Birth Plans

Ratatosk · Jun 5, 2007

Wonderful that people have birth plans they can share with you.

I don't have CF. Was given a binder when I found out I was pregnant with all kinds of information -- birthing plans, what to take with you to the hospital, types of pain meds.. So I expected I'd go to the hospital, hang out with DH while I was in labor, be able to walk around during labor -- WRONG! I went into labor 2-3 weeks early because of DS's meconium illeus, so didn't have a birthing plan in place.

I didn't know this at the time, but apparently they thought DS stooled in the womb before he was born -- when my water broke, the color was off, so surprise -- I got to hang out with an internal monitor placed... So I had an iv in my arm 'cuz they blew out the vein in my hand and something shoved in my.. Well you get the picture. So even getting up to use the bathroom was a HUGE production. I refused to have an epidural because I watched too many discovery channel shows about child birth and it freaked me out. I just thought I had to have the internal monitor because that's how they did things, maybe because I was an older mom... Who knows...

When DS was born, they had a NICU crew in the room to suction out all the goo and I got to hold him once they cleaned him up and took them off to the NICU for overnight observation.

Looking back, would've done things differently, but didn't occur to me that I wouldn't have a normal birht 'cuz my pregnancy was pretty normal, uneventful. What I'd have done differently was either asked MORE questions or have my husband do so. The medical staff didn't communicate very well with me and keep me in the loop.

Ratatosk · Jun 5, 2007

Wonderful that people have birth plans they can share with you.

I don't have CF. Was given a binder when I found out I was pregnant with all kinds of information -- birthing plans, what to take with you to the hospital, types of pain meds.. So I expected I'd go to the hospital, hang out with DH while I was in labor, be able to walk around during labor -- WRONG! I went into labor 2-3 weeks early because of DS's meconium illeus, so didn't have a birthing plan in place.

I didn't know this at the time, but apparently they thought DS stooled in the womb before he was born -- when my water broke, the color was off, so surprise -- I got to hang out with an internal monitor placed... So I had an iv in my arm 'cuz they blew out the vein in my hand and something shoved in my.. Well you get the picture. So even getting up to use the bathroom was a HUGE production. I refused to have an epidural because I watched too many discovery channel shows about child birth and it freaked me out. I just thought I had to have the internal monitor because that's how they did things, maybe because I was an older mom... Who knows...

When DS was born, they had a NICU crew in the room to suction out all the goo and I got to hold him once they cleaned him up and took them off to the NICU for overnight observation.

Looking back, would've done things differently, but didn't occur to me that I wouldn't have a normal birht 'cuz my pregnancy was pretty normal, uneventful. What I'd have done differently was either asked MORE questions or have my husband do so. The medical staff didn't communicate very well with me and keep me in the loop.

Ratatosk · Jun 5, 2007

Wonderful that people have birth plans they can share with you.

I don't have CF. Was given a binder when I found out I was pregnant with all kinds of information -- birthing plans, what to take with you to the hospital, types of pain meds.. So I expected I'd go to the hospital, hang out with DH while I was in labor, be able to walk around during labor -- WRONG! I went into labor 2-3 weeks early because of DS's meconium illeus, so didn't have a birthing plan in place.

I didn't know this at the time, but apparently they thought DS stooled in the womb before he was born -- when my water broke, the color was off, so surprise -- I got to hang out with an internal monitor placed... So I had an iv in my arm 'cuz they blew out the vein in my hand and something shoved in my.. Well you get the picture. So even getting up to use the bathroom was a HUGE production. I refused to have an epidural because I watched too many discovery channel shows about child birth and it freaked me out. I just thought I had to have the internal monitor because that's how they did things, maybe because I was an older mom... Who knows...

When DS was born, they had a NICU crew in the room to suction out all the goo and I got to hold him once they cleaned him up and took them off to the NICU for overnight observation.

Looking back, would've done things differently, but didn't occur to me that I wouldn't have a normal birht 'cuz my pregnancy was pretty normal, uneventful. What I'd have done differently was either asked MORE questions or have my husband do so. The medical staff didn't communicate very well with me and keep me in the loop.

Ratatosk · Jun 5, 2007

Wonderful that people have birth plans they can share with you.

