Name:
IC No:
Doctor:
We have chosen the HypnoBirthing method of quiet, relaxed and natural birth. Below is our Birth Plan. We understand that these choices presume a normal pregnancy and birth. Should there be a medical emergency, we will give our full cooperation after we have had an opportunity for an explanation of the medical need. We wish to have clear and adequate explanations of all procedures, of the progress of labor as it is accessed, and of any possible complications if they occur.
During 1st Stage Labor | |
ENVIRONMENT
· Quiet room, dimmed lights
· Drawn drapes/closed door at all times
· Play own music tapes
· Allow to take photos of birth
· Mother wears own gown
MOBILITY
· Change positions for comfort & progress in labor
· Freedom to walk & move
· Fluids & light food if labor is prolonged
FETAL MONITORING
· No continuous EFM unless medically necessary
| PAIN RELIEF OPTIONS
· No suggestion of anesthetic/analgesics unless requested
INDUCTION/AUGMENTATION
· Natural oxytocin stimulation – nipple/clitoral stimulation – and to be accorded the uninterrupted privacy to do so
· No Pitocin/amniotomy without discussion
· To be fully apprised & consulted before introduction of any medical procedure
Vaginal examination
· Minimal – with permission – to avoid premature release of membranes
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During 2nd Stage Labor | |
PUSHING TECHNIQUES
· Gentle encouragement during final pushing stage without loud “pushing” prompts
Perineum
· Pressure episiotomy if necessary
· Local anesthesia for repair of tears/episiotomy
Birth
· Use of suction device rather than forceps if medically necessary
· Mother/father will receive baby if at all possible.
· Father will announce sex of baby to mother.
· Wait until cord stops pulsating. Father will cut the cord.
· immediate skin-to-skin contact, with baby on mother’s stomach. No wrapping of baby.
· No bulb suction unless medically necessary
| PLACENTA DELIVERY
· Spontaneous or encouraged with breast stimulation and nursing baby
· No cord traction, Pitocin or manual removal of placenta unless there is evidence of excessive postpartum bleeding
For baby
· Bright lights temporarily removed during birth & until baby is moved to mother’s chest
· Air-con temporarily turn down/switch off.
· Allow vernix to be absorbed into baby’s skin; delay cleaning/rubbing
· Baby to remain with mother & father for the 1st hour after birth.
· Breastfeeding only. No bottle, formula, pacifier
· Delay use of Erythromycin or other salve for baby’s eyes to allow optimal sight for bonding.
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We thank you in advance for your support & kind attention to our choices. We know you join us in looking forward to a beautiful birth.
___________________
Dr.
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