Like I mentioned yesterday, my midwife (CNM) and I went through everything below, step by step, and she had a lot of incredibly positive feedback for me. Shawna told me that honestly, if she is my midwife, I wouldn’t even need to bring this because it’s exactly how she prefers to see births proceed. She did say that it’s a good idea to have it with anyway though, just in case I feel like my husband or the nurses need a visual reminder of my hopes and desires for this experience. 🙂 I also received a phone call this week from one of the Family Center/Hospital nurses (who happens to be my neighbor down the street), and she is really interested in getting together to talk about the HypnoBabies program and to get a better sense/feel of what it is and how to best support me during my birthing time. How cool is that?
I’m feeling SO positive and optimistic about the whole birthing experience at this point. Thanks to my HypnoBabies home study course, I’m listening to my Joyful Birthing Affirmations every day and to other relaxation and self-hypnosis tracks every night. I’m aware that complications can arise and that things rarely go exactly according to plan, but much more strongly, I’m aware that my body was made to do this, and that going into it without fear is going to make a world of difference in my experience. If worst-case scenario happens and a c-section is required to ensure the health and safety of momma or baby, I still believe that being educated and informed about my options and the procedures and having a thorough knowledge of self-hypnosis and relaxation techniques will allow this to be the best experience possible for me and for RockStar.
I’m including my midwife’s responses and/or my reasonings for certain requests in orange. Obviously this will be more less wordy/more streamlined when I bring the final version into the hospital as well.
Our goals with this plan are centered around the following wishes:
-To be allowed freedom of movement for a comfortable labor
-To avoid medications
-To allow nature to take its course, particularly avoiding inductions.
-A safe, healthy baby and mother at the end.
Requests Prior to Labor
-Minimal internal exams
-No artificial induction (including stripping of my membranes or breaking of my waters) GOOD to specify – Shawna has seen the nurses break the bag of waters without consulting anyone. Make sure this is communicated when I arrive at the hospital.
Requests During Labor
-This will be a HypnoBabies birth. Please assign a nurse that is partial to natural birthing. This is something I’ll request right when I’m checking in. So far it seems like most of the nurses are very supportive of natural birthing at my hospital, which makes me very happy!
-Externally monitor the baby if possible, and please do as seldom as possible. No problem – internal monitoring is only done in the rare occasion that a baby appears in distress and they need closer monitoring.
-Please keep lights and voice low. No problem – Shawna says she likes to have the room practically dark when the baby joins the world. 🙂
-No artificial induction (including pitocin) No problem.
-No meds offered or pain scale questions asked of me. If any medical interventions become necessary, I want to be fully consulted first. Good for you!
-If an IV is needed, please use a hep-lock. No problem. I requested this so I can still use the tub/shower.
-Please refrain from injecting anything else through the IV without consulting us first. Good to specify. Sadly, sometimes meds are administered by nurses without consultation first.
-Be able to walk, move, or change positions as desired during labor. Definitely.
-Be allowed to eat/drink during labor. As long as labor is progressing naturally (without pitocin, etc) she has no problem with this.
-No routine episiotomy. Definitely not – their practice has one of (or maybe THE?) lowest rate of this in Colorado.
-Minimal coached pushing. No problem – Shawna likes to sit back and let nature takes its course – a very “hands off” approach.
Requests for Post Birth
-Breastfeed asap. Yep.
-No cord traction for placenta removal. Definitely not. Deliver the placenta unassisted and avoid pitocin if possible. We discussed what “unassisted” meant to me. No manual extraction without meds, etc.
Please delay newborn procedures for at least two hours: I had written one hour, and she suggested two, because the first two hours are when the baby tends to be awake and looking around, and that bonding time is so important.
-We choose to waive the Antibiotic Eye Ointment* Sounds good. This is really only done routinely b/c of high risk deliveries to mothers who have STDs.
*I’m getting tested for gonorrhea and chlamydia pre-delivery to 100% rule those STDs out since that is the only reason that hospitals routinely use silver nitrate or erythromycin on baby’s eyes.
**I’m working on our delayed vaccine schedule and will post when I have it all worked out.