My slightly censored and revised and updated birth plan from September 16, 2008
Mother’s Name: xx
Father of child’s name: xx phone
Mother of xx:
Healthcare Provider: Dr.
Hydrate by drinking clear fluids and IV. I don't want to be tied to an IV or monitors or the bed. If an IV becomes necessary, they can use a hep-lock so I can get unattached. If an IV is necessary, I would like it capped after medication is administered.
Eat fruit and vegetables if I wish to after surgery.
I want to hold my baby to my skin right away. The baby will be given directly to me after birth, and will breastfeed as soon possible.
Cord: wait until the umbilical cord stops pulsating before it’s clamped and cut. If possible, I would like to cut the cord.
I want to hold the baby right away and have requested delayed stats (weight, etc.) so that I can have time to bond and breastfeed. I am delaying cord cutting and immediate vaccines. Again, unless the baby needs urgent care.
I request that no routine pitocin be given to me after the birth.
The baby will be with at least one parent at all times.
If the baby is a boy, he will not be circumcised.
The baby will not be given a pacifier at any time, but will be brought to me for breastfeeding.
No post-delivery or post-op pitocin (common now to firm up uterus, but same function achieved by breastfeeding).
24 hour rooming-in with my baby.
Delayed vaccines. No Hepatitis B vaccine. Drops in the eyes okay AFTER the baby has had time to attempt breast feeding.
If it’s a boy we will NOT have him circumcised.
Breastfeed as soon as possible.
My baby is breastfed exclusively.
Sugar water may not be offered to my baby.
Do not offer formula, bottle, or a pacifier.
I would like to thank everyone involved for their support and respect of my desires and preferences during this birth.