My Birth Plan & How It Went

So I know I said I'd post this, like, 5 months ago. *grins* But better late than never. With friends Carolyn and Emily thinking about their own plans, I decided I'd copy down what I printed and gave to the nurses at the hospital, and what I liked, didn't or would change next time.

Here's what I had gone over with Jonathan, and brought with me in triplicate to the hospital. My nurses had one in there, one was for J to reference, and they sent one to the nursery once she was born. Also, at J's suggestion I put asterisks by the items that were my "hills to die on" - i.e. items I did not want to budge on. Really good since a husband can be overwhelmed at the list. I also tried to keep my items as concise as possible (1 page total) in items/wording so that it would be easy for the nurses/doctors to reference. Highly recommend that format! Don't be wordy!
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Birth Plan

LABOR – I’d Like:
· My husband Jonathan to be allowed to stay with me at all times
· To wear my own clothes during labor and delivery
· To take pictures during labor and delivery
· To stay hydrated by drinking clear fluids instead of having an IV
· To walk and move around as I choose

As long as the baby and I are doing fine, I'd like:
· Intermittent rather than continuous electronic fetal monitoring
· To be allowed to progress free of stringent time limits (i.e. Failure to Progress)

When it's time to push, I'd like to:
· To be coached on when to push and for how long so the perineum can stretch (and perineal massage if offered)
· Whatever position feels right at the time (semi recline, side-lying, squatting, hands/knees)
· **To risk a tear rather than have an episiotomy**

PAIN RELIEF:

I'd like to try the following pain-management techniques:
· Bath/shower
· Massage
· I prefer Systemic medication to an epidural

C-SECTION:

If I have a c-section, I'd like:
· My partner present at all times during the operation
· The baby given to my partner as soon as it's dried (as long as it's in good health)
· To breastfeed my baby in the recovery room

POSTPARTUM:

Post-Delivery Care – I Prefer:
· Not to get Pitocin or pulling of cord to help deliver the placenta

Baby Care – I Want:
· All newborn procedures to take place in my or my husband’s presence
· To hold my baby right away, delaying any nursery procedures for an hour to give baby a chance to nurse (we will hold baby for APGAR)
· To breastfeed as soon as possible
· **To wait until the umbilical cord stops pulsating before it's clamped and cut**
· My partner to stay with the baby at all times if I can't be there
· Nothing offered to my baby at any point (formula, water, etc)
· **NO Hepatitis Vaccination for the baby**
· **No Silver Nitrate in baby’s eyes**/ Prefer No Antibiotic Ointment Drops in eyes
· Me to give the baby the first bath
· **24-hour rooming-in with my baby**

I plan to: Breastfeed exclusively
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Now, the nurses I ended up delivering with were amazing at making sure everything was followed. I even remember right before delivery the nurse telling the doctor, "She doesn't want an episotomy" and also her telling the doctor I didn't want pitocin for the placenta delivery. I wasn't always concentrated on what they were doing when I was in the throwes of a contraction.

Labor: The only part of this I would change would be to ask for no hep-loc. I could care less about it, except that it was a big hassle to have on my hand when I was trying to labor! Especially during the pushing stage, which was 3 hours for me, and I would grip Jonathan or the bed's rail, I hit that thing more times than I can count. When they finally took it out they said, "I doubt this would have worked, it's so badly pulled out/crooked now." So that's why I don't want it. I have no problem if it weren't such a hindrance/irritant to my whole labor process.

Pain relief: Ha, no massage or bath taken. Had baths been available I would have used it, but I didn't need to say that. Massage was not anything I wanted during labor.

Post-Delivery: Actually, the doctor did pull on the cord gently, and I noticed and didn't care. I was so relieved to have the baby out, and I could feel the pressure of the placenta in, that I just wanted it out. I did not care about the tugging. So I'd leave that out, but still not want pitocin.

That's it. Everything else went just as I asked for it. I was so happy about it!

One interesting thing I've noticed is that some books and friends talk about the birthing environment being one of peace, tranquility, and such. Some even talk about candles, soft lighting, and music. I have never though this sounded do-able for me, but now I don't know. I think maybe it would work with a home birth, but doing that in a hospital still wouldn't seem to change how I'd view it all. Not sure. Have any of you done this? Now, laboring at home like I did (15 hours) I could create my own environment. Jonathan and I watched football, I took multiple baths, we played chess at Starbucks, took a mile+ walk, used my heating blanket, and watched Expelled (got tired of all the concentration required by listening to it and laboring). I guess it seems like people want the environment to distract from labor contractions, whereas I wanted it for the boring in-between contraction stage. But when it got serious, at the hospital, all I wanted was some sleep or a mild distraction when I wasn't contracting.

Of course, every labor/delivery is different, so please give me your thoughts and experiences! I love talking about it and like to learn what I can from each person's story!