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MY BIRTH PLAN - WITH LUCAS






My birthing plan…
Due date 27th June 2014
First stage
I would like remain at home for a long as I feel comfortable, then visit the hospital when I feel I cannot cope at home any longer.
I would like Brad (my partner) and Lottie (my mum) present during the birth.
I would like to remain as active as possible changing positions as I see fit and rest during contractions in whatever position I find most comfortable.
I would like my baby monitored as much as possible to guarantee his safety and I am happy to have any intervention possible if it is needed to keep him safe e.g breaking waters and inducing ect… but would like this all explained to me before completing.
In regards to pain relief I would like as natural as possible but will be willing to take any stronger pain relief if I really need it.
Gas and air is one I am happy to try for definite.
I would like to use a birthing pool if possible and if not then a bath to be available to help with pain relief and to relax me.


Second stage
I would like to find my own comfortable position unless I decide to have an epidural then I understand I wont have this option.
I wish to know when the head is crowning but don’t want a mirror to see it.
I will appreciate firm advice and guidance to guard against too quick delivery and causing a tear.
We plan to take photographs during labour, but no videos and I only want above the “bump” photos taken.
I do not wish to have an episiotomy unless vital as I would prefer an episiotomy to a tear, my birthing partners or myself must agree before hand though so I am aware.
I would like my baby to be delivered and placed straight onto my chest and to be told the sex as soon as he is delivered so we can be sure he is a boy, like previously told in the scan.
I wish the cord to remain attached until it stops pulsating and then my partner (Brad) to cut the cord


Third stage
I wish to deliver the placenta whatever way is quickest and easiest.
If there are signs of haemorrorrhage then I will have IV ergometrine as necessary.
I would like Brad (my partner) to have a hold and then my Lottie (my mum) then for Brad to wash him and dress him.
We would like our baby to stay with one of us at all times and to be left alone to bond with the baby.
I don’t want to see the placenta.
We would like to be consulted if our baby needs to go to special care and everything explained to us fully and to be able to go down to see him as soon as possible.
I wish to breastfeed as soon as is appropriate, and I consent to a vitamin K injection.
If stitching is necessary I do want a local anaesthetic to be well administered prior to stitching.

Emergencies
Please share any concerns with me, my partner and my mum as soon as they arise. It will help us to know the answers to these questions:
What is wrong?
What do you suggest and why?
What would be the possible outcomes with and without this intervention
How much time do we have to make a decision
Are there any other courses of action open to us?
I would like to avoid forceps delivery unless extremely necessary, same with a caesarean section.
If a caesarean section is necessary I would like to have spinal anaesthetic over a general so my partner (Brad) can be in the room to see baby be born and I can be awake to see my baby straight away, last case scenario I would go under general anaesthetic if that means the only safe and quick option to get my baby out.

In the post-natal ward
I intend to breastfeed on demand and only want artificial milk to be given if I cannot breastfeed and I have a very hungry, distressed baby.
I would like our baby with me at all times unless I request otherwise and I would like to be present when our baby has a nappy change or bath.
I would like to be discharged as quick as safely possible and I would like to be given an estimated day depending on the procedure and pain relief I’ve had.
I don’t really know whether I have written this with enough detail, i followed a template.Have i forgotten anything important i need to add to my birth plan?