Originally posted in 2011 at Plus Size Preggo
Spoke to an OB at my practice yesterday (they rotate so you get to know
everyone), and I was pretty disappointed with what I was told about my
birth plan, even PO’ed at one point…As I told my sister, who came to
the appointment with me: “Unless something magical happens during birth
that makes me want to blow everyone in that hospital, I am NOT going to
do a hospital birth with the next baby!” (Blunt but true story LOL)
* I’d like the following people to be present during labor and/or birth: My husband, my sister, and my mother. “OK”
* I’d like to wear my own clothes during labor and delivery. "OK, but you probably won’t want to"
* I’d like to take pictures and/or video during labor and delivery. “Only allowed BEFORE labor, AFTER birth and NOT during newborn tests”
* I’d like the option of returning home if I’m not in active labor. "OK"
* Once I’m admitted, I’d like my partner to be allowed to stay with me at all times. "OK"
* Once I’m admitted, I’d like to eat if I wish to. "Not going to happen"
* Once I’m admitted, I’d like to try to stay hydrated by drinking clear fluids instead of having an IV. "Not going to happen, either"
* Once I’m admitted, I’d like to walk and move around as I choose. “You’ll be strapped to a monitor so you can walk as long as you’re not far from the edge of the bed” read: NO.
* As long as the baby and I are doing fine, I’d like to have
intermittent rather than continuous electronic fetal monitoring. "We can do it, but it’d be a nuisance." read: "Not going to happen"
* As long as the baby and I are doing fine, I’d like to be allowed to
progress free of stringent time limits and have my labor augmented only
if necessary. "OK"
* If available, I’d like to try a birthing ball, birthing stool, squatting bar, and/or a birthing tub/pool. “What are these things?” I WISH I was kidding.
* I’d like to try the following pain-management techniques: bath/shower, hot/cold therapy, massage. "No bathing or showering, stay home and do that until you MUST come to the hospital"
* Please don’t offer me pain medication. I’ll request it if I need it. "Make sure you tell them that at the hospital" I thought that’s what the point of THIS was?
* If I decide I want medicinal pain relief, I’d prefer regional analgesia (an epidural and/or spinal block). "OK"
* When it’s time to push, I’d like to be coached on when to push and for how long. "OK"
* I’d like to try the following positions for pushing (and birth):
semi-reclining, squatting, hands and knees, whatever feels right at the
time… "We’re not equipped for that" read: "Not going to happen"
* During delivery, I’d like to give birth without an episiotomy. Again, “Make sure you tell them that”. Um, will do.
* After birth, I’d like to hold my baby right away, putting off any procedures that aren’t urgent. "OK"
* After birth, I’d like to breastfeed as soon as possible. "OK"
* After birth, I’d like not to get oxytocin (Pitocin) after I deliver the placenta unless it’s necessary. This is where I got pissed. "Well,
we will do that so you don’t bleed. I mean, you’re going to bleed
anyway…but we’re physicians. This is what we do." Uh-huh. So basically,
fuck yourself. We’re medicating you one way or the other.
* After birth, I’d like my partner to cut the umbilical cord. "OK"
* If I have a c-section, I’d like my partner present at all times during the operation. "OK"
* If I have a c-section, I’d like the baby to be given to my partner as soon as he’s dried, if appropriate. "OK"
* If I have a c-section, I’d like to breastfeed my baby in the recovery room. "OK"
* I’m planning to bank cord blood privately. "OK"
* After delivery, I’d like all newborn procedures to take place in my presence. "OK"
* After delivery, I’d like my partner to stay with the baby at all times if I can’t be there. "OK"
* I’d like 24-hour rooming-in with my baby. "After
the birth, ALL babies go to the nursery for a bit, but then he’s all
yours" I almost clawed at her face when she said that. I’m going to
fight this one.
* I plan to breastfeed EXCLUSIVELY. "OK"
* Do not offer my baby: formula, sugar water, a pacifier. "OK"
* I do NOT want my baby circumcised. "OK"
* I’d like to wait and see how I feel before deciding about the timing of hospital discharge. "OK"
So I reiterate…I knew I’d be disappointed because I was expecting too
much from a hospital, but for the most part, I expected this. Next go
round, once I know I can successfully have a birth without
complications, it’s birthing center all the way!!!