Provider: Fern Aspen, CNM or Dr. Hartung, OB-Gyn
Thank you so much for being a part of the birth our first baby! We are hoping to have a safe, calm, and peaceful birth experience with as little medical intervention as possible. The following "plan" simply expresses our ideal preferences. We do understand that circumstances may arise which cause the need to deviate from that ideal.
Our Preferences During Labor and Delivery:
* I may need low lighting, calm music, or even silence
* We've arranged to have a doula present, but also welcome suggestions from the staff for coping with labor
* Freedom to move, labor, and deliver in position of choice, including squatting
* Minimal Electronic Fetal Monitoring
* Hydrotherapy ~ to be able to labor in the shower or bathtub
* Please avoid pain scale questions, with no offers for or even mention of meds. I will ask if I change my mind
* I'd like to avoid artificial rupture of membranes, or Pitocin augmentation if possible
* If interventions are suggested, please inform me of all my options, along with their pros & cons, and allow me time to discuss them with my partner
* Please explain all procedures in advance and ask for permission before additional staff/students enter the room
* Freedom to push (when complete) as my body feels the natural urge. I wish to avoid directed "purple pushing" or holding my breath
Our Preferences Immediately After Birth:
* Skin-to-skin contact. I would love to have baby placed on my bare chest immediately after birth for his/her first evaluations
* David would like to help 'catch' baby, and also cut the cord after it stops pulsing
* Delay of immediate newborn procedures (eye ointment, newborn screening, footprints, bath, etc.) until we have had sufficient time to breastfeed & bond as a family
* 1-2 hours for quiet bonding & breastfeeding, with minimal interruptions, procedures, or paperwork
Cesarean Birth Preferences for Beth & David Johnson
Though a cesarean birth may not have been part of our original ideal, we still desire to create a birth experience that is intimate, calm, and beautiful. Anything you are able to do to assist us in reducing the medical & surgical feel of our cesarean birth would be immensely appreciated. Thank you!
* Barring an emergency, I would like both my husband/partner and my doula in the O.R. with me. My doula is experienced in attending C-sections.
* I would like my partner or doula to be with me when the epidural is started. This will help ease my anxiety level greatly.
* I'd like to bring my own music and/or CD player into the O.R.
* I'd like one or both arms left unstrapped so that I do not feel claustrophobic or trapped. I've been educated regarding the importance of lying still & not disturbing the sterile field.
* If I should express feeling nauseous or anxious, I desire that I be asked before being given additional medication.
* I desire help in making sure my baby is placed next to me or on my chest, skin to skin, even while I am still on the operating table.
* If my baby should need extra care and need to be separated from me, my husband will accompany the baby and my doula will stay with me.
* I wish to delay eye ointment to facilitate optimal parent/baby bonding.
* I still wish to breastfeed as soon as possible.
(Note: In the operating room, often the anesthesiologist has the final say-so; you may need his/her permission in order to have some of these wishes fulfilled. Also, if a planned cesarean is scheduled, you may even be able to arrange to have a more accommodating anesthesiologist assigned to your surgery.)