I'm a MOMMY!

How do I even choose where to begin? When I last left you I was having what I thought was practice labor. I watched the U.S. Women's Soccer team kick butt and win another gold medal, took a little nap and continued to experience contractions. Around 4:30 I texted Mike and asked when he was coming home. I wasn't in a lot of pain, contractions were still about 7-8 minutes apart but something inside me wanted him home with me. I was sitting on the birth ball when he arrived home with the Subway dinner I had requested. I was so hungry! I ate almost my entire foot long before I started feeling a little queasy and made myself stop eating. Around 6:00 Mike and I decided to go for another walk to see if it would help bring my contractions closer together. At this point I was having to lean on him during contractions and wanted him to be quiet. He referred to my contractions as waves and was starting to pick up on their pattern. He was reassuring me when he knew they were intensifying and was helping me through them by letting me know when it was almost over.  In between contractions I was  still very much engaged in conversation and Mike and I were talking happily about different things. Like how for the past few days I wanted to avoid the world and just stay safe and cozy in our house and about what it would be like when the baby finally came. I kept telling him that I hope all the contractions were doing something because I was worried I wouldn't be able to handle prodromal labor for days. I told him i wasn't afraid of labor, just of it going on for days. I wasnt afraid, I was ready.  Remember the last time I walked with Zero it slowed my contractions down instead of making them closer together or stronger? Not this time. I told Mike that according to the 5-1-1 rule we could probably go to the hospital but that I wanted to wait. I wasn't ready to go anywhere yet.

Around 6:45 I felt the urgent need to get back to the house as soon as possible because I was afraid my food was going to go right through me. Luckily we hadn't gone too far from the house and I made it to the bathroom just in time. I had a loose stool, felt a little sick and still wasn't convinced that this was really labor. I updated Sam, my doula extraordinaire, and she assured me that this all sounded very promising and could be early labor. *Quotes are from the birth story Sam wrote for me.*  I asked Mike if we could go walking again. This time we made it about 50 yards before I wanted to turn around and go home. I wanted to be in the privacy and security of our home and I wanted to rest. It was about 7:30 and I asked Mike if he would go buy me some Tylenol PM so I could try to get some sleep since my contractions were back to 7-8 minutes apart.  Sam said that it definitely sounded like an on again off again pattern of prelabor and that my body was gearing up for the real thing! I told her that the pain I was feeling then was psyching me out for the big ones and I was afraid I wouldn't be able to handle 'real' labor pains. She assured me that the longer I had the prelabor contractions the longer my body would get to adjust and the "easier" my labor would be.

 "Find yourself a mantra. something that really jumps out at you. Keep that in your mind! You and Mike have worked SO hard for this little lady--you are already stronger than you know.  You will work hard at bringing her to your arms, but it's only for a short while. Minimal!"  

8/9 7:36 pm

Around 8:00 we went upstairs to our bedroom and things become kind of blurry for me at this point.

I remember having a really hard time getting comfortable in bed. I was feeling a lot of pressure and tightness in my back and preferred the hands and knees position when a contraction came. Mike rubbed my back and my feet and tried to keep me as relaxed as possible. Everything was totally quiet. I was no longer functional enough to grab my phone to track my contractions and I was moaning to get through it. Mike kept telling me, "Good job, Megan. Let it out, let it out..."  This went on for the next few hours. As I said--a blur.  Around midnight I remember going through a particularly hard contraction and feeling a pop. I immediately said to Mike, "I think my water broke." He asked if I felt a pop and I said yes, sat up and felt a gush. I told Mike that I was ready to go to the hospital but that I wanted to take a shower and try to relax first.  When I got to the bathroom to get into the shower another contraction hit and I vomited all over myself and the floor. Mike helped get me undressed and into the shower. I told him to text Sam and tell her about the pop I felt. It was 12:30 and contractions were about 3 minutes apart.

