researched not only our preferences but alternatives and complications as well, so we and our birth partners can be better prepared for whatever comes our way :). Thanks for sharing!

  2. I definitely had no birth plan, except to keep the placenta. Which is weird since I’m extremely type A.

    I’m happy to see you want to discuss other options after 2 hours of pushing. I believe people wait it out too long sometimes adding unnecessary risks. I went to my section at the 2 hour mark and it was the best decision ever. Especially since her garage heart rate was low.
    I had an epidural off the start and was happy since once I did find out I needed a section the Dr told me there wouldn’t have been time for one and I would’ve been put to sleep. My ONLY thing in my don’t do list!

    Good luck! It’ll all go great, my only tip (which you already know) is keeping an open mind to what is best for you and baby at the time :-)

  3. Oh and I know you know about this too but I had staples and don’t even have a scar now, I have had 3 Drs and a chiropractor been amazed. One Dr asked if I was sure I had a section lol. All that is visible is a red line about half an inch long.

  4. Whats the difference between getting staples and sutures? I had staples, just curious.

    My plan was to keep it as natural as possible. I did not want to be induced and was so happy my doctor let me stick it out for 2.5 weeks. I didn’t want an epidural but in the heat of the moment I really really really wanted drugs. I was too far for anything but laughing gas which did nothing for me.

    • Really the only difference is one absorbs (sutures) and one needs to be taken out (staples). Certain docs have a preference to use one or the other. I’d prefer the sutures because it might avoid a little discomfort after the fact. Plus I never like taking staples out of people so if I could avoid having that done on me it’d be a positive haha.

      • That makes sense I guess. I don’t remember my staples being that uncomfortable to get out. I actually didn’t even know I had staples until they came to take them out, hahaha and I got SO nervous about it hurting, but it didn’t at all.

  5. You are too cute! Your birth plan sounds amazing. I am sure that it will all work out well, whatever way it happens.

    Also, the nursery is beautiful! Your cats are funny (and similar to mine); cats love anything new, I find.

    I look forward to hearing more about your journey! :)

  6. I think it’s great that you have a birth plan and know that things might or might not go accordingly to plan. I didn’t make a birth plan, but made sure Brian knew that I wanted an epidural as soon as I could and that if getting a c-section meant having a healthy baby, so be it. There was some things that I didn’t know would happen (ie: getting in and out catheters since I couldn’t get up to pee)

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