Although we had a planned birth at the birth center, we had to consider the possibility of an emergency c-section, and we wanted our wishes to be carried out in the event of being transferred to the hospital. Many of these "requests" are routine and normal for a birth with a midwife, such as laboring as long as necessary without intervention, natural inductions and natural pain management. That is just part of their philosophy. But I feel it is better to have it written out just incase there are complications, and you are transferred. In fact, I had two friends that had normal, beautiful births at the birth center, but then the placenta did not separate, so they had to be transferred to the hospital anyways for a DNC. What about baby, breastfeeding and bonding during the surgery and recovery? You must think about these things!
To my Health Care Providers: Thank you for taking the time to work with us and our birth plan. These are our preferences; however we are open and flexible to any medical intervention that may become necessary in the case of a medical emergency.
My Name: Jennifer Cohen
My Due Date: June 1, 2009
My Doctor: Michelle Gawne (midwife)
My Partner: Avery Cohen
- As long as the baby and I are healthy, I would like to have no time restrictions on the length of my pregnancy.
- I would like to discuss laboring at home as long as possible.
- I trust that my practitioner will seek out my opinion concerning all of the issues directly affecting my birth before deviating from my plan.
- If I go past my due date and the baby and I are fine, I prefer to go into labor naturally rather than be induced.
- Please obtain my permission before stripping my membranes during a vaginal exam.
- I prefer to have no vaginal exams until I go into labor.
- During a vaginal exam, I prefer at no time to have my membranes broken unless there is an emergency situation.
- I would like no internal vaginal exams, within reason, during my labor until I have an urge to push.
- If my water breaks before I go into labor, I would like to have no time limits and talk about alternative treatment such as antibiotics.
- Upon arrival at the hospital, I prefer to have my partner with me at all times.
- Please, no residents or students attending my birth.
- I request the following people to be present during my labor and/or 2nd stage labor: My Partner: Avery Cohen, My Siblings: Sarah Broxton.
- I prefer to give birth in a birthing room.
- I prefer to give birth in room with a shower and/or bath.
- If birth equipment is available, I would like to use: A birthing bed, A birthing ball, A bean bag chair, A birthing tub/pool/shower, A birthing stool, A squatting bar.
- I would like to have dimmed lights.
- I would like for people entering the room to speak softly.
- I would like to play music.
- I would like no one to speak during the actual delivery.
- I would like to wear my own clothes during labor and delivery.
Other considerations :
- Ultimately, I want to be able to walk around and move as I wish while in labor.
- Ultimately, I would like to feel unrestricted in accessing any sounds of chanting, grunting, or moaning during labor.
- Please keep my door always closed during labor.
As long as the baby and I are healthy, I prefer to have no time limits on pushing.
I would like to be encouraged to try the following different positions for labor: Squatting, Classic semi-recline, Hands and knees, On the toilet, Standing upright, Side Lying or Whatever feels right at the time
I will ask for an enema if I feel that I need one.
I prefer to have no episiotomy and risk tearing (unless I'm having a medical emergency).
To help prevent tearing, please apply: Hot compresses, Oil, Perineal massage, Encourage me to breathe properly for slower crowning.
Other labor considerations:
- If possible, please allow the shoulders and body of my baby to be born spontaneously, on their own.
- I would like to view the birth using a mirror.
- I would like to touch my baby's head as it crowns.
- I would like to catch my baby and pull it onto my abdomen as it is born
- I would like my partner to catch my baby
- I would like for our baby to hear our voices first.
- I prefer to have the lights dimmed for delivery or, if it is daylight, to access only natural light
- It's important to me to push instinctively. I do not want to be told how or when to push.
- As long as my baby is healthy, I would like my baby placed immediately skin-to-skin on my abdomen with a warm blanket over it
- Please do not separate me and my baby until after my baby has successfully breastfed on both breasts.
- Please delay all essential routine procedures on my baby until after the bonding and breastfeeding period (i.e., bathing).
- My partner(s) is(are) to be present at all times during the c-section.
- Ideally, I would like to remain conscious during the procedure.
- I would like the baby to be shown to me immediately after it's born.
- I would like to have contact with the baby as soon as it is possible in the delivery room.
- I prefer to have a hand free to touch the baby.
- We would like to photograph or film the operation as the baby comes out.
- We would like to film or photograph only the baby after delivery.
- If possible, please discuss anesthesia options with me (including morphine options).
- I prefer a low transverse incision on my abdomen and uterus.
- If my baby is healthy, I would like to hold my baby and nurse it immediately in recovery.
- I would like to sign any waivers necessary to permit me to be with my baby in recovery.
- As long as my baby is healthy, I would like my partner to be the baby's constant source of attention until I am free to bond with it (i.e., holding, skin-to-skin contact, etc.).
- I would like to have my catheter and IV removed ASAP after my recovery period.
- Please discuss with me what I can expect to feel immediately following the procedure.
- Please discuss my post-operative pain medication options with me before or immediately following the procedure.
Please allow my partner to cut the umbilical cord.
Placenta: I would prefer for the placenta to be born spontaneously without the use of pitocin, and/or controlled traction on the umbilical cord and I would like the option of taking home the placenta.
If the baby has any problems, I would like my partner to be present with the baby at all times, if possible.
- I would like to have routine newborn procedures delayed until bonding and breastfeeding have occurred.
- I would like all newborn routine procedures to be performed in my presence.
- Administration of Eyedrops: Please do not administer eye drops to my baby, I am willing to sign a formal waiver if need be.
- Vitamin K: Please do not administer vitamin K to my baby, I am willing to sign a formal waiver if need be.
- Immunizations: I prefer any immunizations be postponed to a later time.
- Bathing Baby: Please do not bathe my baby at all. We would like to give our baby his/her first bath using our own non-toxic baby products.
- Circumcision: Please do not circumcise him.
- My baby is to be exclusively breastfed.
- I would like to see a lactation consultant as soon as possible for further recommendations and guidance.
- Do not offer my baby the following without my consent: Formula, Pacifiers, Any artificial nipples, Sugar water.
- To be transported with my baby if possible.
- My partner to go with the baby.
- To breastfeed or express my milk for my baby.
- To have as much bodily contact with my baby as possible.
- To be offered a room at the hospital for the duration of my baby's stay (within reason).
Other hospital preferences:
- I prefer a private room.
- I prefer to have my partner stay with me for the duration of my hospital stay.
- I want privacy during my stay and for my guests to limit the time they are visiting me.