I stayed in the shower while Mike texted Sam and called the on-call midwife. During this time I guess I decided it would be a good idea to shave my legs--what?!--because Mike came back into the bathroom while I was in the middle of a contraction and told me to drop the razor. I was moaning and leaning against the shower wall letting the hot water fall on my back. It took a lot of convincing to get me out of that shower and I vomited again before getting out.  Mike put the dogs up, grabbed the last minute items we needed and we headed to the car. I asked him to slide the passenger seat all the way forward so that I could get in the back seat on my hands and knees--there was NO way I would be able to sit in a seat. Since it was the middle of the night there was no traffic, thankfully, but it was the longest 20 minute car ride EVER. Mike was doing his best to comfort me through contractions, putting one hand on my back and coaching me through each wave, as he drove. I asked Sam to hurry and told her how much it hurt.  I was starting to get scared from the pain and my mind was doubting whether or not I could stick to my birth plan and forgo drugs.  The ER parking lot was pretty empty and thankfully we found a spot right up front. It was 1:00 when we got there and I remember about five different people asking if I wanted a wheelchair. Didn't these people know that the last thing I wanted to do was to sit down?

While Mike answered a million questions I was leaning on the counter and moaning and rocking my hips to get through the contractions. I remember wondering if I was scaring the other people in the ER waiting area. The nurse kept asking me if I felt the urge to push but I wasn't feeling that yet. They had to page labor and delivery a second time because they were taking their sweet time. I vomited a third time--thank goodness Mike had brought a grocery bag. At 1:30 a nurse from L&D finally arrived--with a wheelchair that I didn't want--at the same time that Sam arrived. I don't know how long it took us to get upstairs because I had to stop a lot to get through the contractions. It was in the hallway that I said the words, "I don't want to do this anymore." for the first time. They put us in a triage room at first and I immediately noticed there was no tub. My birth plan was a water birth. It was then that we were informed that the plumbing was being repaired and would be out until 5 am. There was no way to fill a tub and I would not be getting my water birth.

Sam grabbed a birth ball and told me to try it out to see if it helped alleviate my back pain but I wanted nothing to do with it. I went to the bed and they hooked me up to the monitors--baby's heart rate was un-reactive/flat during contractions so constant monitoring was necessary. I was convinced I wanted an epidural. I insisted that I couldn't do it anymore and Mike kept reminding me that I was doing it. At 2:30 a nurse checked me and I was already 7cm and baby was fully in position! I had been having contractions on and off all day and exhaustion was grabbing hold--I started begging Mike for an epidural. I begged him not to be mad at me. He assured me that he was not mad at me and he reminded me of all the reasons I did not want an epidural in the first place--risk of labor stalling, risk of c-section, adverse reactions, etc. I wouldn't hear it though--I wanted relief--but Mike and Sam came up with a compromise: get through five more contractions and we would re-evaluate before committing to an epidural. Contractions were 1-1.5 minutes apart. I agreed but told them that I just wanted it to be over and that I didn't want to do it anymore. Again, I begged for the epidural and Sam reminded me that I had three more contractions to go.

At 3:00 the nurse began prepping me for the epidural by placing an IV. She couldn't get it started so the anesthesiologist came in to place the line. While the line was being placed I had bright bloody discharge and Sam was convinced that I was already at least 8 or maybe even 10 centimeters and she told me that I would have my baby in my arms by 4:30. Mike and Sam were doing everything they could to keep the epidural from being placed. They reminded me how far I had come, how hard I worked and how close I was to meeting my baby. I wasn't having any of it though and I was immediately moved to a delivery room after the IV was placed.

At 3:15 the anesthesiologist came into the room and very briefly explained the benefits and risks of an epidural. I thought to myself, "I am in no state to make a major decision like this. I can't believe they're letting me make a decision like this right now."  Exactly two sentences came out of his mouth before he turned to Sam and rudely said, "When I place the epidural you need to leave the room." He was not pleased that Mike and Sam were trying to delay the epidural as long as possible. The anesthesiologist had brought in all the equipment for the epidural before any paperwork had even been signed so Sam asked the nurse to remove it all from the room.

