Really I'm just hoping for things to go more smoothly this time whether it's a VBAC or a cesarean I just hope it goes more smoothly
Hey guys, it's Angel and welcome back to my channel
Today, I'm gonna talk to you about my birth plan or as I like to call them, birth preferences
so the reason why I like to call it birth preferences rather than a birth plan is because birth by nature is very
Unpredictable and it's really important to keep that in mind
Chances are that it will probably not go exactly the way that you want
Now, of course it would be so wonderful
if birth could be just like a menu and you
Can pick and choose every single detail that you would like and it would happen that way for you
But the reality is it just doesn't go that way
Even if you're at a very supportive hospital
Have a very supportive provider and you've had a very normal healthy pregnancy just sometimes things happen unexpectedly
And you might have to revert to a plan B or C or D (laughs)
That said, I know sometimes people get a lot of flack for having a birth plan
I still think that there's a lot of value in creating one if for no other reason
than it empowers you to research what your available options are for certain phases of the labor and delivery process
what the risks and benefits of those choices are
It helps you to get on the same page with your provider and with your nurses that are there so that they can help
Try to make your birth experience happen as close to what you would prefer as possible given the circumstances
I also feel that creating a birth plan is gonna help you to feel confident and prepared going into your birth
It's really important to have a positive mindset about it and to feel
Confident and supported and safe going into it having those feelings are gonna help that oxytocin to do its job
for your labor to progress
So if you feel like you're prepared you feel like you've got a good idea of what you want and people around you
Not only the medical staff
but also any support people like your partner, your mom, your doula...
If everyone's all on the same page, and have a general idea of what you want
They can help support you through that process and enable you to have a positive birth experience
Even if it doesn't go according to plan, even if it ends up being a last resort scenario
It could still be a positive experience overall
If you feel that you're supported and respected and they have an idea of what things you'd like to avoid
That they could avoid if at all possible
So with that said, I'm going to show you what I decided on this time around. This is my third baby
My first baby is six years old
I was induced a couple of days before my due date because I had gestational hypertension
and long story short
I'm not gonna go into that because it gets pretty traumatic and awful, but
it ended up in an emergency c-section
And when I say emergency c-section, I mean like STAT c-section
then two and a half years later,
I had my daughter
and I went into spontaneous labor
a few days after my due date and I ended up having my VBAC birth. That was my goal
It was a very very long very very hard labor and most everything that I wanted out of that birth did happen
Especially the most important things to me like having immediate skin-to-skin so I have very very positive and happy feelings
in regards to her birth, even though it was very difficult
and not exactly how I would have dreamed or imagined it to be
my daughter is almost 4 now
And I'm having my third and final baby
and my goal is to have another VBAC
Now, the good thing is, that since I've had one already my odds are really in my favor that I will be successful again
I think it's like 92% success or something like that
and the risks are also lower than they were for me last time
so that's good as well this time I decided to do a
visual birth plan because I think that it will make it a lot easier for
The nurses and everyone to look it over quickly and get the gist of what I'm looking for
It's also color coded. So the things that I am wanting
or ok with are green
Things I'm wanting to avoid are red, so it also makes it easier for them to
Quickly get an understanding of what I'm hoping to accomplish
At the top, I have my name and my husband's name
My Doula's name, and my birth photographer's name.
I also have that it's a baby boy
I don't have his name now because we haven't chosen one
and I think the most important thing is I have like a little disclaimer
So they're aware that I'm aware that
This may not all get to happen and that I am flexible
So it says, "we recognize due to the nature of birth, some of these may not be possible...
Please communicate with us as things change."
I've separated all of my choices into
Relevant sections to also make it even easier for them.
On the upper left,
I have pertinent history and that's just giving them an overview of my medical history. That would be relevant
So the fact that I have had a VBAC, have gestational diabetes, have gestational hypertension,
That I'm allergic to latex and certain antibiotics, things of that nature. If you were GBS positive...
