Tuesday, February 9, 2016

More catch up posting

I'm getting a lot done, not sitting at a computer, but I still feel bad that I'm not writing and tracking. I like keeping a record of things I find noteworthy to share.

30 weeks down! 8-12 weeks to go!

Blah blah this is all tentative, but it serves to illustrate the things that are going to be important for me to have done or not done.

I've been slowly coming to terms with being required to have a hospital birth (versus the home birth that got waylaid by my blood clots) and it's been stressful trying to plan for every possible scenario that could result from being in a hospital setting.

So I'm writing this keeping in mind that these would be ideal, but I understand that they're not necessarily all going to be possible, especially since I need to have my high risk doctors on the same page and I don't know what things they're going to require or be okay with easing me on. I've also got back up plans! And sources, because despite everything I'm still expecting to meet resistance and it's been nice to not see that so much.


  • Please DO administer Vitamin K shot
  • Please DO NOT administer Erythromycin antibiotic to eyes
  • Delay cord clamping until cord pulses down
    • http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004074.pub3/epdf
  • Please DO NOT bathe infant
  • No formula
  • Immediate skin to skin


  • No AROM!!!!!   (artificial rupture of membrane)
  • Limit cervical checks
  • No pitocin, let us try natural methods first (nipple stimulation)
  • Intermittent monitoring please unless medically indicated (please explain why)
  • Do not offer pain medication, I prefer to move or use water for comfort (walking, squats, shower, tub, birthing ball) 
  • I do not want to be on my back to push and would prefer squatting or hands and knees
    •  (http://www.ncbi.nlm.nih.gov/pubmed/22592681)
  • A heplock is fine, but I will self hydrate with water
  • Food if desired 
    • (https://www.asahq.org/about-asa/newsroom/news-releases/2015/10/eating-a-light-meal-during-labor)
  • Do not bathe infant, give her to me in all her goopy glory
  • If contractions are consistent, do not increase pitocin (please explain why if you need to increase dosage)
  • Do not offer pain relief, I will request if I need it
  • Limit cervical checks
  • Please give me time to consider each new step that might need to be taken
  • Disclaimer: I understand this may not be possible in the event of emergency on mine or my infant's part, I would appreciate anything that can be done in such a instance
    • http://www.doulamysoul.com/#!The-Organic-Cesarean-A-protocol-for-a-gentler-surgical-birth/c1c55/5696f6b80cf2e94e3fb671e4
  • Please take a vaginal swab for use in skin to skin to mimic vaginal birth bacterial seeding for gut flora
    • http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110651/
    • http://www.ncbi.nlm.nih.gov/pubmed/16189184
    • http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1896187/
    • http://www.nature.com/nm/journal/vaop/ncurrent/full/nm.4039.html
      • http://www.kplu.org/post/researchers-test-microbe-wipe-promote-babies-health-after-c-sections
  • Lowered drape please, I REALLY want to watch
  • Please describe what you are doing! If I can't see I'd like to hear!
  • Please perform heart/lung checks during skin to skin if possible
  • Immediate skin to skin, preferably with Mom, if not, with Dad.