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Amy's Pregnancy Journal

 
Week 23/24
~ Birth Plan

Oh what a week! We continued with our bout with the stomach virus that seemed would never end; I got it the day after my daughter got out of the hospital, then my husband and then my son and my mom. We seem to be all past that now and have been finally able to start getting ready for some things. We are going to Disney World in a month, and have a lot of getting ready to do for that. We booked this trip two weeks before I found out I was pregnant with the baby, for the last week of June and first week of July. By my math, I will be starting my seventh month while we are there in that hot humid climate.

Now that we know what the baby is, we can start buying more specific items. I am about sick of looking at yellows, greens and whites! I want some color in the baby's life when he gets here! I have picked out three bedding sets that we are trying to decide between. When we do and get the baby's room set up, I will post a picture.

We've also been coming up with a list of names for him. The name we pick from the list, will be the name he is actually called. One name is a given, and that is Paul. In memory of my dad who passed away this past November. My dad loved his family and especially the grandkids. Since this baby will never know my dad, I thought it would be a very fitting tribute to one of the most wonderful men I ever knew.

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We have also been working on our birth plan in the few free moments we have had. We have gotten it finished because I want to run it by my doctor to avoid any suprises. We both feel very strongly that we want a family centered birth and want the kids involved as much as possible. I am actually asking in the birth plan that if no emergency situations come up or planned C-section etc that they at least be given the option to be in the room. They have been told that I am trying to make sure that is ok with everyone and that they have that option if they want it. I feel I have educated them to the best of my ability about what is going to happen, from labor to even how the baby is going to come out of my body. We've watched movies, they've asked questions and I've answered them. They also know that if they want to be in the room, they do not have to actually watch unless they want to and the doctor says it is ok and that my mom will be there so if they change their minds or if an emergency does come up to be there for them. My mom understands this and my reasoning behind it. I have never planned to space my children as much as I did my daughter and this baby; sometimes things just work out that way. I want them involved as much as possible and to understand the commitment, the demand and the responsibility that a child can bring. Even the pain and suffering it does take to get one here. My son is nearly 11, my daughter will be 8 soon after him. They will be facing some very adult choices in the next few years that I cannot begin to say scare the death out of me. I hope this will help them be more educated as they approach that time in their lives! My mom had me terrified at 12 that if I even kissed a boy, I could get pregnant. Mainly because that was what she knew to teach! I don't want to teach my kids that.

Here is our birth plan:

Dear Nurses and Doctors:

We are looking forward to sharing our birth experience with you. We have created this birth plan in order to outline some of our preferences for birth. We would appreciate you reviewing this plan, and would be happy to do so with you. We understand that there may be situations in which our choices may not be possible, but we hope that you will help us to move towards our goals as much as possible and to make this labor and birth a great experience. We do not want to replace medical personnel, but instead want to be informed of any procedures in advance, and to be allowed the chance to give informed consent. Please feel free to ask if you have any questions or comments! Thank you!

Please Note:

LABOR:

  • Please perform no routine tasks (shaving, enema, etc) unless requested.
  • I expect that doctors and hospital staff discuss all procedures with me before they are performed.
  • I would like to be free to walk and change positions and use the bathroom as needed.
  • I would like to help myself remain hydrated by drinking moderate amounts of fluids and ice chips along with an I.V.
  • I would like to labor in a quiet, soothing environment during labor. With dim lights and minimal interruptions.
  • As long as our son is doing well, I prefer that fetal heart tones be monitored intermittently with an external monitor or Doppler, even if membranes have ruptured. -
  • I do not mind observation by students, interns or staff.

Labor Induction:

  • If induction is necessary, I would like to attempt it with prostaglandin gel or other means before pitocin is administered.

Anesthesia/Pain medication:

  • Please do not offer medication unless I ask for it.
  • I prefer an epidural to narcotic pain medication.
  • I would prefer to have as epidural as soon as permissible.
  • I would like to have the epidural catheter placed upon my admission to the hospital.

Cesarean Section Delivery:

  • I feel strongly that I would like to avoid a cesarean delivery.
  • If a cesarean is necessary, I expect to be fully informed of all procedures and actively participate in decision-making.
  • I would like to have my husband to be present during surgery.
  • Please explain the surgery to me as it happens.
  • I would prefer general anesthesia in an emergency only.
  • I would prefer epidural anesthesia, if possible, to remain conscious through the delivery.
  • If possible, please do not strap my arms to the table during the procedure.
  • If possible and conditions permit, I would like to be the first to hold our son after delivery.
  • If possible and conditions permit, our son should be given to my husband immediately after the birth.
  • Please lower the screen just before delivery so I may see the birth of the baby.

Perineal Care:

  • I prefer not to have an episiotomy unless it is medically indicated.
  • To help my perineum stretch, please help guide my pushing efforts by letting me know when to push and when to stop.
  • I would rather have an episiotomy than risk a tear.

Delivery:

  • I do not want to use stirrups while pushing.
  • I would like the freedom to push and deliver in any position I like.
  • I would appreciate help from my husband and staff supporting my legs while I push.
  • I would like to have a mirror available and adjusted so I can see the birth.
  • I would like the opportunity to touch my baby's head as it crowns.
  • I would like a soothing environment during the actual birth, with dim lights and quiet voices.
  • I would like to help catch the baby.
  • I would like to have my children present for the birth of the baby. I have spent many months discussing and preparing them and feel they are very well informed, prepared and educated of what is going to happen. I also understand that sometimes situations arise where they may need to be removed or they may become scared and may ask to leave. I would prefer to have my mother in the room, to support them and if necessary, leave with them. My children respond and react to my mother as well as they do me.
  • I would also like to limit the number of visitors in the L.D.R. to my husband, mom and children.

After Birth:

  • Please place our son on my stomach/chest immediately after delivery.
  • My husband would like the option of cutting the cord. If he declines, I would like the option.
  • Please allow the cord to stop pulsating before it is cut.
  • I would like the placenta to have the chance to deliver spontaneously.
  • I would like to be shown the placenta once it is delivered.
  • Please remove my I.V. and catheter as soon as possible after delivery.

Newborn Care:

  • I would like to hold our son skin to skin during the first few hours to help regulate his body temperature.
  • I would like to hold our son through the delivery of the placenta and any repair procedures.
  • Please evaluate and bathe our son at my bedside if possible.
  • If he must go to the nursery for evaluation or medical treatment, my husband, or someone I designate, will accompany him at all times.
  • Please delay eye medication for him until we are past the initial bonding period.
  • If available, would prefer erythromycin eye treatment or other antibiotic eye drops instead of silver nitrate.

Postpartum:

  • If available, I would prefer a private room.
  • I would like our son to room in with me during the day and at night once I've had the chance to rest.
  • I would like our son brought to me on request.
  • I would like permission for access to my chart and my baby's chart.

Breast feeding:

  • I would like to meet with the staff lactation consultant.

Additional information and request:

  • I would like to take still photographs during labor and the birth.
  • I would like to make a video recording of labor/ birth. Not of the actual baby being born, but to have the camera filming somewhere in the room while the labor and birth are happening.

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