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Family Forum / Pregnancy / Pregnancy / July 2005Caesarian Birth Plan?
OK, so I'm having a planned caesarian, but there must be things I need to emphasise. All I can think of right now is 'please clean the baby up before handing to us, we don't like slime, and hubby is pretty squeamish' and I'd like to do skin to skin and try breastfeeding in recovery'. Oh, and 'please prop me up after, in recovery, with a pillow under my knees as well, because I feel kind of claustrophobic lying on my back (I always have done)' As for anything else, I just can't think or don't know. I'm not used to having a choice, lol! First c/s was 18 yrs ago, my first baby, became an emergency c/s and the whole experience became one of things being done to us, rather than with us. Second was 10 yrs ago, and although I felt more involved, I didn't feel I had a say in anything. In recovery, for example, baby was parked in a crib on the other side of the room from us - it never occurred to either of us that we could get her! Is it worth writing down as a proper birth plan, or should I just jot thoughts down and tell them on admission? I've got three weeks until I see the consultant, then I won't see her again until the actual birth day, a couple of weeks after that...  SignatureGrymma AFPOh Goddess Of Hangovers; B.F.(use 'reply to') Always keep your words soft and sweet - just in case you have to eat them. >OK, so I'm having a planned caesarian, but there must be things I need to >emphasise. All I can think of right now is 'please clean the baby up before >handing to us, we don't like slime, and hubby is pretty squeamish' and I'd >like to do skin to skin and try breastfeeding in recovery'. Oh, and 'please >prop me up after, in recovery, with a pillow under my knees as well, because >I feel kind of claustrophobic lying on my back (I always have done)' Our birthing class gave us a birth plan worksheet that had a question on cesareans, and I can tell you what I was able to think of: - I don't need a blow-by-blow of exactly what you're doing when (i.e. "We're making the incision now," etc.) - My husband stays with me AT ALL TIMES. - No general anaesthetic unless we're dealing with a real emergency (yes, I realize this was probably protocol; but I wanted to state it explicitly). - Baby stays with me as much as possible. Your desires may be different, of course (I'm sure some people would have loved to have every step of the surgery described); these were just the things that concerned me. Liz mom to Emily (5/25/2004) >>OK, so I'm having a planned caesarian, but there must be things I need to >>emphasise. All I can think of right now is 'please clean the baby up [quoted text clipped - 20 lines] > loved to have every step of the surgery described); these were just the > things that concerned me. Given a few of the stories I've heard here of C-sections that proceeded with insufficient anesthesia, I'd probably add, "If I yell "Ouch, that hurts!", the anesthesia probably didn't take and I expect you to take me seriously and do something about it." Not that this is necessarily particularly likely, but I do know that some of the women who had sections with incomplete anesthesia reported that their caregivers dismissed their complaints that they felt pain by saying they were really only feeling "pressure". I'd just want to make it abundantly clear that if I say I am in pain, I am in pain, not just feeling pressure! -- Be well, Barbara > [...] I do know that some of > the women who had sections with incomplete anesthesia reported that their > caregivers dismissed their complaints that they felt pain by saying they > were really only feeling "pressure". I'd just want to make it abundantly > clear that if I say I am in pain, I am in pain, not just feeling pressure! Ooh, that is terrible!!! I've had fabulous anesthesiologists for both my sections who were so very responsive, stayed with me, calmed me down, and listened to everything I needed. -- Anita -- >>OK, so I'm having a planned caesarian, but there must be things I need to >>emphasise. All I can think of right now is 'please clean the baby up before [quoted text clipped - 9 lines] > "We're making the incision now," etc.) > - My husband stays with me AT ALL TIMES. I'd agree with this until baby is born. Then husband stays with baby at all times. I do remember for my section, that there was a period of time when I first got in the OR that my husband wasn't with me. Maybe they were prepping? I can't remember..... Mary W. how about "if i go into labour spontaneiously and you hvae to get out of bed on sunday night to do what you call an emergency c, pls do not be an arrogant and dissmissive sh.t. Please also introduce yourself to my husband before you slice into his wife. " oh hang on, that is probably just my doc !!! :) good luck grymma, i actually cant think of anything serious, mine