I don't have CF. Was given a binder when I found out I was pregnant with all kinds of information -- birthing plans, what to take with you to the hospital, types of pain meds.. So I expected I'd go to the hospital, hang out with DH while I was in labor, be able to walk around during labor -- WRONG! I went into labor 2-3 weeks early because of DS's meconium illeus, so didn't have a birthing plan in place.

I didn't know this at the time, but apparently they thought DS stooled in the womb before he was born -- when my water broke, the color was off, so surprise -- I got to hang out with an internal monitor placed... So I had an iv in my arm 'cuz they blew out the vein in my hand and something shoved in my.. Well you get the picture. So even getting up to use the bathroom was a HUGE production. I refused to have an epidural because I watched too many discovery channel shows about child birth and it freaked me out. I just thought I had to have the internal monitor because that's how they did things, maybe because I was an older mom... Who knows...

When DS was born, they had a NICU crew in the room to suction out all the goo and I got to hold him once they cleaned him up and took them off to the NICU for overnight observation.

Looking back, would've done things differently, but didn't occur to me that I wouldn't have a normal birht 'cuz my pregnancy was pretty normal, uneventful. What I'd have done differently was either asked MORE questions or have my husband do so. The medical staff didn't communicate very well with me and keep me in the loop.

LouLou · Jun 6, 2007

Here's ours. Christian, you better post yours <img src=""> The formatting is off but you get the idea. The o's are sub-bullets.

Coversheet:

The B____ Family Birth Plan

Father: J___ B_________
Mother: Lauren B_________
Doula: _________

Obgyn Contact: Maternal Fetal Medicine
Cystic Fibrosis Contact: Dr. Dennis H.

One page birth plan:

Special Consideration: Mother is considered high risk due to cystic fibrosis. Pregnancy has been smooth with ability to work full time and maintain rigorous workout schedule. It is important to balance the mother's need to maintain her lung functions while in labor with the requirements for delivery of a healthy baby. Mother will self administer lung treatments.
. Mother suffers from hemoptysis (bleeding in lungs) but can be minimized/avoided with appropriate positioning (can not lay on back).
. Mother at risk for infection in hospital environment - take all precautions to maintain sterile environment.
o No ill staff permitted in room. If presenting with allergies(sneezing/coughing) wear mask.
o Wash hands upon entry into room.
o No medical students or residents in room.
o Mother wishes to be discharged as soon as possible after delivery.
. Father and doula present at all times.

First Stage of Labor: 
. Mother wishes to wear own clothes.
. Vaginal exams only when needed (when needed on hands and knees due to hemoptysis)
. Maintain mobility and allow bathroom trips and shower use.
. Plans to avoid pain medicine entirely. Do not offer, mother to request if necessary. Green consult sheet on file with OB anesthesia team outlines elected procedure.
. Continuous external monitoring acceptable using sock, not the belt.
. Hydration:
o no restrictions for clear fluids (gatorade, juice, water) (cf requires 5000 calorie/day diet)
o Hep/Saline lock in place in case antibiotics become medically necessary
. Induction & Augmentation:
o Mother prefers to use natural methods for induction (movement, nipple stim, sex) but if necessary prostaglandin gel.
o No amniotomy or cytotec.

Second Stage of Labor:
. Due to hemoptysis potential, mother can not be on back or right side.
o Needs no movement restrictions / ability to choose positions for all of labor & delivery
o Wants birth bar and birthing stool in room
. Prefer no episiotomy (natural tear & local anesthesia for repair)
. No routine pitocin post delivery of placenta.
. Complications and Cesareans:
o If C-section required in emergency, anesthesia option on file because of risk of general anesthesia/intubation.
o Partner present.
o Screen lowered so mother can witness birth.
o Photography of birth allowed.
. Cord cutting:
o Father DOES NOT want to cut cord. Clamping/cutting delayed until cord stops pulsating.

