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,
_____________________________
(Choo Voon Wai & Soo May Shin)
Agreed by,
____________________________