A birthing plakn is becoming common and recognized and recommended by practitioners to women and their partners to be involved for making childbirth decisions as possibly they can.
Some practitioners routinely ask expectant parents to fill out a birthing plan; most others are willing to discuss such a plan if a patient request it .The typical plan combines the parents wishes and preferences with what the practitioner and hospital or birthing center find acceptable and feasible from a practical point of view. It's not a contract but a written understanding between practitioner and/or hospital or birthing center and patient, with the goal of bringing childbirth as close as possible to the patient's ideal while heading off unrealistic expectations, minimizing disappointment and avoiding major conflict during labor and delivery.
Some of the issues that you may want to express your preferences about include the following:-
1.The locale of your labor and delivery-birthing room or LDRP(labor, delivery, recovery, postpartum room .Birthing rooms at some hospitals are available only for women who are at low risk for childbirth complications. If you don't meet this criterion, you may have no choice but to go to a traditional labor and delivery room, where more technology is at hand.
2.How far into your labor you would like to remain at home and at what point you would prefer to go to the hospital or birthing center
3.Eating and/or drinking during active labor .That's not surprising, since there are conflicting views. At one time ,eating and drinking once labor began were strictly prohibited for fear that food in the digestive tract might be breathed in should emergency general anesthesia be necessary. On other hand, some studies show that women who are allowed to eat and drink during labor have shorter labors by an average of ninety minutes, are less likely to need oxytocin to speed up labor,require fewer pain medications, and have babies with high Apgar scores than women who donv't eat.
4.Being out of bed (walking about or sitting up) during labor
5.Wearing contact lenses during labor and delivery (usually not permitted if general anesthesia is required)
5.Personalizing the atmosphere with music, lighting, items from home
6.The use of a still camera or video camera
7.The use of a mirror so you can see birth
8.The use of an IV(intravenous fluid)
9.The use of pain medication and the type of pain medication. Particularly, medication needed when Labor is long and complicated, when pa8n is more than the mother can tolerate and when there's precipitation indicators
9.The use of oxytocin to induce contractions
10.Delivery position. The best position is the one that's best for you. Efficient position is upright that employ the forces of gravity, speeding dilation and baby's descent; studies show that they can actually shorten labor. Styles include standing, sitting, squatting and half squatting. But you have a option to choose which is better for you.
10.Episiotomy;the use of steps to reduce the need for an Episiotomy.It is recommended that routinely Episiotomy should not be performed until dystocia(in which a shoulder gets stuck in the birth canal during delivery)
11.Forceps or vacuum extractor use
12.Cesarean section
13.The presence of significant others (besides your spouse) during labor and/or at delivery
14.The presence of older children at delivery or immediately after
15.Suctioning of the newborn; suctioning by the father
16.Holding the baby immediately after birth; breastfeeding immediately
17.Having the father cut the cord
18.Cord blood baking
You may also want to include some postpartum items on your birthing plan, such as:
A.Your presence at the weighing of the baby, the pediatric exam, and baby's first bath
B.Babyfeeding in the hospital (whether it will be controlled by the nursery's schedule or your baby's hunger;whether breastfeeding will be supported; whether supplementary Bottles can be avoided
C.Management of breast engorgement if you're not breastfeeding
D.Circumsion
E.Rooming in
Of course, the most important feature of a good birthing plan is flexibility. Though chances are excellent that your plan can be carried out the way you draw it up,there's no guarantee.
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