And if you were thinking of a birth plan but didn't really want to write one . . .
Birth Plan for Marta
Due Date: 5/26/07
Patient of Advanced Obstetrics / HMC
03/07
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 toward our goals as much as possible and to make this labor and birth a great experience. We do not want to replace the 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
My bloodtype is Rh- (Rhesus Negative)
Labor
Please perform no routine prepatory tasks (shaving, enema, etc.), unless requested.
I expect that doctors and hospital staff will discuss all procedures with me before they are performed.
I would like to be free to walk, change positions and use the bathroom as needed or desired.
I prefer to eat and drink throughout labor, as desired.
I will remain hydrated by drinking moderate amounts of fluids (water, juice, ice chips).
Please do not administer an IV or heparin lock unless there is a clear medical indication that such is necessary.
I would like a quiet, soothing environment during labor, with dim lights and minimal interruptions.
I would like to play my own music.
Please limit the number of vaginal exams.
I wish to labor freely in the birthing tub or shower.
As long as is doing well, I prefer that fetal heart tones be monitored intermittently with an external monitor or doppler, even if the membranes have ruptured.
If fetal distress is suspected and time permits, I would like confirmation of this with a fetal scalp blood sample before proceeding with other interventions.
Please allow me to vocalize as desired during labor and birth without comment or criticism.
Please do not permit observers such as interns, students or unnecessary staff into the room without my permission.
To preserve my privacy and dignity, I would prefer that everyone knock before entering.
Labor Augmentation/Induction
I would like to avoid induction unless it is medically necessary.
As long as and I are healthy, I do not want to discuss induction prior to 42 weeks.
If my pregnancy progresses past 40 weeks, I would prefer to base the decision to induce on the results of 's biophysical profiles, not on my own personal discomfort or impatience.
If induction is necessary, I would like to attempt it with prostaglandin gel or another means before pitocin is administered.
Please do not rupture my membranes artificially unless medically indicated.
Anesthesia/Pain Medication
Please do not offer anesthesia/analgesia unless I ask for it.
If I ask for pain relief, please feel free to offer nonmedical choices for coping and/or remind me how close I am to the birth.
Cesarean Section Delivery
If a cesarean is necessary, I expect to be fully informed of all procedures and actively participate in decision-making.
I would like Orlando to be present during the surgery.
I would prefer epidural anesthesia, if possible, in order to remain conscious through the delivery.
If possible, please do not strap my arms to the table during the procedure.
If conditions permit, should be given to Orlando 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 avoid episiotomy or tearing, Orlando or my labor assistant will perform perineal massage with oil and apply hot compresses.
I would rather tear than have an episiotomy.
Delivery
Even if I am fully dilated, and assuming is not in distress, I would like to wait until I feel the urge to push before beginning the pushing phase.
I prefer to push or not push according to my instincts and would prefer not to have guidance or coaching in this effort.
I would like the freedom to push and deliver in any position I like.
I would appreciate help from Orlando and staff supporting my legs as I push.
I would like a soothing environment during the actual birth, with dim lights and quiet voices.
I would like Orlando to help catch .
Immediately after the birth
Please place on my stomach/chest immediately after delivery.
I would like to breastfeed immediately.
Orlando would like the option to cut the cord.
Please allow the umbilical cord to stop pulsating before it is cut.
I prefer to wait for spontaneous delivery of the placenta and do not want a routine injection of pitocin.
Newborn Care
I would like to hold skin-to-skin during the first hours to help regulate baby's body temperature.
If must go to the nursery for evaluation or medical treatment, Orlando, or someone I designate, will accompany at all times.
Please delay eye medication for until we are well past the initial bonding period (a couple hours after the birth).
Postpartum Care
I would prefer not to be catheterized until I've had some private time to attempt urination on my own.
I would like to room-in with me during the day, but stay in the nursery at night.
I would like my Orlando to room-in with me.
I would like my other children to have free visitation access.
Breastfeeding
I plan to breastfeed and want to nurse immediately following the birth.
Unless I am unable to give my consent, please do not give any supplements without first informing me of the reason(s) and seeking my consent.
I would like to meet with the staff lactation consultant.
Additional notes
I am planning for to be circumcised before we check out of the hospital. (Note: Do not waive Vitamin K shot in this event)