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Birth Plan

NickysMumMum by NickysMumMum Talking(January 2007) (rank 112th)
To write a birth plan or not to write a birth plan? That is the question.

In my last advice I suggested that Birth Plans should be thrown out the window. First time mums beware. If you set too high expectations of yourself and your birth experience you are in for a shock. Murphy's Law will prove that things never go according to plan. But after having a baby under traumatic circumstances you are in no state to realise this and will be left an emotional wreck, believing you have failed yourself. Don't mistake me I didn't plan the 'perfect birth'. I read about absolutely everything about labour and understood every kind of complication which could occur. My philosophy was that "I should expect anything but hope for the best". Unfortunately, I didn't count on having EVERYTHING go completely wrong and I developed every complication possible.

I wrote a birth plan that went something like this:

    Dear doctors and nurses,
             Thankyou for looking after me so well during my pregnancy. I look forward to having an active birth at <               > hospital. I understand that Placenta Praevia may be a problem but would like     to have a natural birth if possible.
  1. Support People: I would like my partner Brad and his mother Jen to support me through the labour
  2. Pain Relief: I would like to have an active birth. I might use the gas but would prefer not to have an epidural. I would like the midwives to assist me with breathing techniques to help with pain
  3. Intervention: I expect that doctors will intervene only if necessary for the safety of the baby and myself
  4. Episiotomy: I would like to use birthing strategies which avoid the necessity for an episiotomy
These aren't necessarily unrealistic expectations. I went to antenatal classes and learned further about what to expect from the labour and birth (on top of extensive reading). I knew when to go to hospital and when to hold off and wait. I thought I had it all planned. WRONG!!!!!!

To read an account of my experience, click here
   
My point at the end of all this is that a Birth Plan can be quite detrimental to your emotional state after giving birth. The fact is that giving birth is one of the most stressful and painful experiences that you will ever face and no birth plan is going to stop that. Birth plans are designed to alleviate anxiety before you give birth so that you can put your thoughts in order for what you expect might happen. But birth plans do paint a pretty rosy picture. I must say I was very calm about the whole idea of giving birth given that I had it all planned out. The fact is that things don't usually go according to plan. And when this happens you might wind up feeling that you have failed yourself. If you find this, like me, you may end up with depression. It's a fact, if you don't meet your goals you tend to get depressed. After giving birth these emotions are intensified tenfold.

Hayley xxx

PS I'd really appreciate any feedback on other people's experience with the use of birth plans. Please comment below.
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injenuity
5.00 (Excellent) | August 2007 | injenuity
Re: Birth Plan
I had a birth plan in place at the hospital with my second daughter.  Unfortunately, I lost her at 34.5 weeks.  Although I had planned a natural birth with hypnosis, I quickly changed my mind and wanted the drugs, once I found out my baby was gone.  I was glad I had submitted the plan earlier, because I was in no state to let the hospital staff know my wishes at the time.  I think the staff also appreciated not having to ask me directly.
I had my son a year later with the same hospital and staff.  They remembered my plan from the previous year and were very respectful.  I was so grateful to them for paying attention to the plan.  I think one thing that helps is to contact the delivery staff in advance and ask if they are supportive of birth plans and what they would like included.  Think of it as a way to communicate your wishes during a time when you may not be able to do so yourself.


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Sarsie
5.00 (Excellent) | August 2007 | Sarsie
Re: Birth Plan
Hi
I read your story, what a terrible birth! Its so wonderful that you two are ok now tho.
I was very surprised to see that you live in Australia, I didn't think they used morphine in births here anymore!
It sounds like nobody was really listening to during your labor at all. I wonder if maybe not being in control or listened to is the real problem and not the birth plan at all.
As a child I was always extremely scared of labor and birth because of the horror stories I heard. So when I found myself pregnant with my (four month old) son, I read everything about labor and birth I could get my hands on. I especially sought out birth stories to get a real picture of birth. I found that EVERY labor is different.  I took that into account when I wrote my birth plan, or birth guideline as i called it.  I wanted to do things as natural as possible but I concentrated in letting my health care professionals know that I was not opposed to their help, but my support people and I were to be consulted before any intervention. I also made sure my partner mom and sister (my support people) knew what i wanted and what was non negotiable.
Giving birth was the hardest thing I have done. Not much went the way I had planned.
 (My labor started with strong 40 second contractions about a minute and a half apart and lasted for twenty two hours. Most of this was done at home as I was also told to go home or risk unnecessary intervention. I was also passing out in between contractions because I unfortunetly  took two strong sleeping tablets the nurses  assured me would give me some much needed sleep. I ended up having and epidural and sleeping the last two hours.)
Gee sorry this is so long... the point is I still think birth plans are great as long as you dont expect everything to go exactly to plan. Just like any other thing in life we need to aspire to something. Reach for the stars and be happy if you only bring back the moon, i say.
sorry if this sounds preachy
its certainly not meant to


