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!)
The safety of the Baby and Amie precede any requests in the list below.
- 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)
- 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
- 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
- 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?