Waiting for Baby Lauren - Birth Plan - I am ready

I am now 38 weeks and 4 days pregnant and baby Lauren is expected to arrive any day. Placenta is 'mature' and baby is well grown - very active and making sucking and breathing movements. I am asked to walk as much as possible now to encourage labor to start.

This is my second diabetic pregnancy and was much harder to manage than my first. However, I know so much more now than I did then. I was able to manage it with mostly low carb eating and increasingly huge amounts of insulin....... And I am happy and proud to say that I have managed it very well. My latest A1C is 5.3. Higher than the 4.9 at the end of my last pregnancy, but still very respectable - and it has taken a lot of work. I've only gained 6 kg the whole pregnancy - without starving! Again proof of the benefits of low carbing and a very strict management plan.

I saw my Obe yesterday and we discussed my birth plan. She agrees with everything, had some good input to add to my ideas, and I am so happy that for this birth I will have a chance of having a good experience.

For my first daughter the birth was treated as a medical procedure (even though it was a vaginal delivery) and I was left feeling disempowered, violated, and very upset with the whole process. No family or companion allowed. No cell phone and no way to contact my friends / family to let them know what was happening. Imagine they did episiotomy without asking me or even telling me what they were doing.... There were all these residents pushing on my tummy and telling me to push. I wanted to yell at them to leave me alone, stop touching me, and let me do it by myself. I am sorry that I didn't.... it all happened too fast...

I wasn't allowed to move around or eat or drink for a labor that failed to progess until they used high doses of oxytocin, finally and relucantly on my side an epidural, and it still ended up taking more than 24 hours.

After the delivery they left me by myself in a recovery room, without my baby and no companions allowed for 2 hours before being taken back to the room. They took my baby away for monitoring and the nurses couldn't / wouldn't tell me when i could have her back. It was so distressing. After 6 hours of waiting (couldn't sleep as I was too anxious about my baby) I ended up walking down to the nursery by myself (sore and battered from such an arduous labor and after not having slept for nearly 48 hours and waiting for her to finally be brought in).

She was also vaccinated against Hep B without my permission (something I feel very strongly about and also due to my family's weird immune issues) and I only found out she had been vaccinated when it appeared on the hospital bill.

After that I changed doctors and hospitals determined that the birth of this baby (probably my last pregnancy) would be something that I would be an active and empowered participant in - regardless of how the birth goes... and I know my Obe will not be knife happy. She will only do a CS if it is medically required.

Below is my birth plan - discussed and agreed with her yesterday. She also told me she wants me to eat and drink as I like during the delivery (and that doing so is not a problem even in case of emergency CS), and to manage my own blood sugar. She will monitor intermittently (unless there is a problem) and encourage me to move around as much as I like / can. She is confident I can manage well without epidural. Her confidence is contagious and very reassuring. She also recommended a pediatrician who I will meet tomorrow (as long as Lauren is still staying put) to discuss the delivery with as well... who she says is also on the same page in terms of a minimally intervened birth.

Delivery Plan for Sally Ann Clark, 41 YO
Attending Obstetrician: Dra XXX

I believe childbirth is a natural process, not a medical procedure. I would like to keep the birthing and delivery process as natural and minimally intervened as possible, in close coordination with my Dr. who shall use her best medical judgment for my case and progress.

The following are my wishes for the delivery:-
1. Natural delivery, if at all possible.
2. I would like to be able to move around and take whatever position I find comfortable during labor and delivery. I have pelvic and sacroiliac pain – lying on my back is very uncomfortable. Squatting, kneeling or other position may be appropriate.
3. Do not break my water for me. Let it break by itself.
4. I would like to try birthing pool during labor / delivery and even a water birth.
5. Please do not count / yell / coach / push on my belly during pushing. Please tell me when it is ok to push / not ok to push. Please ask me if you want to hold my legs, etc. I will ask for help if I need it.
6. No routine episiotomy, please help me support the perineum during delivery.
7. Pain relief, only if necessary, in coordination with my Dr. I prefer not to do epidural due to past experience: I have permanent leg numbness / pain from epidural 3 ½ years ago.
8. Please delay Umbilical Cord clamping until it has stopped pulsing. I would like to cut the cord myself.
9. Allow the placenta to deliver by itself without routine oxytocin, unless it is judged necessary by my Dr. I would like to breastfeed immediately to encourage uterine contractions.
10. Bring baby to my chest and allow her try to breast feed immediately and spend time with me before she is weighed and checked, if she is stable. I understand that there is ‘risk’ of her having low blood sugar due to my having diabetes. I would like to manage this by immediate breastfeeding (I have milk/colostrum already).
11. Except in case of “emergency” as judged by Dra., please do not carry out any medical procedure on me or the baby without discussing with me first and getting my express consent.