Infant Care:
. Mother wishes to hold baby and breastfeed immediately after birth (no sedatives or sleeping medicine for mother).
. Do not wash babies hands until after he has breastfed.
. Father to go to nursery with baby if medically necessary . Otherwise no separation.
. Delay eye medication and vitamin k by one hour.
. Breastfeed only - no bottles, pacifiers or glucose water.
. Circumcision: Use anesthesia, father present.
. No immunizations at this time.
. Sick Infant:
o Breast feeding as soon as possible.
o Unlimited visitation for parents.
o If baby is transported to another facility, move parents as soon as possible.
o Mother's colostrum to be expressed and stored if infant unable to take it.

LouLou · Jun 6, 2007

Here's ours. Christian, you better post yours <img src=""> The formatting is off but you get the idea. The o's are sub-bullets.

Coversheet:

The B____ Family Birth Plan

Father: J___ B_________
Mother: Lauren B_________
Doula: _________

Obgyn Contact: Maternal Fetal Medicine
Cystic Fibrosis Contact: Dr. Dennis H.

One page birth plan:

Special Consideration: Mother is considered high risk due to cystic fibrosis. Pregnancy has been smooth with ability to work full time and maintain rigorous workout schedule. It is important to balance the mother's need to maintain her lung functions while in labor with the requirements for delivery of a healthy baby. Mother will self administer lung treatments.
. Mother suffers from hemoptysis (bleeding in lungs) but can be minimized/avoided with appropriate positioning (can not lay on back).
. Mother at risk for infection in hospital environment - take all precautions to maintain sterile environment.
o No ill staff permitted in room. If presenting with allergies(sneezing/coughing) wear mask.
o Wash hands upon entry into room.
o No medical students or residents in room.
o Mother wishes to be discharged as soon as possible after delivery.
. Father and doula present at all times.

First Stage of Labor: 
. Mother wishes to wear own clothes.
. Vaginal exams only when needed (when needed on hands and knees due to hemoptysis)
. Maintain mobility and allow bathroom trips and shower use.
. Plans to avoid pain medicine entirely. Do not offer, mother to request if necessary. Green consult sheet on file with OB anesthesia team outlines elected procedure.
. Continuous external monitoring acceptable using sock, not the belt.
. Hydration:
o no restrictions for clear fluids (gatorade, juice, water) (cf requires 5000 calorie/day diet)
o Hep/Saline lock in place in case antibiotics become medically necessary
. Induction & Augmentation:
o Mother prefers to use natural methods for induction (movement, nipple stim, sex) but if necessary prostaglandin gel.
o No amniotomy or cytotec.

Second Stage of Labor:
. Due to hemoptysis potential, mother can not be on back or right side.
o Needs no movement restrictions / ability to choose positions for all of labor & delivery
o Wants birth bar and birthing stool in room
. Prefer no episiotomy (natural tear & local anesthesia for repair)
. No routine pitocin post delivery of placenta.
. Complications and Cesareans:
o If C-section required in emergency, anesthesia option on file because of risk of general anesthesia/intubation.
o Partner present.
o Screen lowered so mother can witness birth.
o Photography of birth allowed.
. Cord cutting:
o Father DOES NOT want to cut cord. Clamping/cutting delayed until cord stops pulsating.

Infant Care:
. Mother wishes to hold baby and breastfeed immediately after birth (no sedatives or sleeping medicine for mother).
. Do not wash babies hands until after he has breastfed.
. Father to go to nursery with baby if medically necessary . Otherwise no separation.
. Delay eye medication and vitamin k by one hour.
. Breastfeed only - no bottles, pacifiers or glucose water.
. Circumcision: Use anesthesia, father present.
. No immunizations at this time.
. Sick Infant:
o Breast feeding as soon as possible.
o Unlimited visitation for parents.
o If baby is transported to another facility, move parents as soon as possible.
o Mother's colostrum to be expressed and stored if infant unable to take it.

LouLou · Jun 6, 2007

Here's ours. Christian, you better post yours <img src=""> The formatting is off but you get the idea. The o's are sub-bullets.

Coversheet:

The B____ Family Birth Plan

Father: J___ B_________
Mother: Lauren B_________
Doula: _________

Obgyn Contact: Maternal Fetal Medicine
Cystic Fibrosis Contact: Dr. Dennis H.

