Sort of a “Birth Plan” (In Development)

Please note, this is a constant work in progress.

I was trying to think of a way I could start to work out a “birth plan” where I could share it with my doula and get opinions/thoughts from other mothers. Then I realized…why not a blog post! I can always come back in and edit it, and it’s visible to anyone on the Internet. Privacy? Who needs it?? >.<

Anyway, I get emails from Baby Center every week discussing what’s happening inside my body – Can we take a moment to discuss how absolutely freaky growing a womb parasite is? Because LBW was really active this morning and it was totally nutso. And I finally watched some videos of nearly full-term babies moving around and can you say horror film?? O.O It was terrifying. Anyway, the Week 26 (holy crap, we’re already on Week 26) email discusses working out a birth plan, and lists a few things to consider. I figured that was as good of a place as any to start. Oh, check it – they have a birth plan PDF! Nifty. I’ll add any additional stuff to my list below.

  • Moving around freely during labor:
    • I would like to be able to move around for as long as possible. When I was in that car accident and had to lie in the bed for two hours getting monitored I thought I was going to lose my mind. I do want an epidural, but want to push it off as long as possible so I can stay mobile.
  • Medical interventions: water breaking, membrane stripping, pitocin, etc.
    • I want to keep things as natural as possible for as long as possible. Minus, of course, the very definite confidence that I will want an epidural. lol! I don’t really want to have my membranes stripped, and would like to avoid pitocin unless I really desperately medically need it.
  • Drug-free labor vs epidural:
    • Epidural, please!! I would like to put off getting it for as long as possible, but not to the point of being too late and not being able to get one at all.
  • Labor props:
    • At this point in time I don’t really have anything in mind.
  • Visitors during labor:
    • I don’t mind family being there initially. Not everyone obviously, but my immediate family – parents, brother, sister, Nelda – could be in the room leading up to delivery. Once it gets to be about time, or I get super stressed out/in pain, they’ve all got to be okay with getting out. I don’t know about having them all there at once, though? And they may not want to be there, anyway. ;) The good thing about a doula is that she can be the bad guy and kick them out – it doesn’t fall on me or Todd to do it.
  • Ambiance of the room:
    • I’m sure this will depend on my mood in the moment. I don’t really have any particular music in mind…maybe Vitamin String Quartet? But I don’t really care…I guess some sort of music would be nice, rather than total silence. Dimmed lights/quiet voices seem like a good idea, too.
  • Skin-to-skin immediately after delivery, delay newborn procedures to allow for bonding/feeding:
    • I want to do skin-to-skin after birth. I don’t know how long it would take to clean the baby up, or the pros/cons of holding off on washing/measuring/etc. I don’t think taking a few minutes to do all that will make a huge negative impact on our bond, though.
  • Delay clamping, cord cutting, banking cord blood:
    • Todd does, in fact, want to cut the cord. He thinks. We want to delay cord clamping. I vaguely remember reading some stuff about it and it sounded like a good thing. I don’t think we’d pay to bank, but I’d probably donate it if we didn’t do the delayed clamping thing – I don’t think you can do both, can you?
  • Explanation of procedures done and all medications given:
    • I trust my doctors, but I think I’d like to know what’s going on. I don’t think having it done in my presence is totally necessary – I probably won’t know what’s going on anyway, and it might be nice to have a few minutes to recover. Todd might be willing to watch, though? Another thing to ask him.
    • One thing to note: If it’s a boy, we are not getting him circumcised.
  • Breastfeeding, bottles, pacifiers:
    • I do want to breastfeed, and definitely want to meet with a lactation consultant. I don’t know about the whole breast vs bottle feeding, or how likely it is that using a bottle will somehow cause the baby to not be able to breastfeed. I guess I still need to do research on that one. I do plan on using a pacifier, though.
  • Do you want your baby to stay with you around-the-clock?
    • Oh God no. I’ve heard how nice it is to be able to get sleep while you’re in the hospital. I think they’ll still bring them in for feedings, right?
  • Private room:
    • My initial thought is that I don’t really care to be in a private room, but I am a bit concerned about annoying or getting annoyed by another family. I guess it depends on the cost?

One thing out of all this that I found interesting was the option to watch, either using a mirror during vaginal birth or a clear tarp for a c-section. Sweet Mother Mary…that’s a thing people want? No. No, no, no. I don’t even want Todd to watch that part. I don’t even want to think about that part. Apparently there is even a demand to touch the baby’s head as it’s crowning?! I legit just had a full-body shiver thinking about it.

