How To Make a Birth Plan


So what is a birth plan? Ultimately, it is a record
of what you would like to happen during your labour. It could be that you would like
a water birth or to give birth standing up, or it could be a
preference of what pain relief you would like to have. It’s nice to have some written
ideas about what you would like, to give the midwives
and doctors a bit of an idea of where you want things to go. But ultimately, your baby will
be born in whatever way it wants, and you cannot make sure
that it will follow exactly the steps that you wanted it to. So let’s get down
to the nitty-gritty. What do you put in
your birth plan? So let’s start with one that
everyone has a lot of opinions about, pain relief. Because everyone is
very slightly different, it is important to
discuss what options you have at your local
hospital with your midwife. You can start off at the
natural end of the spectrum or go straight in with
medical pain relief. You can start off by using
water, massage from a partner, or even a TENS machine, which
is quite complicated really to explain, but
the basics of it is is that you have sticky
pads on your back and a little
handheld machine that gives electrical impulses to
stimulate the natural pain relief in your body. Then moving on to more
medicalised pain relief, you can start off with
the good old gas and air and see how that gets you going. Or you could then go
onto the next step, which is an opioid pain relief. It depends on which
hospital you are at, but it could be
pethadine or diamorphin that they offer
you as an injection into your leg to provide you
with some extra pain relief on top of the gas and air. If you are struggling
even more or you feel that you want to
go straight for it, there is always the
possibility of an epidural. Some hospitals are
offering walking epidurals. However, they’re not nationwide. And the good old fashioned
little one into your back and lying on the bed
is always on offer. But we just need to
mention that if you are very late on in your labor
and you’re getting to the point where you’re actually
going to be pushing, an epidural may not be the best
option, because it wouldn’t give you the sensation that
you’d need to actually push. What are your thoughts
on an assisted delivery? The options would
be that you would have a ventouse to the suction
cup to the baby’s head, forceps, or possibly
even a cut down below called an episiotomy. It is a very personal
decision as to which or whether you would
like them at all. But have a read
around to make sure that you’re getting all
the information you need. And let’s not forget about
the other end of the spectrum, which is Caesarean sections. Ultimately, if your baby is
at risk and you are unwell, maybe a Caesarean is
the best thing for you. But if you’re
writing a birth plan, have a little think
about which point you’re willing to take it to. Do you want them to take
it to a Cesarean section if you need a forceps, or do
you want them to try and then do that after if it doesn’t work? It’s really important to
read about the reasons why Caesarean
sections are required and also to know what your
rights are with regards to saying yes or no. You can always plan to have
a Caesarean section, as well. They are called elective
Caesarean sections. Sometimes that
may be that you’ve got health complaints
during your pregnancy, or there’s problems with the
baby during the pregnancy, or it could be that you
had a Caesarean last time and you don’t want to go
through a trial of birth, called a VBAC, vaginal birth
after Caesarean section. Do you want your
partner to cut the cord? Do you want to have
skin-to-skin contact, where your baby is put straight
onto you after the birth? And how do you want your
placenta to be delivered? Yes, your placenta
has to be delivered. So your choices are that you can
have an injection into the leg to help deliver the
placenta quickly or you can birth it yourself. Basically, you have
to give little pushes within about an hour
and the placenta will come away naturally. Don’t forget about
how you’re going to feed your baby, as well. At the end of your
birth plan, make sure you write down whether
you want to bottle feed or breastfeed. It’s great information
for the midwives to know straightaway so
that they can help get you feeding how you want to. That’s all the main points. But it is worth
considering, if English isn’t your first language, make
sure that you write that down. And also, who do you
want to be in the room when you give birth? Is it your mom, your
granny, Aunt Bessie? We don’t know. So make sure you write it down. Finally, the last
step is to book an appointment with your midwife
for your routine checkup at 36 weeks. She will then have a little
look through your birth plan with you to make sure that your
ideas are in sight with what would happen. Thank you so much for watching. Keep your eyes peeled
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