One page birth plan:

Special Consideration: Mother is considered high risk due to cystic fibrosis. Pregnancy has been smooth with ability to work full time and maintain rigorous workout schedule. It is important to balance the mother's need to maintain her lung functions while in labor with the requirements for delivery of a healthy baby. Mother will self administer lung treatments.
. Mother suffers from hemoptysis (bleeding in lungs) but can be minimized/avoided with appropriate positioning (can not lay on back).
. Mother at risk for infection in hospital environment - take all precautions to maintain sterile environment.
o No ill staff permitted in room. If presenting with allergies(sneezing/coughing) wear mask.
o Wash hands upon entry into room.
o No medical students or residents in room.
o Mother wishes to be discharged as soon as possible after delivery.
. Father and doula present at all times.

First Stage of Labor: 
. Mother wishes to wear own clothes.
. Vaginal exams only when needed (when needed on hands and knees due to hemoptysis)
. Maintain mobility and allow bathroom trips and shower use.
. Plans to avoid pain medicine entirely. Do not offer, mother to request if necessary. Green consult sheet on file with OB anesthesia team outlines elected procedure.
. Continuous external monitoring acceptable using sock, not the belt.
. Hydration:
o no restrictions for clear fluids (gatorade, juice, water) (cf requires 5000 calorie/day diet)
o Hep/Saline lock in place in case antibiotics become medically necessary
. Induction & Augmentation:
o Mother prefers to use natural methods for induction (movement, nipple stim, sex) but if necessary prostaglandin gel.
o No amniotomy or cytotec.

Second Stage of Labor:
. Due to hemoptysis potential, mother can not be on back or right side.
o Needs no movement restrictions / ability to choose positions for all of labor & delivery
o Wants birth bar and birthing stool in room
. Prefer no episiotomy (natural tear & local anesthesia for repair)
. No routine pitocin post delivery of placenta.
. Complications and Cesareans:
o If C-section required in emergency, anesthesia option on file because of risk of general anesthesia/intubation.
o Partner present.
o Screen lowered so mother can witness birth.
o Photography of birth allowed.
. Cord cutting:
o Father DOES NOT want to cut cord. Clamping/cutting delayed until cord stops pulsating.

Infant Care:
. Mother wishes to hold baby and breastfeed immediately after birth (no sedatives or sleeping medicine for mother).
. Do not wash babies hands until after he has breastfed.
. Father to go to nursery with baby if medically necessary . Otherwise no separation.
. Delay eye medication and vitamin k by one hour.
. Breastfeed only - no bottles, pacifiers or glucose water.
. Circumcision: Use anesthesia, father present.
. No immunizations at this time.
. Sick Infant:
o Breast feeding as soon as possible.
o Unlimited visitation for parents.
o If baby is transported to another facility, move parents as soon as possible.
o Mother's colostrum to be expressed and stored if infant unable to take it.

LouLou · Jun 6, 2007

Here's ours. Christian, you better post yours <img src=""> The formatting is off but you get the idea. The o's are sub-bullets.

Coversheet:

The B____ Family Birth Plan

Father: J___ B_________
Mother: Lauren B_________
Doula: _________

Obgyn Contact: Maternal Fetal Medicine
Cystic Fibrosis Contact: Dr. Dennis H.

One page birth plan:

Special Consideration: Mother is considered high risk due to cystic fibrosis. Pregnancy has been smooth with ability to work full time and maintain rigorous workout schedule. It is important to balance the mother's need to maintain her lung functions while in labor with the requirements for delivery of a healthy baby. Mother will self administer lung treatments.
. Mother suffers from hemoptysis (bleeding in lungs) but can be minimized/avoided with appropriate positioning (can not lay on back).
. Mother at risk for infection in hospital environment - take all precautions to maintain sterile environment.
o No ill staff permitted in room. If presenting with allergies(sneezing/coughing) wear mask.
o Wash hands upon entry into room.
o No medical students or residents in room.
o Mother wishes to be discharged as soon as possible after delivery.
. Father and doula present at all times.