 

Categories: LBW

11 thoughts on “Sort of a “Birth Plan” (In Development)

  1. I recommend going with the flow and trusting your doctors and nurses. At your hospital they are good to let you have skin to skin time and good at coaching breastfeeding. Every mother gets a lactation consultant included. They used to give a free massage too but I think they quit doing that. If you have to be induced they will not let you move around and they kind of laughed at my birth plan once I had to be induced. It was a little upsetting at first but they have their reasons. Continuous monitoring was needed which requires you to stay in bed. Oh and I just read that a recent study showed some evidence that delaying cutting the cord results in smarter preschoolers. So there ya go! You got this!!

    • Yeah, I’m definitely not going to be one of those moms waving a piece of paper in the doctor’s face saying “THIS IS THE WAY IT HAS TO BE DONE!!” but it has been interesting to see the things women request. While I was freaking out over the thought of having a mirror to watch, a friend that just had her little girl last week told me that they’d offered her that option and she thought it was the coolest thing ever to get to watch. *shiver*

  2. Oh and they broke my water both times. The first time they didn’t really give me a choice with the epidural and induction. But the second pregnancy, the nurse said that if they broke my water then I should be ready to deliver, so I was ready to get it over with at that point! Very weird sensation because your belly deflates.😳

  3. I really do not want an epidural or pictoin, but I was basically told today I cannot go past my due date. Due to my weight/history of high blood pressure, going past my due date means a high likelihood of still birth.
    Most of what my doctor told me today was scary stuff.
    I’m gonna try not to dwell on it since I cannot change it.

  4. I had c-sec, natural, and epidural birth (in that order) – epidural was BY FAR the best, most enjoyable birth ;) I was stuck at 4 cm and wanted to take a nap, so I got it and went from 4 cm to 8 cm within minutes so I didn’t get a nap!! The epidural in some cases can actually speed things up tremendously!
    So glad you will have a doula! They are the best!

    One dr I saw (not my regular one) stripped my membranes a few days before my due date without telling me first. I don’t think that is the norm but make sure they know you don’t want that. Although you may want to consider that if you are overdue and facing an induction with pitocin. I did go into labor two days after my membranes were stripped!

    My birth classes with my 1st convinced me that the Drs, nurses, hospitals were out to get me and were going to do all these terrible things without my consent. Not true. Two hospitals, 3 different Drs, and several nurses later – all were great and were very accommodating to our wishes and kept us informed about everything. My birth plan was read by the nurses when I arrived and they did their best to make everything go as planned!

    Breastfeeding vs. bottle – pros and cons to both! I’ve done a mixture of both with all 3 and you will work it out and whatever you decide is best for y’all is a great decision! Nice to simply get a boob out instead of stumbling to make a bottle in a sleepy stupor BUT also nice to say hey, you have arms, you feed my baby! The nurses will do whatever you wish when it comes to feeding baby.

    I’ve never heard of anyone having to share a room with another family! Gosh, is that still a thing?! I’m pretty sure you’ll have a private room :)

    And lol at the mirror!! My first doula asked if we wanted one – nope nope nope!! But whatever floats ones boat!

    Can’t wait to see LBW!!

    • The one thing about giving birth that I’ve always been 100% confident about is my desire to get that sweet, sweet epidural. lol! So I’ll probably have the world’s fastest labor and never get a chance to use it. >.< I'm really excited about my doula! She's one of Todd's clients, so he knows her really well. I've met her and we got along great. I don't have a strong aversion to getting my membranes stripped or water broken, other than I think it would be weird. So if the doctor's like "Nah, we're gonna do it." I'll be like "Okay..." lol! I have a little bit stronger of an opinion about pitocin, but by the time I'm due I may not care anymore and will be willing to do anything to get this thing out of me. I don't know why people like to fearmonger (is that even a word?) about doctors/labor so much. I trust my doctor to make the most medically-sound decisions. He definitely knows more than I do about getting babies out! There are some things that I think are optional, and I'm glad we can kind of choose the route we want to take, but at the end of the day I'm gonna defer to the doctor and trust him to get us through it safely. I'm going to have to go back to work after a couple months, so I definitely won't be able to breastfeed exclusively for very long either way. I know bottles can sometimes cause problems with latching...so I just don't know. But the promise of a full night's sleep might be pretty tempting when the time comes. ;) And I definitely like the idea of being able to make Todd take a full night's shift with the baby while I get to sleep once we're back home!! Yeah, I never thought about the "sharing a room" thing, either. But it was on the list! I guess if a million babies are all born at once it could happen? In that situation, though, I doubt you'd really get a choice... I'm glad that I live in a time where we have all these options when it comes to labor & delivery...and I'm REALLY glad I can say "noooo thank you" to some of them. lol! I'm excited and terrified to meet LBW!!

  5. We have a LOT of problems with obstetric care in this country, so I get why people are freaked out and I personally choose to stay away from the hospital if I can when my time comes. BUT, as long as you are informed and trust your care providers, I don’t think there’s any reason for concern. Outside of the typical “holy crap, I’m gonna be a parent!” concern ;)

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