DC2 due in a few weeks, so thought I had better write a birth plan despite most of it being ignored last time! Any comments on important things I've left out, or if it looks realiistic? Labour with DS was quick (3 hrs in hospital) and I've tested positive for Group B Strep which complicates things rather.
The main things I want to avoid are: ending up on my back and with an episiotomy, being told how and when to push (just confused and scared me and contractions promptly stopped) and too many people faffing about. DS was born with the cord round his neck, so a bit frantic at the end.
So here it is...
GROUP B STREP +VE IV ANTIBIOTICS REQIURED
Fast first labour: will need ABs asap after arrival at hospital
Preferred place of birth: Midwife-led unit. Transfer to main labour suite/call doctor in only if needed
Birth partner: DH
Aspects of labour:
- IV drip to be removed as soon as possible
- Keep room dim and quiet and restrict number of people
- Movements not restricted and not told to stay on bed
- Keep active and upright where possible, adopt different positions
- No coaching on pushing
Pain relief: TENS and G&A, further pain relief if requested
Checks: NO continuous fetal monitoring unless necessary and keep internal exams to a minimum
Birth:
- Adopt most comfortable birth position, preferably not on back on bed
- No forceps: ventouse preferred if intervention needed
- No episiotomy unless necessary: if needed then administer local anaesthetic
- Local anaesthetic for stitches
- Skin to skin immediately after birth and breastfeed asap
- If baby requires IV ABs, keep him in the same room and continue skin-to-skin and/or feeding if possible
- If the baby has to be taken out of the room, my partner should go as well
Third stage: happy with injection
Baby:
- Planning to breastfeed: skin-to-skin and bf immediately after birth
- Happy for baby to receive Vit K injection
Other: Happy with student midwives attending birth but NOT student doctors