Finally, after researching a lot about pregnancy and birthing, I’m now done with my birth plan but will still discuss this with my OB on March 9. So I think there will be little changes on this plan since I’m not informed yet of the birthing policies in Cardinal Santos. So here it goes!
Patient’s Name: Nova Cruz
OB-Gyne: Dra. Carmela Madrigal-Dy
Hospital: Cardinal Santos Medical Center
First Stage Labor
- Limit of vaginal exams and please make it as gentle as possible.
- No analgesia/anesthesia/epidural unless we ask for it.
- 1Freedom to move/walk around during labor.
- Freedom to eat and drink during labor as needed.
- Labor room must be quiet and calm
- 2No use of IV’s, please explain why it is needed should it become necessary
- 2No use of EFM, unless necessary
- 3Water bag must be allowed to break naturally. Rupture them until the head is on the perineum and birth is imminent.
Second Stage Labor
- 4Choice of positions for pushing – wide squatting, side lying
- Prolonged length of second stage if progress is being made
- 5Would like to labor down until urge to push is felt once 10cm dilation is achieved.
- 6Open to episiotomy if needed.
- If assistance in delivery is needed, please use suction rather than forceps.
- 7Application of Essential Newborn Care
- No post-delivery pitocin or pulling on the cord please
- If stitching of perineum is necessary, please use local anesthetic
- Delay cord cutting
- Newborn to stay with parents at all times unless medical intervention is needed.
- Please perform all physical exams and procedures in room with mother
1Moving, walking and changing positions help ease the labor pain. It lessens the probability for the mother to employ the use of epidural. Click here for more labor positions.
2Use of IV’s and EFM confine the mother to bed therefore restricting her to be mobile. Also there are interventions/treatment that are not medically necessary. They are only used to find, prevent and treat problems. Click here for more info on IV’s and EFM.
3Aside from protecting the baby from infections, during active labor the water bag helps the baby to wiggle its way to the birth canal/perineum. Plus, an intact water bag will lessen the labor pain for the mother. However, it will also be useful to rupture it once the baby is already in his position as it exerts pressure on birth canal making it difficult to completely push the baby out.
4Back lying position or lithotomy while giving birth is widely used position in many hospitals because this is the easiest position for doctors to monitor a patient, introduce a catheter and attach her to whatever equipment is being used when she lies like this.
But medically speaking, it poses more risks and no benefits at all to the mother and baby. This is because while lying the heavy uterus compresses the vena cava and and slows the blood flow back through the veins in her legs. This can lead to low blood pressure and oxygen deprivation for the baby as well as the mother.
5When a laboring mother pushes and she’s only 8cm dilated, chances are her cervix will swell and will reduce to 7 or 6cm. You don’t want this to happen.
6This remains to be a debate among expecting mothers. Although episiotomy is considered as one of the medical interventions I will still choose it rather than allow my vagina to tear. I’m afraid that I might have a 4th degree tear which will reach my rectum. Scary. Plus after the delivery, the cut will be easier to stitch rather than the natural tear.
7I want to start the attachment parenting right after the delivery. I hope the delivery will go smooth and uncomplicated. I can’t wait to see Yesha gazing directly at me. You can click here for more info about Essential Newborn Protocol.
Have a happy pregnancy!