How to create a Birth Plan…

motherhood

 

“We go into labor as one person, but emerge as another.” – Roni Jay

This post was written during the week before my due date, August 15th, 2015. In other words, Zoe was not born yet, and I had not experienced labor and delivery. 

Birth Plan – Is it helpful to have one or not?

I’ve known ladies who have written up their birth plans – which are pages long… I want this, but I do not want that. Then labor happens, and nothing goes as they planned it. All the time and dedication they spent on planning, goes out the window, and afterwards these ladies feel disappointed when things don’t go in the direction they thought or expected.

Because of this, I was hesitant to write out a birth plan. After all, pregnancy has taught me there are things you just can’t control.

Anyway, after a lot of thought, I finally decided to write a short birth plan. And although, my plan is written up and reviewed by my doctor, I know this is just a plan that could change anytime. I will be flexible and opened minded, with the end goal of keeping my baby and myself safe.

When writing up my plan, I thought of my own profession, hair styling.

As a hair stylist my worst nightmare is to have a new client sit in my chair who tells me, “Do whatever you want.” I normally laugh, because they are lying to me. Don’t tell me this when I know there are things you do not like. Because of this idea, I decided a short birth plan would be helpful. I don’t think the nurses at the hospital would want me to be in active labor screaming, “Do whatever you want?”

On another note… As a hairstylist, it is equally hard, to have the client, who maps out exactly what they want, when they do not have the hair texture, face shape, or skin coloring, for the look they are demanding. With that being said, a very demanding mama with a well detailed long birth plan, might be expecting the impossible.

By keeping these two ideas in my mind, while writing up my birth plan, I was able to avoid being to extreme, and stay balanced.

How to create a birth plan?

There are tons of example birth plans online. The two that I used as guidelines were written by The Bump, and Earth Mama Angel Baby.

Start your birth plan with general information. This includes…

  • Name:
  • Partner’s Name:
  • Due Date:
  • Doctor’s Name and phone number:
  • Hospital
  • Pediatrician:
  • Blood Type, including if you received Rhogam and the date received.

Then move on to what you want during labor…

  • What kind of birth is your delivery planned as?
  • Who do you want present before, after, and during labor? Don’t forget to include hospital or birth center staff, doctors, nurses, students, residents, interns, doula, midwife.
  • What do you want when it comes to food or drink during labor?
  • Do you want continuous fetal monitoring? Do you want a portable monitor so you can walk around?

If you need to be induced…

  • What natural methods would you like to try for induction?
  • Are you okay with medical staff breaking your water, if it hasn’t broken yet? This may speed up or jump start labor, but it also gives you a time limit. There is only so much time that a baby can stay inside once your water is broken.
  • Are you okay with receiving Pitocin? Pitocin can speed of labor, however it also can put baby under stress.

Pain relief methods…

  • What natural methods would you like to try for pain relief?
  • Are you okay with receiving an Epidural? Epidural will take away the pain, but it is also known to slow down labor.

During Delivery…

  • Do you want options to request birthing tools, such as birthing ball?
  • Are you okay with forceps usage?
  • Are you okay with vacuum extraction?
  • Do you want to be guided on pushing, or would you rather naturally push depending on how your body feels?
  • Do you want the option to touch your baby’s head as it crowns?
  • Do you want a mirror available to see the birth?
  • Would you like a episiotomy?

If you have to have a C-Section…

  • Who do you want to remain with you in an event of c-section?
  • Do you want the surgery explained to you?
  • Do you want hands free to touch the baby?
  • Do you want skin on skin and to breastfeed as soon as possible?

Cutting of the cord…

  • Do you prefer delayed cord clamping?
  • When do you want the cord cut?
  • Who do you want to cut the cord?
  • What do you want to do with the placenta?
  • Is it okay to give routine pitocin to help the placenta deliver faster and to prevent bleeding?

Immediately after Delivery…

  • How soon after birth do you want to hold your baby?
  • Do you want us to wait to clean the baby until after skin on skin and first feeding?
  • Do you want all newborn procedures delayed until after skin on skin and first feeding?

Family members and other visitors…

  • Who will get unlimited visiting? Husband? Partner?
  • Are you okay with other visitors coming to your room? Who does this include and when?