 "Mike was doing a fantastic job helping Megan to remain centered and Megan had gotten herself into a great place, mentally and physically. Rocking seemed to be her rhythm and her urge to push had started."

I was starting to feel a lot of pressure and it was at this point that I felt myself snap out of la la land. I realized how close I was to meeting my baby girl. Our miracle. Still, it wasn't time to push yet so Sam helped me blow through contractions and resist the urge to push. My contractions were 2 minutes apart and I was getting about 4-6 minute breaks in between during my transition phase.  Mike and Sam kept encouraging me and telling me how strong I was. We were getting so close and the midwife still wasn't there.

It took a lot of convincing to allow the nurse to check me again--I knew it was going to hurt and I didn't want more pain. At 3:35 I was 8.5 cm and while my contractions had slowed quite a bit the urge to push was getting stronger and stronger. I started to feel like someone was holding a match against my vagina--the burning was so intense but in a way it was a relief from the contractions that I had been feeling just minutes before. I think it was during this time that Mike had to remove his wedding ring because I may have been crushing his hand a wee bit. Mike asked if they had a chance to review my birth plan since we had requested immediate skin-to-skin, delay cord clamping and to retain my placenta.

"Megan knew it was almost time to push and her demeanor completely changed. She was ready to get to 10 cm and push Baby H. into her arms. She was completely focused and serious, no more desire for an epidural. At 3:50, before the nurse could even get out the door, Megan said she was feeling a lot of pressure and couldn't fight against pushing. She also let out a very vocal and very different reaction to that contraction, so we all knew it was time for her to push. Megan was at 10 cm and felt baby's head very down low. "

 

At 3:55 I started to push. I pushed when I wanted to push. The lights were low and there was no one screaming at me.  I was allowing my body to do the work. There was no more resisting. I don't  know how to describe it other than it felt like the world's biggest bowel movement. I remember telling myself with each contraction, "You are one step closer to meeting your baby...You are one step closer to meeting your baby."  The midwife came in just before crowning.  I was still laying on my side and putting a lot of energy into gripping the bed with my arms so they suggested I roll onto my back, grab my legs and put the energy into bearing down instead. I can hear Sam's voice saying, "You are so strong, Megan!" when I was pushing. This let me know that all my hard work was doing something. I was extremely vocal at this point and heard Mike make a noise that sounded like a laugh and I yelled, "Don't laugh at me!" he wasn't laughing. He was already crying. I asked, "Is she coming!?" and screaming out as I felt her head emerge. The ring of fire was intense but it was such a relief to be pushing. I could feel my body working toward something and I was so focused on my little girl being in my arms very soon. In one big gush I felt her emerge from my body and I heard the midwife and nurses say, "Look down Megan! Here's your baby!"

At 0417 Hazel Evelyn was born. 

I was finally a mommy.

They placed Hazel on my belly and as I sobbed I said to her, "Happy Birthday!  We've waited so long to meet you!!!" I was in a daze--I felt as high as a kite. I didn't have my contacts in so I couldn't see her very clearly but I could hear her cry. I can not even begin to describe the relief I felt. Physically, emotionally, spiritually. I could hardly believe that after 4.5 years I was finally holding a baby of my own. I remember looking at Mike and saying, "I did it! I can't believe I did it!" He looked into my eyes and said, "I can."

I laid there in kind of a fog while we waited for her cord to stop pulsing. Mike got to do the honors of cutting it.

I felt like I was in a dream.

 

I told Mike that she smelled like vanilla.

 

I birthed my placenta without any issues and they took it away to make sure it was intact. Sam kept a close watch on it since we planned to take it home for encapsulation. 

 

The midwife started to press on my abdomen to get my uterus to contract. I was told that I was bleeding a lot and they asked if they could give me a small dose of pitocin to help stop the bleeding. I was on a total baby high at that point. They probably could have told me they were injecting anti-freeze and I wouldn't have cared. I had a 2nd degree tear that needed to be stitched up as well but all I was thinking about was the new life in my arms. 

