I think that is a good birth plan. I read your post about your previous child's birth, and I can sympathise with your desire to not push for a prolonged period and your willingness to have a caeserean section if your pushing stage is prolonged. The one piece of advice I can offer you is that, by insisting on being allowed to push in the position that feels right for you, you will be doing the very best to allow for your baby to be born as quickly as possible. There is lots of information about positions that allow for gravity-assisted pushing - positions such as supported squatting and being on all-fours open the pelvic brim right up and give the baby's head lots of room to come down, and the fact that you are pushing the baby downhill, towards the ground, rather than lying down and pushing uphill, will help the baby be born quicker and with less stress.
After reading your birth story, I can also understand your desire for constant monitoring. The only thing to be aware of is that constant monitoring can sometimes limit your mobility, and mobility is great for a short pushing stage. Don't be afraid to ask for the monitor unpluggedto move around or change positions when you feel the need to, even if you are plugging it straight back in.
Something else you might like to look into is delayed clamping of the card - you can search for info in this on the internet. This involves waiting for the cord to stop beating before it is cut. There is some evidence that this reduces the risk of hypoxia because your placenta will continue to supply the baby with oxygen for some minutes after he or she is born. You need to ask specifically for this, though, as most hospitals routinely inject you with syntocinon to prevent bleeding. If you want to do delayed cord clamping, they have to wait until the cord has stopped beating, clamp it, and THEN give you the syntocinon, if you want it.
Bookmarks