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25 Birth Plan




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This article is from the Birth Planning FAQ, by wnymph@FensEnde.com (Sabrina Cuddy) with numerous contributions by others.

25 Birth Plan

OK, here's my birthplan. I did not use a textbook. I ended up bein induced
(water broke and no contractions) and had an emergency epiosiotomy (though
my doctor was trying to avoid one). Nonetheless it was still useful to
have the birthplan and I did deliver on my side. I was told later that I
had "excessive blood loss" but I didn't need a transfusion. (This bleeding
tendency was mentioned in my birthplan, but no one believed me until they
saw my blood readings.

Make sure you get your doctor to sign it.

*****************************************************************************
Patient: NAME Doctor: NAME, PHONE #

THINGS YOU SHOULD KNOW:
o I have a reconstructed left hip socket and find being on my side, either
side, for more than a few minutes to be uncomfortable. I find
"stirrup type" positions to be very uncomfortable. I also have nerve
damage in my left leg, on the left half from the hip to the knee, and
cannot feel anything in this area, so cannot tell if its being injured.
I prefer that my left leg not be handled or moved.
o On 3 previous timed blood clotting tests (Fall'90 & Fall'91), prior to
sinus surgery, I've tested on the slow side of normal (twice approx.
7 minutes and once 10+ minutes as I recall).
o I do not want any medical students or nursing students, or other
observers present at all for any part of my labor or delivery or recovery.
o I do not want any procedures (like breaking my waters) done without
my knowledge and approval from myself and my doctor.
o If it is not an emergency situation, and a procedure is suggested, I would
like 10 minutes to discuss it with my husband before deciding.
o We plan to use Children's Non-Separation Program and Rooming-In Program.

PLAN A - Routine Birth
o Husband and aunt present.
o I would like a birthing room.
o No shaving or enema.
o Internal exam only once per hour, unless otherwise needed.
o Allowed to videotape the birth.
o Allowed to wear socks and bra.
o Allowed to eat lightly, in early stages of labor.
o No IV, as long as I can keep down ice chips and clear liquids by mouth.
o Attach the automatic blood pressure cuff intermittently,
not for entire labor.
o Allowed to walk, in room and hallways, during labor and to take
warm showers during labor.
o Walk to the bathroom for as long as possible during labor. Try to
avoid catheter.
o If labor is not progressing as desired, I would like to walk,
take a warm shower, or other method before stripping the membranes
or artificial uterine stimulation is performed.
o Intermittent (external) monitoring preferred over full-time monitoring.
o If a full-time (external) monitor is necessary, I would like it disconnected
periodically so I can walk, unless there are obvious problems.
o I won't know until the time comes what type of pain medication I
might want. I plan to try for an unmedicated birth, but might
want a painkiller or epidural.
o Don't break the bed down for delivery.
o Allowed to use any position I find comfortable during labor.
o Allowed to use any position I find comfortable during delivery.
(I probably will choose a side-lying position.)
o Allowed to choose the breathing method most comfortable for me (and
it probably will not be Lamaze style).
o No "directed" (yelling and bossing) coaching.
o I want a calm and quiet atmosphere with no distraction unless its relevant.
o NO EPISIOTOMY. Unless baby is in *genuine* distress and must get out fast.
o I *do* want massage, support, and hot compresses on my perineum.


Patient: __________ Doctor: Dr.__________

o I would like to view the birth using a mirror.
o Husband allowed to cut the cord (or Aunt, if husband can't deal with it).
o Hold the baby and try to have it suckle as soon as possible after delivery.
o Deliver the placenta spontaneously, encouraged by breast stimulation from
the baby suckling.
o If fundal massage is necessary I'd like to try it myself, with someone
else instructing how.
o I'd like pain medication after the birth.
o Father allowed to give baby the bit of water given for testing purposes,
(after that breastfeeding only).

PLAN B - Caesarean Delivery:
o Husband and aunt present.
o Have the "anti-nausea" shot after surgery.
o NO STIRRUPS.
o Allowed to videotape as much as the doctor will allow.
o Allowed to see the baby after delivery and again as soon as possible
after recovery.
o Have father accompany the baby for any tests or procedures.
o Father allowed to give baby the bit of water given for testing purposes,
(after that breastfeeding only).
o Allowed to breastfeed as soon as possible after delivery.

---------------------------------------------------- ---------------
DOCTOR'S SIGNATURE DATE

---------------------------------------------------- ---------------
PATIENT'S SIGNATURE DATE
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here's some more info:

Planning your baby's birth
by:
The pennypress
1100 23rd Avenue East
Seattle, WA 98112

for $0.50

it's the *best* info on birthplans i've found. we got ours from
our bradly instructor. the "Choices in Childbirth" section lists just
about all the different choices there are. i used it to "cut and paste"
for our birthplan.

the pennypress puts out some top quality books as well (well, at least two
that i've read)!
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