6 responses to “I’m In Charge – Here’s My Birth Plan”

  1. Cryptic Automaton

    That hospital sign is hilarious! I wonder how long it was up before anyone noticed. Is it still there now I wonder?

    Great post BTW.

    Another thing about writing a birth plan is that it crystallises what the woman wants and doesn’t want with her partner. Make sure he reads it and you discuss it. Best to keep it brief and to the point. Use bullet points in the style of breasts if his attention is seriously lacking!

    You know I think a lot of husbands end up not fully supporting their wives during a birth because they think their wives are delirious. They’re screaming in agony and at the same time shouting they don’t want pain relief. A very confusing signal to a man. When the Ob swaggers into the room and rationally suggests an epidural, who is the husband going to side with? Crazy wife who’s yabbering like a drunken idiot or the calm Ob that offers such a rational approach to this confusing dilemma.

    Honestly, he’s genuinely thinking he’s doing you a favor by siding with the Ob. You’ll be thanking him afterwards – not.

    Write a birth plan and everyone can sing off the same song sheet. Your husband will thank you and support you when he realises all those birth endorphins have not suddenly turned you into a fruit cake.

  2. your sister-in-birth

    Love it. sucinct and to the point.

    I have just written my birth plan (5th baby, home birth natch). it says: to let my body get on and do it and to be supported to listen to my body and enjoy this amazing event in our family.

    I do then go on to some more detail – such as no VEs, will have birth pool up, may give birth in it, but intend to use the whole house to labour in and will see where I actually end up. I want a natural third stage. I appreciate the vigilance and support of a mw – consent to intermitant monitoring of baby and me, want to pick up baby myself, no plastic cord clamp-i’ll provide cord tie, no vit K. etc.

    I may know the midwife I get but I may not so I have also put in that I have some knowledge of birth and run support groups so expect to be fully informed.

  3. grosslawn

    I’ve been an L&D RNC for 25 years and with all due respect for the philosophy and viewpoints presented here, I can tell you hospital policy and procedure trump any and all birth plans. The docs practice defensive medicine and they all ascribe to standards of care as set out my American College of OB/Gyn (ACOG)…BECAUSE they are ALL afraid of being sued. If your doc practices Joint Commission accredited facility that does obstetrics, they may politely take your birth plan and put it in your chart, but everybody gets essentially the same treatment: Continuous fetal monitoring, scalp electrodes, rupture of membranes and pit drips if you don’t progress. Lots of epidurals too. That’s the way it works in these places. Period. Sorry to be the bearer of bad news, but it’s the truth. PS “Move the bed, because it doesn’t suit your needs” Y’all the staff won’t move that bed out of it’s docking station. No way. Too many wires and cables that they have to use.

  4. your sister-in-birth

    That’s why I am having a home birth. I’m in the UK. By law we can decline any treatment – unless a court decides we are clinically of unsound mind. Of course in hospital it can be hard – especially when emotional blackmail is used. My one hospital birth included a cervical sweep without my consent (therefore assault) during an internal despite just having read my plan which said I did not want my labour speeded up in any way.
    I am very very very glad I do not live in the US. It does amaze me that so much is known about what helps and hinders labour and then the medical establishment ignores it and wonders why the cs rate is soaring.

  5. Meg

    Great advice Lisa. My birth plan was way too long and when it came to the crunch, the hospital nurses ignored it in favour of ‘procedure’. so did my mum and husband (supposed supporters).
    I think a short n sweet one has a MUCH better chance of working. Another suggestion… print it big on A3 Card and make sure it’s hung over the hospital bed. No excuses then for anyone not to read it.
    I retrospect mine would have read:

    The baby is velcroed to me for 5 hours after the birth, NO MATTER WHAT.
    No-one but my support people to consult with me during second stage.
    I will not birth on a bed.

  6. Carly

    To: “The Nurse”:
    Hospital policy doesn’t trump anything! We as laboring mothers have the right to refuse ANY and ALL interventions and “policies”. Yes in hospital it becomes increasingly difficult to combat the naysayers and epidural pushers but that is why we set up a support group to fight the battle for us! I plan to have a stack of “Against medical advice” forms beside my bed to sign and personally hurl at anyone who tells me that I “must” do this or that. My birth, My way!
    From: Well Informed!