While we were waiting to be moved into a postpartum room I told Mike how hungry I was. Thankfully we had planned ahead and packed some Clif Bars and Sam gave me some water. The sun was starting to come up.

Hazel came out with a lot of vernix on her lower body. She weighed 7 lb 12 oz and was 19.75 inches long. Her apgar score was 9/9.

I asked Sam to come to our postpartum room with us because I wanted a picture of her and Hazel.

She was such a beautiful pink color and I told Mike, "She smells pink!'

There are no words to describe how I felt after giving birth to my miracle baby after four years of infertility. Numerous painful tests, a surgery, failed procedure after failed procedure, years of heartache. All of that went away in an instant. 

Hazel was worth the wait.

Over the past few days I have spent a lot of time reflecting on my birth. I have never felt so proud of myself in my life. I was able to stick to my natural birth plan but I couldn't have done it without Samantha and Mike. Mike was absolutely amazing during the entire thing. He really was my source of comfort and support. I remember crying out to him in pain--I needed him. He did everything he could to help me stick to my birth plan. Even though I was begging for relief and for it to be over he knew knew how important a natural birth was to me and without his help I don't think I would have made it. As far as my doula Sam---neither Mike nor myself would have made it without her help and support. When the pain was at its worst she promised me that I would be having a baby in an hour and a half--and I did! During one particular bad contraction I looked at Mike and told him I wanted drugs. He said that I broke his soul with that look and he would have given in had Sam not been there to back him up. If you're even considering a natural birth--HIRE A DOULA. I will be forever grateful for Samantha's help during my labor and I like to think I've made a new lifetime friend.

I am so overcome with emotion as I look back on the pictures from that day. I feel such a strong spiritual connection with other women who have done this before me. I feel empowered. I feel strong. But...

If I had to pick one word to describe how I feel it would be

 THANKFUL. 

Thankful we found Dr. Moruzzi. Thankful our IVF worked. Thankful that we had loving and supportive friends and family who helped us through the dark times and rejoiced with us in the good. Thankful that I had an uncomplicated pregnancy and a textbook natural delivery. Thankful that Mike and Sam got me through it.
Thankful for my miracle baby. 

Even now, with all the emotions and memories of birth so fresh and raw, I would gladly do it all again tomorrow. She is so beyond what I could have ever imagined. She is my dream come true. 

37 Weeks

From IVF bloat to big baby bump--look how far we've come!

How big is baby? 

 

Symptoms: Aches and pains all over. Dry mouth, hungry all the time, fatigue. Fun end of pregnancy stuff!
Total Weight Loss/Gain: +38.5
Maternity Clothes: Yup. Though I'm running out of things that fit. I snapped the elastic in on of my shirts today. Way to make a pregnant girl feel good!
Sleep: I miss it.  Baby girl must be pushing on my bladder because I am up every single hour some nights!

Best Moment This Week: Meeting with my doula and addressing my fears and anxieties about birth. I feel so much better now and I am pumped to have this baby!
Gender: GIRL!!!!
Movement: She's still very active and seems to be hanging out all on my right side. I'm constantly getting poked and kicked in the ribs.
Food Cravings: Cinnamon toast and cinnamon toast crunch
Labor Signs: I am declining cervical checks for now since they're not really a good indicator of when I'll go into labor anyway. I do have some occasional contracting and cervical pressure. My pelvis just feels so incredibly heavy. 
Belly Button In or Out? Depending on her position it's either a slight outie or big outie.
What I miss: Walking without looking like a little old lady. I have to shuffle to the bathroom in the middle of the night and it's so hard getting out of bed!
What I am looking forward to: The moment I meet our baby girl. It's so surreal that it could happen at any time now. After everything we've been through. I hope someone is available to take a picture of this moment because I want to remember it forever.
Next Appointment: 3 August--38 weeks.
Milestones: Full term!!! Her organs are fully functional and her lungs are mature enough that she now has permission to come out.  I'm totally expecting her to bake a few more weeks and I definitely want her to come when she's ready BUT I hope she doesn't take her sweet time because I really don't want to PCS 3,000 miles two weeks after having her, you know? Oh and I'm GBS negative, which means I can labor at home as long as I want to now. Woot!

