Friday, January 22, 2010

Birth Plan

My Wishes for Childbirth - Nicole Ann Massie

Due Date: 03/25/2010
Patient of Dr. Misty Day
Scheduled to deliver at St. Johns Mercy Medical Center


01/20/2010
To Whom it May Concern

I am creating this birth plan prior to my labor in order to make my wishes clear to my doctor, and the nurses at the hospital where I am delivering. These are the items I consider important in the birth of my unborn baby and I would like them to be followed as closely as possible whenever able. I understand that a circumstance might come up where either I may change my mind or that my doctor may feels that it is in my best interest to deviate from my birth plan. I will be flexible, although I ask to be kept informed ahead of time of every aspect of my labor.

Sincerely,
Nicole Massie



Labor

•I would like to be free to walk around during labor.
•I wish to be able to move around and change position at will throughout labor.
•I would like to be able to have fluids by mouth throughout the first stage of labor.
•I will be bringing my own music to play during labor.
•I would like the lights in the room to be kept low during my labor.
•I would prefer to keep the number of vaginal exams to a minimum.
•I do not want an IV unless I become dehydrated.
•I would like to wear contact lenses or glasses at all times when conscious.

Monitoring •I do not wish to have continuous fetal monitoring unless it is required by the condition of My daughter.
•I do not want an internal monitor unless My daughter has shown some sign of distress.
Labor Augmentation/Induction
•I do not wish to have the amniotic membrane ruptured artificially unless signs of fetal distress require internal monitoring.
•If labor is not progressing, I would like to have the amniotic membrane ruptured before other methods are used to augment labor.

Anesthesia/Pain Medication
•I realize that many pain medications exist. I'll ask for them if I need them.

Cesarean

Unless absolutely necessary, I would like to avoid a Cesarean.
•If a Cesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.
•I would like My Fiance present at all times if My daughter requires a Cesarean delivery.
•So I can view the birth, I would like the screen lowered just before delivery of My daughter.
•If My daughter is not in distress, My daughter should be given to My Fiance immediately after birth.

Episiotomy
•I would prefer not to have an episiotomy unless absolutely required for My daughter's safety.

Delivery
•I would like My Fiance and/or nurses to support me and my legs as necessary during the pushing stage.
•I would like a mirror available so I can see My daughter's head when it crowns.
•I would like the chance to touch My daughter's head when it crowns.
•Even if I am fully dilated, and assuming My daughter is not in distress, I would like to try to wait until I feel the urge to push before beginning the pushing phase.
•I would like to have My daughter placed on my stomach/chest immediately after delivery.

Immediately After Delivery •I would like to have My Fiance cut the cord.
•I would prefer that the umbilical cord stop pulsating before it is cut.
•I would like to hold My daughter while I deliver the placenta and any tissue repairs are made.
•I would like to hold My daughter for at least 15 minutes before (he/she) is photographed, examined, etc.
•I would like to have My daughter evaluated and bathed in my presence.
•I would prefer to hold My daughter rather than have (him/her) placed under heat lamps.
•I do not want a routine injection of Pitocin after the delivery to aid in expelling the placenta.
•I would like to donate the umbilical cord blood if possible.

Postpartum
•I would like a private room, if available.
•Unless required for health reasons, I do not wish to be separated from my baby.
•I would like to have My daughter "room in" and be with me at all times.

Breastfeeding

•I plan to breastfeed My daughter and would like to begin nursing very shortly after birth.
•Unless medically necessary, I do not wish to have any bottles given to My daughter (including glucose water or plain water).
•I do not want My daughter to be given a pacifier.

Photo/Video •I would like to take still photographs during labor and the birth.

Other
•My support person(s) is/are (support people) and I would like them to be present during labor and/or delivery.
•I would like my other child/ren to be able to visit me and My daughter in the hospital.
•I would prefer that no students, interns, residents or non-essential personnel be present during my labor or the birth.

30 weeks- almost done!!

Another week has past and was relatively uneventful! Well if you consider Braxton Hicks contractions on and off uneventful :) They have been continuing to come and go as they please. I usually get a handful everyday and they are usually in the morning time, they are not painful just uncomfortable and a little annoying! But at the same time they make me excited for what's to come....YOU!!!


I also had a doctor's appointment this week, just a routine one! We did discuss the contractions I was having and she said as long as I have no more that 5 an hour then all is OK. She then listened to your little heartbeat, 155, which is about where you have been the whole time. Then she finally measured my belly...which I know is big :) I go back in 2 weeks to start the weekly non stress test and ultrasounds. I am very excited about having ultrasounds every week, but not about those pesky non stress tests! So hopefully those all go well!!

