Being Pregnant – Creating a “Birth Plan”

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Probably one of the last things you’re thinking of with a new baby on the way is a birth plan. Maybe you didn’t know about them. It’s basically a plan you pre-write to help the people delivering your baby understand your wishes, desires, and preferences for the labor, comfort, delivery, and afterbirth care of your baby.

When you’re in the midst of labor, the last thing you want is someone asking you questions. “Do you want an epidural ?” “Do you want daddy to catch the baby ?” “Who do you want in the room ?” A birth plan spells it all out so that you can labor and deliver in peace while your delivery team knows all about your ideology for the event. There are many resources out there for you to use to help create the perfect birth plan for your needs- BabyCenter.com has an article on it and so do many other sites.

You want to include what you’d like to happen : before labor begins, during labor, delivery, immediately after delivery, (emergency C-section part), and breastfeeding.

Did you know that it is HOSPITAL PROCEDURE to administer : eye ointment, Vitamin K, and Hep B immediately after birth ? Most hospitals do a circumcision within 48 hours of birth. I think that’s crazy, all of it. We did the procedure on day 8 of life, when blood clotting is established and the baby has had some time to adjust to life.

Below is my personalized birth plan. I decided to go to a birth center (best decision EVER !) and ended up doing a water birth with no drugs (not even tylenol). A lot of concerns (like shots, eye ointment, etc) are not even offered at birth centers because they are deemed as medically unnecessary, which is one of the reasons why I went there in the first place ! (I have another blog article about why I chose a birth center over a hospital (8/4/14)). I worked off of like 5 other birth plans to see what all the options were and to decide for myself what I wanted in mine. The following reflects my beliefs, preferences, and ideologies.

-BIRTH PREFERENCES-

Holly Cooper & Aaron Hasegawa baby boy : Valen Kendrick Hasegawa
Official Due Date: 12/21/2013
Inspiration Birth Center 434 Grove Avenue, Winter Park, FL 32792 (407) 644-5567

BEFORE LABOR BEGINS
I would like to labor at home for as long as possible (5-1-1 Rule) (call early)
If NST observation becomes necessary after my due date, I support this procedure.
Please obtain my permission before stripping my membranes during a vaginal exam. I prefer to not have my membranes broken unless there is an emergency situation.

LABOR
I wish to be able to move around (including walking) and change position throughout labor.
I would prefer to keep the number of vaginal exams to a minimum.
I do not want a hep-loc.
I do not wish to have continuous fetal monitoring. Intermittent checks are preferred.
I do not wish to have my membranes ruptured.
I would like to try changing position and other natural methods if labor seems to stall (herbs, acupuncture, acupressure, hold/cold therapy, walking, etc)
I would appreciate guidance in when to push and when to stop pushing so the perineum can stretch and, if possible, would like to use pereneal massage with oil to help reduce tearing.

DELIVERY
I would like to be allowed to choose the position in which I give birth.
I would like to have the lights dimmed and have the room as quiet as possible for delivery.
Encourage me to breathe properly for slower crowning. I would like to touch the baby’s head as it’s crowning and see it with a mirror.
Please allow the shoulders and body of my baby be born spontaneously, on their own.
I would like the midwife to catch the baby.
I would like to have the baby cleaned/bathed and then placed on my chest, wrapped in a warm blanket.

IMMEDIATELY AFTER DELIVERY
Right after birth, please bathe the baby and let me hold him for 1 hour before he’s examined.
I prefer the umbilical cord to stop pulsating before it is clamped and/or cut by a midwife.
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.
If the baby must be taken to receive medical treatment, Aaron will accompany at all times.
I do not want a routine injection of Pitocin.
I would like the Vitamin K shot administered to my baby. NO eye ointment. Please delay the Vitamin K shot until the baby is sleeping, if possible.
In case of emergency, please do not cut the cord during resuscitation.
Please administer the PKU test after 24 hours.
I do not wish to be separated from my baby. Please discuss with us first if required.

BREASTFEEDING
I plan to breastfeed the baby and would like to begin nursing very shortly after birth.
I do not want the baby to be given a pacifier, formula, sugar water, or nipple.
I do not want to have any bottles given to my baby (including glucose water, sugar water, or plain water).

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