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edwards
5.00 (Excellent) | April 2007 | edwards
birth plans and stuff

Hi

Don't you think that most of the role of mother, birth and pregnancy are all seen through a rosy image of 'what is should be like'? Our images of motherhood in society are strong and are reinforced continuously through all agents of socialisation such as family, school, media... So when we realise that it is the most difficult thing ever... we think, this shouldn't feel like this I should be able to manage and feel disappointed that we have not achieved such expectations.

I have though a lot about this and when my friend who is 28 weeks pregnant wants to discuss things, I feel torn. I was surpirsed at this. I was ready to tell the world that its really hard and nothing will prepare you etc etc but I don't want to tarnish her experience either, maybe she will not find it as tough as I did, maybe her birth will be easier and less traumatic. So in the end I guard myself a little, but tell het that I am here if she needs me. I have told her that it is hard but I wouldn't change my son at all as he is fab- thats the truth...just not all of it.

I believe that as a society we do not look after mothers / mums-to-be as well as other places and this includes all the care that is involved with family as we have seen 'the family' as a private and ideal institution for far too long. We do not like to get involved in private matters as a result abuse, violence, care or rather lack of it is underestimated and this includes the after care of mothers.

Sorry this wasn't meant to be my soap box thing. I'll stop going on.

 



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kseers
5.00 (Excellent) | January 2007 | kseers
PS
In addition to my comment below - can I just add - if there is something you cannot deal with, remember it may happen (that sounds horrible I know) and be flexible.  i remember saying for my first "I couldn't deal with a caesar" and that's what happened.  We could deal with it and despite saying otherwise my hubby held my hand the whole way through.  However, because I refused to deal with it I knew nothing about recovery etc...  So my advice is prepare for everything. 

Would anyone like me to post my preferences letter as an example??


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      NickysMumMum
4.00 (Good) | January 2007 | NickysMumMum
PS
I know exactly what you mean. I knew that given my family history I was at risk of PND but thought because I was so happy and excited my mind was strong enough to fight it. Instead of PND I got something much worse. A post-partum psychosis. I didn't know anything about these so was totally unprepared.

You're right, it's very important to be flexible with your plans because you never know what emergencies may arise. This was my problem. I was trying too hard to avoid doctor's intervention. Instead I should have been prepared to just go with the flow.

i like your plans too. Atmosphere is very important to the birthing experience and can help you relax.

Thanks for your feedback 's Hayley


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kseers
5.00 (Excellent) | January 2007 | kseers
Birth Preferences
I had a lengthy birth plan with my first pregnancy.  However due to a very quick emergency caesar, it was not even looked at.

However for pregnancy number 2 I wrote a birth preferences letter (one page).  It was a letter to the staff saying how I envisioned my birth - what was negotiable and what was not.  And it thanked them for their support.  I took it to the hospital BEFORE the birth (ie when I booked in) and showed it to my ob before too.  Some things could not be changed (eg constant monitoring due to previous caesar) but most things were done - eg dim lights, music playing, husband present, quiet room, lack of interference, baby breastfed etc...  It worked well and gave them some idea what to expect of us when I called to say we were coming in.

My only negative experience this time around was getting a third degree tear and being told by the ob "you said you didn't want an episiotomy (no, I actually said I didn't want an UNNECESSARY one) so God gave you one anyway!!" Thanks, mate (not funny)!