I created a baby pool for fun--click on the banner to enter your guess on when Baby H. will arrive and how big she'll be! 

  

Oh and Happy Olympics, everyone!!!

I am Pumped to Birth this Baby!

There's an epidemic in America right now. We have an unnecessarily high c-section rate and birth is no longer seen as a natural, physiological process, but rather as a medical ailment and something that needs to be treated or cured.  For anyone who is pregnant or trying to become pregnant, I highly suggest you watch Pregnant in America and The Business of Being Born. They are both extremely eye opening. Ina May's Guide to Childbirth and The Thinking Woman's Guide to a Better Birth are really great resources as well.

My goal is a natural, un-medicated water birth. My hospital is the only one in the state that allows water births! I know some of you are probably thinking I'm crazy. "What? Natural?! We'll see...."  "Why not just get an epidural?" "Why put yourself through that?" And my favorite, "It's not like you get a medal for going natural..." You know what? Women may not get a medal for going natural but they sure as hell deserve them! You get medals for running a marathon. Marathons are mentally and physically challenging, just like birth. Why not give credit where credit is due?!

Why I want a natural birth:

• I think that women in America are given far too little credit for their abilities to birth babies. We are made to do this; I am made to do this.
• After everything it's taken me to get to this point (See: New? Start here.) I would really like to experience the natural birth process.
• I want to experience that total rush of oxytocin, the baby high, when I birth my baby. Drugs can interfere with this natural occurence. 
• Every drug given during the birthing process will cross the placenta to the baby. I want to see an awake, alert baby when I meet her for the first time. AND since I'm encapsulating my placenta (maybe I need to do another post on this topic?!) I would rather not have any of that stuff in there.
• A natural birth will lessen the  chance of a cascade of interventions, decreasing my risk of needing a c-section. 

 Of course all this goes out the window if mine or baby's safety is jeopardized. The ultimate goal is obviously to have a healthy baby safely but due to my low risk pregnancy there is absolutely no reason to think that my birth plan can't become a reality. Mike is totally on board with my birth plans and has been so caring and inquisitive. Yesterday, when we were taking a walk with our girls, he asked me what kinds of things I would like him to say to me during labor and which words I would find comforting and motivating. I know he's going to be a great sense of support for me during labor! However, last week we decided to hire a doula to also assist and support us during birth. Why? Well, we're first time parents and have no clue what to expect. I'm more afraid of the unknown than I am of labor pains.  Back in the day, women often labored with the support of other experienced women or  attentive midwives who were able to help them through the pain and all the scary unknowns. This is where a doula comes in. With her help, I am more likely to be successful in my natural birth hopes! She will not take Mike's place in the delivery room. She will, however, be an additional support person for me as well as for Mike.

What is a doula?

The word "doula" comes from the ancient Greek meaning "a woman who serves" and is now used to refer to a trained and experienced professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth; or who provides emotional and practical support during the postpartum period.
Studies have shown that when doulas attend birth, labors are shorter with fewer complications, babies are healthier and they breastfeed more easily.
A Birth Doula

• Recognizes birth as a key experience the mother will remember all her life
• Understands the physiology of birth and the emotional needs of a woman in labor
• Assists the woman in preparing for and carrying out her plans for birth
• Stays with the woman throughout the labor
• Provides emotional support, physical comfort measures and an objective viewpoint, as well as helping the woman get the information she needs to make informed decision
• Facilitates communication between the laboring woman, her partner and her clinical care providers
• Perceives her role as nurturing and protecting the woman's memory of the birth experience
• Allows the woman's partner to participate at his/her comfort level

A birth doula certified by DONA International is designated by the initials CD(DONA).
Research evidence shows that the quality services of a postpartum doula can ease the transition that comes with the addition of a baby to a family, improve parental satisfaction and reduce the risk of mood disorders.

