Birth Plan

Birth Preferences

 Our names are Nurul Izzah & Mohd Hafiz

We like to be called Nurul & Hafiz

Other notes: We will be HypnoBirth / Waterbirth

We’re hoping for a natural childbirth without unnecessary interventions or the use of drugs. We appreciate your support with our birth preferences.

This plan represents our preferences; however we recognise that in the event of unforeseen difficulties it may need to be re-negotiated. Please discuss all options with us. We would then like the opportunity to contemplate our options without the presence of any medical staff. We would like the birth experience to be respectful and private as we know this is conducive to a successful birth, with minimal interruptions, quiet voices and dimmed lighting.

ACTIVE BIRTH

• § I would like the freedom to choose positions, use the shower or bath and walk around in labour as desired.

• § I am happy to have intermittent external fetal monitoring unless continuous monitoring is medically necessary.

• § To use natural oxytocin stimulation and to be accorded privacy to do so.

• § Please don’t offer drugs; I am aware of the options for pain relief and will ask for it if needed.

• § I wish to be free of time limits and not have my labour augmented unless in a medical emergency.

• § I wish to minimize the dilation checking of vaginal examinationand do it with permission.

• § I would like to have no episiotomy, unless there is a genuine medical emergency. Please allow time for the perineum to stretch naturally.

INDUCTION / AUGMENTATION

If baby and I are well, I would like my baby to decide his/her own due date. I am happy to discuss a plan should my pregnancy reach the end of term at 42 weeks. Should labour induction become necessary at any time, I'd like to start with the least artificial means first - i.e. nipple stimulation, acupuncture, massage or a stretch and sweep before a medical induction. I would like time to allow the natural inductions work.

If this is unsuccessful and a medical induction or augmentation becomes medically necessary I’d like:

• § To only have my waters to be broken at first instance if my cervix is open. I would like to be given a generous amount of time for labour to establish upon rupture of membranes (i.e. more than just a few hours) before other forms of medical induction / augmentation. I would like to go home if all is well, until labour is established.

• I wish to have no drugs and if a must, to be fully apprised and consulted before induction of any medical procedure.

CAESAREAN

If a caesarean becomes necessary I’d like:

• § For my husband to be with me.

• § For discussion to be respectful and minimal - only what is required medically and to inform me of what is happening

• § For the screen lowered so we can witness the birth of our baby

• § Unless prevented by medical emergency, I would like my baby to be placed on my chest while you complete the procedure

• § To be sure that a double layer suture is used and not a single layer in order to improve my chances for a future VBAC

• § For the cord to stop pulsating before clamping for reasons mentioned

• § The opportunity to breastfeed our baby in recovery.

DURING BIRTH

• § For my husband to ‘catch’ our baby and to hold our baby immediately after the birth.

• For mother to hold baby as soon as possible.

• § To have skin-to-skin contact without wrapping the baby.

• § To wait until the umbilical cord stops pulsating before clamping, to allow my baby to receive the valuable blood and iron stores.

FOR BABY

• § For all newborn procedures (weighing and measuring) to wait until I have had time to bond with and breastfeed our baby.

• § To delayed cleaning/rubbing vernix to be allowed to absorb into baby’s skin.

• § To be given only breastmilk – strictly no water or formula.

• § No vaccination to be administrated at birth.

• § To delay vitamin K and Hepatitis B injections until mentioned because we’d like the amount of injections baby has at birth to be minimal.

AFTER BIRTH

• § A wait for natural placenta delivery, baby still bonding with mother.

• § Not to have the routine Syntocinon injection, no cord traction, drugs or manual removal of placenta unless there is evidence of postpartum bleeding.

• § We would like to bring back the placenta as well.

• § All newborn procedures to take place with knowledge and in the presence of mother or father.

• § Baby to room in 24hours with mother.

• § To continue giving breast milk and strictly no additional medicine given orally.

We thank you in advance for your support and kind attention to our choices in anticipation of a beautiful and natural birth.

Please sign our birth preferences in good faith that it has been read, will be treated respectfully and that we have your support in all of the above.

________________________________ Signed

________________________________ Name

______________ Date

Kredit : Gentle Birthing Group