You know, those kinds of things they should know. Those things are theoretically in your chart
But I just feel good about having it here on my birth plan as well. Just so it's handy for them
Now below tha,t I have the section for labor. So some of these things I'm pretty sure are standard at this hospital
Anyway, I did do a labor and delivery tour a few months back
The first thing is telemetry monitoring and I'm pretty sure that they mentioned that all of the rooms have that
I know with a VBAC, a lot of times doctors are more comfortable with continuous monitoring
Especially if you're being induced, which I probably will be
And so I know that intermittent monitoring is just not gonna really be a good idea for our particular case
and actually I'm more comfortable with the continuous monitoring myself because of what happened with my oldest son
I would just be more comfortable knowing that baby is okay at all times
next I have free movement. So again, I do want to be able to move around the room
I have that I want the lights dim
I also have in red- things like pain meds only on request
I know what my available options are if I want it
I will ask for it and
I am the type that I will not ask for it unless I really mean it and I really want it
So I also have that I don't want to do the discomfort scale
I don't want the on a scale of 1 to 10, how bad is the pain?
I don't want to be thinking about pain and how much it hurts
I don't want to quantify that. I want to stay positive,
and calm and relaxed and that just is kind of counterproductive to that
I also want to limit cervical exams. Last time I had so many of them
Every time they check you, you're increasing your risk that you're gonna get an infection,
especially if your water is already broken
Also, they're not very physically comfortable
and also they don't tell you a whole lot
Just like cervical checks before you go into labor. It's not a crystal ball
It's not gonna give them an idea of exactly how much longer it's gonna be
you don't necessarily dilate at a very steady rate you can go through spurts and things like that
It just doesn't tell you a whole lot, except where your cervix is right then and there
And last time I spent a really, really long time
at 3 centimeters and every time she checked me and I was still 3 centimeters,
It was so. discouraging.
and I'm sure it just made it take even longer. So this time around I've learned from that
I would rather not know as much and just let things go as they're going because if it's time for a baby to come out
It's pretty obvious
In which case? Yeah, they can check me real quick and double-check that I'm fully dilated
I also put down and I am doing the hypnobabies
So I am going to be listening to tracks throughout the process to try to stay in that calm, relaxed state
I also put to remind me to empty my bladder on a regular basis
I totally didn't do that last time and when you have a full bladder it can stall labor. It makes it more painful
So I don't really think about it because I'm trying to focus and get through the contractions
I also put that I want to avoid an internal monitor and when I say that I don't mean necessarily
The one on the baby's scalp
I don't have a problem with those because those do stay put really well and
Historically my babies like to move away from the Doppler ones, but the internal pressure catheter
Which is what they put inside to measure how strong exactly your contractions are
last time when she put it in. It was very very painful and then you are stuck in bed
You can't get up and move around. I don't like that
So I would like to avoid that if at all possible
And then lastly I have that I don't want to have a time limit
I don't want the pressure of all this is taking so long
I think that just adds to making it even more likely to take a long time
because now you're feeling the pressure and the stress of that and you need to just
Surrender and go with it
So I'm hoping that my doctor will be on board with that and not have an arbitrary time limit
Especially if my water is broken
I know a lot of people think there's like this rule of thumb that you need to deliver within 24 hours of your water being
Broken and while that is ideal, there's not a hard and fast rule
I want to be able to just go with the flow of the process and assess things as they happen. So if there is
Signs of infection or there is signs of the baby being in distress all of those things that they're worried about have other signs
That they can watch for and so I would rather them watch for those signs
instead of just assuming
Based on how much time has elapsed. I hope that makes sense
Also underneath here. I have a couple of sentences, you know things that were a little bit harder to put just in that little square
But are still like a very succinct sentence just to give a little bit more insight
So for labor, I have, "please avoid words like pain and contraction"
"Please use words like discomfort surge pressure instead."
"Please do not ask me questions while my eyes are closed." because if my eyes are closed
I'm probably in the light switch off mode with the hypnobabies
So I'm really needing to be focused and I'm not gonna be able to respond
Lastly, "if plans need to change and it is not an emergency,
Please allot time for me to discuss with my support partner(s) alone"
Instead of that medical person still standing in the room that kind of feels a little bit hostile
when they're there standing over you. you just wanna be able to freely discuss it, freely process it, and come up with your Decision
Next, I have the delivery section in the middle. It's mostly Green. There's not a lot of red there
And again, that's because thankfully this hospital is really supportive of the things that I would prefer and are pretty standard anyway
But just in case, I just have it listed so things like I want to wait for the urge to push
Last time this worked out really well when I was 10 centimeters
Instead of going okay, let's push just cuz you're 10 centimeters
She sat me upright, and we labored her down for over an hour and a half or so
Just let my uterus do its job.
