This would have been much more annoying than it is, but I am trying to stay open and not try to control what is beyond my control. That’s why I don’t call it a “birth plan.” (Who really thinks they can “plan” for this?) But I did make a Wish List so that, even if we don’t follow it to the letter, my caregivers can at least understand who I am: a literate hippie who has done extensive research and knows that I don’t have to do anything just for convenience, even if I’m having twins.
I am SO grateful to be delivering with the world-renowned UCLA team! I have had a very active, mindful, meditative pregnancy, and would love for the birth of the twins to be an extension of that. After nine months of research, thought, and discussion, I’d like to share my goals for labor and delivery. I understand that these are wishes and not guarantees, but I trust my birth team to help me achieve the most peaceful, natural birth possible, and for this I thank you in advance!
- If induction is deemed necessary, I request that the pitocin be administered following the “low dose” protocol and increased in intervals spaced out enough to allow my body an appropriate amount of time to adjust and react to each dose increase.
- I would like to decline routine IV prep upon admission.
- If it is necessary to move to the OR for the “pushing” phase, I request that the staff does everything in its power to retain the calm atmosphere from the labor room to make sure this transition is minimally stressful or scary.
During Labor and Delivery, Here are my requests:
- A relatively quiet atmosphere with dim lighting and only the presence of necessary medical staff, my husband, and doula.
- Ability to walk, move around, and use shower, wear my own gown, and play soft music
- Only necessary staff present.
- To drink and, if needed, eat lightly
- To have only intermittent fetal monitoring, unless for a medical emergency
- Not to be pressured into an epidural if I don’t want it.
- To be fully apprised and consulted before any medical procedure
- To labor in positions of my choosing. (No stirrups, please!)
- No Episiotomy unless dire emergency.
- Cord to be allowed to finish pulsating before it is clamped
- To have skin-to-skin contact immediately after Twin A is born, then to wait for contractions to restart naturally for Twin B. When these begin I’d like my husband to hold Twin A for skin-to-skin contact.
- Allow placentas to exit body naturally, and take placentas home (will sign waiver)
For Babies, I request:
- Babies to stay with mother at all times
- No bottles: breastfeeding only
- Delayed bath so vernix might be absorbed, bathe with pure water only (no soap)
- Delayed Eye Ointment and Vitamin K until babies have had ample skin-to-skin time
If Cesarean Birth is Necessary, we request:
- Kai and our Doula be present at all times during procedure.
Again, thank you so much, and know that we are flexible, should any of these requests truly interfere with the safety of our birth.