BIRTH PLAN
BIRTH PLAN
You are responsible for creating a birth plan. It doesn’t matter if you are male/female/or gender nonconforming. I want you to place yourself in the position of having to make decisions about birthing a child after you have done the reading and watched lectures and videos.
A birth plan is important because it lets your medical team know your preferences for things like how to manage labor pain. Keep in mind that you can’t control every aspect of labor and delivery, and you’ll need to stay flexible in case something comes up that requires your birth team to depart from your plan.
Number and answer exactly as I have given it to you.
- Type of birth preferred (vaginal, c-section, water, VBAC, etc)
- Where will the birth take place? (hospital, birth center, home, etc.) and why?
- Pre-labor choices:
- Plans if over due date. What are the risks if over the due date?
- Membranes broken or not
- Plans for Induction: Chiropractor, acupuncture, nipple stimulation, sexual activity, walking, herbs, Pitocin, enema, castor oil, walking, prostaglandin gel, etc.
- Birth witnesses: Partner, parents, children, Doula, friends etc.
Currently during the pandemic many women are not allowed to have loved ones at the birth to give emotional support. Please give this consideration when making this decision.
- Environment: Birthing ball, birthing stool, pool, shower, dimmed lights, music, talking, silence, TV, etc.
- Music
- Pain relief: Medication offered or only when asked for, breathing techniques, distraction techniques, hypnotherapy, acupressure, acupuncture, massage, walking epidural, classic epidural, meditation, etc.
- Monitoring: Continuous fetal monitoring, intermittent monitor to allow mobility during labor, internal, external, only if baby is in distress
- During labor I’d like to: Squat, lie on side, hands and knees, lean on partner, use people to support, birthing bar, birthing stool, bean bag, shower, pool, bath, etc. What are the benefits to being able to move around and not being constricted to a particular position?
- As the baby is delivered, I would like to: Push spontaneously, push as directed, push without time limits, as long as the baby and I are not at risk, use a mirror to see the baby crown, touch the head as it crowns, avoid forceps usage, avoid vacuum extraction, use whatever the doctor deems necessary, help catch the baby, the my partner catch the baby, etc.
- Episiotomy: Only after perineal massage, rather than risk a tear, not performed, performed as last resort, etc. What are the risks of an episiotomy?
- After delivery, I would like: My partner to cut the umbilical cord, to bank the cord blood, donate the cord blood, deliver the placenta spontaneously without assistance, see placenta before it is discarded, save placenta for future use, etc.
- If a C-section is necessary, I would like: A second opinion, to be awake and conscious for the surgery, my partner to remain with me, lowered screen to watch the baby be delivered, my partner to hold the baby immediately when born, breastfeed in the recovery room, etc.
- I would like to hold the baby: Immediately after delivery, after suctioning, after weighing, after begin cleaned and swaddled, before eye drops/ointments are given, etc.
- I would like to breastfeed: As soon as possible after delivery, before eye drops, later, never, etc. Why did you make this decision?
- If we have a boy, circumcision should: Be performed, not be performed performed later with anesthesia, be performed with me and/or partner present, etc. Explain why you made this decision
- I’d like baby’s medical exam and procedures: Given in my presence, given in my partner’s presence, to include a heel stick for screening tests beyond the PKU, to include a hearing test, to include a hepatitis B vaccine
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