When you're fully dilated, your contractions change
and they start pushing your baby down each time you contract. it's really cool. I actually felt
her moving down
and let your body do the work for you
Because until the baby gets really really down low in there
You pushing isn't gonna be able to get them out anyway
And so you can just exhaust yourself
before the baby's even low enough
for you to be able to help and that's how it went last time. I was able to push her out
In 30 minutes once we started pushing, so I would like it to go that way again this time. It was very successful
I also put on there, mother directed pushing. I do appreciate having a little bit of guidance, but I could feel the contractions coming
I felt like I had a good idea of when I needed to push and
sometimes it was really hard to hold my breath for the full 10 count and that was kind of frustrating
and there were times when they were like not yelling at me
but it just it was really chaotic because there were like three nurses in there and my doula
all talking to me and it was really overwhelming and I just want it to be a lot more calm this time and all
And also I put, "lower volume if coaching is needed"
So like you don't need to yell at me. you can can use your inside voice
I also put down alternative pushing position. the hospital that I'm birthing at has a squat bar on all of the beds
I definitely just want to try be more upright this time instead of on my back. Of course
I'm just gonna play it by ear and see what feels right when the time comes
I also put down that I want some counter pressure and stretching and massaging, to prevent tearing and
My last doctor did that for me
Even in between pushes. He's just sitting there like
And it really works. I did not tear at all
I put no episiotomy
I'm not interested in one unless it absolutely has to happen ing
I know a lot of times if forceps need to happen, sometimes they need to do the episiotomy
so they can get the forceps in. I know a lot of people are not comfortable with forceps
My doctor has been an OB for 38 years. He's very very experienced. He knows what he's doing
He doesn't use them unless they're necessary
So I'm comfortable with with him using them if he deems them necessary then I have that
I want immediate skin-to-skin and delayed cord clamping we did that last time it was amazing. I was looking at the
timestamps of my birth photos from last time and literally within the minute she was born she was on my chest and that was so
Awesome. It's just magical. It's so great for the bonding experience
It's so great for the baby
Her cord stopped pulsing all together before they cut it which was about 10 minutes later, though
I wanted to do it that way again this time and I have delay exams for bonding at the hospital last time that was like
Their standard they knew she was good and I was good. They're like,
"call us when you want us to come back and weigh her and stuff" and they left and so it was about an hour and
A half after she was born that I called and said, "okay. I'm ready." So it was really nice to do it that way
So I would like to do it that way again if at all possible, I have that I want breast feeding ASAP
I want the partner cutting the cord. Justin really liked doing that last time and
Physiological birth of placenta, I just don't want it... My dad described when my brother was born,
the doctor wrapped the cord around the scissors and he was like pulling with all of his might and
I don't want something like that
Um, you know if it can be helped
I mean obviously if it's been like an hour or two and it's doesn't come out or something then
Yeah, they're probably gonna have to get drastic and try to get it out
But you know if it's only been 10, 20, 30 minutes, like let's just you know
Be patient and wait for it , see if it's ready to come out on its own. you're less likely to have any
retained placenta if you wait on it to come on its own
Then sentences underneath that. I have, "if repairs are needed, please no extra stitch(es)" there is kind of this running "joke"
Which is awful about the "husband stitch" that some doctors do and it's not just a joke
It is a reality and there are some doctors that do that. and below that in the bottom. I have "in case of cesarean"
Because any, any birth has the potential to need to be a cesarean birth
you just never know, and in my particular case, you know, it is a very real possibility since we are needing to
Deliver him early. So I like having a separate area. Um last time I had it on a separate page
You know just somehow, somewhere, you want to think about what kind of things that you would prefer for a cesarean birth as well
Nowadays, there's more options with cesarean births. And where more hospitals are on board with
supporting some of the more gentle cesarean or
family-centered cesarean options
But they do want to know that that's what you want ahead of time so that they can set it up that way for you
it does affect their setup. So that's that I have that section here
So I have please narrate the procedure it took me a while to like word that I'm like
How do I learn this in an icon?