Baby Lauren
1. I do not wish her to have Hep B vaccination (I am vaccinated against Hep B) or have Vitamin K injection at birth (I take a vit K supplement and intend to fully breastfeed). I would like to sign a waiver on this / have clear instructions given to the attending pediatrician on this.
2. Breastfeeding only and no formula at any time.
3. She should be with me all the time unless there is medical reason for her to be in NICU.

Views: 301

Comment by Gerri on March 14, 2012 at 8:32pm

Wishing you & Lauren a natural joyful birth.

Very upsetting about your first daughter's experience. Hair raising!

Comment by Robyn on March 14, 2012 at 8:40pm

Best wishes to you and I am sure all will be fine, sounds like you know what you are doing!! Lauren is a Beautiful name....:) My youngest daughter is a Lauren as well.

Comment by Super_sally on March 14, 2012 at 8:47pm

Thank you Gerri and Robyn.

I have had the name Lauren picked out for a while and it just feels right.

I have learned from the first experience that I need to be very proactive in this. I still get upset when I think about the first delivery.... but that is something I have to deal with and move on.... but at least this one I know I can be an active and empowered participant.

I know hardly any women here in Philippines who had natural births. Many attempted and then had CS when their labors didn't progress. After my experience: I understand why - when you put a person in such a situation how can they relax and let what should be a natural process proceed as it should. If I hadn't been so adamantly against CS (which at least the first Dr. respected - though she was obviously beginning to consider it towards the end of the labor) I could easily have ended up with a CS too.

Comment by Gerri on March 14, 2012 at 9:25pm

In the US, CS are common. Faster for doctors with less chance of liability. So sad.

Comment by nel on March 14, 2012 at 9:25pm

Welcome into the World soon , Baby Lauren .
Our grandaughter 's name is Lauren ( 17 years ) .
Oh ,my best friend in the Netherlands is a midwife ( now retired ) ...she delivered for over 40 years ...deliveries at home are VERY common ...Be well Sally Ann Clark .

Comment by LaGuitariste on March 15, 2012 at 2:15am

I am very touched by your story. Lauren was in my top three baby names when I was a young woman. It's such a pretty name.

I'm very sorry that your first birthing experience was marred by the narcissism, selfishness and paternalism of the medical staff involved. I hope this experience goes MUCH better!!!!

It sounds like you and your new medical advisor are prepared to make this a good experience for you and for Lauren.

Fingers and toes crossed for you, dear heart.

Comment by Robyn on March 15, 2012 at 11:16am

I had complete Natural delivery. Very long labor, alot of pain.....but, worth it. Very much so. xo

Comment by Super_sally on March 15, 2012 at 11:54pm

I met with the pediatrician (recommended by my Obe) who will attend the birth today. She is both a pediatrician and a natural medicine (homeopathic) Dr. Her approach is very much in line with my beliefs. I gave her some family history and medical background for me. She then asked me to seriously consider no early vaccination before I had a chance to bring up the topic - and no vitamin K at birth (I told her I've been taking vit D and K supplement) and she is ok with this.

She practices delayed cord clamping, no routine suctioning of the newborn, skin-to-skin immediately and early breastfeeding..... This hospital doesn't even have a nursery for babies.... all babies are roomed in with their mothers, unless they need to be in the NICU. She said the baby won't be taken away from me unless there are complications that have to be addressed in NICU.... and all monitoring can be done while the baby is with me.

She has attended and is comfortable doing water birth. This is great news because although my Obe is willing to do a water birth with me she has never done one before and she will feel much more comfortable if the experienced pedia is also there.

Then I prebooked the birthing suite (open booking) and went up and had a look at the facilities. Met the attending nurse and gave her a copy of my birth plan! It is very nice. There's a receiving area with chairs and microwave and fridge, then there's the bedroom, then there's a bathroom with jaccuzi / birthing pool. My 3yo daughter can also be there.

Later I am going to go to the music store and buy some CDs that I can play during the birth / labor.

I am so relieved that I have now done all I can reasonably do to be prepared, and to have a good team in place. I am comfortable with everything. I know that things may not go to plan, but I also know that my team will be working with me and together we will have the best outcome possible.

I am now ready and getting excited! Come on baby Lauren. Your Mummy is ready for you to be born!

Agreed with my partner that her official name on the birth certificate will be Margaret Lauren. Margaret after my mother. But we will call her Lauren. My oldest daughter is named Michaela, after my father, who passed away before she was born.

Comment by Gerri on March 16, 2012 at 12:51am

How wonderful! Everything you & Lauren deserve & desire.

Comment by Trudy on March 16, 2012 at 5:43am

I am really impressed with your planning. Best wishes to you and Baby Lauren.

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