Are your children’s vaccines up to date?

Set a reminder

Please or to access all these features

Childbirth

Share experiences and get support around labour, birth and recovery.

birth plan for the terrified, anyone help me with suggestions for natural birth?

3 replies

happynappies · 11/09/2012 14:00

I'm extremely anxious about my impending birth. This is my fourth, and anxiety stems from cascade of intervention (from calmly sitting on birth ball in mlu for hours managing with breathing and TENS, to blue-light emergency transfer to consultant unit because they thought dd was breach, horribly painful breaking of waters and starting of syntocinon drip to 'speed things up', pain that I couldn't cope with and was terrified of, long wait for epidural, pethidine which made me feel really out of it and affected breastfeeding afterwards making dd really sleepy), being told I wasn't pushing effectively and feeling 'bullied' by mws when I was trying as if my life depended on it, episiotomy, ventouse, PPH, and then dd born not breathing although quickly recovered. I had 2nd degree tear requiring stitching, I then couldn't walk because of undiagnosed SPD and was literally shouted at to get out of bed by a stern mw who said I'd get thrombosis. I left hospital on crutches, but it took me ages to recover, physically and emotionally. Since had ds at same consultant unit with wonderfully supportive mw. Long labour but best experience - just gas and air and TENS machine, and all was well. Then dd2 was born and medical interventions intruded again. Group B Strep so had to have IV antibiotics, but when I arrived in hospital was almost ready to push. They were trying to get canula in one hand for possible PPH, and IV antibios in other hand, and telling me to keep still. Couldn't get either line in, and my right arm ended up swelling hugely, goodness knows where the antibios were going. Mw called colleague and tried to get me to take pethidine to calm me down, as was on ceiling with anxiety because she was whispering to her colleague and I felt she was just not in tune with what I wanted at all - telling me to lie down on my back (I refused and wanted to give birth in a more upright position, but she was telling me off like a little girl - thinking I might fall off the bed...)... she just seemed so impatient with me, don't know if she just thought I was being pathetic because it was my third, but anyway:

Baby4 is due in two weeks, and I've got the basics covered on my birth plan, i.e. no continous monitoring, active, upright, no pethidine, no syntocinon, skin to skin straight away afterwards etc, but I feel it is more the psychological aspect of the birth that I might need to convey that I need support with, and realise that this might be difficult to achieve in the medicalised setting of a consultant unit with protocols to follow. Looked into getting a doula before and met several but tbh never quite found someone reassuring enough (which is probably a big part of my problem!!). Dh understands clearly the effect of interventions and negativity on me in labour, and am sure will advocate for me, but how would you suggest I explain what I would like without sounding crackers? Also, because of gestational diabetes I am booked (provisionally) for induction two weeks on Sunday and the fear of that dreaded drip looms large. Am thinking of having a separate 'induction' birth plan to try to get my views across and keep the birth as natural as possible in an even more difficult situation, but is there any point? Am sure people will say just 'go with the flow' etc, but I know once I'm in the situation things kind of happen 'to you' and you don't have the presence of mind to change things if you can. I accept that the safety of the baby comes first, and obviously if there was a necessity for certain medical procedures then fine, but not just to 'speed things up' or shut me up or whatever!!

Sorry this is long - if you've read this far thank you. Must sound like a complete wuss, but am so worried about it. Have been de-briefed after each birth, and although helpful to go through things, never really feel 'in control' or empowered when I set foot in that consultant unit!! Any thoughts very gratefully received.

OP posts:
Are your children’s vaccines up to date?
hulahoop7 · 11/09/2012 16:23

I completely understand your concern. Patient choice is not easy to come by in a NHS hospital and my husband had to literally take doctors out of the delivery room and tell them that they would not put me on a drip just because it is protocol and that we would only consider it if my life or the life of our baby was in "immediate danger". They grudgingly gave in, but despite his best efforts to avoid intervention I had my waters broken to speed things up when the doctors made their round. We were not really given a choice in the matter and by the time we realised what was sugged they already finished the intervention. I then had I controllable pain while before I was in a very comfortably labouring on hypnobirthing alone. My advice would be to go for a homebirth and if that's not an option to equip your birthing partner with an arsenal of information and assertive discussion strategies. My hypnobirthing teacher Katherine Graves had some great advice on the topic and I would thoroughly recommend her course to let go of built up anxiety and empower yourself for the birth ahead. Any other hypnobirthing info you can get hold of would also help if you don't have time to sort out a course.

Generally you have the right to refuse procedures, demand to know what the alternatives are and enquire if the procedure is hospital protocol and the midwife/consultant is under pressure to follow it or if there are other alternatives. Unless you ask the alternatives won't be presented to you and its the job of your birthing partner to ensure that your wishes are taken into account.

This is also helpful resource on the topic: www.homebirth.org.uk/marycronkphrases.htm

FloweryBoots · 11/09/2012 21:13

I'm pretty nervous about the prospects of giving birth again, but not as close to it yet as you (15 weeks, this will be number 2). I riased this with my normal MW, particularly as I didn't end up having a debrief after DS1 and wanted to see if I could do it now. MW sent me to see the consultant to go through everything from DS birth and all the notes. The Doctor was great and has put a plan in place for me which will include me seeing a specialist support midwife throughout pregnancy at regualr intervals and then one or two appointments with a consultant midwife in the unit I intend to give birth in towards the end to help me and DH plan for the birth quite specifically, understand more about what happens or might happen at each stage and why and generally help us feel prepared and confident. When I was at the consultant appointment I noticed there was a sign saying the support midwife was a service offered at that hospital so it might not be available everywhere but could you ask if anything like that would be available so you can go through your concerns and get help on planning, both interms of for yourself as well as your actual writen birth plan? And definately try to talk to your regular midwife about it if nothing else - could you try to get a double appointment so you have time to do that as well as the 'standard' things.

Other than that all I can suggest is what you'll no doubt already be doing and make sure you discuss everything with your birth partner so you feel confident they can be a good advocate for you. Before DS1 I thought my hubs wasn't really paying attentioin and wouldn't really know what i did and didn't want but obviously my continuous wittering on about a few key points stuck as he was straight in there with them when our first MW at the birth was a bit useless (including having to stop her from using latex gloves despite it being plastered all over my notes I'm allergic to it!).

Good luck, hope you can feel confident about the birth.

happynappies · 12/09/2012 13:25

Thank you for your thoughts, good to hear from you. I didn't have so much faith in making an appointment with the supervisor of midwives at my hospital, because I'd already met her for a routine appointment when she was covering a shift on the antenatal unit and she was quite 'well... what will be will be' and I wasn't sure a further meeting with her would help... However, I've just been to a mw appointment today, and my regular midwife was away, and I got quite an enlightened mw in her place who was excellent. She talked through some different pain relief options that aren't routinely offered in my hospital but are available - IV paracetamol and meptid. I've no idea if these offer any kind of suitable middle ground between nothing and epidural given that I don't want pethidine, so off to do some further research now. Feel a bit more 'in control' if I know I can ask for something and know about it all beforehand if that makes sense (if needed - I'd rather do without, but if that drip kicks in and I'm on the ceiling I'd like to know my options!). The other thing she said was about having in my birth plan that I'd like options explaining clearly with pros and cons and alternatives, which she said mw's should do as a matter of course, but she was aware that in reality they don't, they just make assumptions, so won't hurt to have that in my birth plan. Just got to write the thing now, and hopefully it will be informative for them without winding them up if you see what I mean!! Thanks again for your supportive thoughts, its good to feel that someone understands my anxiety!

OP posts:
New posts on this thread. Refresh page