Nov 12, 2008 02:51 PM
I'm expecting my fourth baby in a few weeks. A brief history - my first was born via c-section following a Cytotec induction. My second was born (VBAC) at home, and died at birth. My third (VBAC) was also born at home. I'm planning to have my fourth in a hospital and have some concerns about going into such a "medicalized" setting, although I have a homebirth midwife supporting me as my doula, and feel very confident that my midwives will do everything in their power to help me have a natural, safe, homebirth-like birth. I have had "large" babies - 9,10, and almost 11 lbs and this new babe appears to be healthy, as well. I've decided a hospital birth is best this time because my third baby needed some help breathing following a precipitous birth - and her apgars at 5 minutes were not as high as I would have liked. I completely trust my body and my baby and the birth process, and while I have "history", want this new baby to have her own story - her own labor and birth, free from other's fears based on my history.
I really want the hospital staff to respect our wishes for no interventions and a natural birth, and have them understand that I may be more emotional than some other mothers they work with, needing to be treated gently (as any mama should be), but I don't want to come off as being pushy or too directive.
I've been working on a birth plan for the hospital staff and would like any suggestions you would offer.
Nov 14, 2008 02:34 AM
I think the best thing you can do is consult with your midwives. They will know the ropes in the hospital where you will be having your baby and will know how to minimize the chance of having problems with hospital staff. As you may already know, some medical staff do not welcome birth plans. They see them as adversarial on the woman's part, and certainly, and, to be fair, in some cases they are. Here are some suggestions of mine, and if anyone else who reads this has recommendations, please chime in.
Let us know how it goes.
Nov 24, 2008 10:22 AM
So this is what I came up with. I had my midwife sign it, as you suggested and really appreciate your advice.
BIRTH PLAN FOR THE KARL-GRUSWITZ FAMILY
Attending the birth will be:
Mary and baby, Abe (father), Jessica (doula), Noah and Beatrice (brother and sister), caregiver for Noah and Beatrice – Madeline Lofblad (friend), Stephanie Fink (Mary’s sister) or Meredith Hodgkiss (Mary’s cousin), and our Avalon midwife. This was all pre-approved by Donna Poplowski.
**I would like you to know that my second child, Emerson Lily died at birth on 8/3/03. I recognize that I may be more emotionally needy than some other birthing mothers, and ask that the staff be gentle with me. I fully trust my body to birth my baby and in writing this birth plan, really just want to have a peaceful, safe, natural birth. Thank you for helping us to welcome our fourth child into the world!
Assuming there are no medical issues, I respectfully ask for the following:
*A completely natural birth
*A room with a birthing tub
*No offer of pain medication
*Quiet, low-lighting, and calm energy in the birthing/post-partum room at all times
*Only necessary hospital staff in the room when absolutely needed – I would like as few interruptions to the natural flow of my labor as possible. Please do not have any ‘conversations’ in the room or speak about me…when talking is needed, please use calm, quiet voices.
*I respectfully ask for explanations (and discussion time, if needed) for any intervention/procedure. Nothing is “routine” for me, and I want to be fully-involved/informed and making decisions about my labor and birth.
*In the event of an emergent situation, I ask to be kept well-informed about the staff’s concerns and that my husband and I are involved in all decisions being made. Please know that you will have our full cooperation in the event of an emergency, and that Noah and Beatrice will be removed from the room.
FOLLOWING THE BABY’S BIRTH I ASK FOR THE FOLLOWING:
*Baby to be given to me immediately
*Cord to be cut only when it stops pulsating/placenta is birthed
*Placenta NOT be sent to pathology. We are taking the placenta home and will bring bags/small cooler to package it
*Immediate breastfeeding of baby
*Any and all exams/assessments of baby to be done while baby is with me – NO SEPARATION
*No Vitamin K or eye antibiotics to be given to baby (nothing ‘routine’ without consulting me first, please)
*No bath be given to baby
If an emergent situation were to arise, Abe and I will remain with our baby at ALL times. Please do not feed her any formula or use a pacifier/artificial nipple of any kind. Also, please do not use disposable diapers (we will provide cloth diapers for use at the hospital). If unable to be with the baby immediately, I ask that I be connected with her as soon as possible and am able to touch, hold, breastfeed, and care for my baby to the extent compatible with her condition.
Nov 30, 2008 02:18 AM
This is just gorgeous! I'm glad that I was able to be helpful to you in developing it. Please let us know how everything goes.
All Times America/New_York
Please note that this Forum is intended to help women make informed decisions about their care. The content is not a substitute for medical advice.