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blackwidowkate
5.00 (Excellent) | January 2007 | blackwidowkate
birth plan 2
Hi
Well i am here about to read your story
Everyone tells you the thing to do but how do you do it
Luv Deb


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ckelly
5.00 (Excellent) | January 2007 | ckelly
What a story
Thanks for sharing your story - I am glad that you are both healthy now. No matter what happens in the birth - a happy healthy baby is the best outcome. 
When i was pregnant with my first baby, I didnt want to know anything about birth, i knew where the baby came out and that was enough for me. I didnt write a birth plan, I hadnt even worked out how I was going to get to the hospital (only 5min away). I was lucky enough to have a good family history of births, (quick and simple). When the time cam my mother drove me to the hopital and 3 hours later bub was born. My baby did have to be vacumed out and I was cut, but all that healed and as I said the end result is a happy healthy Baby. I didnt want a birth plan, because i didnt want any 'expectations' to live up to, I guess everyone is different


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      NickysMumMum
5.00 (Excellent) | January 2007 | NickysMumMum
What a story
You're exactly right. The most important person in the world to me is Nicky. He was in my womb too. I lost sight of this while I was sick and became quite focussed on myself and how I was feeling. It took me a couple of months to realise that. I'm choosing to focus on more positive things in life now.


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crazy-mumma
5.00 (Excellent) | January 2007 | crazy-mumma
Birth plans can be a good thing

Im so sorry to read that you had an horendous birth experience.  I too felt that birth plans were unneccesary with my first pregnancy. As it turned out I had a c/s as A was breech so it would had been redundant anyway. My thoughts at the time were that I had NO IDEA what was going to happen so how could I write down how I wanteds it to go. However with my second I completely changed my mind. I now think the birth plans are essential. Not they type that state that this MUST be done and that MUST NOT be done as nowbody can predict what will happen at a birth. However I have very strong views now about my care and my babies care. I ended up with a successful VBAC with my second birth and my birth plan was followed to the letter. Im that I mean for example, I wanted to be the one to ask for pain relief not be offered/forced. I didnt want baby out of my arms/sight unless a medical emergence after the birth. I did end up having an episiotomy and vaccume (she was posteriour) and although I stated that I would preferr not to have these unless absolutly neccessary, at the time they were so I was happy with the way it went.

So after all that ramble what Im trying to say that as long as a birth plan is not ridged I think they are a fantastic idea to get across your phylosophy on childbirth and care.

 



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      NickysMumMum
5.00 (Excellent) | January 2007 | NickysMumMum
Birth plans can be a good thing
I see your point. It would be pretty to horrific to go into child birth not knowing anything about what to expect. It is important to know what you want. And I whole heartedly agree this should not be set in stone. Nor do you want to go into child birth expecting that everything is going to go wrong. I've come to realise that in future my only plan will be to safeguard the baby and myself. In saying all I have about birth plans, I will actually have one for the next baby. I'd like to avoid everything that went wrong this time, and provide doctors and nurses with an appreciation of what I've gone through in the past.

Like you said flexibility in a birth plan is essential. You really don't know what's going to happen. I was pretty crushed by my experience and felt to some extent I'd put high expectations on myself.  

Hayley xx


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      NickysMumMum
5.00 (Excellent) | January 2007 | NickysMumMum
Birth plans can be a good thing
I mean to congratulate you first on having a VBAC. That's pretty brave of you and I know that many women can't. You have much to be proud of. Well done!
's Hayley xx


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astrobeka
5.00 (Excellent) | January 2007 | astrobeka
birth plan

I totally agree that we set ourselves up for dissapointment.

Instead of a birth plan, focus on being prepared for anything, and willing to do whatever is necessary for safe delivery of your child! Be firm with the staff if you think something is not right.

No birth plan, listen to your body! and put your foot down... demand an ultrasound or scan and constant monitoring of your baby! Don't let them talk you out of it! It is your labour experience, not theirs!



