Our Birthplan

This is our birthplan that was submitted and approved by Dr Haw Wan Lye from Columbia Asia Cheras Selatan. He is a pro-natural obgyn and I like him very much for being supportive. The listed requirements differ from standard hospital procedures and you can conduct a research on your own to find out the underlying pros and cons. Yes, you can undergo vaginal birth but that doesn't mean the birth is natural. Read more from variable source and you will find this is true.

This is our choice of birth and we believe without all the medical interventions, we are trying our very best to provide the most comfortable environment to welcome our baby. We hope she feels safe coming to the world, build her fundamental trust from the very first moment she arrives.

Parents’ Name : Choo Voon Wai & Soo May Shin

IC No              : XXXXXX-XX-XXXX & XXXXXX-XX-XXXX

Doctor             : Haw Wan Lye

BIRTH PLAN (NATURAL)

We have chosen the Hypnobirthing method of quiet, relaxed and natural birth. Our preferred birthing scenarios are listed as below. We have given careful considerations to each specific request listed in this plan and this also represents our wishes at this time. As labor ensues, we may choose to change our thinking and we wish to feel free to do so.

We understand that these preferred birthing scenarios presume a normal pregnancy and birth. In the event of emergency occurrence that requires any medical interventions, we are prepared to give our full cooperation after we are provided with full and clear explanation of the medical need and given sufficient time to discuss the decision between ourselves. We wish to have clear explanations of all suggested procedures, of the progress of labor as it is assessed, and of any possible special circumstances if they occur.

In the absence of special circumstances, we ask that the following requests to be honored.

Your support is very much appreciated.

1.      Whole birth process

a.       Husband to be present

b.      Take photos

c.       Only our doctor, nurses and necessary medical personnel to be present

2.      First stage labor

a.       Hospital admission

- Option of returning home unless in active labor

- To stay hydrated by drinking clear fluids instead of having IV drip

- The opportunity to discuss our birth preferences with our assigned nurses/midwife.

- To consider artificial initiation of labor only if labor is unusually delayed AND there is medical urgency.

- Artificial induction of labor after the release of membranes is not considered UNLESS there is medical urgency.

b.      Environment

- Quiet with dimmed light

- Closed door at all times

- Read/listen to music/watch TV as distraction if labor is prolonged

c.       Mobility

- Change positions for comfort and progress in labor

- Freedom to walk and move as long as no risks are involved

- To wear my glasses as long as I do not need a c-section

- Fluids and light food if labor is prolonged

d.      Fetal Monitoring

- Intermittent rather than continuous EFM with Doppler or manual use of EFM after the mandatory strip at admission

e.       Pain relief option

- No suggestion of anesthetics/analgesics unless requested

f.       Induction

- To be fully apprised & consulted before introduction of any medical procedure

- No Pitocin/Amniotomy without discussion

- To be augmented only if necessary

g.      Vaginal examination

- To be kept minimal; with permission to avoid premature release of membranes and reduce chances of infection.

3.      Second stage labor

-          Usage of mother-directed Birth-Breathing to facilitate the descent of baby to crowning instead of directed pushing.

-          To progress free of stringent time limit if there is no risks involved.

-          Freedom of movement & changing the birth positions to allow optimal birth conditions & aid in the ease of the baby’s descent through the birth canal

a.       Perineum

- Episiotomy only if necessary and only after consultation; Local anesthesia.

- Local anesthesia for repair of tears/episiotomy

b.      Birth

- Prefer use of suction device rather than forceps if medically necessary

- Wait until cord stop pulsating before it’s clamped & cut

- Immediate skin-to-skin contact, with baby placed on mother’s stomach/chest

- No wrapping of baby

- Thermal blanket to cover both mother and baby

c.       Baby

- No bulb suction unless medically necessary

- Allow vernix to be absorbed into baby’s skin

- Baby to remain with parents at all times after birth

- Time for bonding with baby and attempt to breastfeed with breast crawl and direct latch method within the first two hours after birth.

- Breastfeeding only. No bottle, formula, pacifier

- No vaccination to be administered

- If any test to be conducted, it must be with our consent & preferably to be carried out in maternity ward with the presence of parents.

4.      Third stage labor

a.       Placenta delivery

- Spontaneous or encouraged with breast stimulation and nursing baby

- No cord traction, Syntometrine or manual removal of placenta unless there is evidence of excessive postpartum bleeding

Prepared by,

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(Choo Voon Wai & Soo May Shin)

Agreed by,

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