Lactation Consultant…

  • Is it okay to have a lactation consultant come to your room?

Baby’s Medical Procedures…

  • Are you okay with immunizing your baby according to normal procedures?
  • Do you know what PKU testing is? If not have it explained?

If your baby is not well…

  • Do you want to accompany your baby to the NICU or other facility?
  • Would you like to breastfeed or provide pumped breastmilk?
  • Would you like to hold your baby whenever is possible?

End your birth plan with…

What additional things you would like for your baby? And … What you do NOT want for your baby.

So there you have it… These were all of the main things I included in my Birth Plan. But again, this is just a plan, that gives the hospital staff an idea of which direction I prefer to go in. Things may change, and I will go with the flow.

What ended up happening…

Things changed and I just went with the flow…  Turns out that a lot of stuff that I included in this Birth plan – the exact opposite happened. But at the end, Erik, Zoe, and I are happy and healthy.

“Even though an “ideal” birth isn’t an outcome you can control, if you are prepared, you can come close.” – Alicia Silverston from The Kind Mama

© 2015 sweat1xdaily

C-Section: Pros and Cons

 

I always wanted to push a baby out….

But you don’t always get what you want.

Instead after 36 hours of labor, trying everything to deliver Zoe vaginally, an unplanned C-Section was our last and final option.

There are plenty of things that I don’t like about c-sections.

A c-section is a major surgery. I haven’t really had surgery before so heading into the operating room made me a little nervous.

Right before my c-section, I watched the You Tube video of Ellen interviewing actress Kristen Bell about her c-section. Kristen Bell talked about how she loved the drugs and that the modern hospitals sure know how to take care of you. Although, I agree with the last part, I hated the drugs. They numb you from the nipples down. And let me tell you, it is really weird not to be able to move. The numbness started to wear off, so I was able to hold my baby right after they stitched me up. However, I was unable to walk until the day after my delivery. They put moveable compression tights on my legs to keep circulation flowing. And then the next day, the nurse helped me out of bed to walk. I was a little unstable, but she thought I did great.

Another thing about all the drugs is the fluids they have to give you. I had some swelling during the end of my pregnancy. The swelling started at 35 weeks. Well after the c-section my whole lower body was swollen. My butt, hips, legs, feet… I looked like an elephant. Anyway, the swelling also made it hard to take those first steps. Even though I was super swollen, the swelling went down in a couple days. Everything now is back to normal. I never thought I would be so happy to see veins and bones in my feet.

This really annoys me… I watched two natural child birth documentaries that were pro home birth and natural birth. These documentaries were awesome, but definitely put c-sections in a negative light.  I never thought I would have a c-section so I never read up on it at all. So all I knew about them was what I read and watched on the documentaries. And because they put them in a negative light, my main goal, was to avoid them if possible.

When you are laboring naturally, you trust your body and are only focused on your baby. However, during my c-section I had to put full trust in my doctors and medical team. Although, I only wanted to focus on meeting my baby, because I was having a surgery I never researched or planned for, I not only became concerned about my baby, but also about myself.

If laboring naturally, I wanted to see what was going on. But during my c-section they put up a screen, so you can’t see anything. Because of this, the memory of hearing my baby cry is so vivid and unforgettable.

I wanted to have delayed cord clamping done and have my husband cut the cord once it stopped pulsing. However, because during a c-section they need to work fast to close you up, delayed cord clamping is out of the question. (They can do it for a short bit, but not too the full time.)

I also wanted to have my baby in my arms immediately with all of the fluids on her. But they took her to clean her off first thing. My husband was able to be by her side and watch everything, which was pretty special for him. Mean while my head was turned trying to get a glimpse of her. I was able to see a little. I also wanted to see my husband’s look on his face when he first laid eyes on our daughter. Unfortunately, I wasn’t able to see his face. He was holding my hand, but was by my side, behind me. Plus everything happened so fast.

Once in the recovery room, my baby latched on and we breast-fed for about 45 minutes. But at first my body was shaking. I kept asking why, they told me it was the hormones. It was annoying, because it was hard to really enjoy that moment when I had uncontrollable shakes. But I held her the best I could. We did skin on skin and it was amazing feeling her warm skin against mine.

