A birth plan is a written document that outlines your wishes and expectations during labor and delivery. It’s always good to put things in writing, not only for yourself but for your support team so that everyone stays on the same page. Even your loved ones can forget that you preferred your blue slippers over the red ones. Comedy aside, your birth plan can act as a road map for you, your birthing companion and your medical provider to help navigate your labor, delivery and even recovery. You can include in your birth plan something as simple as your desire to have soft music playing, or something more serious like a desire to have little to no vaginal exams during labor. Keep in mind requests are honored or rejected in the presence of potential medical issues and emergencies. If you’re a high-risk pregnancy your medical provider may discourage certain requests, but they should always provide an explanation. If the response is a simple “no”, or “we can’t” then I highly encourage you, if possible, to find another medical provider. You want a medical provider who respects you, hears you, and wants to serve you. It should not be a one-sided relationship. This is why I recommend you present a birth plan to your provider at the beginning of your pregnancy. It not only gives you and your provider a chance to discuss your plan, it also helps you vet them. You can create your birth plan from scratch or use this sample birth plan from The American College of Obstetricians and Gynecologists. Keep in mind that your birth plan will likely have several drafts before reaching the final version.
5 Things You May Want to Include In Your Birth Plan
1. Intermittent Fetal Monitoring Only (Unless medical reason require otherwise)
It is not suitable nor comfortable to be strapped to a bed for the constant monitoring of your baby’s heart rate. It’s highly restrictive and not what’s best for you or your baby, nor does it always provide accurate readings. You should have free range of motion during labor to be able to walk, squat, or whatever is most comfortable for you. Your provider can utilize handheld monitors, which can also be used underwater, to monitor your baby’s heart rate during labor.
2. Access to food and water during labor
This is for women giving birth in a hospital. Hospitals don’t typically allow women to eat or drink because they’re prepping you for a C-section in case things don’t go according to plan. Hospitals require you to be in a fasted state before surgery. There’s actually nothing wrong with snacking and drinking during labor. If you’re high-risk your provider may discourage this but that doesn’t mean you cannot make the request and have that discussion.
3. Only Person A and Person B are allowed in my room during labor and delivery (and/or after baby is born)
Many women don’t fully realize how certain people can impact your birthing experience. While one person may help you ascend to a place of peace, someone else may be enough to stall your labor due to their negative energy bringing you down. Your labor can stall if your body does not feel it is a safe environment to give birth. Leave the drama out of your birthing place. Protect your peace.
4. No Visitors
Besides the grandparents of course! This is essential if you want rest. Visitors can wait 2 to 3 days, once you’re back home recovering. Shortly after your baby is born they will go into a long sleep period as their body recovers. After all they worked hard to be born! Typically moms are visiting with everyone during this time instead of resting as well. Please take that time that God set aside for you and your newborn and REST.
5. Do not Disturb!
This is another one for hospital births. You will not rest if nurses are in your room every hour. You can limit them to every few hours or possibly more. If you and your baby are healthy there is no real reason for them to check in on you that often. So tell them nurses in the most loving way possible to leave you alone. How do you do that? Put it in your birth plan! Don’t wait until you’ve had the baby and are exhausted because by that time it’s already too late. If it’s in your birth plan ahead of time they will get the memo and likely place a do not disturb sign on your door. You may even want to bring one along just to be on the safe side.
Honorable Mention:
Your birthing partner bathes your baby
This was very important for me. I wanted my husband to be the one to bathe our baby under the supervision of my midwife for bonding and health reasons. I brought homemade soap to the birth center where my son was born. I made that decision after witnessing, years prior, my client’s newborn break out into little red bumps all over his body and face after being bathed with Johnson and Johnson shampoo by a nurse who didn’t seem to notice. You can decide who handles your baby and how after they are born.
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