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Birth Plan, Part One

I have an OB appointment later today and at my last appointment, I heard the NP say that at this appointment, we’d be discussing my birth plan.

I’ve know this was coming and have felt woefully underprepared for most of this pregnancy because really my only “plan” is for this baby to come out of my vagina instead of an incision in my stomach.

Somehow, I feel like maybe that’s not quite enough. And to be honest, thinking about creating a birth plan again kind of stressed me out. I did this the first time. Things still went “wrong.”

(Sidenote: I understand that the birth “plan” isn’t a list of hard-and-fast rules regarding labor and delivery and simply serve as guidelines for what you’d like to have happen in an ideal situation. Which is why “wrong” is in quotation marks. My “wrong” and your “wrong” are likely two different “wrongs.” I am also REALLY aware that labor and delivery doesn’t always follow the “ideal situation” where a baby glides out of a woman’s vagina pain free while wood nymphs flit around her with glitter wands. Or whatever your “ideal situation” may be. In my ideal situation, maybe there are glitter wands.)

Here’s my birth plan:

First Stage (Labor):

  • Peace and Quiet.
  • Music/TV/Internet of our choice.
  • Would prefer to keep vaginal exams to a minimum.
  • Maintain mobility (Walking, rocking, up to bathroom, etc.)
  • Eat and drink to comfort.
  • Heparin lock.
    • I suspect I can’t avoid this one, though I’d like to.
  • Intermittent Monitoring (ACOG Standards) with an external monitor.
  • Please do not offer me pain medications; I will ask for them if I want them.
  • Relaxation techniques (breathing, focusing, etc.).
  • Positioning as desired.
  • Water (Shower or Tub).
    • I think I’m out for this one based on the fact that I’m VBACing, but it’d be nice.
  • Heat or Cold packs.
  • Massage (back, foot, counter pressure, etc.).
  • Ultra low dose epidural (walking epidural)
    • Pain meds are an option for me, though I’d like to do this without them if possible.


  • I would prefer to use natural methods to start labor.
    • Basically, I’m saying pitocin=Satan. And he’s scary.


  • I would prefer to walk to speed labor.
    • Thank GOD this hospital is bigger than my last one. Thank. God.

Second Stage (Birth):

  • Choice of position
  • Prolonged length, if progress is being made
  • Spontaneous Bearing Down
  • I would prefer to tear than have an episiotomy, but please use compresses, massage and positioning.

Baby Care:

  • Baby should be given to mother first for skin-to-skin bonding and early breastfeeding.
  • Delay the cord cutting
  • Prefer partner to cut the cord.
    • Only if he wants to. Totally up to him.
  • Delay the eye medication
  • Breast feeding only
  • No separation of Mother & Baby

Cesarean Birth:

  • Spinal/epidural anesthesia
  • Partner present
    • If Dan has to leave to go with New Girl and my mom is able to be at the hospital, I’d like her to be able to come in to be with me so I’m not so completely alone. Or someone. Someone I know, come into the room to be with me so I’m not alone again.
  • Screen lowered to view the birth or mirror
  • Explain the surgery as it’s happening
  • Do not restrain arms unless I become unable to control them. I understand the need for a sterile surgical environment.
  • Breast feeding in recovery room
  • Baby to be given to parents first barring medical necessity otherwise
    • I think babies should be given to their parents straight out of the womb and not taken to an incubator. We’re not hatching chickens in a factory somewhere, y’all. GIVE ME MY BABY.

Sick Baby:

  • Breast feeding as soon as possible
  • Unlimited visitation for parents
  • Handling the baby (Kangaroo care, holding, care of, etc.)
  • If the baby is transported to another facility, move us as soon as possible

In order to prepare for this appointment, at least a little bit, I created this plan. Most of it, I think, is pretty normal and will be supported by the hospital staff and my OB.

But I need some feedback from been-there-done-that VBAC moms to let me know if I’m on the right track. I’d especially like to hear about what your desires were should you find yourself back in the OR, because really, I can handle the unknowns of labor and I feel empowered now to make decisions and stand my ground should I find myself being bossed by some bossypants in the middle of a contraction (not my doctor…I trust him not to boss me).

What I can’t handle without feeling a lump form in my throat is reliving my first OR experience with New Girl should that be the direction we have to take and thinking that the second experience may just be a repeat of the first (though I suspect, once again, that thanks to my new OB, it won’t be the same).

What am I missing?

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The Many Thoughts of a Reader

Saturday 7th of April 2012

((((())) Sounds good to me! I can't wait to hear about New Girl's arrival!

Diana @Hormonal Imbalances

Tuesday 3rd of April 2012

I've meant to comment on this since reading it. First off - holy mother. I had no idea you could ask for half of this stuff. Honest. This was so eye opening even for someone who didn't have a c-section.

Second, you are super prepared and that makes me think that no matter what, you are going to be totally ok at the end of this. Whether it goes by the book or things get thrown your way, it really does sound like you have an idea of both the perfect plan and the other plan - but both are realistic and manageable - and you chose them this time. You won't be in there grasping at straws trying to figure out what is going on.

I'm rooting for you hardcore. I am so proud of your decisions to do this and make this work for you, from the birth plan to the Dr.


Monday 2nd of April 2012

I love your plan, it obviously took you a lot of work and it is so well thought out. I may have to use parts of it if we ever get pregnant with #2. Even if we are to have another C/S one of the things I'm going to demand is skin to skin much earlier. Even in recovery (emergency C/S) I didn't get the skin to skin with Hayden and I was so disappointed. I feel like that's partially why we failed at BF'ing and at 4 1/2 months I'm still exclusively pumping.


Tuesday 3rd of April 2012

First, I commend you for EPing. I did it for 4.5 months when Joshua refused to nurse after I went back to work. It was grueling and I don't wish it on anyone. But, it was also rewarding in a way and I know I'd do it again if I had to. (Plus, he had a dairy allergy. The alternative was the hypoallergenic formula. Which, hello expensive.)

Second, feel free to use any of this that you want to use for your #2, but know that I googled "birth plan generator" and then amended this to make it work for me and my situation.

I hate that there's no skin-to-skin in the OR, at least not in any hospitals around here that I know of. Even if it were skin to skin with the dad instead of the mom since mom is lying flat, it'd be better for the baby and bonding than the current practice.

Pinay WAHM Blogger

Sunday 1st of April 2012

This is a wonderful plan! It looks like you really thought of everything very well before the big day. I wish you the best


Tuesday 3rd of April 2012

I hope I did!


Monday 26th of March 2012

dude. your list-making abilities are award-winning. seriously.

this is impressive.


Tuesday 3rd of April 2012

Dude. I Googled "birth plan generator" to make this. New Girl has stolen my ability to function at any level higher than making a bowl of cereal and a cup of coffee. and she's not even here yet.

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