I have copied and pasted in my birth plan for you to give you some ideas. They do NOT have to take the baby at all. It's YOUR baby, YOUR choice. I was the first person to touch my baby and held him for over an hour, nursed, and bonded - they didn't weigh him or anything until I was ready. It is important for baby to go right to mama to bond! They don't need to be wiped down and made to look nice - they need their mamas! We didn't even have him wrapped up - I put him naked on my chest and covered both of us with a blanket to keep us warm. The important thing to remember is, it's your body, your baby - don't let them bully you into doing things you don't want!
I included a section in my birth plan for "just in case" of a c-section. I did Hypnobirthing and it's very rare for a hypnobirth to end up requiring a c-section, but it does happen once in a while so I wanted to be prepared. Hope this helps!
My husband and I are looking forward to sharing our birth experience with you. We respectfully ask that those in attendance at our birth please follow the guidelines outlined below, based on the Hypnobirthing method of childbirth. We realize that as labor ensues, we may change our preferences and wish to feel free to do so. We also understand that these choices presume a normal birth. Of course, should an emergency situation arise, you will have our cooperation after we have had an explanation of the medical need and had time to discuss the suggested interventions between ourselves before giving consent.
Please review and attach this to my prenatal records; we will provide copies to be distributed to those present at our birth.
Thank you for your support and understanding.
M. Corey and Jonathan Knock
• I am willing to have one vaginal exam to check presentation; otherwise, no vaginal exams unless medically necessary (i.e. if labor fails to progress)
• Please do not suggest breaking of water (unless medically necessary) and be careful not to break water during internal exam(s).
• My husband will be coaching me; others, please refrain from coaching unless requested.
• Please use hypno-birthing terminology as follows: rather than “contractions”, use “surges” and rather than “pushing”, use “breathing the baby down”.
• I plan to snack lightly and self-hydrate throughout labor, as desired.
• I would prefer not to have an episiotomy unless absolutely required for the baby's safety.
• I am hoping to protect the perineum. I am practicing ahead of time by squatting, exercising, and doing perineal massage.
• If possible, I would like to use perineal massage and warm oil compresses (I will provide my own oils) to help avoid the need for an episiotomy.
• I would like a local anesthetic which I will provide (compounded lidocaine) to repair a tear or an episiotomy. I have a vulvar skin condition (lichen planus) that can make healing from a tear or episiotomy very difficult. Please be considerate of this and consult me before placing ANY topical or injected agents in the vulvar area.
• I would like to be allowed to choose the position in which I give birth, including squatting.
• I would like the chance to touch the baby's head when it crowns.
• I would like my husband to receive the baby, if possible, along with the CNM.
• Even if I am fully dilated, and assuming the baby is not in distress, I would like to try to wait until I feel the urge to push before beginning the “breathing down” phase.
• I would like to have the baby placed on my stomach/chest immediately after delivery.
• We request that room have low lighting and be as quiet as possible at the time of birth for our baby’s gentle entry into the world.
• I would like to use the tub for laboring and/or water birth if desired at the time.
IMMEDIATELY AFTER DELIVERY
• I would like to have my husband cut the cord if so desired.
• We would prefer that the umbilical cord stop pulsating and placenta be delievered before the cord is cut.
• We would like to hold the baby while I deliver the placenta and any tissue repairs are made.
• We would like to hold the baby for as long as possible before he is photographed, examined, etc.
• Allow vernix to be absorbed into skin - delay cleaning/rubbing and use only soft cloths (not terry cloth) if cleaning is necessary.
• No suctioning of nose/mouth unless medically necessary, please.
• We plan to keep the baby near us following birth and would appreciate if the evaluation of the baby can be done with the baby on mother’s abdomen, with both of us covered by a warm blanket, unless there is an unusual situation.
• If the baby must be taken from me to receive medical treatment, my husband or some other person we designate will accompany the baby at ALL times.
• I would prefer to hold the baby rather than have him placed under heat lamps.
• We would like to see the placenta after it is delivered and plan to take the placenta home with us. Please no use of formaldehyde or other chemicals in placenta.
• We would like natural methods to assist in placental expulsion - breastfeeding, gentle uterine massage, nipple stimulation, etc. Please no cord traction!
• Unless required for health reasons, I do not wish to be separated from my baby.
• Due to closely held religious beliefs, our child will not receive the Hep. B vaccine, oral or injected Vitamin K, or any sort of eye ointments. I do not suffer from any sexually transmitted diseases or engage in risky behaviors which would warrant the vaccine or antibiotic treatment and we do not believe in subjecting our baby to the potentially harmful side effects of any of these procedures.
We will provide our own oral Vitamin K solution for administration to the baby.
(Please refer to attached waivers.)
• If baby needs to be transferred to Beverly Hospital or other hospital, mother will be transferred as well.
• I plan to breastfeed the baby and would like to begin nursing very shortly after birth.
• Unless medically necessary, we do not wish to have any bottles/pacifiers given to the baby (including glucose water or plain water), and not without our knowledge and consent.
• We do not plan to have the baby circumcised.
• We would like to take still photographs during labor and the birth.
• We understand that videotaping is not allowed during birth but would like to take video during other stages of labor and after delivery.
• We would like other support people to be present during labor and/or delivery upon request. This will include our birth doula, Donna JoAnn Gates.
• We would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.
MONITORING (in case of transfer to Beverly Hospital)
• I do not wish to have continuous fetal monitoring unless it is required by the condition of the baby.
• I do not want an internal monitor unless the baby has shown some sign of distress.
• I wish to be able to decline the taking of pain scale information.
* Please limit vaginal exams to the extent medically possible.
LABOR AUGMENTATION/INDUCTION (in case of transfer to Beverly Hospital)
• I do not wish to have the amniotic membrane ruptured artificially unless signs of fetal distress require internal monitoring.
• I would prefer to be allowed to try changing position and other natural methods (walking, nipple stimulation) of labor augmentation before pitocin is administered.
• I would like to delay artificial induction for a reasonable period after release of membranes, if there are no signs of infection.
• If induction drugs are needed, we request that they be removed once uterus is naturally thinning and opening.
• I would like a nurse preferential to natural birthing methods, if available.
ANESTHESIA/PAIN MEDICATION (in case of transfer to Beverly Hospital)
• I realize that many pain medications exist; I'll ask for them if I need them. Please, no references made to "pain" or offer of medication unless we bring it up first.
CESAREAN (in case of transfer to Beverly Hospital)
• Unless absolutely necessary, I would like to avoid a Cesarean delivery.
• If the care provider determines that a Cesarean delivery is indicated, I would like to obtain a second opinion from another physician if time allows.
• If a Cesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.
• I would like my husband and birth doula present at all times if the baby requires a Cesarean delivery.
• So I can view the birth, I would like a mirror made available just before delivery of the baby. Please deliver baby slowly and leave cord intact for a few minutes so baby continues to receive placental oxygen supply.
• If the baby is not in distress, the baby should be given to my husband (no cleaning unless medically necessary) and I immediately after birth for skin-to-skin contact.
* If baby must be removed from my presence, my husband will stay with the baby; the birth doula will remain with me.