Everyone says it is a lot harder to recover from a c-section. This is true. Because of the incision it was hard for me at first to find a comfortable position for both of us to breast-feed. I also am not allowed to lift anything except my baby. So I’m not allowed to lift the car seat or stroller. So I have had my mom, sisters, friends, husband help me.

I went in for my 2 week check up and everything looks good. My next check up is in 4 weeks and we will discuss whether I can start working out again. I am so ready. So far my recovery has been pretty good and smooth. I am no longer on pain meds.

Now for the positive things about a c-section.

During a c-section you can’t see anything, so your ears are very important. The absolute best thing ever was hearing my baby cry. That cry is and will always be unforgettable. I also loved hearing the medical team scream out her birth weight and length. I remember thinking, “Wow, my baby is a big baby!â€

Now, although, my husband wasn’t able to cut the cord, he was able to run over to our daughters side and watch the nurse weigh her and clean her up. He also was the first to hold her, and bring her to me. This was very special for him.

Another very awesome thing about having a c-section, is that because it is a major surgery, you get to stay longer in the hospital. Some people may not consider this a positive thing, but for me it was. I’m a first time mom, who needed to stay at the hospital for the full amount of time so I could learn as much as I could from the nurses. The nurses were awesome and taught me a ton. I never felt rushed and even had time to talk with two different lactation consultants. When it was finally time to be discharged, I felt really comfortable heading home with my little one.

At first, I was pretty annoyed that I had to have a c-section, but now looking back it wasn’t that bad. And regardless of whether you have a vaginal birth or a c-section, both are experiences. I experienced a c-section and maybe with my next child I’ll try for a VBAC.

At the end of the day, the most important thing is that Erik, Zoe and I are happy and healthy.


Baby Zoe is 4 weeks old today!

Thank you Erik, for making me a mama! Everyday I am even more in love.

© 2015 sweat1xdaily

Zoe’s Birth Story

They say it is common for first babies to arrive late.
Well… August 15th came and went.
Baby girl was over due.

I never pictured her being late. I just thought she would come exactly on her due date. Why wouldn’t she?
Anyway, I had been off work for two full weeks, and everything was ready. My breast pump had arrived, my hospital bag packed, my birth plan written, took a tour of the hospital, nursery ready, car seat in the car. Now, my husband and I were just patiently waiting to meet our baby.

At 40 weeks, I was huge, feet swelling, uncomfortable. However, I still managed to go to the pool, grab lunch with friends… I even had one last dinner at Quarterdeck, a local crab house. I tried to keep moving in hopes to get the labor going.

I had an induction date scheduled for August 24th, 2015 at 9:00pm, in hopes she would be born on August 25th. But I was praying she would arrive sooner than that. The longer your baby stays inside, the bigger they grow. I also wanted to spend as much time with her as I could, considering I am heading back to work in late October.
On Monday, August 17th, my husband and I went to the doctor for a final ultrasound. They also checked my contractions, and fluid levels. Everything was good. The doctor predicted she would come in the next day or two.

That night I started to feel labor pains. I didn’t sleep well, and when morning came I started having contractions. I booked an appointment with my doctor so she could check my progress.
My doctor (Amy Porter) told me I was 4 centimeters dilated and 90% effaced. My contractions were 5-7 mins apart. She informed me that I was in the early stages of labor and that depending on my comfort level, I could go to the hospital or head back home to labor. I wanted to spend as little time as possible in the hospital so I went home. As I went home, Dr. Porter called over to Labor and Delivery to update them on my status, and let Dr. Paik (the on call doctor) know to expect my arrival later that day. Porter was confident, that I wouldn’t be going to bed that night with out a baby in my arms.

Around 4:00 pm, contractions were way more intense and closer together. So my husband and I decided to head to the hospital. My mom met us there as well.

When I got to the hospital I felt like maybe I should turn home. I wasn’t screaming in pain like they do in the movies. But I also didn’t want to miss the opportunity to have an epidural if I needed one.

The nurse checked my progress and again I was only 4 centimeters. Dr. Paik came in and told me she thought it was best to labor more at home. Although I was having consistent contractions, she thought I was to calm. She told me come back when contractions are so intense that I can barely walk or talk.