Basically, I just kind of want to have an idea of what's going on
So I feel more involved
In the process instead of things just happened to me and just so I can get like a heads up if something's gonna be uncomfortable
Or you know just have an idea where they're at in the process. I also put that I would like a clear drape
I'm not sure if they have them
I know the other
Hospital that I toured said that they have them if they don't have clear drapes and I want them to lower it a little bit
When it's time for him to come out
I also want to be able to do immediate skin a skin in the Oh are in breastfeed in LR if at all possible
I want them shoes still delayed cutting his court if they can if they can't I want them to
Milk the court next I put that I wanted to avoid
Sedatives because I don't want to feel out of it and for my son's birth
They gave me ketamine
I was hallucinating or I was basically unconscious even when I was
You know lucid it was like being extremely extremely extremely drunk the whole room was spinning and couldn't focus
Everything was blurry. It was really disorienting and that experience was way scarier for me. So I would rather just avoid those
And just try to be present in the moment and stay calm and other ways instead
however
I do want to get some kind of anti-nausea meds because I did end up throwing up in recovery
After my first c-section, I don't like vomiting. I don't like being nauseated
So if that could be helped, that would be nice
And then I also just have a little icon for having my arms free
And basically I went into a little bit more detail in the in the census below
I don't know how possible this particular thing is
I need to double check on this with my doctor and my next appointment
I do know that there's not a limit to how many people you can have in the delivery room
with a vaginal birth
And I do know that you can take pictures and video even if you want in the cesarean
ideally
I would like my husband my doula and my birthday agra fort should be in the or with us if I can't have three I
definitely want to
in which phase I think I would go with my husband and the
photographer because I do want to have some nice photos of the birth was my first
If they wouldn't let my photographer in and they would all warm idle it they would only live in actually
they've even let him my husband honestly talked her he was out but they
wouldn't let the photographer coming so she sent her camera in with one of the nurses and the nurse took some pictures, but it
Nothing real special nothing really over the birth itself
It was just a lot of the same kind of stuff that people would take themselves
So I would if I and have all three then those are the two I probably quite worried advise
but I would really like to have all three because I want my photographer taking pictures and she's just gonna be kind of off to
The side and not in the way I would want my husband to go with the baby
And so it would be nice to sell Magdala there to have someone there for me
Through the end of the surgery and then I have I would like minimal separation from my baby
So my son they took him away and we were separated for nine hours
Ideally, I would like to Namie separate from him at all. And I know sometimes that's possible
But if we do have to be separated
I don't want it to be like a really long time
Like hopefully no more than like half an hour and then lastly in the upper right hand corner. I have newborn care
So this is gonna be stuff that is no matter how he's born the stuff that they do after
The birth when they start doing, you know
The newborn procedures and you know over the course of the time that you're at the hospital
So the main thing is, please consult before food or meds, which hopefully is their standard of care
I know with my son II and the low blood sugar and they came to me and asked me if I wanted
To admit him to the NICU and get him an IV or if I wanted them to give him formula and then with my daughter
She needed an IV again. They presented me with what they wanted to do
I just want to make sure no one's trying to give him something without talking to us about it first
I have I wouldn't okay vitamin K
Yes to that and then I have no help tennis B, and it's not because we don't do it
It's just we do it with his other vaccines
I also have no circumcision and then I put in the sentences if baby's blood glucose is low I have
Colostrum and syringes to supplement. I've been harvesting colostrum
Anticipating if he might have a low blood sugar problem. I mean Kalinin did and I didn't even have gestational diabetes with him
Of course again, if you still need swimming they will do that. And then I please avoid using bottles or pacifiers if possible
I'm not totally anti pacifier. I'd rather it be at my discretion instead of uh nurses rushing
so I'm glad that I put this together it helped to kind of just get a general idea of
How I would like things to go this time based off of things that I've learned
From my first two births in what I anticipate might happen this time
But in the end all that really matters is that we both get out of it safely. So however that needs to happen
I'm okay with that. I'm at peace with that
My doctor is like the most of you back supportive doctor and the whole area home birth midwives and the birth center midwives
I use him as their backup OB and he is just a very experienced very competent
Also, you know very supportive of natural birth. He even still does vaginal breech birth
So I know if he feels that
Cesarean needs to happen. I trust his judgment and then it is something that is really necessary. Oh really for the best
So I'm at peace with knowing that it might not work out
I might not get a VBAC again and I'm just very grateful that I did get to experience that really
I'm just hoping for things to go more smoothly this time whether it's a feedback or a cesarean. I just hope because was totally
Preparing myself. I'm going into this with a very positive mindset
No matter how it goes staying home and a positive and hopeful it's going to help get through that process. So
If you aren't already subscribed to my channel, please go ahead and hit that button
So you don't miss out on any of my future videos including the birth stories. You can see how it went
Thanks so much for watching. Bye
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