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Thursday, September 25, 2008

Creat your own birth plan-37 wks

在美國生小孩 可以選擇很多不同的生產前 生產中減痛方式 以及餵奶 母嬰同房與否 用藥種類
醫院提供的課程會解釋各種方式的優缺點 每個媽媽要依據自己的個性及喜好來選擇

不過痛昏頭時大概也不記得了 所以最好生產前仔細比較以及跟自己的醫生溝通 並將寫好的選擇請醫生先簽名 到時候到醫院的時候 把一份影本交給護士 讓他們知道你的選擇 但是還是要保持隨時變動的彈性以適應當時的狀況

同樣的 我們也沒有填好 我們真是慢動作的二人組 看看今晚能不能讓老公陪我寫好 最近我一跟他討論寶寶的事情 他就想睡覺啦 不能再當駝鳥了 要趕快面對現實 好好準備 

Create your own birth plan

Writing a birth plan gives you an opportunity to think about and discuss with your partner and your healthcare practitioner how -- ideally -- you'd like your baby's birth to be handled. Even though there's no way you can control every aspect of labor and delivery, a printed document gives you a place to make your wishes clear. Just remember that you'll need to stay flexible in case something comes up that requires your birth team to depart from your plan.

A written birth plan will also help refresh your practitioner's memory when you're in labor. And it will bring new members of your medical team -- such as your practice's on-call practitioner and your labor-and-delivery nurse -- up to speed about your preferences when you're in active labor (and probably not in the mood for drawn-out conversation).

Our worksheet, below, will guide you through the process of creating a birth plan. Print it out and check any options that you know you want or that you'd like to ask your caregiver about. Remember that not all of the options listed will be available in every setting or make sense for your situation, particularly if your pregnancy is high-risk. That's why it's important to take the worksheet with you to a prenatal appointment and go over it with your doctor or midwife. This will give you both a chance to figure out what's possible and what's not, and to find some common ground. And if you can't reach a consensus, you'll still have time to explore other options.

After you've gone over your options with your caregiver and made some decisions, print out a clean worksheet and revise your plan if you need to. When you have your final plan, give one to your practitioner, have one put in your file at the hospital or birth center, and put one in the bag you're packing for the day you give birth.

Birth Plan Worksheet

ATTENDANTS AND AMENITIES

I'd like the following people to be present during labor and/or birth:
Partner:
Friend/s:
Relative/s:
Doula:
Children:

I'd also like:
To bring music
To dim the lights
To wear my own clothes during labor and delivery
To take pictures and/or film during labor and delivery


LABOR

I'd like the option of returning home if I'm not in active labor.

Once I'm admitted, I'd like:
My partner to be allowed to stay with me at all times
Only my practitioner, nurse, and guests present (i.e., no residents, medical students, or other hospital personnel)
To wear my contact lenses, as long as I don't need a c-section
To eat if I wish to
To stay hydrated by drinking clear fluids instead of having an IV
To have a heparin or saline lock
To walk and move around as I choose

As long as the baby and I are doing fine, I'd like:
To have intermittent rather than continuous electronic fetal monitoring
To be allowed to progress free of stringent time limits

If they're available, I'd like to try:
A birthing stool
A birthing chair
A squatting bar
A birthing pool/tub

I'd like to bring the following equipment with me:
Birthing stool
Beanbag chair
Birthing pool/tub
Other:

When it's time to push, I'd like to:
Do so instinctively
Be coached on when to push and for how long

I'd like to try the following positions for pushing (and birth):
Semi-reclining
Side-lying position
Squatting
Hands and knees
Whatever feels right at the time

As long as my baby and I are doing fine, I'd like the pushing stage to be allowed to progress free of stringent time limits


PAIN RELIEF

I'd like to try the following pain-management techniques:
Acupressure
Bath/shower
Breathing techniques/distraction
Hot/cold therapy
Self-hypnosis
Massage
Medication

Please don't offer me pain medication. I'll request it if I need it.

If I decide I want medicinal pain relief, I'd prefer:
Regional analgesia (an epidural and/or spinal block)
Systemic medication


VAGINAL BIRTH

I'd like:
To view the birth using a mirror
To touch my baby's head as it crowns
The room to be as quiet as possible
To risk a tear rather than have an episiotomy
My partner to help "catch" our baby

After birth, I'd like:
To hold my baby right away, putting off any procedures that aren't urgent
To breastfeed as soon as possible
To wait until the umbilical cord stops pulsating before it's clamped and cut
My partner to cut the umbilical cord
Not to get routine oxytocin (Pitocin) after I deliver the placenta


C-SECTION

If I have a c-section, I'd like:
My partner present at all times during the operation
The screen lowered a bit so I can see my baby coming out
The baby given to my partner as soon as he's dried (as long as he's in good health)
To breastfeed my baby in the recovery room


POSTPARTUM

After delivery, I'd like:
All newborn procedures to take place in my presence
My partner to stay with the baby at all times if I can't be there
To stay in a private room
To have a cot provided for my partner

I plan to:
Breastfeed exclusively
Combine breastfeeding and formula-feeding
Formula-feed exclusively

The following can be offered to my baby:
Formula
Sugar water
Pacifier
Please don't offer anything to my baby at any point

I'd like my baby fed:
On demand
On a schedule

I'd like:
24-hour rooming-in with my baby
My baby to room-in with me only when I'm awake
My baby brought to me for feedings only
To make my decision later depending on how I'm feeling

If my baby's a boy:
I'd like him circumcised at the hospital.
I'll have him circumcised later.
I don't want him circumcised.

I'd like my other child(ren) brought in to see me and meet the new baby as soon as possible after the birth.

I'm interested in checking out of the hospital early.

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