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Birth Plan for Stephenie Christine
written by her mother
Note: the original document is graphic-intensive, but in
the interests of upload time, I have rendered it as text.
- We ask that our daughter be referred to as
Stephenie Christine.
- We would like a nurse/technician to give
updates to family and friends waiting.
- [Father] would like to cut the cord after
it has stopped pulsating.
- After Stephenie is born, we would like her
to be baptized by a Catholic priest, with [grandfather] and [best
friend] present. Note: the doctors and nurses will clean [mother]
as much as necessary, knowing time is of the essence. After
the baptism, the priest, the grandfather, and best friend will
leave the room, and the doctor will finish with [mother]. After
the baptism and clean-up, we would like [siblings] to meet their
new baby sister.
- If the diagnosis is correct and Stephenie
is anencephalic, we desire only comfort
measures for her.
- [Father] and [mother] would like to bathe
Stephenie.
- We would like Stephenie with us at all times.
- Keepsakes requested: crib card, blood type,
blanket, hand prints, foot prints, hats, newborn picture, lock
of hair, bracelet; we would also like a plaster mold of both
hands, and feet.
- If necessary, [father] would like to spend
the night in [mother's] room.
First stage of labor:
Would prefer not to have students, residents,
etc. Maintain mobility (walking, rocking, up to the bathroom,
etc.) Eat and drink to comfort. Clear fluids and ice chips available
at all times. Heparin lock instead of an IV. Intermittent Monitoring
(ACOG Standards) with an external monitor. Only offer me pain
medications if I appear not to be coping with other measures,
relaxation techniques (breathing, focusing, etc.), water (shower
or tub), heat or cold packs. Ultra low dose epidural (walking
epidural). I wish to be able to change my position at will throughout
labor. I would like to be able to take pictures and/or video
tape during my labor and birth. I would like to be able to use
my own pillows as well as my own clothes during labor. Once I
cannot be mobile, I will use a hospital gown.
Induction:
I would prefer to use gels or suppositories
to ripen my cervix. If labor is not progressing, I would like
to have the amniotic membrane ruptured before other methods are
used to augment labor. If this is not working, Pitocin may be
used.
Anesthesia/Pain medications:
I would like to have a walking epidural. I
would like to keep any kind of medications to a minimum so that
I won't be "groggy" when Stephenie arrives.
Normal Childbirth:
Tears are welcome from friends, family and
all staff present. We would like you to join in our joy and sorrow
at Stephenie's time of birth. Please do not hesitate to share
your prayers and or feelings with us. I would like a mirror available
so I can see Stephenie's head when it crowns. I would like to
have Stephenie placed on my stomach/chest immediately after delivery.
I would like [father] to cut the cord after it has stopped pulsating.
[Father] and I would like to hold Stephenie while I deliver the
placenta and any tissue repairs are made. I plan to keep Stephenie
near me following the birth and would appreciate if the evaluation
can be done with Stephenie on my abdomen with both of us covered
by a warm blanket. I would prefer to hold Stephenie rather than
having her placed under a heat lamp. I would prefer to be given
a few moments of privacy to urinate on my own before being catheterized.
I would like eye medications for Stephenie to be delayed. I am
planning to breastfeed only if it is at all possible. I do not
wish for Stephenie to receive a pacifier or any type of bottle.
I DO NOT want to be separated from Stephenie at any time if possible.
Cesarean Birth:
I would like [father] to be present at all
times if Stephenie requires a cesarean delivery. I wish to have
an epidural for anesthesia. So I can view the birth, I would
like the screen lowered just before the delivery of Stephenie.
Again, the cord is to be cut by [father.] I would like to video/take
pictures at this time.
Episiotomy:
I would prefer an episiotomy rather than a
tear. I would like a local anesthetic to repair a tear or an
episiotomy.
Again, all tears, prayers, and words of comfort
are welcome to us. You are all sharing a most important part
of our lives. Please help us to find peace, and may God bless
each and every one of you.
Sincerely,
[mother] and family
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