Why use a doula?

Women have complex needs during childbirth and the weeks that follow. In addition to medical care and the love and companionship provided by their partners, women need consistent, continuous reassurance, comfort, encouragement and respect. They need individualized care based on their circumstances and preferences.
DONA International doulas are educated and experienced in childbirth and the postpartum period. We are prepared to provide physical (non-medical), emotional and informational support to women and their partners during labor and birth, as well as to families in the weeks following childbirth. We offer a loving touch, positioning and comfort measures that make childbearing women and families feel nurtured and cared for.

Numerous clinical studies have found that a doula’s presence at birth

• tends to result in shorter labors with fewer complications
• reduces negative feelings about one’s childbirth experience
• reduces the need for pitocin (a labor-inducing drug), forceps or vacuum extraction and cesareans
• reduces the mother’s request for pain medication and/or epidurals

Research shows parents who receive support can:

• Feel more secure and cared for
• Are more successful in adapting to new family dynamics
• Have greater success with breastfeeding
• Have greater self-confidence
• Have less postpartum depression
• Have lower incidence of abuse

                                                                                                                                                                                          

I met with my doula yesterday to go over my hopes for birth and what I expect from her.  I chose her based on a number of factors--she's a friend, she's experienced but not yet certified (so we can actually afford her!) and she has a history of infertility, which makes it much easier to talk to her about our journey so far. We went over my birth plan, discussed my fears and anxieties, she explained her role in the delivery room and shared some stories about the hospital were I'll be delivering. I am so pumped to birth this baby now! I can't wait to meet her, to nurse her and I know my family and friends are very excited to learn her name! I can't believe that I will be full term tomorrow. We are so close to meeting our little miracle! I hope that I get the birth experience I'm dreaming of. If I end up needing help with the pain I hope it will be only after I have tried everything else first.

In other news...Mike's orders came through yesterday so it's finally official--we were moving to Fort Rucker! By 10 October we will be officially be southerners. Okay, not really...I can't imagine ever considering myself a southerner (I'm actually very nervous to live down south!) but we can pretend. :)

Fort Rucker Bound

So it's semi-official. We are heading to Fort Rucker! Mike's reenlistment paperwork was turned in yesterday and we should get the "official" word from Uncle Sam in the next several days. His estimated report date is 10 July, so about 5 weeks before my due date. Eek! We are so excited about this new adventure in Army life. I am looking forward to warm weather and being back within driving distance of more family members.  I'm even more excited that Mike won't be deploying for a long time! We've waited so long for this little girl and it will be so special to keep our family so Mike can witness all her big firsts.  What I am a little (a lot) apprehensive about is not only traveling 2,800 miles at 33 weeks pregnant but also giving birth in a very anti-natural birth climate.


Throughout this entire pregnancy I have had a pretty specific vision of how I hope my labor and delivery to go. This is very likely going to be our only child and I would really love to experience everything that labor brings. I know some people will call me naive or even ridiculous for having such a long list of goals and wishes but I am determined to do my best to make it happen. I am not totally opposed to the use of drugs or interventions, especially if my baby's in danger, but I would definitely like to try to labor naturally first. This wasn't going to be an issue with my current midwife--she will allow me to walk around during labor, eat, use the tub for pain management and push in whatever position feels comfortable to me rather than what is convenient for her.  I have had some incredibly painful tests during my infertility journey and it was so hard to be still while I was in such pain. I can't imagine being in that much pain for hours and being required to lay flat on my back.  In Alabama, midwives are illegal. Yes, you read that right. Midwives are not allowed to attend hospital births and can be prosecuted for attending out-of-hospital births. While I'm not interested in a home birth, I think it should be a choice left up to the parents and not a choice forced on them by state legislation. There is not a single free standing birth center in the entire state of Alabama.

