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Re: Kim (2) - C-section info please?

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In a message dated 7/29/2001 12:48:56 PM Central Daylight Time,

ulakauppi@... writes:

> You mentioned

> something about having c-section details in your birth

> plan. Can you please share what those are? I would

> definitely like to avoid a nightmare. :-)

> Thank you *so much*!

>

Sure, because I am a " natural, attachment parenting momma " my birthplan for a

c-section is geared towards that but I think most of it is good for just

about everyone. Here you go:

AS this a planned Cesarean Birth we are looking forward to a positive birth

experience. We want to participate in this birth to the fullest. We have

listed our preferences below, these decisions have been made after much

thought, research and consultation. Therefor your help in attaining these

goals is very much appreciated.

(1) This basically states that I would like all preoperative blood work and

test to be done the day before I am admitted.

(2) This is a statement requesting that not only my spouse be able to attend

the delivery but my sister and that my sister is to remain with me at all

times. (my husband left during my spinal last time and I got scared)

(3) Kim would like the catheter put in after anestesia is administered.

(4)We do not wish to have medical students present during our cesarean.

[ I know that sometimes because " we " are a rare bunch they like that, I am

okay with a OB resident, but nurses and the like are out of the question]

(5) My arms are NOT to be strapped down unless general anesthesia becomes

necessary in an emergency. [ this frightened me the first time bc I had no

idea it was coming, i am only willing to give to one arm being strapped and

that is the one with the IV.]

(6) Jeff and Kim would both like the option of viewing the birth either by

lowering the screen or positioning a mirror.

(7) Jeff would like to cut the cord. We do not mean shorten later, the actual

severing of the cord. We know this can be done with some planning. Jeff will

be respectful of the sterile field.

(8) Kim would like a verbal description of the birth as it occurs.

(9) We would like to take photos as we did with our first child. WE would

like specific photos of the head being delivered, the body being delivered,

and the baby being lifted out of the abdominal cavity.

(10) Kim is to be given the baby as soon as possible after the baby is

suctioned and breathing okay. If she cannot physically hold the baby, my

husband can. Baby is to remain in my presence the entire time. No going off

to the nursery, bring the nursery staff into the OR. We know this can be done

when arrangements have been made before hand.

(11) Please no staples, take a few minutes and use sutures for the outside

skin enlcosure. Thank you.

(12) NO mind altering drugs are to be administered without my express

permission. I am aware that some hopsitals routinely sedate the mother for

the repair section of the surgery. It is important to Kim not to feel drugged

or be unable to remember the events of the birth.

(13) DURAMORPH is to be placed in the spinal/epidural catheter for long term

pain relief.

(14) There is to be NO eye antibiotic ointment put in out baby's eyes. This

is out personal preference because Kim knows she does not have chlamydia or

gonerrhea, not to mention this is not a vaginal birth.

(15) Our baby it to remain with us in the first few hours after birth in

reocvery, waiting until later for weighing, tests, or washings. Or they are

to be done in the presences of both the partents.

(16) There is to be no Hep. B Vaccine given to our baby at any time. WE have

researched this and given it much thought, even if you disagree, please

respect our decision.

(17) Please do not perform a PKU test on our baby without our expressed

permission. A Vitamin K shot can be administered to our baby as we are aware

of the benefits, especially in a cesarean delivery.

(18) Our baby is to be with us during recovery. Kim would like to have skin

to skin contant as soon as possible and nurse her baby.

(19) If there is a problem with our baby, Jeff is to remain with him or her

AT ALL TIMES.

(20) AS we have mentioned, we realize there may be problems and we are

willing to cooperate, all that we ask is that our informed consent be sought

before any proceedure or medication is used.

(21) It is important to Kim to view the placenta. Please do not discard it as

insignificant. We would also like to take a photo of it.

(22) Kim would like to be promptly discharged as soon as she is will enough.

(23) Kim also does not wish to be deprived of food after her surgery.

(24) Please remove Kim's catheter and IV as soon as it is no longer medically

necessary.

(25) Our baby will be rooming in with us. Someone will be with Kim at all

times to help assist her with the baby. Do not come and take our baby for

routine checks or shift changes, these can be done in our room if they are

necessary.

(26) Our baby is to be given NO bottles or pacifiers at any time. Giving a

baby artificial nipples may thwart our baby's nursing efforts.

This is it so far. IF you have any questions about anything I have written in

my birth plan just ask.

Kim2

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Kim,

Thank you so much for posting your birthing plan in its entirety.

I've tucked it away for safe keeping with the hopes that someday I'll

get to use parts of it :-) You've done an excellent job in

verbalizing things I would probably only notice if they didn't happen

the way I hoped. Good luck with your next one and thank you again!

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<<baby is in right horn, legs hooked into the

left horn, breech)>>

I am very curious now. I was diagnosed via U/S at 21 with a BU. I had my son

vaginally Jan 2000. I had very close supervision via U/S. The tech kept checking

to see what the effect on my right horn would be...I carried my son in the left.

With all of the U/S I had he never once entered the right horn. Not once did I

feel him on the right side or did he show up on the U/S and I had 2 a week until

I had him. Does this sound strange to anyone? It does to me...other babies seem

to be able to get into the other horn. I guess that's something I will have to

check with my OB about.

Faith

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In a message dated 7/30/2001 1:28:59 PM Central Daylight Time,

HaveFaeth@... writes:

> I am very curious now. I was diagnosed via U/S at 21 with a BU. I had my son

> vaginally Jan 2000. I had very close supervision via U/S. The tech kept

> checking to see what the effect on my right horn would be...I carried my

> son in the left. With all of the U/S I had he never once entered the right

> horn. Not once did I feel him on the right side or did he show up on the

> U/S and I had 2 a week until I had him. Does this sound strange to anyone?

> It does to me...other babies seem to be able to get into the other horn. I

> guess that's something I will have to check with my OB about.

>

>

Faith it is possible that the wall of the horn makes it unable for the baby

to get into the other side.

Kim

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Kim, thank you so much for sharing your birth plan!

It's the first one I've *ever* seen that is geared

toward a C-section. Somehow reading this affirms to

me that a c-section birth is still a birth, darn it!

I'm going to take a lot of ideas from this in forming

my own plan. Thanks again!

Ula

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In a message dated 7/30/01 5:18:27 PM Pacific Daylight Time,

ulakauppi@... writes:

> OR...maybe your baby was just better behaved

> in the womb than mine!

If thats the case I wish he still was well behaved! LOL!

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