Birth Plan Example
October 3, 2011
Michelle & Jamison
Birth Preferences For MadelineThe following is our “ideal” birthing plan. In the event that the situation becomes life-threatening for either Michelle or Madeline, we will, of course, yield to any request for life saving intervention.Admittance:
Birth Preferences For MadelineThe following is our “ideal” birthing plan. In the event that the situation becomes life-threatening for either Michelle or Madeline, we will, of course, yield to any request for life saving intervention.Admittance:
- 4cm of dialation or 4 min contraction intervals.
- Jamison to fill out all paperwork with the exception of only Michelles signature (if needed)
Hydration:
- Michelle would like to hydrate herself with water and juice as desired
- IV or Heparin locks are OK with consultation
Drugs, Surgeries, and Monitoring:
- If at all possible:please turn down beeping machines
- IV to be implemented only with complications
- Heart rate taken by hand via our Midwife
- We’d prefer Blood pressure measured with manometer and stethoscope
- Please don’t suggest induction or medication
- Please use positive words like “sensation” instead of “pain”
- Natural Oxytocin methods
- Pitocin / AROM: Only with complication and consultation
Movement & Props:
- Michelle’s a Yoga instructor: please help us find an effective range of positions and postures
Requested Room Environment:
- Soft Music
- Dim Lights
- Kind & Quiet Voices
- No Negativity
Photography:
- Still and video footage will be shot by our Birthing team members only.
Birth Team:
- Parents: Michelle and Jamison Bourque
- Midwife: Mia Pelt (or on-call)
- Dula: Aurora
- Friend: Althea Scully
Pushing:
- We will be using Hypnosis childbirth techniques
Perineal Massage:
- Please prepare a warm compress and lubricant for massage of the perineum.
Birthing Our Baby:
- In the case of shoulder dystocia: Please try different body positions for mom
- (rather than traction methods)
- Preferred Cord Cutter: Jamison or Michelle
- Please place baby skin-to-skin on Michelle’s chest after birth.
- Michelle and Jamison would prefer to pat-dry Madeline and wrap her themselves
- Extra Blankets would be awesome
- Please delay newborn procedures if at all possible. (bathing, eye drops, foot prints etc.)
Birth of Placenta:
- Michelle would like to deliver without the use of traction
- Our Doula will receive the placenta (to make into pills)
Breastfeeding:
- Michelle intends to breastfeed our baby
- Please don’t give Madeline any bottles, pacifiers, or artificial nipples
No comments yet
Leave a Reply