seemd to go ok! nothing i would look back on and change, except the doctor's attitude, but hey. give that little baby a big cuddle from all of us! christine > OK, so I'm having a planned caesarian, but there must be things I need to > emphasise. All I can think of right now is 'please clean the baby up [quoted text clipped - 16 lines] > the consultant, then I won't see her again until the actual birth day, a > couple of weeks after that... Here are a few things I can think of. - ask not to have your hands strapped down, I never did, but it seems to be the practise in some hospitals - ask to see your baby as soon as possible in the operating theatre, have them bring her/him up to your head so you can see them and talk to her/him as soon as possible - sleep with a baby blanket, before the birth, so it has your scent and have the staff use that blanket to wrap the baby, so even if it is away from you for a while it can still smell you. -have your baby brought into you in recovery if possible -Send your DH with the baby if it has to be away from you for weighing, prodding, poking etc. Good luck with everything Larissa Mum to DD feb 99 DS mar 01 DD2 dec 03 > OK, so I'm having a planned caesarian, but there must be things I need to > emphasise. All I can think of right now is 'please clean the baby up > before handing to us, we don't like slime, and hubby is pretty squeamish' Not much advice on the c-section as I haven't had one, but I'd be specific about how you want your baby cleaned. New babies are _not really that gross_ despite what you see on TV (I think they coat them with coloured KY jelly on-screen). Usually they will rub them with a towel after delivery, which stimulates them to cry and breathe properly, and that removes most of the blood and yuck. All you have then is vernix, which is a white, waxy substance - and it smells just like new baby, nothing else. It's better for the baby's skin to let the vernix absorb into it, so they don't scrub babies the instant they're delivered like they used to! DD had her first bath on about the third day, and it was weeks before we got all the vernix from her newborn folds. She never smelt nasty ;-) My DH is extremely squeamish (he gets an unsettled gut if he sees CSI) and he ended up cutting the cord following our second baby's birth. Husbands can surprise you! Seeing as you're having a planned C, why not ask if you can have that first skin-to-skin and possibly breastfeed on the operating table while they're doing the stitches? It would depend on individual hospital policy, but a lady I know in the US did this, I've seen her birth photos. HTH! SignatureAmy Mum to Carlos born sleeping 20/11/02, & Ana born screaming 30/06/04 http://www.freewebs.com/carlos2002/ http://www.babiesonline.com/babies/a/ana%5Fj%5F2004/ My blog: http://spaces.msn.com/members/querer-hijo-querer-hija/ >> OK, so I'm having a planned caesarian, but there must be things I need to >> emphasise. All I can think of right now is 'please clean the baby up [quoted text clipped - 20 lines] > policy, but a lady I know in the US did this, I've seen her birth photos. > HTH! Thank you all - some food for thought there :o) Re slime, etc - yes, just dried down with the towel is fine, but all these (UK and US) birth programmes I have been seeing, show the baby, all blood and fluid-covered being placed straight onto Mum (sometimes even in c/s situations) and it's not something I fancy. DH definitely couldn't bear it (I know him too well). Last time out, DH saw a bit too much of the operation site via the shiny surround on the lights, and the reflection on the surgeons glasses. His mother tells me he nightmared badly all week after that, while we recovered in hospital, and I don't want to freak him out like that again! Also last time, our baby wasn't bathed after the birth for a couple of days either, they thought she was too cold after birth, and had her wrapped up and hatted - but I don't recall her actually having any mess or vernix on her, just a small amount of gunk in her ear... Re skin to skin on the table, I don't think I could, I'm going to be lying flat, which I hate, and the trolley is so narrow, I just wouldn't feel comfortable. I'm going to make sure DH goes out to recovery to enjoy baby for a while, while they stitch me up, to keep the experience good for him, and then when they move me out there, I'll try skin to skin and bf'ing. I remembered another thing to add to my list 'Make me go for a bath as soon as the epidural wears off, no matter how reluctant I am, or whatever the time is - if I don't get one, I bruise extremely deeply, seize up completely and you will have to physically turn me over in the night etc' :-/ SignatureGrymma AFPOh Goddess Of Hangovers; B.F.(use 'reply to') In order to discover who you are, first learn who everybody else is - and you're what's left. |
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