Birth Plan

My name: Marina Vilkoff (Vilkova on HealthCard)

Husband's name: Boris Vilkoff

Due date: 09/07/01

Doctor: Susan M. McFaul

Following is a statement of our birth plan and childbirth choices.

Thank you for taking the time to read this and helping us realize our birth plan.

Personal Preferences (for vaginal delivery)

I would like to be informed about all the procedures, its benefits and risks, and the alternatives (including not doing it) and their benefits and risks.

Please, please, NO STUDENTS.

Procedures and Labor:

Maintain mobility (walking, changing positions).

I do not want an IV unless I become dehydrated.

I would like to choose my positions for pushing and giving birth.

Monitoring:

I do not wish to have continuous fetal monitoring unless it is required by the condition of the baby.

Pain Relief:

I plan to give birth naturally without medication and will be coping with pain using relaxation, breathing techniques, shower or tub, massage.

Induction/Augmentation:

I do not wish to have the amniotic membrane ruptured artificially unless their are signs of fetal distress.

If labor is not progressing, I would like to have the amniotic membrane ruptured before other methods are used to augment labor.

I would prefer to be allowed to try changing position and other natural methods before Prostaglandin gel or pitocin (or anything else) is applied.

Complications & Cesareans:

Unless absolutely necessary, I would like to avoid using of forceps & vacuum extraction.

Unless absolutely necessary, I would like to avoid a Cesarean.

If my primary caregiver recommends a cesarean birth I would like a second opinion if time warrants.

After (vaginal) delivery:

I would like to have the baby placed on my stomach/chest immediately after delivery.

I would appreciate having the room as quiet as possible when the baby is born.

Placenta:

Encouraged with breast stimulation, baby suckling.

I do not want a injection of pitocin after the delivery to aid in expelling the placenta.

Unless absolutely necessary, I would like to avoid manual placenta removal.

Episiotomy:

Prefer No Episiotomy (try for intact perineum with massage, hot compresses, controlled pushing and positions to promote perineal stretching.

Local Anesthesia (for repair).

Cesarean Delivery:

My husband present.

The baby held by my husband soon after birth.

Breastfeeding as soon as possible.

Baby Care:

No washing off remaining vernix caseosa after birth.

Baby skin-to-skin with mother before cutting the umbilical cord.

Umbilical Cord:

Clamp and cut after it stops pulsating.

Eye Care:

Delayed for bonding time.

Feeding Baby:

Breast feeding only.

No pacifiers or glucose water.

Separation:

No separation. Baby and mother rooming in.

In Case of Sick Infant:

Breast feeding as possible.

Handling the baby as much as possible.