Sunday, June 27, 2010

My birth plan!! And finishing up my mixed cd for my Calm Birth....

I finally have a few spare minutes to sit down and type out a birth plan. I have been thinking about this birth for the past few months and definitely have a strong outline of how I want it to go. Let me know if it seems like anything is glaringly missing from it!!

My Wishes for Childbirth - Zoe Elyse Lee

Due Date: 08/01/2010
Patient of Dr Nathan
Scheduled to deliver at Neugarten Birth Center

06/28/2010

Dear staff of the Neugarten Family Birth Center,
  I would like to adhere to this list as closely as possible. Thanks for your kindness, patience, and understanding.

Sincerely,
Zoe Lee

Labor

* I would like to be free to walk around during labor.
* I wish to be able to move around and change position at will throughout labor.
* I would like to be able to have fluids by mouth throughout the first stage of labor.
* I will be bringing my own music to play during labor.
* I would like the environment to be kept as quiet as possible.
* I would like the lights in the room to be kept low during my labor.
* I would prefer to keep the number of vaginal exams to a minimum.
* I do not want an IV unless I become dehydrated.
* Other Labor Preference: I would like to have a water birth.
* Other Labor Preference: I would like to follow my Calm Birth plan and listen to my cd in a quiet place as I meditate.

Monitoring

* I do not wish to have continuous fetal monitoring unless it is required by the condition of Anastasia.
* I do not want an internal monitor unless Anastasia has shown some sign of distress.

Labor Augmentation/Induction

* I do not wish to have the amniotic membrane ruptured artificially unless signs of fetal distress require internal monitoring.
* If labor is not progressing, I would like to have the amniotic membrane ruptured before other methods are used to augment labor.

Anesthesia/Pain Medication

* Other Anesthesia/Pain Medication Preference: I would like to have a natural birth.
* Other Anesthesia/Pain Medication Preference: If I am in extreme pain, I will use the code word: Hamburger to indicate that i am serious about wanting drugs.

Cesarean

* Unless absolutely necessary, I would like to avoid a Cesarean.
* If my primary care provider determines that a Cesarean delivery is indicated, I would like to obtain a second opinion from another physician if time allows.
* If a Cesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.
* If Anastasia is not in distress, Anastasia should be given to My husband, Duncan immediately after birth.

Episiotomy

* I would prefer not to have an episiotomy unless absolutely required for Anastasia's safety.
* I would appreciate guidance in when to push and when to stop pushing so the perineum can stretch.
* I would prefer an episiotomy rather than a tear.

Delivery

* I would like to be allowed to choose the position in which I give birth, including squatting.
* I would like the chance to touch Anastasia's head when it crowns.
* I would appreciate having the room lights turned low for the actual delivery.
* I would appreciate having the room as quiet as possible when Anastasia is born.
* I would like to have Anastasia placed on my stomach/chest immediately after delivery.
* Other Delivery Preference: I would like to deliver in the tub, if possible.

Immediately After Delivery

* I would like to have My husband, Duncan cut the cord.
* I would prefer that the umbilical cord stop pulsating before it is cut.
* I would like to hold Anastasia while I deliver the placenta and any tissue repairs are made.
* I plan to keep Anastasia near me following birth and would appreciate if the evaluation of Anastasia can be done with Anastasia on my abdomen, with both of us covered by a warm blanket, unless there is an unusual situation.
* I would prefer to hold Anastasia rather than have (him/her) placed under heat lamps.
* I do not want a routine injection of Pitocin after the delivery to aid in expelling the placenta.

Postpartum

* Unless required for health reasons, I do not wish to be separated from my baby.
* I would like to have Anastasia "room in" and be with me at all times.

Breastfeeding

* I plan to breastfeed Anastasia and would like to begin nursing very shortly after birth.
* Unless medically necessary, I do not wish to have any bottles given to Anastasia (including glucose water or plain water).
* I do not want Anastasia to be given a pacifier.

Photo/Video

* Other Photo/Video Preference: I would like Duncan to videotape the birth.

Other

* I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.



Phew, now let us hope all goes smoothly and I don't have to mention Hamburger!!!

I am putting the finishing touches on my mixed cds for the hospital and will be bringing my ipad as well, so I will have plenty to listen to. I will upload the music list later. Lots of Tori on it, and of course music that I have been playing for Ana right along.

2 comments:

Ilena Ayala said...

"If Anastasia is not in distress, Anastasia should be given to My husband, Duncan immediately after birth."

I totally read this as "...anesthesia should be given to my husband..." :D

Also, fwiw, when I was in labor, my water didn't break on it's own and I was fully dilated. The dr told me it was the only thing holding the birth back so I agreed to have them rupture it. Kenny made an appearance not long after that!

ljn317 said...

I hope all goes according to your plan. Best wishes.

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