Why a Cesarean Birth Plan for Twins? For me it is mainly for two reasons. The first one is that I want my OB, or the other OB what I wish to have. The second one and maybe I should have put it in first is to prepare myself for a cesarean. I was completely scared of cesarean (I can say I am still a little but more for the recovery after than for the surgery) and it helped me to be prepared. I learned a lot by doing it. This birth pan was review by my OB and we spoke a lot about. He also crossed some wishes that were not possible. I took them away on my birth plan that I do not need to put something that cannot happened!
For you, ladies who are afraid or do not want a c-section I really recommend to do this work. It will help you to be ready psychologically in case it has to happen.
Our LastName Cesarean Birth Plan for our Twins
Mother: Valerie Partner/ Support: Andrew
Due Date: November 21, 2013
Practitioner: Dr. Henry L. Woo and Commercial Drive Midwives Place of Birth: BC Women Hospital, Vancouver
This birth plan will be follow only if it is a cesarean birth.
No matter what situation arises during cesarean or postpartum, Andrew and I expect to be an important part of the decision-making team. We expect to take part in any discussion of, and to give permission for, any type of medical intervention being considered.
I would like Dr Hadad as the pediatrician.
We know that a healthy outcome for the babies and me is the main goal.
Thank you for reading it until the end.
During Surgery
- I do not want sedatives before and after birth. I want to remember my baby’s first day of life (non-drowsy, anti-nausea medications)
- I would like you make sure all medications are suitable for breastfeeding
- I want Andrew and my midwife to stay with me at all times, including the medical procedures.
- I would like nurses evaluate my babies on my chest
- I would like to keep the placenta for medical purposes
- Please lower the screen just before delivery so I may see the birth of our baby.
- I would prefer to have dissolvable stitches
- I would like some warm blanket during surgery
- I would like to have at least one arm unrestrained during the procedure, so you have a free arm for skin-to-skin contact after delivery.
- I would like to see and touch each baby, and have both placed skin-to-skin on my chest.
- NO use of forceps or a vacuum extractor unless it is necessary
- I will like to listen my own music during the cesarean
- I would like the environment to be kept as peace and quiet as possible.
- I would like someone to take photos or video of the birth
Immediately After Delivery
- I would like to keep the placenta for medical purposes
- I would like to have my partner and I cut the cord.
- I would like no separation with my babies. I prefer that each baby remain with me in the birth and recovery room, unless a particular baby requires special care due to its medical status.
- I plan to breastfeed my babies and would like to begin nursing as soon as possible after birth
- We prefer that the babies’ eyes are not treated with eye drops or ointment.
- Any physical examinations, tests, procedures of both babies must be taken place in my room.
- We want that the baths for the babies are delayed until their temperatures are stabilized. In the meantime, we wish that each baby stabilize physical systems via skin to-skin contact on my chest and/or Andrew.
Recovery
- Once back in our room to recover and been checked as stable, we would like to be alone with babies to nurse.
- We would like to keep both babies with us at all times.
- I prefer post-operative analgesic (pain) medication that allows me to remain alert and able to interact with my babies,
- If someone arrives to visit, please check with my husband or I as to whether we are ready for company before allowing them in our room.
- I am willing to be up and walking as soon as possible
- I would like my Catheter out early the morning after surgery
- I would like to eat and have the IV removed as soon as possible after surgery
- I will be nursing on demand and whenever babies are fussy to help stimulate my milk to come in and to soothe Baby.
Neonatal Intensive Care Unit
- If any or all babies require NICU care, I would like to initiate breastfeed or pumping my milk within 1 to 2 hours of birth (as soon as possible). I would like the staff help me if needed. NO Formula No Bottle, Donor milk ok if really needed
- Co-bedding: If two or more of our babies require NICU care, we would like them to be co-bedded in a single crib as soon as two are medically stable. If it is not possible I would like they are placed side by sided.
- If any medical intervention is needed, we want to be a part of any discussion.
Thank you for all your help.
And with your cooperation, let’s do an awesome delivery of the girls!
Valerie and Andrew