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nell18-3
5.00 (Excellent) | January 2007 | nell18-3
Birth Plan
Good piece.
When I went into labour with my 1st nothing was as I expected for a start, my 'show' was more like a heavy period, frightened me to death as I was sure I was losing another baby (had previously had  a miscarriage) I also remembered from classes there would be a point you want to push but you musn't as you will damage the baby's head. I remember screaming "Stop me I'm pushing,  I'll hurt my babys head" How can you stop pushing at that stage??? I never worked that out even 3 babies later.
With my 2nd, my daughter I was already 3 weeks overdue and they wanted me to leave it another week, after demanding something was done, I was kept  in hospital to be induced the next morning, well during the night I went into labour myself, just as they wired me to the monitors, we saw baby's heartbeat flashing around 140 then alarms all started bleeping as suddenly it stopped and went to 20 It was horrific, she was born very fast I remember only seeing her for a second as they rushed her away, she had got severly distressed and passed meconium in the womb, had swallowed it and had to have her stomach syringed. Bless her what a start to life.
The other two were relatively straight forward forunately.
I think birth plans are great, but you have to accept that they can't be written in stone and if anything unpredictable happens you have to be prepared for things to change last minute.


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      NickysMumMum
5.00 (Excellent) | January 2007 | NickysMumMum
Birth Plan
Expectations can be the end of us. Thankyou for telling your story. It must have been pretty scary for you when your 2nd daughter was born. And you didn't get to spend time with her after she was born, another reason for you to be pretty upset. The NICU doctors and nurses do a fantastic job of looking after sick babies. But it must be so scary for anyone who goes through what you've gone through thinking you're bubby is in jeopardy. I can only imagine what it must be like. I was very lucky. Nicky showed signs of being perfectly healthy. His heartbeat was strong and regular. He was lucky considering how long my labour and pushing stage was. And he got a little nick on the top of his head from the scalpel but it was only tiny. He had a lot of bruising on his head but the doctors assured me he was okay.

Everyone always commented that Nicky 'has a good set of lungs'. He cried so forcefully and loudly. For many of my own reasons I literally didn't put him down for 2 months. I held him all the time. Whenever he was put down or not being rocked, he cried. Maybe there was something wrong. I was in no fit state to see it. I just thought it was my job as mum to comfort him the best I could and help him get to sleep. He ended up having surgery at 11 weeks.

Thanks again for taking the time to hear my story

's Hayley xxx


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angelmum
5.00 (Excellent) | January 2007 | angelmum
OMG
You poor thing, that would have to be the worst birth story I've ever heard, glad you and bub survived, and no it was far from boring, can't wait for the rest, very well written.


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      NickysMumMum
5.00 (Excellent) | January 2007 | NickysMumMum
OMG
Thankyou, I've dealt with it for the last year and come to realise that it wasn't that bad after all. It could've been MUCH worse. I must say it's taken a year of therapy and medication for the first 6 months to get over it. There is light at the end of the tunnel for anyone who goes through a traumatic birth. It begins with appreciating that 'Hey that was hard'. I know there are so many others stories though and I bet people are going 'oh whoa is me... another story to make us feel like poo all over again' I promise that wasn't my intention. I really want anyone who's having a baby to hear me, or anyone who's gone through what I have to know that it's not hopeless. Unfortunately some people who go through a psychosis like I went through never come out of it. So they won't be hearing me. It can be prevented if pregnant women know the dangers and risk factors.

I wonder if many will actually read this and it's worth my while even writing it. I have pretty low confidence. I know people probably don't think so from the way I write. I think it's got something to do with depression. I wonder if some members are actually neglecting to read my story because of the stigma surrounding depression. I hope not.

I'll wait and see if anyone shows any interest before I continue on. My confidence is taking another beating. I'm pretty hard on myself.

Sorry to offload to you like this. Don't we all feel like this at times when we write something so close to home?

's Hayley xxx

Anyway,


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breannababy
5.00 (Excellent) | January 2007 | breannababy
WOW
My first bub and I nearly died,but this is an absolute horror story aaarrggghhhh  Poor you and Brad........ Well written  Hugs Merle


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      NickysMumMum
5.00 (Excellent) | January 2007 | NickysMumMum
WOW
Yeah, I hope it doesn't scare people too much. I was very lucky. i can't tell you how happy I was that Nicholaus was perfectly healthy and beautiful in every way. it was a little difficult therefore for everyone to see why I was concerned about feeling sick (and showing it).

I feel so terrible for anyone who has lost a loved one through child birth. My step sister had an anaphylactic reaction during childbirth and lost bubby Sarah and it's taken a long time for my family to recover. I know I'm pretty fortunate and it could always be worse. Hayley xxx 


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