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Childbirth

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

Labour prep for a control freak! Help!

14 replies

bumperlicious · 12/03/2007 09:22

Hi, I know these threads have been done before, but please just indulge me a bit. Having control freak issues, so just trying to prepare for the things that I can prepare for, fully aware that everything will probably go out the window! Just need to pacify myself in the meantime as I am getting a bit worked up (not by the thought of giving birth, just the whole shebang really!)

So questions: when should I have my hospital bag ready to go?
What do I need to take? What will I think I need but will never use?
Any other tips for preparing for giving birth? I feel like the more I know and the more I can prepare the more relaxed I will feel about it (yes - I was a revision swot at school!)

Thanks!

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abgirl · 12/03/2007 10:18

Bumperlicious, how many weeks are you? How has your pregnancy been so far?

As a control freak myself, I would recommend writing into your birth plan that you would like as full as possible explanantions of anything that is happening, medical decisions that are being made etc. Otherwise try to leave as much flexibility as possible ( v difficult I know ) as you really won't know how you will feel until you are there.

Heaps of threads on here about what to take, so won't go into that too much! Other planning you can do is lots of meals in the freezer than you can take out and heat up; setting up online grocery shopping; arranging for your parents to be on call to help if you need it and having a look into local groups etc you can take baby to - finding a friendly local parent and baby group was a godsend when I had DS. I found I was very focused on the birth itself while pregnant and it would have been useful to have a think about how things were going to go once baby was home!

HTH

hollyandalice · 12/03/2007 10:45

Hi bumper!! Hope you are well!! When you pack your hospital bag you will have more stuff than you ever thought possible! I had two holdalls and a carrier bag. One holdall was for baby stuff, one was for my stuff and the carrier bag was full of my favourite food! I would have it packed from about 34 weeks, or maybe earlier, just in case.

You will need- big cotton pants (not the disposable ones, they are horrid), maternity towels, 2-3 nighties or pjs with front opening for bfing, breast pads, nursing bras, a big cosy towel in a dark colour, washbag for bath after birth, some water face spray stuff (believe me you will get hot!!), a scabby old t-shirt to give birth in, books, your own pillow, dressing gown, camera, lipbalm and something to wear home.

Baby will need- loads of vests and sleepsuits (at least 6 in newborn size, not 0-3 months, there is a difference!!) my dd swallowed loads of mucus and kept sicking it up so I had to change her a lot, a pack of newborn nappies, cotton wool, a going home outfit, a couple of blankets (the hospital ones are ugly and don't look good in photos!!) and their first teddy!!

Take plenty of your favourite food and not just crap like crisps and chocolate. I gave birth at 8.30 in the evening and didn't get fed until 7 the next morning- I was starving!! I had lots of snacks and things, but I really just wanted a sandwich or something to fill me up. Take a fresh fruit salad as well as it is the perfect thing to eat just after labour, nice and sweet and refreshing. My dp was feeding me chunks of fruit whilst I was having my stitches done!! Oh and take something to amuse your dh. You may be there for a while and he might get bored! Luckily I was only in labour for 4 hours so my dp didn't get bored, though he was pissed off with me for making him miss the FA cup final!!! How rude of me!

Honestly you will be fine, labour unfortunately is unpredicable and you just have to go with the flow (though I would recommend a water birth if poss, they are great!!)! Hope this helps xxx

gothicmama · 12/03/2007 10:48

plan for ever eventuallty adn how you will cope with things, write adetailed birth plan but be realistic the things can change

Runninglate · 12/03/2007 10:55

Ooooh, when are you due?? How exciting!!!

This is what worked for me and I had a water birth with no drugs and no damage (some might say I was lucky and yes I was but a lot of it was how well I coped with it too:

Hospital Bag - With 4 weeks to go, I would pack your bag as if you are going to be in hospital for 18 - 24 hours max post birth because once baby is born and you've both had a cuddle and a snooze etc, your DP will be able to get more stuff if needs be! Also have a list somewhere obvious that has the extra stuff that you need to grab as you walk out of the door that you can't pack in advance e.g. drinks from fridge / fruit / coat etc. If you are worried, you could also have a list of things you must grab if it all kicks off before the bag is packed.

Birth Plan - put in your ideal but also scenarios that may crop up and how you would like them handled (e.g. if you end up having an emergency c-section etc). Also include any particular worries or fears that you may have as the midwives can then specifically help to address those of they can. Also - if you want to try the no drugs route - write it down and ask them to help you with that! They won't withold anything but they will do what they can to help you stick to your original wishes! This is also a good time to remind yourself and get your head around that ultimately the priority is you and your baby, so if things go 'off piste' and you end up with a different birth, that's absolutely fine.

Reading - you could also read the empowering books 'Childbirth without Fear' and 'Hypnobirthing - the Mongan Method'. Actually not as hippy as they sound - they just remove the fear factor and prepare you through education!

