My Birth Plan

Having a birth plan that can be referenced by your labor coaches and hospital staff is important in ensuring your needs and wants are known.  I’m writing this post after my baby was born, and I’m really glad I put a lot of thought into mine and brought it Birth Planwith me to the hopsital. The nurses referenced it multiple times throughout my hospital stay, even quoting from it “I know skin-to-skin is really important to you…” “I know you wanted to do everything you could to avoid a c-section…”. So, here’s my plan:

Rachel’s Birth Plan

I thought I’d write down some thoughts of things I’d like to happen during the birth, so you can help me advocate to get them!  Apparently some of this stuff is standard at Beth Israel (BI), but just in case it doesn’t happen automatically, I’m putting it down.

Labor

  • Absolutely no pain. Can you make that happen?  K Thanks. :)
  • Epidural
    • I want one as soon as I start feeling a lot of pain (my Doctor said waiting until 5cm is not necessary)
    • Turn it down a bit when it’s time to push (shortens pushing time)
    • Music – Shelly is making me 2 playlists – one fast and one slow. I’m going to try to get a docking station so I can listen to some music, depending on how I feel (BI is fine if you play the music out loud)
    • Positions
      • Rotisserie (flip side to side, and straight up with legs in frog position)

positions for labor

Delivery

  • Pushing
    • I like the idea of laboring down (where I only push when I feel the need), and my Doctor is on board as well.
    • I’d like to avoid forceps, vacuum and episiotomy, if possible
    • F-bomb – The f-bomb makes things feel less painful, so I will be employing that method of pain relief
    • C-section
      • Avoid if at all possible!
      • I’d like the screen lowered, so I can watch the baby be born
      • I’d like to do skin-to-skin and breast feed as soon as possible after the birth
      • I can only have 1 person in the OR, unfortunately.  I’d like that to be my mother. Sorry Kim :(
      • Residents/Students/Interns
        • BI is a teaching hospital. I’m ok with Residents there (basically doctors!), but not students or interns. I don’t want to feel like I’m on show

Post-Delivery

  • Screening – There are mandatory and optional screening tests they’ll do on the baby. I’m ok with all of it.
    • I will be calling the pediatrician to see if the Hepatitis B vaccine is necessary now. (Blog post coming soon on this)
    • Skin-to-skin
      • Having as much skin-to-skin contact with the baby in the first 2 hours is really important (standard at BI).  Hopefully they can just quickly wipe the baby down and give him/her to me.
      • I’d like to delay as many tests as possible to make that happen.  The vitamin K shot, some blood tests and eye drops can wait until after the 2 hours, or be done while the baby is with me. The APGAR is necessary to do right away, but some of it they can do while I’m holding the baby.
      • If by chance, I have a C-section, they say it even helps for someone to put their hand into the NICU crib so the baby can hold onto your finger.  Please do that if possible!
      • Cutting the cord – the Doctor can do it (unless one of you wants to??)
      • Cord blood – I don’t want to bank the cord blood (for me or others)
      • Don’t fully wash the baby’s hands after the birth – apparently it helps with breastfeeding (smells like the amniotic fluid) – actually it’s best to avoid a bath overall (better for skin and keeps them warm)
      • Visitors
        • No other visitors until after the first 2 hours, when I’ll be down in a regular room, and out of Labor & Delivery
        • Circumcision – don’t do it! Need to wait until the bris!
        • No formula, bottles, or pacifier
        • Rooming in – I want to have the baby stay in the room with me (standard at BI)

All this being said, I know that it may not all go as planned! :) But thanks for trying to make it happen!

-Rachel- (and Greenbean)

Apparently the nurses thought my birth plan was hysterical (I don’t know why!).  Maybe it was this? ” F-bomb – The f-bomb makes things feel less painful, so I will be employing that method of pain relief!” One even came to my room specifically to meet the woman behind the plan. Ha!

Anyway, I’d highly recommend writing a plan, sharing it with your labor coaches, and bringing it with you to the hospital.