Two in There!


our birth plan
September 5, 2009, 5:06 pm
Filed under: babies

At this moment in time, I am preparing for a caesarean due to the presenting twin being transverse, but doing everything possible to try and get him to turn, so though I might as well be thoroughly prepared for if I do get to have a natural birth

******************************************************************************

Our Wishes for Childbirth

Due Date: 05/11/2009
Patient of Dr. E.S. Cooper
Scheduled to deliver at Simpson’s Maternity Unit

05/09/2009

Dear Caregivers
We are looking forward to sharing our birth experience with you and so have created this birth plan in order to outline some of our preferences for birth. We would appreciate you reviewing this plan, and would be happy to do so with you. We understand that there may be situations in which our choices may not be possible, but we hope that you will help us to move toward our goals as much as possible and to make this day a great and memorable experience, for all the right reasons. We do not want to replace the medical personnel or compromise the safety of our babies, but instead want to be informed of any procedures in advance, and to be allowed the chance to give informed consent. Please feel free to ask if you have any questions or comments. Thank you!

Sincerely,
Siobhan & David

Labour

* I would like to be free to walk around during labour.
* I wish to be able to move around and change position at will throughout labour.
* I would like to be able to have fluids by mouth throughout the first stage of labour.
* I will be bringing my own music to play during labour.
* 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 labour.
* I would prefer to keep the number of vaginal exams to a minimum.
* I do not want an IV unless I become dehydrated.
* I would like to be able to bathe/shower as I wish, if possible

Monitoring

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

Labour Augmentation/Induction

* I do not wish to have the amniotic membrane ruptured artificially unless signs of foetal distress require internal monitoring.
* If labour is not progressing, I would like to have the amniotic membrane ruptured before other methods are used to augment labour.
* I would prefer to be allowed to try changing position and other natural methods (walking, nipple stimulation) before Pitocin is administered.

Anaesthesia/Pain Relief

* I realize that many pain medications exist. I’ll ask for them if I need them.
* Before considering an epidural, and if the situation warrants, I would like to try an injection of narcotic pain relief.
* I would like to manage my labour using breathing and visualization techniques for as long as I feel able

Caesarean

* Unless absolutely necessary, I would like to avoid a Caesarean.
* If a Caesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.
* I would like David present at all times if our babies require a Caesarean delivery.
* I wish to have an epidural for anaesthesia if this circumstance arises.
* So I can view the birth, I would like the screen lowered just before delivery of our babies.
* If our babies is not in distress, our babies should be given to David and I immediately after birth.
* If I am unable to do so, I would like David to have skin to skin contact with both babies, if everything has been straightforward
* We would like to have some music playing during the procedure if possible
* I would like to use some essential oils during the procedure to help aid my relaxation and make the experience more pleasant
* I would like to be talked through my surgery so I am aware of what is happening at each moment, and at what point my babies are being born
* If possible, I would like David and I to be able to hold our babies during the repair work
* If possible I would like to wear my own clothes and bring my own pillow

Episiotomy

* I would prefer not to have an episiotomy unless absolutely required for our babies’s safety.
* I am hoping to protect the perineum. I am practicing ahead of time by squatting, doing Kegel exercises and perineal massage.
* If possible, I would like to use perineal massage to help avoid the need for an episiotomy.
* I would like to breathe my babies down, and assume a position that facilitates this and minimizes the chance of tearing

Delivery

* I would like to be allowed to choose the position in which I give birth, including squatting.
* I would like David and/or nurses to support me and my legs as necessary during the pushing stage.
* I would like to try to deliver in a squatting position, using David or a squatting bar for support.
* I would like a mirror available so I can see our babies’s heads when they crown.
* I would like the chance to touch our babies’s heads as they crown
* Even if I am fully dilated, and assuming our babies is not in distress, I would like to try to wait until I feel the urge to push before beginning the pushing phase.
* I would appreciate having the room lights turned low for the actual delivery.
* I would appreciate having the room as quiet as possible when our babies is born.
* I would like to have our babies placed on my stomach/chest immediately after delivery.

Immediately After Birth

* I would like to have David cut the cords.
* I would prefer that the umbilical cords stop pulsating before it is cut.
* I would like to hold our babies while I deliver the placenta and any tissue repairs are made.
* I would like to have our babies evaluated and bathed in my presence.
* I plan to keep our babies near me following birth and would appreciate if the evaluation of our babies can be done with our babies on my abdomen, with both of us covered by a warm blanket, unless there is an unusual situation.
* If our babies must be taken from me to receive medical treatment, David or some other person I designate will accompany our babies at all times.
* I would prefer to hold our babies rather than have them placed under heat lamps, unless absolutely necessary.
* I would like to see the placentas after they are delivered.

Postpartum

* I would like a private room, if available.
* Unless required for health reasons, I do not wish to be separated from my babies.
* I would like to have our babies “room in” and be with me at all times.

Breastfeeding

* I would like to meet with a lactation consultant.
* Due to previous problems, I would like to supplement with formula from birth

Photo/Video

* I would like to take still photographs during labour and the birth.
* I would like to make a videorecording of labour and/or the birth.

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