For complete peace of mind write your birth plan in the form of a letter and send it to the MW team now. Ask that each member of the team reads it so that who ever ends up coming out to you knows in advance what you do and don't want. Then you don't have to bother giving it to them or explaining anything when the MW's do arrive, and you will be secure and confident knowing that they already know.
Here is what I sent in to my MW team;
"
Head of Midwifery Services/Ward Manager,
Labour Ward,
Dear Madam,
I am currently 36 weeks pregnant with my second child. My first was born in hospital and for a variety of reasons I am intending to stay at home for the birth of this baby, due the week beginning XXXXXXX.
So far I have met a few of the XXXXX Team at my ante-natal appointments, and most of them have been really nice and very supportive and understanding of my desire to stay at home, however, this has not been the case with all of them, and couple have been positively dismissive of my reasons.
I had a long, but straight forward labour with my first baby, which culminated in unnecessary (and potentially dangerous) use of a synthetic oxytocin drip, stirrups, episiotomy and ventouse delivery. The midwife who attended me told me later that this had been over zealous as I would have given birth naturally if I?d been left to rest for a while, as I requested at the time. My ?natural? labour was very positive, I had hard, but irregular, contractions but I stayed upright and mobile and they were not at all painful. I have a joint condition called Hyper-mobility. My ligaments are very lax, I am, even when not pregnant, very flexible and prone to dislocation, which is most problematic in my lumbar spine and sacral areas. As you can imagine when I am pregnant my ligaments become extremely soft and these problems become much worse. I wore a pelvic support belt for the final few weeks of my last pregnancy, and have been using one since the 26th week this time. For these reasons a supine delivery is contraindicated, and because this was ignored in my last labour (including the use of stirrups) I now have a prolapsed disk at L4/L5.
I took a lot of time educating myself about childbirth before I had my last baby, and as I grew up on a livestock farm I witnessed ?natural? births all my childhood, so I have a very down to earth attitude. I have no fear of labour, as I said above, my ?natural? labour last time was a positive experience, I felt no pain and was content although working very hard. I will happily transfer to hospital if this labour shows clinical signs of needing me too, however, I do not consider a long labour (like my last one) to be a good enough reason to leave home, nor do I expect to be told that there are not enough Midwives on duty to be able to send someone out to me. I am aware of my rights and the Trusts obligations, so I will expect a Midwife to attend me, even if it is an Independent one, paid for by the Trust.
My last labour was a calm and positive experience right up until the last 20 minutes, when intervention was forced upon me. At that point the birth of my baby became a stressful, painful and panicked event, which left me physically and emotionally damaged. This time I would like an air of calm around me, my daughter (who will be three in August) will be welcome in the room if she wants to be (and is awake!) and as she is still nursing I will be happy to have her near me if all is going well. I have plenty of family support near by, my sister lives nearby, and my mum is an hour away, and will be coming up to be with me whilst I am in labour. (So I do have ?emergency? babysitters should I need to go to hospital)
I would like the umbilical cord to stay intact until it has stopped pulsating, I do not want to be given any injections to force my uterus to expel my placenta, or have traction applied to the cord. I intend to have a natural, physiological third stage, delivering the placenta after breastfeeding my baby, possibly even before the cord has been clamped and cut. I view labour and birth as a natural event, not a medical procedure, contractions are contractions, not ?pains? (as so many Midwives refer to them) and I know that my body is designed and capable of performing this task. Since having my last baby I have done further reading, including ?Birth Reborn? by Michel Odent and ?New Active Birth? by Janet Balaskas (I own copies of both should any of your staff wish to read them) and I am currently reading ?Childbirth Without Fear? by Grantly Dick-Read.
I hope that by putting this in writing and sending it in to the Hamilton team in advance that those who do end up coming to my house to help deliver my baby will understand what I want, and why I want it. I had a ?Birth Plan? written and attached to my maternity notes last time, stating all of this, detailing my joint problems and desire for a physiological third stage etc, however, once I was in hospital no-one looked at my maternity notes so all my ?plans? were ignored. I am happy to have a student Midwife attend with the Midwife if there is one who wishes to see a homebirth.
Yours faithfully,"
Feel free to C&P at will if it's useful to you.