At 10:30, my contractions were consistently 2 mins apart. So I headed back to the hospital. At 11:00 pm I was admitted. I was still only 4 centimeters dilated. I was a little annoyed that there wasn’t any change. I was also starting to get pretty tired. I wanted to try to go as long as I could with out drugs. Plus an epidural is known to slow down your labor.

At 1 AM, I got the epidural. I was laboring in my back. But two hours later I realized I was still feeling pain. At 3 AM, I ended up having a second epidural. Finally it worked and I was able to relax.

My husband was with me the whole time. We decided not to call any other family members. There was no point calling them in the middle of tbe night when I wasn’t having any progress.

In the morning, August 19th, Dr. Porter came in to check my progress. She was very confident that we would have a baby while it was still light outside.

However, at this point I was 5 centimeters dilated. A little progress, but not much. She decided to break my water in hopes to get things moving. A couple hours later she checked my progress and there was little change.

The next step was pitocin. I wanted to try to avoid pitocin because in some cases it can lower the baby’s heart rate, putting the baby under stress. Anyway, at this point I was willing to try whatever to get things moving. Pitocin is used to induce labor, and in most cases it makes you dilate really quickly. Not in my case.

Dr. Porter came in to check and there was no progress. She gave me more pitocin to see if that would help, but it didn’t.

It was then that Dr. Porter asked me, “How big is this baby?”

At 36 weeks, I had an ultrasound that measured all of her limbs. They predicted at that point she was 6.5 lbs. in the 58 percentile. I started to freak out because I still had 4 weeks to go. Babies grow the most in the last month. However, I also heard that those predictions are just estimates that aren’t always accurate.

Well turns out their predictions were right on the money.

The therory behind why my labor was not progressing quickly: The baby’s head puts pressure on the cervics to helps with dilation. Turns out my baby is a big baby. Although, her head was low and in the right position, my pelvic area was to narrow for her head to put pressure on the cervix.

So the next step was unplanned C-Section.

I never ever imagined that I would have a C-Section. It just never crossed my mind. I watched all of the natural child birth documentaries. I always thought I would just have a quick natural vaginal labor.

I was a little freaked out, but something had to happen… I had been laboring for over 36 hours. I asked my husband if he was okay with me having a C-Section, and he said whatever the doctor and I thought was best.

Around 3:30, I texted my mom to let her know, that I was being prepared for a C-Section.

My husband was by my side the whole time. I was freaking out and started to cry. He comforted me and I quickly pulled it together. I didn’t want the stress I was feeling make my baby stressed.

I was wheeled to the operating room. The whole medical team introduced themselves. The anesthesiologist numbed me from the nipples down. They put up a screen so I couldn’t see anything. My husband held my hand.

Finally, on August 19th, at 4:19 pm, I heard my baby cry for the very first time. I immediately felt relief, saying to myself, “Oh thank God!” I felt overwhelmed with love.


Then I saw a glimpse of my baby as the nurse went to clean her up. She was all purple, white, a little bloody. My husband left my side to see the baby and he got some great photos too. My head was turned in the direction of my baby. I could see the nurse cleaning her off. I kept trying to see my husbands facial expression. I kept trying to see my baby. Finally my husband brought our baby girl to me, it was only for a second but at least it was something.


Then we were off to the recovery room. It was there that I was given my baby. We did skin on skin and she latched on. We breast fed for probably 45 mins until we were able to be transferred to a mommy and baby room.

Everything happened so fast. But I’m glad because the quicker I could get my hands on my baby the sooner we could start bonding.

Although, a C-Section was not in our plans, there are some positive things about C-section births. ( I will write about this in my next post.)

And at the end of the day, the most important thing is that both me and my newborn are healthy and safe.

It is hard to believe two weeks has gone by.
Our baby girl, Zoe Annalise Leonard was born on August 19, 2015 at 4:19 PM. She weighed in at 8 pounds 15 ounces, 20.8 inches long. She is the sweetest, most snuggley baby ever. So cute she is always making her mommy and daddy laugh.


Happy two weeks baby Zoe!!

© 2015 sweat1xdaily