Ultimately I am striving for a 100% natural and intervention free birth.
Please keep in mind that this blog is written as a personal account of my own thoughts and experiences. My preferences on birth, combined with my lack of actual experience, should speak for themselves in that I do not in any way object to women who birth their children with pain medication, or in any other way than the ideas I have for our birth. I do not post to discuss the merits of natural birth, so please do not take anything I say as judgement against your personal birth choices. At the same time, please do not take this as an invitation to tell me why or how I am wrong. I have spent time and energy on these choices, and don't feel the need to debate them.
Women are incredible creatures, and should be celebrated for bringing children into this world, regardless of the manner. I cannot repeat this disclaimer enough.
That being said....
Now that I am in my 3rd trimester, I felt it was time to start collecting everything I have learned in the past 29 weeks, and piece together some semblance of a birth plan. Many think birth plans are pointless and a waste of time, and I have heard first hand from labor & delivery nurses that many of these birth plans are mocked or even thrown out. I think a birth plan is more important for the parents more than anyone. Writing out my ideas, collecting them like a road-map of birth is a great way for me to visualize what I want for the birth of our daughter.
I think most importantly your labor experience is determined by your expectation of the experience, and so with that I am going to be prepared as possible for the experience I want. I know myself better than anyone, and I know if I went into labor with a mindset of
"I will only get pain medication if I really need it" then I am going to end up getting everything they can give me. I've never given birth before, but countless women will tell you it is one of the most painful experiences you will ever endure, so the statement about getting meds only if I really need them is almost comical. Of course I am going to feel like I need them! With that in mind, I have viewed birth with a totally different idea from the very beginning.
I want medication if it is necessary for medical or safety reasons only. That statement alone pretty much covers everything I believe about labor.
I have compared planning labor to building a house on an unstable foundation. You can't build a house without a blueprint or plan. Building the house, especially on a shaky foundation, is bound to require room for flexibility or change, but ultimately knowing what you want the house to look like and how you want it to function is going to guide the decisions you make throughout the process. So in collecting my birth ideas, these are the most important things for me in our labor blueprint...
I don't want pain medication. - This is the most obvious of my choices. I have read enough and learned enough to know that this is not an option I am considering. I don't even want the card on the table. This is the moment where many of you are shaking your heads at me....
My primary labor suppor is going to come from my husband. - Aaron is my rock, my best friend, and the first person I go to for guidance and help. There are going to be times during labor where I am going to seriously doubt my abilities and Aaron will know how to get me back on my feet. Our midwife is a crucial person, but Aaron is going to be the most influential. He will be the most level-headed should the time come to make decisions about medical intervention.
Aaron and I will be the only ones present at the birth of our daughter. - Family and friends will be visiting us once we are home from the birth center. We feel like this is an incredibly intimate time in our lives together and want to share the moment, just the two of us.
I don't want drugs used for the purpose of speeding my progress. - Outside of any unexpected circumstances I don't want anything that is going to further my progress unnaturally. I want my body to do what it is built to do. If a safety issue arises that requires Pitocin or a C-Section, we will make that decision when the time comes.
I want to labor at home as long as possible. - I am a hermit by nature, and home is where I am most comfortable. I don't feel the need to lurk around the birth center for hours not knowing how long my labor is going to be. I originally wanted a home birth, but I didn't feel comfortable delivering at home due to the fact that this is my first birth and that we rent and do not own our home. Home birth may be an option for future children.
I don't want my progress measured. - This is a big one for me. In my opinion, labor is measured and tracked much more than it needs to be. Our birth center doesn't do constant fetal monitoring and allows mom to labor and progress on her own timeline. I don't mind if my cervical checks are recorded, I just don't want to be told what they are. I want to listen to my body. When I run the last thing I want to do is look down at my watch and see how much time or distance I have left. It defeats me and makes the struggle that much harder. I know labor is going to be no different. If I am having a particularly hard time and our midwife tells me I am only 4 or 5 cm dilated I know it will kill my motivation. So many moms have told me that your body has a keen way of telling you where you are at, and that the urge to push is inevitable. In the end, those measurements are just numbers.
I plan to decline an IV for hydration purposes. - I plan on being vigilant in maintaining good hydration by drinking lots of water and keeping my body fueled during labor.
I don't want my bag of waters broken manually. - My baby is in them for a reason. It's
not medically necessary, therefore I see no reason to have it done. I will let it break on its own.
I am hoping for a water birth. - The birth center has these amazing big tubs you can labor and birth in, and coming from someone who takes a bath vs a shower almost daily, I can tell you that the warm water is going to be a very important pain relief tool for me.
I prefer to tear naturally vs having an episiotomy. - Many of my choices are based on what is natural, and this one is no exception. I don't plan on forcing pushing and I have been doing months of preparation to help with minimal tearing so I don't plan on opting for any slicing to help the process. If I am going to tear, then I am going to tear.
Post-partum bonding and early breastfeeding are extremely important to me. - I could preach on this for hours, but I won't. I think the
benefits of skin-to-skin contact and that early bonding are crucial.
Delayed cord cutting. - Aaron and I want to delay cutting of the cord until it stops pulsing on its own. You can read more about the benefits of this here:
http://academicobgyn.com/2009/12/03/delayed-cord-clamping-should-be-standard-practice-in-obstetrics/
I plan on going home from the birth center as soon as I am able. - Our birth center requires we stay a minimum of 2 hours and be able to complete a certain number of tasks before going home. Once those criteria are met we are free to go, much unlike the 2 day stay typically required by most hospitals. Alternatively, our birth center allows us to stay as long as we need to feel comfortable. As long as baby girl and I are healthy, I want to go home as soon as we are able.
That pretty much sums up the most important things to me regarding our birth. I could go on and on, but I won't bore you with my crunchy mama antics about candles, and dim lighting. Right now I envision myself calm, and relaxed, but I could just becoming a raging birthing animal. Only time will tell.