Birth plan

Tuesday, June 3, 2008 4:40 PM by Tim and Holly
I thought some of you might like to look over our birth plan. There still might be some minor tweaks to it, but this will basically be it.
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Tim and Holly Nelson’s Birth Plan

It is our sincere desire to have a natural childbirth; to be un-medicated with minimal medical intervention. We understand that unforeseen complications may arise which call for formal medical procedure and in that case, we will be flexible and kindly ask that our participation be welcomed throughout the decision making process including explanation of all options.
We greatly appreciate all your hard work and thank you for your support at this special time!

LABOR:
SUPPORT PEOPLE
· We would like Tim to remain with Holly at all times during labor and delivery
· We plan to have present both of the grandmothers (Daralyn and Georgia) and, if circumstances allow, Holly’s two sisters (Lindy and Amber) for labor and birth. We ask that during labor, small groups of family may respectfully come and go as we see fit.
· We grant no authorization for any non-essential hospital personnel to be in the room during labor or birth.
ATMOSPHERE
· Dim or natural light
· Relaxed and pleasant
PAIN RELIEF
· We plan on not using pain medication of any kind, except the use of local anesthetic if stitches are required
MEDICAL INTERVENTIONS
· We would prefer use of Doppler but will accept intermittent external fetal monitoring if needed
· Minimal vaginal exams, with Holly’s consent only
· No artificial rupture of membranes without Holly’s consent
· No labor stimulants or medications of any kind. We prefer walking, changing positions, and nipple stimulation
GENERAL PREFERENCES
· We would like Holly’s mobility unrestricted (freedom to walk, no routine confinement to bed or room)
· Light snacks and fluids as desired during labor
· Use of shower and jacuzzi as desired
· Labor in any position desired

DELIVERY:
PUSHING AND BIRTH
· Freedom to deliver in a comfortable, effective position
· We prefer spontaneous pushing, with gentle coaching to prevent perineal tear
· Warm compress, massage, and support for perineum
· We would prefer a natural tear to an episiotomy
· Please offer for Holly and Tim to touch baby’s head, and if position allows, Holly to help deliver baby
· No delivery aids used, e.g. forceps, vacuum, pulling, or spinning unless absolutely necessary
· Baby to be given immediately to Holly for breastfeeding and bonding
· We would like to discover and announce the sex of the baby
· Please allow cord to finish pulsing before clamping (3 or more minutes); ask Tim to cut the cord.
· Natural delivery of placenta. Please no pitocin, scraping, or pulling on cord.
CESAREAN BIRTH
· If a C-section becomes necessary, Tim to accompany Holly into the operating room. If possible, please wait for him to change into surgery garb before taking Holly into room to avoid any separation.
· Narrate events
· Skin to skin contact as soon as baby is stable.
· Baby to stay with a parent at all times if possible
· Breastfeeding as soon as possible


RECOVERY/POSTPARTUM:
NEWBORN PROCEDURES
· Newborn to stay with a parent at all times
· Please delay all routine exams 1 to 2 hours to allow for family bonding
· After the initial bonding time, please perform all procedures possible while baby is in our arms.
· If warming is required, baby to be placed on Holly or Tim’s chest for skin to skin contact covered with blankets.
· We refuse erythromycin placed in baby's eyes. Holly does not have Gonorrhea, Chlamydia, or any other infection.
· We refuse the routine vitamin K injection unless abnormal circumstances exist (please keep us informed. If it is needed, we prefer oral vitamin K be administered), as well as all vaccinations including Hepatitis B.
· If the child is male, circumcision will be performed 8 days after birth by our pediatrician.
INFANT FEEDING
· We desire to breastfeed the baby. Breastfeeding to be initiated immediately after birth
· Breastfeeding only. Please no water, pacifiers, artificial nipples, or formula
EDUCATIONAL NEEDS
· We will desire to see a lactation consultant before leaving the hospital

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