Mother-to-be: Pam
Partner: Mike
Due Date: 06/28/98
Place of Birth: Bethesda North

This birth plan is intended to express the preference and desires we have for the birth of our baby. It is not intended to be a script. We fully realize that situations may arise such that our plan cannot and should not be followed. However, we hope that barring any extenuating circumstances, you will be able to keep us informed and aware of our options. Thank you.

First Stage (Labor):

* Music of our choice. * Would prefer not to have students, residents etc. * Would prefer to keep vaginal exams to a minimum. * Maintain mobility (Walking, rocking, up to bathroom, etc.) * Eat and drink to comfort. * Heparin lock. * Intermittent Monitoring (ACOG Standards) with an external monitor. * Please do not offer me pain medications, I will ask for them if I want them. * Relaxation techniques (breathing, focusing, etc.). * Positioning as desired. * Heat or Cold packs. * Massage (back, foot, counter pressure, etc.).

Induction:

* I would prefer to use natural methods to start labor.

Augmentation:

* I would prefer to try nipple stimulation.

Second Stage (Birth):

* Choice of position * Spontaneous Bearing Down * Birth/Squat Bar * I would prefer to tear than have an episiotomy, but please use compresses massage and positioning. * Local Anesthesia (for repair)

Baby Care:

* Delay the cord cutting * Prefer partner to cut the cord. * Delay the eye medication * Breast feeding only * No pacifiers or glucose water * No separation of Mother & Baby

Cesarean Birth:

* Spinal/epidural anesthesia * Partner present * Partner to cut the cord * Breast feeding in recovery room

Sick Baby:

* Breast feeding as soon as possible * Unlimited visitation for parents * Handling the baby (Kangaroo care, holding, care of, etc.) * If the baby is transported to another facility, move us as soon as possible

Compliments of Childbirth.org http://www.childbirth.org/interactive/ibirthplan.html info@childbirth.org