Writing a birth plan for an epidural

Shireen Alam I was born in Connecticut and raised in Calgary. I interned in Victoria and had a family practice with maternity care in Victoria untilwhen my husband and 2 young children uprooted ourselves halfway across the world. We moved to the tropical paradise of Saipan, a small island in the middle of the Pacific Ocean. Our family enjoyed the relaxed pace of life as well as the fantastic travel opportunities and cultural richness there for four years.

Writing a birth plan for an epidural

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Yes, I have a birth plan. Here are ten tips for writing an effective birth plan, plus an example birth plan based on my own. Pre-written check-off-the-boxes birth plans that are available on many web sites are good to use as worksheets while you are thinking about your birth plan.

But a personally written birth plan shows your health care providers that you are educated and serious about your wishes. They are also far easier for your health care providers to use.

Your birth plan should be short and readable, preferably pages. I prefer bullet point format. Be very educated about your choices, especially regarding pain management and c-sections.

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Be sure to complete a child-birth preparation program before attempting to write your birth plan. If you are running out of time before delivery, consider reading a book on child birth preparation or watching a video course. Take a tour of your birthing facility before you deliver and learn about options they offer for pain control, birthing positions and newborn care.

Begin your birth plan with the names and phone numbers for all the key people involved in your delivery. Continue with a section about your own medical and obstetric history.

writing a birth plan for an epidural

In this section, include your home medications, allergies, chronic medical conditions, and information about each of your prior pregnancies and deliveries.

Please see example below. State whether you are positive or negative for Group B Strep and gestational diabetes. If you have ever had herpes, HIV, hepatitis, or other sexually transmitted diseases, it is essential to include this. Discuss your wishes for labor, especially regarding pain control and labor augmentation.

If you are planning natural labor without epidural, explain how you have prepared for this and what your pain-management plan will be. If your labor is augmented sped-up with Pitocin you will likely require an epidural for pain control.

If you have had past poor experiences with pain control during delivery, discuss what happened and how you would like to avoid these complications. If you would like to use specific birthing positions or props, such as a birthing stool or bar, be clear about these choices in your birth plan and also tell your health care providers as soon as you arrive.

Less Pitocin

Express your wishes for delivery, and include contingency planning in case you need a c-section. Very few women want a C-sectionbut you need to be prepared for one anyway. Every birth plan should include your wishes for c-section, such as choosing not to have your hands tied down, and avoiding medications that alter your level of consciousness.

No one wants an episiotomy, but sometimes they are better than a severe tear. If you are declining episiotomy, discuss with your health care provider beforehand how you plan to avoid a severe tear and include this in your birth plan.

Delayed cord clamping is now recommended by most pediatricians, but you may have to request this procedure.

writing a birth plan for an epidural

Delayed cord clamping may not be an option if your baby is not breathing or ill. Include your choices for cord blood donation or private cord banking. Include a section with your choices about newborn care. Do you want to hold your baby skin-to-skin right after deliveryeven if you have a c-section?

You need to be clear about this. Do narcotics make you nauseated? Tell your health care providers about it.Either way, knowing your options ahead of time makes writing your birth plan easier.

Choosing an epidural If you’ve already decided you want an epidural, you’re in good company — between 50 and 70 percent of women in the United States get an epidural for labor pain, and in some hospitals, the rate is closer to 90 percent. Here are ten tips for writing an effective birth plan, plus an example birth plan based on my own.

1. Write your own birth plan, don’t use a pre-printed form. Pre-written check-off-the-boxes birth plans that are available on many web sites are good to use as worksheets while you are thinking about your birth plan.

Either way, knowing your options ahead of time makes writing your birth plan easier. Choosing an epidural If you’ve already decided you want an epidural, you’re in good company — between 50 and 70 percent of women in the United States get an epidural for labor pain, and in some hospitals, the rate is closer to 90 percent.

Hello, this is a really interesting post as it has made me think about my DS. His birth was very nearly a crash section (they managed to get a spinal block in as DS's heartrate did stabilise once in theatre) but at the point of the midwife pressing the emergency call button his heartrate had dipped to 54bpm, and it had been up and down like a yoyo all night before they made the decision to.

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Janet Balaskas led a movement of women who refused to give birth lying down. She has been teaching women about active birthâ? ever since. In this updated and Americanized guide.

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