This was my initial one (home birth) but I changed a few things when we decided to go for hospital birth:
• I prefer to be known as Nikki or Nik.
• My birth companion will be my husband, Kevin (mobile ***, work ***).
• This is our second pregnancy, first child. The baby is a boy and currently known as Munchkin.
Labour
• All being well, we intend to birth our son at home as we feel I will be more relaxed and therefore progress better than in hospital.
• I will be using hypnobirthing techniques for comfort and intend have a pool to hand should I need it.
• Please do not offer me pain relief, I will ask for G&A if required.
• Please encourage me to keep active in order to progress my labour. Do not allow me to rest on my back, but assist me in finding comfortable and progressive positions.
• As this is our first birth I trust your clinical judgement on method and frequency of monitoring mine and baby’s wellbeing.
• The wellbeing of our son is our top priority therefore I am willing to transfer to MMH at the first sign of trouble.
Birth
• Please delay clamping of the cord until it has finished pulsating.
• My husband would like to cut the cord.
• I would like immediate skin-to-skin contact unless the baby requires medical attention.
• I intend to breastfeed and would like to attempt to do so as early as possible after birth.
• I would prefer a physiological third stage but am open to your clinical judgement based upon my condition at the time.
• I am happy for baby to have the Vit K injection.
In case of blue-light transfer
• I am content to have a C/S if that is the safest and quickest way to birth our son should he become distressed.
• If C/S is performed I wish to have my husband with me in theatre, and baby to be placed on my chest asap. If I am under GA, my husband to have immediate skin-to-skin.
• If baby is to be removed from my sight for medical attention, my husband must accompany him at all times.
• Breastfeeding is very important to us. Please do not feed the baby unless he needs feeding while I am under general anaesthetic.
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my MW later pointed out that if I'm having a crash section under GA, hubby won't be allowed in theatre. I couldn't have delayed cord clamping or physiological 3rd stage in the end as I had meconium so needed to get the boy out pronto. They were really good at not offering pain relief except the pool and I didn't ask for it once I was fully dilated (didn't need it).
Good luck!