Tentative Birth Plan for Baby Boy Due March 9, 2010
Mother: Carey R.
Father: Craig R.
Doula: Kristen Mortensen


Following is a statement of our childbirth choices. We have educated ourselves prior to making these decisions and hope to carry them out, but we realize that complications do arise and in such instances trust our caretakers to make necessary decisions on our behalf. Thank you for taking the time to read this and helping us realize our birth plan.

LABOR
I would like to be free to walk around, move and change position during labor.
I would like to be able to have fluids by mouth during labor.
I would prefer to keep the number of vaginal exams to a minimum.
I do NOT want an IV unless I become dehydrated (though a hep-lock is OK).
I would like to wear glasses or contact lenses at ALL times when conscious.
If labor is not progressing, I would like to have the amniotic membrane ruptured before other methods are used to augment labor.
I would prefer not to have a time limit during labor and pushing, unless it is required by the condition of the baby.
I do not want pain medication offered at ANY time.

MONITORING
I do not wish to have continuous fetal monitoring unless it is required by the condition of the baby.
I do not want an internal monitor unless the baby is in distress.

CESAREAN
Unless absolutely necessary, I would like to avoid a Cesarean.
If my primary care provider determines that a Cesarean delivery is indicated, I would like to obtain a second opinion from another physician if time allows.
I would like Craig present at ALL times if the baby requires a Cesarean delivery.
If a Cesarean delivery is indicated, I would like to be fully informed and participate in the decision-making process.
I wish to have an epidural for anesthesia.
If the baby is not in distress, the baby should be placed on my tummy immediately and allowed to self-latch for nursing. If this is not medically possible, the baby should be given to Craig immediately after birth.



EPISIOTOMY
I would prefer not to have an episiotomy unless absolutely required for the baby's safety.
I would appreciate guidance in when to push and when to stop pushing so the perineum can stretch.

DELIVERY
I would like a mirror available so I can see the baby's head when it crowns.
Even if I am fully dilated, and assuming the baby is not in distress, I would like to try to wait until I feel the urge to push before beginning the pushing phase.
I would like to have the baby placed on my stomach/chest immediately after delivery.

IMMEDIATELY AFTER DELIVERY
I would like to have Craig cut the cord after it has stopped pulsing.
I would like to delay the eye ointment for the baby until a couple hours after birth.
Place baby on mom’s tummy immediately after birth for as long as possible.

POSTPARDOM
I plan to breastfeed the baby and would like to begin nursing very shortly after birth.
I wish to have my baby room-in with me at all times. He will not go to the nursery. If he must go somewhere for medical reasons, Craig (baby’s father) or I MUST go with him.
Unless medically necessary, I do not wish to have any bottles given to the baby (including glucose water or plain water).
I do not want the baby to be given a pacifier.
I do not want the baby given vaccines in the hospital.
Vitamin K shall be administered orally.
We choose not to have the baby circumcised in the hospital.

PHOTO/VIDEO
I would like to take still photographs during labor and the birth.
I would like to make a videorecording of labor and/or the birth.


Thank you for helping us to realize our birth plan.


Kristen at Conscious Birth is serving Placentia, Yorba Linda, Fullerton, Brea, Anaheim, Irvine, Newport Beach, Alicia Viejo, Mission Viejo and other Orange County, CA cities. I am also very near, some Riverside and San Bernardino County cities. If you are interested in meeting with me, please e-mail kristen@bestocdoula.com or call 714/269-0172.