Birth Plan
General Information : | |
Name: Eva A Verissimo | |
Husbands Name: Nyron A Gordon | |
Baby’s name : Tulá Leonora Gordon | |
Due Date: | |
Allergies: N/A | |
Blood Type: B+ | |
Rh Factor: N/A | |
Hospital/Birthing Center where you plan to deliver: St Thomas Home from home unit. | |
Labor induction/augmentation : | |
If I go past my due date if baby and I's health is not at risk, I would prefer not to be induced. | |
I would prefer trying the following methods to induce labor: | |
* Hot bath | |
Environment : | |
I would like the following to be present during labor: Nyron Gordon | |
I would like the following to be present during actual birth: Nyron Gordon | |
I would like to bring music. I would prefer dim lighting/candles. I would like to wear my own clothes. I would prefer to stay in one room during labor, birth, and post delivery if available. I would like to be able to walk around, mobility is important to me. I do not want any students present during labour or birth. | |
Equipment : | |
I would like the following equipment available to me. If unavailable, I would like to bring them with me, if possible. | |
* Birthing bed * Birthing ball * Birthing stool * Beanbag * Birthing pool or tub * Shower | |
Preparation : | |
I would prefer not to be given an enema | |
I would prefer to be able to eat and drink during labor. I would prefer no IV unless absolutely necessary. | |
Monitoring : | |
I would prefer no monitoring to be done if there are no signs of distress. I would prefer external monitoring if monitoring is necessary. | |
Anesthesia - Pain medication/Pain relief : | |
I would prefer to try laboring without pain medication. I will ask if I would like something for pain. Please do not ask me. | |
I intend on using a Tens machine. Gas and Air. Massage. | |
First Stage of Labor : | |
I do not want to be separated from my partner during labor or birth. I would like no time limits on laboring and prefer labor not to be augmented unless medically necessary. I would prefer my water not be broken during labor. I would prefer vaginal exams kept to a minimum. I would like encouragement throughout labor. I would like to be kept informed and involved in all decision making. | |
Episiotomy : | |
I'd prefer not to have an episiotomy unless absolutely necessary. | |
Second Stage of Labor : | |
I would like to be able to try any position comfortable during pushing. I would like no time limits on pushing. I do not want to be rushed to push. I would like counting to help me push. | |
Third stage of Labour: I would prefer a natural third stage of labour | |
After Birth : | |
I would like photos taken as soon as baby is born. I would like my partner to catch the baby if baby is delivered in water. I would like to have baby placed on my chest immediately after birth. I would like to have my partner ASKED if he would like to cut the cord. I would like to wait on cutting the umbilical cord until it stops pulsating. I would like to have baby's first bath/wash and assessment to be done in my presence. I do not wish to see my placenta after birth. Please do not show it to me. I would like baby handed to Nyron Gordon while I am being looked after after birth. I would like baby to room in with me. I would like baby in her own clothes/towel/blanket. I would like Nyron Gordon to change baby’s first nappy. I would like to be discharged as soon as possible. | |
Cesarian Section : | |
I would like to avoid a c-section if possible. If c-section is necessary, I would like my partner present I would like to touch baby after birth. I would like partner to hold baby after birth. I would like screen lowered so I can view birth. I would like to breastfeed baby as soon as possible. | |
Breastfeeding : | |
I would like baby straight onto breast, but I have milk available in case unable to breastfeed. | |
Additional Comments : | |
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