First Stage of Labor: 
. Mother wishes to wear own clothes.
. Vaginal exams only when needed (when needed on hands and knees due to hemoptysis)
. Maintain mobility and allow bathroom trips and shower use.
. Plans to avoid pain medicine entirely. Do not offer, mother to request if necessary. Green consult sheet on file with OB anesthesia team outlines elected procedure.
. Continuous external monitoring acceptable using sock, not the belt.
. Hydration:
o no restrictions for clear fluids (gatorade, juice, water) (cf requires 5000 calorie/day diet)
o Hep/Saline lock in place in case antibiotics become medically necessary
. Induction & Augmentation:
o Mother prefers to use natural methods for induction (movement, nipple stim, sex) but if necessary prostaglandin gel.
o No amniotomy or cytotec.

Second Stage of Labor:
. Due to hemoptysis potential, mother can not be on back or right side.
o Needs no movement restrictions / ability to choose positions for all of labor & delivery
o Wants birth bar and birthing stool in room
. Prefer no episiotomy (natural tear & local anesthesia for repair)
. No routine pitocin post delivery of placenta.
. Complications and Cesareans:
o If C-section required in emergency, anesthesia option on file because of risk of general anesthesia/intubation.
o Partner present.
o Screen lowered so mother can witness birth.
o Photography of birth allowed.
. Cord cutting:
o Father DOES NOT want to cut cord. Clamping/cutting delayed until cord stops pulsating.

Infant Care:
. Mother wishes to hold baby and breastfeed immediately after birth (no sedatives or sleeping medicine for mother).
. Do not wash babies hands until after he has breastfed.
. Father to go to nursery with baby if medically necessary . Otherwise no separation.
. Delay eye medication and vitamin k by one hour.
. Breastfeed only - no bottles, pacifiers or glucose water.
. Circumcision: Use anesthesia, father present.
. No immunizations at this time.
. Sick Infant:
o Breast feeding as soon as possible.
o Unlimited visitation for parents.
o If baby is transported to another facility, move parents as soon as possible.
o Mother's colostrum to be expressed and stored if infant unable to take it.

LouLou · Jun 6, 2007

Here's ours. Christian, you better post yours <img src=""> The formatting is off but you get the idea. The o's are sub-bullets.

Coversheet:

The B____ Family Birth Plan

Father: J___ B_________
Mother: Lauren B_________
Doula: _________

Obgyn Contact: Maternal Fetal Medicine
Cystic Fibrosis Contact: Dr. Dennis H.

One page birth plan:

Special Consideration: Mother is considered high risk due to cystic fibrosis. Pregnancy has been smooth with ability to work full time and maintain rigorous workout schedule. It is important to balance the mother's need to maintain her lung functions while in labor with the requirements for delivery of a healthy baby. Mother will self administer lung treatments.
. Mother suffers from hemoptysis (bleeding in lungs) but can be minimized/avoided with appropriate positioning (can not lay on back).
. Mother at risk for infection in hospital environment - take all precautions to maintain sterile environment.
o No ill staff permitted in room. If presenting with allergies(sneezing/coughing) wear mask.
o Wash hands upon entry into room.
o No medical students or residents in room.
o Mother wishes to be discharged as soon as possible after delivery.
. Father and doula present at all times.

First Stage of Labor: 
. Mother wishes to wear own clothes.
. Vaginal exams only when needed (when needed on hands and knees due to hemoptysis)
. Maintain mobility and allow bathroom trips and shower use.
. Plans to avoid pain medicine entirely. Do not offer, mother to request if necessary. Green consult sheet on file with OB anesthesia team outlines elected procedure.
. Continuous external monitoring acceptable using sock, not the belt.
. Hydration:
o no restrictions for clear fluids (gatorade, juice, water) (cf requires 5000 calorie/day diet)
o Hep/Saline lock in place in case antibiotics become medically necessary
. Induction & Augmentation:
o Mother prefers to use natural methods for induction (movement, nipple stim, sex) but if necessary prostaglandin gel.
o No amniotomy or cytotec.

Second Stage of Labor:
. Due to hemoptysis potential, mother can not be on back or right side.
o Needs no movement restrictions / ability to choose positions for all of labor & delivery
o Wants birth bar and birthing stool in room
. Prefer no episiotomy (natural tear & local anesthesia for repair)
. No routine pitocin post delivery of placenta.
. Complications and Cesareans:
o If C-section required in emergency, anesthesia option on file because of risk of general anesthesia/intubation.
o Partner present.
o Screen lowered so mother can witness birth.
o Photography of birth allowed.
. Cord cutting:
o Father DOES NOT want to cut cord. Clamping/cutting delayed until cord stops pulsating.