Daddy has been making fun of my breathing lately because it is getting bad, especially when I'm trying to sleep. I know its because you are getting so big and pushing all my organs up so my lungs are not able to expand, but holy cow I huff and puff just sitting on the couch!! I am looking forward to when you drop into the pelvis because then maybe I can get off the couch or walk across the room without feeling like I'm going to pass out!

Most of this week though as consisted of my thinking about this labor and birth and how I would like it to go. I mentioned in my last post that I was thinking about trying for a natural birth, no pain meds! That is my main goal...well besides a happy and HEALTHY little girl. I am really considering trying the hypnobirthing, and a friend of mine has offered to lend me her hypnobirthing books and Cd's! Another one of my friends is a music therapist and is trained in music assisted childbirth and has offered to talk to me about that too! I am really excited to try some of these techniques because I think it is just what I needed to have the birth that I have always wanted! Through all this research I have also decided to create a birth plan which is something I have never done before. I found it so empowering and I really hope we are able to stick to the plan for the most part! I will add my birth plan in a separate post!

I think that about sums up this week, until next time!

I Love You,
Mommy

Thursday, January 14, 2010

29th week!

This has been a rather interesting week!

I have been having Braxton Hicks contractions for a while now but lately they have been happening more often. Not painful just really uncomfortable, but nothing consistent or to make me think I'm in labor. so slow down little one you need to stay in for at least another 11 weeks!

I also have noticed my feet falling "asleep" a lot lately, I'm assuming its because of the increased amount of pressure and weight that I'm now carrying around. It was so bad the other morning daddy's alarm went off and I jumped out of bed like I normally do to hit the snooze and once I was up I realized I could not feel my foot. Thinking I could walk across the room to the alarm, I ignored my sleepy foot and went for it! Bad idea...I could not walk at all and collapsed in the middle of the room, its rather funny now but I wasn't laughing at the moment. Your daddy jumped up to make sure I was OK and help me back to bed. I was OK!

This past week I have been hungry for what seems like most of the day. Like I could continually eat all day, I never feel full! I haven't really had any bad cravings with your like I did with the boys. I remember with Timothy I craved fish for breakfast and even went to steak N shake one morning and ordered the fish dinner HA HA!! But with you its all about the ice cream. Now I'm normally a big ice cream eater and could eat it anytime of the year anytime of the day! I swear I have been eating my chocolate ice cream in the morning and I will eat a half a gallon of ice cream in less than a week...crazy I know!!! I'm sure your loving it but I know my hips and butt are not!


Next week we will be 30 weeks, can you believe it?!?! I am getting so anxious, yet I'm still so nervous even though this is my third little one! I have been thinking about really going for a natural birth this time with no epidural or pain medicine. I have said this with the boys too and ended up with the epidural but I have been doing a lot of research and I know I can do it. I will talk more about that next week!

I guess this is all for now.

I LOVE you,
Mommy

Thursday, January 7, 2010

28 weeks!

WOW.....28 weeks! I really cannot believe I am almost there! Its crazy how fast this pregnancy has went. I remember being pregnant with your brother Timothy and it seemed like I was pregnant FOREVER, I was so happy to finally give birth HAHA. Then with Mason it went a little fast, and with you I feel like I have not had time to sit still and just enjoy being pregnant! Especially since you are most likely the last little one for us :)

I had a doctor appointment on Monday morning. I had my blood drawn for my glucose test and they said that if I didn't hear from them the next day then no news is good news! So I think we passed WoOHoo!!! Then I also had an ultrasound done to make sure you were growing well because apparently being on blood pressure medicine can result in small babies. Well we know that that is definately not your case. In fact you seem to still be measuring a week big at around 3lbs 4oz, now I know that the ultrasounds can be off by a couple pounds but I don't think you are :) I even got to see you taking some "practice" breaths and your little tummy was going up and down, and then ofcourse you must have been drinking a little too fast because then you got the hiccups. All of this was very cool to see happen, it must mean we are close, right?! I even spotted a little hair, not too much but some peach fuzz! I just need enough to put some pretty bown in so work on that for me ok!



I go back to the doctor in 2 weeks for a regular chekup, and then 2 weeks from then I go again for a non stress test and an ultrasound to keep an eye on things. Then I will most likely be going every week for a NST and ultrasound until you are here.

Nothing else that new going on, just the same old stuff. Still tired, still having trouble sleeping, still eating everything in site, hips and pelvis still hurt, you know BLAH BLAH BLAH. The joys of pregnancy! But a plus is you as active as ever moving all the time. I LOVE to just lay on the couch and watch my belly do crazy things! One of these days I will catch ya on video....

Oh well until next time,

Love you, Mommy