I may change my mind on this after years of doing this, but I am pretty sure that my view on birth plans is going to be different than with most doulas. Here are two presuppositions that make my view the way it is:
1. I would like to have SROM. (spontaneous rupture of membranes/bag of waters).
2. I would like freedom of movement after SROM as long as head is well engaged. (That is generally accepted to be -1 station, to prevent cord prolapse).
3. I prefer to have EFM for 20 minutes out of every hour. (ACOG standards are 30 minutes for first stage labor.)
4. I would like a HEPLOCK only, and no IV fluids unless dehydration is suspected.
5. I do not want to be offered pain medication. If I need it, I will ask.
6. I do not want to have an Episiotomy.
7. I prefer not to be coached in pushing, rather to push when I am ready and for as long as I am comfortable. No counting, please.
8. I would like to push in any position that is most comfortable including: squatting while standing on the floor, all fours while in the bed or sitting up. I do not wish to push inLithotomy position.
TTThere you have it. Obviously you can add any that you want for after birth:
I would like for the cord to stop pulsating before it is clamped.
I want to wait for the placenta to deliver on its own, without forced pulling.
I I would like to nurse the baby immediately to help with bleeding, as opposed to using Pitocinautomatically.
Then there are the issues dealing with the baby:
I Whether you want the Vit K shot or not, the eye ointment or they baby bathed in yourpresence.
I really do hope this helps. It is important to know that the goal is to be firm but kind. Understanding that the battle is against a culture of “how things are done” not a personal attack on “someone.” At the end of the day we are all people with feelings.. so be firm in what you want, but don’t make people feel like idiots for doing what they do naturally. If that makes any sense. Sounds like what I want to say about some of the medical staff and their treatment of moms and doulas. But it does go both ways.