Infant Care:
. Mother wishes to hold baby and breastfeed immediately after birth (no sedatives or sleeping medicine for mother).
. Do not wash babies hands until after he has breastfed.
. Father to go to nursery with baby if medically necessary . Otherwise no separation.
. Delay eye medication and vitamin k by one hour.
. Breastfeed only - no bottles, pacifiers or glucose water.
. Circumcision: Use anesthesia, father present.
. No immunizations at this time.
. Sick Infant:
o Breast feeding as soon as possible.
o Unlimited visitation for parents.
o If baby is transported to another facility, move parents as soon as possible.
o Mother's colostrum to be expressed and stored if infant unable to take it.

LouLou · Jun 6, 2007

Here's ours. Christian, you better post yours <img src=""> The formatting is off but you get the idea. The o's are sub-bullets.

Coversheet:

The B____ Family Birth Plan

Father: J___ B_________
Mother: Lauren B_________
Doula: _________

Obgyn Contact: Maternal Fetal Medicine
Cystic Fibrosis Contact: Dr. Dennis H.

One page birth plan:

Special Consideration: Mother is considered high risk due to cystic fibrosis. Pregnancy has been smooth with ability to work full time and maintain rigorous workout schedule. It is important to balance the mother's need to maintain her lung functions while in labor with the requirements for delivery of a healthy baby. Mother will self administer lung treatments.
. Mother suffers from hemoptysis (bleeding in lungs) but can be minimized/avoided with appropriate positioning (can not lay on back).
. Mother at risk for infection in hospital environment - take all precautions to maintain sterile environment.
o No ill staff permitted in room. If presenting with allergies(sneezing/coughing) wear mask.
o Wash hands upon entry into room.
o No medical students or residents in room.
o Mother wishes to be discharged as soon as possible after delivery.
. Father and doula present at all times.

First Stage of Labor: 
. Mother wishes to wear own clothes.
. Vaginal exams only when needed (when needed on hands and knees due to hemoptysis)
. Maintain mobility and allow bathroom trips and shower use.
. Plans to avoid pain medicine entirely. Do not offer, mother to request if necessary. Green consult sheet on file with OB anesthesia team outlines elected procedure.
. Continuous external monitoring acceptable using sock, not the belt.
. Hydration:
o no restrictions for clear fluids (gatorade, juice, water) (cf requires 5000 calorie/day diet)
o Hep/Saline lock in place in case antibiotics become medically necessary
. Induction & Augmentation:
o Mother prefers to use natural methods for induction (movement, nipple stim, sex) but if necessary prostaglandin gel.
o No amniotomy or cytotec.

Second Stage of Labor:
. Due to hemoptysis potential, mother can not be on back or right side.
o Needs no movement restrictions / ability to choose positions for all of labor & delivery
o Wants birth bar and birthing stool in room
. Prefer no episiotomy (natural tear & local anesthesia for repair)
. No routine pitocin post delivery of placenta.
. Complications and Cesareans:
o If C-section required in emergency, anesthesia option on file because of risk of general anesthesia/intubation.
o Partner present.
o Screen lowered so mother can witness birth.
o Photography of birth allowed.
. Cord cutting:
o Father DOES NOT want to cut cord. Clamping/cutting delayed until cord stops pulsating.

Infant Care:
. Mother wishes to hold baby and breastfeed immediately after birth (no sedatives or sleeping medicine for mother).
. Do not wash babies hands until after he has breastfed.
. Father to go to nursery with baby if medically necessary . Otherwise no separation.
. Delay eye medication and vitamin k by one hour.
. Breastfeed only - no bottles, pacifiers or glucose water.
. Circumcision: Use anesthesia, father present.
. No immunizations at this time.
. Sick Infant:
o Breast feeding as soon as possible.
o Unlimited visitation for parents.
o If baby is transported to another facility, move parents as soon as possible.
o Mother's colostrum to be expressed and stored if infant unable to take it.

wanderlost · Jun 6, 2007