What Do You Wish You Knew Before You Gave Birth? Older
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My Birth Plan: How I Took (Birth) Control
When I found out I was expecting our fourth child, I was one month post-resignation from my job as a surgery scheduler for four orthopedic surgeons. My two older children, seven and nine at the time, were in school all day, so, after I resigned, my daily responsibilities were significantly pared down to the caretaking of our eighteen-month-old daughter Emma, and the growing of a healthy fetus.
Oh . . . and the watching of hours of episodes of “A Baby Story.”
One of those episodes mentioned birth plans, a concept new to me since there WAS NO TLC during my first two pregnancies, and during my third I had worked full-time pretty much right up to my due date, not catching much daytime television.
The idea of creating a plan to be followed by each person involved in the birth of my precious offspring satisfied my Inner Control Freak, my Inner Over-Organizer, and my Inner Micro-Manager all in one fell swoop. So birth plan? COUNT ME IN.
I went to my computer, Googled the phrase “birth plan”, and clicked a link which led me to a printable fill-in-the-blank-type birth plan. I was a little disappointed since I was always better at multiple-choice-type questions in school, but I went ahead and printed it, figuring I could copy some of the answers from my close friend who was also pregnant and who had always let me copy her French homework in ninth and tenth grade. (Shout out, Angie!)
I don’t remember all the details, but I do remember thinking some of the questions were absurd. For example: Would you like to avoid an episiotomy? (Answer: Why, yes. Yes, please. Aren’t all the other mothers-to-be liking avoiding them these days? ) Also: Will you need to be induced? (Answer: That would be jim-dandy. How about we schedule it for halfway between can’t-fit-into-a-restaurant-booth and my-bladder-is-falling-out-of-my-nethers? Are you available that day?)
There were two issues about which I had very strong feelings. The first, pain control, I stood firmly in favor of, especially where control was defined as “feeling none”. LOVE THE PAIN CONTROL.
The second was allowing the umbilical cord to stop pulsating before being clamped and cut. When I got to that question, I recalled that I had heard something years earlier in nursing school about that practice being better for the baby, so I checked the YES box thinking “better for the baby” probably meant shiny hair and strong nails, but now, nearly five years later, I think it actually meant healthy lungs since, man, CAN THAT KID SCREAM.
Looking back, I wish I had kept a copy of my completed birth plan for posterity and such, but, alas, I gave my only copy to the admitting nurse the day I went into labor. The rest, as they say, is history.
Katelynn was born July 23, 2004. Eight pounds and four ounces, twenty inches long. Practically perfect in every way.
Birth plan = two thumbs way up.
Jenny Motley is the author of Crash Test Mommy.
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3 Comments
Birth Plans are a great tool but inside a particular context. My new book, "Better Birth, The Ultimate Guide to Childbirth from Home Births to Hospitals" is based on the mind/body connection-- preparing women/couples on every level for birth: emotionally, mentally, physically and spiritually, leaving them educated, empowered and trusting themselves and thier choices. So this education allows you to understand the right questions to ask based on the kind of birth you are creating: a home birth, hospital birth or Birthing center birth. My recommendation is first to get clear about what you need and want and the birth plan initial write up is a template to get all your questions answered, investigate your own concerns, fears, any repeated mumbling in your mind reflecting unaddressed thoughts and create total alignment with what I call in my book "your birth team". The alignment conversation is powerful--all is discussed and agreed upon in advance--fully aligned so that when you are in labor you can focus on yourself & your baby! www.Betterbirthbook.com, come visit at facebook and twitter:
http://www.facebook.com/pages/Better-Birth-The-Ultimate-Guide-to-Childbirth-from-Homebirths-to-Hospitals/63137494690?sid=589b0e550462692d697e0b508c8d4f34&ref=s"
http://twitter.com/betterbirth
Finally, come watch our LIVE book launch event on May 13th hosted by Donna Karan and her Urban Zen Foundation--tune in live from your homes/offices: www.Betterbirthlive.com
6:30-9:30EST.
Happy to answer any questions about Birth Plans as well......take good carel!!
Warmly,
Denise Spatafora
Mon, 2009-05-11 10:29
Both my girls were born under the care of a midwife- one at a birthing center, the other at home. My birth plan was verbal and went something like this (with both my daughters): Natural birth, the option of water birth, and transfer to a hospital in the case of an emergency. Both times, I had completely natural water births, and although it was painful, I just felt like it was the right decision for me personally.
I think that had I decided to birth with a doctor in a hospital, I would have had a 1-page write-up of my hopes with a few simple bullet points. Sure, my doctor would have known what I wanted, but the nurses who would be attending me in labor wouldn't know who I was in the least. So many things are just standard procedure these days- IV, breaking bag of waters, etc...- that I think if your wishes deviate from the norm, they need to be communicated ahead of time.
:-) Tamra
Mon, 2009-05-11 10:34
Great points, Tamra and Denise. I agree that having a very specific wish list is only helpful to the extent that you are also able to communicate your wishes verbally to each health care provider involved in your care.
As a former (short-time) L&D nurse, I can tell you it would have been impossible for me to remember the details of my patients' birth plans each time I was required to carry out a procedure according to a doctor's order (especially taking into account that many, MANY order are "standing orders" meaning generic per patient -- the doc isn't there in person telling the nurse to do/not to do it). As well, I personally would rather have a nurse who was paying attention to the condition of myself and my unborn child rather than spending time reviewing charts for birth plans.
All that to say, if I had a few key wishes that were very important to me I would be sure to address those issues with my care providers face-to-face. The other items addressed by a birth plan -- lighting, music, etc. -- I would anticipate needing to be flexible on their being carried out to my absolute satisfaction 100% of the time during my labor. When the big day came for me, many of those miscellaneous issues lost their importance in light of the huge event taking place anyway.
Thanks for commenting!
Mon, 2009-05-11 15:20