Birth Plan Example

October 3, 2011 Written by Michelle

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:

  • 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
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