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If anyone is at all interested in Sharing their successful VBAC birth plans with me I would greatly appreciate it! I have learnt so much since I have been on bb and I would love to read all the different Plans. Also it gives me and my DP a bit of a guide line too! Thanx a bunch chickies!
Here is mine
My IM said to keep it to one page and easy to read. I printed the CS plan on the back of the VB plan so it was all still one page.:
During Labour and Birth
o If my membranes rupture before labour starts I would like to have at least 24 hours to get things moving, and then if nothing has happened I am open to discussion about what to do.
o I do not wish to have continuous monitoring. I am however happy to have monitoring done intermittently so that I can maintain mobility.
o I do not wish to have frequent vaginal exams.
o I would like to eat and drink as desired.
o I prefer to have no cannula or IV inserted. I understand this may slow the availability of drugs if needed and will only consent to one if it is deemed medically necessary.
o I would like access to bath and shower for pain relief.
o Please do not offer me any analgesia. I will ask for it if necessary.
o I prefer my waters to break naturally, although I am open to a discussion if ARM is thought to be beneficial at the time.
o I do not want an episiotomy; I understand that a tear may be unavoidable.
o Please encourage control, position and breathing through pushing to reduce the chance of tearing.
o As long as the baby and I are doing well I do not wish to have time restraints put on me.
o I would like to choose my position for birthing unless there is good reason for an alternative one.
o If foetal distress is suspected or any other sort of medical issues arise with the baby during labour, before interventions are deemed necessary we would like time (within reason) to discuss and try all alternatives before resorting to a CS.
o DH is to help catch the baby if he wishes to do so.
After the birth
o I wish for skin to skin contact with my baby as soon as it is born.
o Please let us discover the sex of our baby.
o The cord is to have stopped pulsing before it is cut.
o DH to cut the cord.
o The use of Syntocinon to birth the placenta to be assessed after the birth depending on blood loss.
o I wish to see and KEEP the placenta.
o Please don't weigh, measure etc the baby until I am able to participate if I am not mobile as I missed this with my other two children.
CAESAREAN BIRTH PLAN
o Spinal anesthesia
o If I require a general anesthesia, please give the baby to DH straight after the birth and allow s/he to remain with him until I am able to hold baby. DH will tell me the sex of the baby
o DH present
o Pictures to be taken
o Screen lowered to view the birth with a mirror if possible
o I would like to see and KEEP the placenta
o DH to trim the cord
o All checks of the baby to be done within view while being stitched up
o Skin to skin contact within recovery room
o Breast feeding in recovery room
o Partner to remain with baby at all times
o Weighing and measuring to be done in our room where I can see or to be delayed until I am able to participate.
ETA: it is important to do a CS plan for just incase because if you do end up having to have a CS at least you have thought about it and put a plan in place so that you can have a bit of control about what will happen. Once you have thought about it and written it down you can forget about it and concentrate on your VBAC.
Last month I gave birth at home, a VBAC with the help of two IMs, DH and a friend.
I was asked to write a birth plan by my IMs and needed to include my desires for hospital birthing and CS also, just incase. Thankfully I did not have to worry about that in the end, but maybe some of my thoughts and desires will ring true to you also.
BIRTH PLAN
Birth Space.
• dark, candles, comfy, words & images for inspiration, quiet, safe
Birth Companions.
Mum to take 2yo for few days.
• Roles
- having presence there but not in my face, background support, +ve affirmations
- anticipation/responsiveness of needs, fluid, massage, suggestions of movement positions
- look after each other
- generalisations of time only, not interested in clock or contx progress in a specific sense.
- keeping track of food/fluid intake and bladder output
- Food, making sure not just me but everyone is fed
Positions
• Active and upright labouring
• Attempt to find own/natural positions, suggestions please if necessary
• stairs & walking, squatting with support, fitball/beanbag, sleeping, leaning fwd, hands & knees
Pain Relief
• TENS, movements, positive affirmations, massage, water – shower, birth pool
• heat: hot packs/face washers - use of slow cooker
• mental approach: give into pain/image of opening
Pool
• think I want to birth in pool – but will take that as it comes.
• def want to use water as pain relief as much as poss
Monitoring HR
• Only as necessary while remaining moving
2nd stage – Pushing
• help and assistance with breathing and avoiding pushing if too early
• changing positions where necessary
• Not sure of position – wish to take it as it comes with suggestion and assistance if necessary. Aim for gravity to assist where possible – on side if needed if moving to quickly
Delivery
• Under water if appropriate
• straight to chest for skin to skin
• delayed cord clamp until at least stops pulsating – no hurry
3rd Stage
• Natural 3rd stage if possible
• breastfeeding to assist if necessary or any other tricks/techniques
Post natal
• As little measurement and technical interruption as possible.
• Baby led breastfeeding as possible.
• skin to skin with Mum and dad
Unexpected outcomes
• Avoidance of drugs at all costs
• any necessary resuscitation w cord attached and on mum if appropriate
• If any need to go to hospital pre-birth, take Midwives with me – see more details below
• Hospital after birth – Andy to go with baby at all times. If I require transport, baby is to be considered a border not a patient and is to be with me at all times as practical.
Other Desires
• No VE
• No ARM
• No CTG on admission
• No episiotomy
• No Vit K
• No Hep B
• No formula to be given to baby
• No procedure to be conducted on baby without my written permission
If Caesarean
• preference for spinal anaesthesia
• Midwife and Andrew to be with me in theatre
• Skin to skin in theatre
• Baby with me in recovery
• Discharge ASAP
Gee guys they sound great. I never had one... (hehe)