Birth Plan | |||
To my Health Care Providers: Thank you for taking the time to work with us and our birth plan. These are our preferences; however we are open and flexible to any medical intervention that may become necessary in the case of a medical emergency. | |||
My Name: | Best Fiend | My Due Date: | August 12, 2006 |
My Husband: | Tennis Fiend | My Doctor: | Sarah Seamstress |
My Labor Partners: | Momfiend and Ewbliette | ||
Monitoring
I do not want an internal monitor unless the baby has shown some sign of distress.
I do not want an internal monitor unless the baby has shown some sign of distress.
Labor Augmentation/Induction
I would prefer no augmentation or induction unless medically necessary.
I would prefer no augmentation or induction unless medically necessary.
Anesthesia/Pain Medication
I would like to have an epidural.
I would like to have an epidural.
I would like the strength of the epidural adjusted to facilitate pushing.
Delivery
I would like to have routine pitocin given to me to assist in the delivery of the placenta.
I would like to have routine pitocin given to me to assist in the delivery of the placenta.
Episiotomy
I prefer to have no episiotomy and risk tearing (unless I'm having a medical emergency).
I prefer to have no episiotomy and risk tearing (unless I'm having a medical emergency).
I would appreciate guidance in when to push and when to stop pushing so the perineum can stretch.
Cesarean
I wish to have an epidural for anesthesia.
I wish to have an epidural for anesthesia.
I wish to have my husband, Egor XXX, present with me during the procedure, if possible.
Immediately After Delivery
If the baby must be taken from me to receive medical treatment, Egor XXX, my husband, will accompany the baby when possible.
If the baby must be taken from me to receive medical treatment, Egor XXX, my husband, will accompany the baby when possible.
Breastfeeding
I plan to breastfeed exclusively and would like to begin nursing very shortly after birth.
I do not want the baby to be given a pacifier.
I plan to breastfeed exclusively and would like to begin nursing very shortly after birth.
I do not want the baby to be given a pacifier.
Circumcision
I do not want the baby circumcised.
I do not want the baby circumcised.
Other
I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.
I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.
Please keep my door closed during labor.