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VBAC Cubby - vaginal birth after cesarean

Planned Hospital VBAC Birth Plan #1
Labor
  • I would like to be free to walk around during labor.
  • I wish to be able to move around and change positions at will throughout labor.
  • I wish to be able to labor in water - either tub or shower throughout labor.
  • I would like to eat and drink normally through labor and I will make easily digestible food choices.
  • I would like the environment to be kept as quiet as possible with dim lighting.
  • I would prefer to keep the number of vaginal exams to a minimum.
  • I do not want a routine IV or hep lock unless medically indicated.
  • I would like to wear my contact lenses throughout labor.

Monitoring

  • I do not wish to have continuous fetal monitoring.
  • While being monitored intermittently, I would like to have the option of having the monitor held by a nurse or my labor support people if the straps begin to bother me

Labor Augmentation/Induction

  • I do not wish to have the amniotic membrane ruptured artificially.
  • I would prefer to be allowed to try changing position and other natural methods such as walking, nipple stimulation (nursing my 2 year old) before pitocin is administered if labor augmentation is necessary

Anesthesia/Pain Medication

  • I realize that many pain medications exist - I'll ask for them if I need them.

Cesarean

  • Unless absolutely necessary, I would like to avoid a Cesarean.
  • If my primary care provider determines that a Cesarean delivery is indicated, I would like to obtain a second opinion from another physician if time allows.
  • If a Cesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.
  • I do not wish my labor support persons to be removed from the room during any surgical preparation. I would like my doula and if possible my other labor support persons present at all times if a Cesarean delivery is necessary, including if general anesthesia is required.
  • I do not consent to having my arms or hands strapped down unless I am unable to control them. I understand the necessity of maintaining a sterile surgical field.
  • So I can view the birth, I would like the screen lowered just before delivery.
  • I wish my labor support person(s) to take pictures and/or video tape the delivery.
  • If the baby is not in distress I wish the baby to be given to my labor support person or me immediately after birth.
  • I do not wish the baby to be separated from me unless s/he is in distress. If the baby must be taken away the father will accompany him or her.
  • I would like to see the placenta.

Episiotomy

  • I do not want an episiotomy. If one is needed I wish to be told before it is cut.

Delivery

  • I would like to be allowed to choose the position in which I give birth, including squatting. I would like a mirror available so I can see the baby's head when it crowns.
  • I would like the opportunity to touch the baby's head when it crowns.
  • Even if I am fully dilated, I would like to try to wait until I feel the urge to push before beginning the pushing phase.
  • I would like to direct the pushing myself provided I am making progress
  • I would appreciate having the room lights turned low for the actual delivery.
  • I would appreciate having the room as quiet as possible when the baby is born.
  • I would like to have the baby placed on my stomach/chest immediately after delivery.

Immediately After Delivery

  • I would like my mother to cut the cord.
  • I would prefer that the umbilical cord stop pulsating before it is cut. I would like to hold the baby while I deliver the placenta and any tissue repairs are made. I would like to hold the baby for at least fifteen minutes before (he/she) is photographed, examined, etc.
  • I would like to have the baby evaluated and bathed in my presence.
  • I plan to keep the baby near me following birth and would appreciate if the evaluation of the baby can be done with the baby on my abdomen, with both of us covered by a warm blanket, unless there is an unusual situation.
  • If the baby must be taken from me to receive medical treatment, my husband or some other person I will designate will accompany the baby at all times.
  • I would prefer to hold the baby rather than have (him/her) placed under heat lamps.
  • I do not want a routine injection of pitocin after the delivery to aid in expelling the placenta.
  • I would like to delay the eye medication for until a couple hours after birth.
  • I would like to see the placenta after it is delivered.

Postpartum

  • I would like a private room, if available.
  • I do not wish to be separated from my baby at any time.

Breastfeeding

  • I plan to breastfeed and would like to begin nursing very shortly after birth.
  • I do not want the baby to be given a pacifier or any artificial nipples.
  • I do not consent to any supplementation with either formula or glucose water. If supplementation is medically necessary it should be discussed with me beforehand and be done with expressed breast milk if possible and through a supplemental feeding system (finger feeding with the aid of a tube or cup feeding) as opposed to a bottle.

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Other
  • My support people are my doula, husband and mother and I would like them to be present during labor and delivery.
  • I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.
  • My father will be taking care of my 2 year old son. I would like them to be able to come and go freely during my labor and birth and hospital stay.

For the most part my birth plan was followed. I was very flexible with the plan and many things ended up not going according to what I had planned. This demonstrated that it is important to view a birth plan as a wish list and not as a script. Birth can be extremely unpredictable! In my case there were many factors that caused me to deviate from my birth plan. I had a high fever so I agreed to IV antibiotics. I chose to have an epidural at one point and that made many of my wishes impossible. My son's cord was wrapped tightly around his neck and it was necessary to cut it before he was fully birthed. In addition he had significant meconium inhalation and aspiration so I was unable to hold him before the staff treated him. But because I felt informed and I was the one who gave the okay to the choices along the way I was very pleased with how the birth went. The only exception was the episiotomy. I need to make avoiding an episiotomy a stronger issue for my next birth!

Planned Hospital VBAC Birth Plan #2
Planned Hospital VBAC Birth Plan #1
Return to VBAC Birth Plan article

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