Here's what I actually used and baby was born at 3:30am and we left at 2pm the same day....

During the birth - all I wanted was to drink, so I took isotonic drinks (sportsd drinks), which I cannot praise highly enough (x8!). I guess a few snacks / bananas would be good but they do have cereal / bread / toast they can give you.

Post birth - I used one thick pad (they also have them there en masse), 1 x big knickers from M&S, 1 x nappy (I would take 5 though just incase!), 1 x baby vest, 1 x babygrow, 1 x nappy cream, 1 x wipes, 1 x change of (maternity) clothes for me for post shower, 1 x coat for me, 1 x toiletries bag for me for shower (I ended up using their towel), 1 x carseat, 1 x hat + coat + blanket to cover while in car seat if cold outside for baby, camera. All in all - not a lot!!!

HTH!!!

bumperlicious · 12/03/2007 11:09

Hi H&A!
Thanks for all the advice so far. I'm 26 weeks ( at worrying about this so early!)

Will the midwife help with a birth plan? I don't really know what I should be planning for? I'd like a water birth if poss. but that is the limit to my knowledge ! I'm not actually worried about the birth, despite what it may seem, I'm more stressed about not being organised. In fact, my biggest fear is needles, so I am actually more petrified at having to have stitches or an epidural than giving birth...

OP posts:
hollyandalice · 12/03/2007 11:15

Yes your mw will help with the birth plan. I didn't write one as I wanted to be as flexible as possible, but if you want to write one your mw will go through it all with you. If you want a water birth and you have had no complications during your pregnancy there is no reason why you shouldn't be able to have one (apart from availability of pool).

hollyandalice · 12/03/2007 11:18

As for stitches you won't see the needle and the mw will give you g&a to help you with the initial pain of the local anasthetic. G&a is great for the control freak as it really helps you to control your breathing and it gives you something to concentrate on.

Runninglate · 12/03/2007 11:24

Things to think about in your birth plan, are for example:

ï‚§ We would like to go home as soon as possible after the birth.

ï‚§ We would like an ?amenities? room if we are going to be in hospital overnight or longer.

ï‚§ State that you would like a water birth if possible.

ï‚§ Your DP will be the main communicator, particularly if you are unable / don?t wish to talk. You would obviously like to be involved in the decision making process but if you are unable to be, please accept DP?s word as ?ours?.

ï‚§ I would like people to be smiling, calm, friendly and normal towards me ? no ?hassling?, abrupt or panicky voices or pressure to consent to students working on me.

ï‚§ Pain Relief:
o I would like to use x,y or z or e.g.
o I may wish to try Entonox but I would really appreciate your help and encouragement to avoid drugs, particularly pethidine or an epidural. If I do end up having an epidural, I would like a mobile one please (but I am happy to stay in one place and not ?wander off? if this is helpful. I would just like to be able to stand).

ï‚§ I would like to avoid both tearing and an episiotomy!

ï‚§ I would like as few internal examinations as possible, to avoid induction and / or a sweep. I would like to try alternative measures first (acupuncture, reflexology etc).

ï‚§ If my pregnancy goes overdue, I would like go in to labour spontaneously, as long as my baby and I are fine. I am happy to be monitored as often as necessary to ensure that this is the case. No intervention unless medically necessary.

ï‚§ I am fine with a very small number of female student midwives present at the birth. No other students and no males.

ï‚§ I would like to remain mobile unless there is a valid medical reason not to be. I do not want to be on my back / sidelying in the 2nd stage of labour!

ï‚§ Please can you be ready (!) but allow me to reach for the baby if I do so automatically?

ï‚§ We do not want the cord to be cut until it has finished pulsating. We would like DP to cut the cord.

ï‚§ I would prefer to deliver the placenta naturally (rather than the injection which makes it come out immediately after birth and reduces the risk of you haemorrhaging but the cord has to be cut before it stops pulsating - the evidence is that you are under real increased risk provided that the placenta comes out well enough on its own accord. FWIW, mine took 3 hours to come out and couldn't because my bladder was too full, so they ended up catheterising me - they would have had to do this even if I'd had the injection! My midwife wasn't concerned at all and they have various tricks up their sleeves) unless it is medically contraindicated.

ï‚§ I would like our baby lifted on to my chest immediately after birth for breast-feeding. If I am unable to for any reason or I have a caesarean, I would like our baby to be given straight to DP.

ï‚§ We would like either me or DP to be with our baby at all times and not to be separated during any checks if possible.

We would like to find out the sex of the baby ourselves.

ï‚§ DP & I would like to spend some time alone with our baby immediately after the birth.

ï‚§ I would like to breast feed and would love as much help and support with that as possible!

ï‚§ Please give our baby Vitamin K by injection (vit K is incase baby suffers a rare but fatal haemorrhage - oral is less effective and theoretically injection introduces a route for infection, so you need to decide which you would like).

ï‚§ If I need a caesarean, I would prefer to be awake.

ï‚§ My specific anxieties are:
o Being ?probed?, stared at and with that, unnecessary internal examinations.
o That something will go ?wrong? (with my health or the baby) and no-one will notice until it?s too late. PLEASE REASSURE ME as labour progresses that all is ok and BE VERY POSITIVE ABOUT MILESTONES REACHED however minor they may be!
o That I will feel frightened by the unfamiliarity of it all, that I will faint and generally be out of control and unable to cope.

This is my first baby and as such I don?t really know what to expect. I would therefore like to thank you all very much in advance for all your help and support.

My priority is my and my baby?s safety, so please don?t delay any medical intervention that may be genuinely necessary because you are trying to fulfil my wish of a natural birth!

Phew - that was a bit enorm wasn't it!

bumperlicious · 12/03/2007 11:40

Wow, runninglate that's brill, thanks! Do they really listen to all that stuff? Or will they just think I am being demanding? And when do you give it to them and who do you give it to?

I'm sorry, I know these are loads of silly questions, and I will probably find out the answers in good time, I just need to know now!

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Runninglate · 12/03/2007 11:53

If you don't write it down, then they can't know what you want and if you do, you stand a chance of it happening!

My midwife went through it all with me at about 37 weeks and was actually hassling me for my birth plan. Brilliantly, it was actually her that was on-call when I went in (2 weeks overdue) and she followed it to the letter even though we'd had no further discussions about it (total of 5 weeks since she's read it by then!). It would be up to your DP to encourage them to read it and generally speaking, they will def have time to read it - several times over! We slapped a copy down in the room with us when we arrived and pointed it out.

I wanted to avoid the drugs if poss and when I said to her that I may want an epidural (I was worried what was going to happen pain wise rather than what was happening!) and her eyes went slightly glazed and she suggested that I try the water first......

hollyandalice · 13/03/2007 07:45

Hey bumper! Hope you had a good night-I didn't !!!! I found this website about what to pack and what to write on your birthplan. It's quite good. HTH xx

inthegutter · 13/03/2007 10:13

Excellent advice runninglate. I think a comprehensive birth plan is a good idea, because even though things MAT turn out differently, at least you all know where you stand in terms of what you'd ideally want. No one will make you stick to the plan if you change your mind mid-labour, but my midwife said my plan was hugely helpful to her. If I hadn't done a plan, she said she'd have felt far more tentative about offering advice and supporting. for eg, a big thing for me was avoiding pethidine and an epidural - i don't like needles either, but more importantly I didn't want to feel totally numbed and out of control. When the pain got really bad I started to waver, and asked about an epidural, but the wonderful midwife responded with several suggestions - she just seemed to have so many tricks up her sleeve - and i was so proud when I pushed my dd out 3 hours later on just gas and air. The midwife admitted afterwards that if i hadn't been so clear in my plan, she'd have felt she had to call the anaethetist and get me the epidural straight away, which would have denied me that feeling of being empowered by the birth. I think if you know you have a tendency to be a bit of a control freak, a birth plan is an absolute must. Whatever happens, at least you'll go into it knowing that YOU have made decisions about what you want done to YOUR body.

missmillie · 13/03/2007 11:34

Hi there,

Birth plans are definitely helpful. Bear in mind it is not an actual 'plan' of the events of labour but general ideas about what you have strong feelings about or ideas you have. As someone mentioned, it can be very helpful for the midwife too, to have some idea about your wishes. It can help to build your relationship and your trust in her if you know she knows your wishes.

Discuss your birthplan when you first arrive at the hospital/birth centre (unless you're thinking of a home birth!) with the midwife who will be the one there with you in labour.

Other suggestions I have if you're someone who likes to feel in control (me too ) is-

  • to keep asking that the midwife tells you everything thats going on or decisions that need to be made.

-don't stay shut away in the labour room! pop out for little walks around the ward or outside, so you still feel part of the real world

-make sure your partner knows your birthplan intimately so you can relax more if you start to feel unable to be organised at a point in labour and try to feel ok with handing the organisation over to him if you need to

-learn about the physiology of birth and how each stage can change your behaviour so that you understand what's happening to your body and you know it's OK. A large proportion of pain is caused by fear and feeling out of control.

-consider putting in your birthplan that you do not wish your midwife to suggest particular pain relief or examinations (unless urgent) but leave it to you to ask her when you feel it is appropriate, thereby keeping that sense of control.

-do consider a water birth-the actual personal space and boundaries created by being in the pool can help you to feel a metaphoric personal boundary, again helping many women feel more in control.

Hope this helps!

bumperlicious · 14/03/2007 17:33

Thanks everyone. And thanks for the link H&A. Gosh, I'm bad enough for packing too much stuff when I go away, I'm going to need a taxi for my bags! [Note to self: I do not need 4 pairs of shoes for giving birth!]

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