Anyway, I've started my research and found out that there are two hospitals that serve the Fort Rucker area. Flowers Hospital and Southeast Alabama Medical Center. Based off the websites alone, I am leaning toward SE Alabama Medical Center because of the way the birthing suites (complete with jacuzzi tubs!) are set up. Flowers doesn't even mention having tubs and that's important to me. When it comes to choosing an OB, I haven't got a clue. I currently know one woman who is living down there and her OB induced her on her due date because she (the OB) was going out of town and my friend was anxious to meet her baby.  Some people might think, "What's wrong with that?" but I personally feel that induction just for the hell of it can lead to potential problems for your baby and that you're almost guaranteed to have a snowball effect of interventions. For this reason, I do not want to be induced unless there is a valid medical reason or baby or I are at risk.
Mike and I had talked about hiring a doula when I first became pregnant. We felt like it would be unnecessary here because my midwife and hospital were so supportive of the type of labor I am hoping for. We thought we'd be able to handle labor and delivery with just the two of us and I liked the idea of Mike being my sole support system during all of it. Now they're we're moving cross country at such a late stage in my pregnancy, with little time to develop a relationship with an OB, we have readdressed the doula issue and have decided to hire one. We feel like she will be a tremendous help in the delivery room when it comes to advocating our wishes to the staff and helping us be successful with our goals. Mike and I won't be able to attend any child birth classes with the timing of our move and upcoming training he has so a doula will be a great resource for relaxation and pain management techniques. She won't take the place of Mike but will be there to guide him to fill the supportive role I will need during labor and delivery. I've already contacted a doula and received a response! She doesn't really care for any of the OBs down there but suggested one that I was actually considering because someone else suggested that he was natural birth friendly. She said he's allowed her clients to eat/drink, walk around, refuse IV meds, use only intermittent fetal monitoring, etc.  Since I won't have a lot of time to "interview" OBs once we get down there I guess I will have to make an informed decision based on the opinions of others. I've made a list of my labor and delivery goals to help me figure out exactly what I'm hoping to find in an OB. Wish me luck!


Home Labor Goals
I would like to labor at home as long as possible, with our doula present, before going to the hospital.

Hospital Labor Goals

• We plan to have myself, my husband and doula present. Please turn away all visitors and unnecessary staff until we have had time alone with our baby.
• We are attempting to have a natural, un-medicated birth without unnecessary medical or chemical intervention.
• We understand that there are procedures which may become necessary.
• Please do not offer me pain medications or ask me to rate my pain.
• Except in the case of an emergency, we ask that we be given the opportunity to accept or refuse any procedure or medication.
• We request that the least invasive or restricting versions of procedures be used.
• I prefer to have minimal monitoring and limited vaginal exams.
• I prefer not to have any unnecessary medications or interventions.
• I would like to the opportunity to be up and moving around as much as possible during labor.

Delivery Goals

• I would like to push at my own pace (Mother-directed pushing.) 
• I do not want an episiotomy unless medically necessary. I prefer to try perineal massage and a warm compress first.
• I would prefer to push in whatever position is comfortable for me, rather than the traditional back and stirrups position. 
• If labor seems to be stalling I would like the option to try different positions to get the baby to come down (hands and knees, squatting, birthing ball, etc.)
• Upon delivery I would like the baby to placed on my chest right away. I would like to have at least 1 hour of skin-to-skin contact before the baby is taken away for measurements.
• I prefer to breastfeed our baby as soon as possible after delivery. I prefer not to be disturbed until after the first feeding.
• We prefer to wait to cut the cord for 1-2 minutes or until it has stopped pulsating. Please offer my husband the opportunity to cut the cord. 
• Please retain my placenta for encapsulation.
• I would like my doula to be allowed to take photos during the entire labor and delivery process.

If a Cesarean Becomes Necessary:

• I would like to be conscious with my husband and doula in the room. I would still like to nurse our baby as soon as possible and for my placenta to be retained.

Recovery Goals

• I would like the baby to room in with us rather than in a centralized nursery.
• I would like either my husband or myself to be present for baby's first bath.
• I would like to establish a strong breastfeeding relationship. Please do not introduce a bottle or pacifier without notifying us of a medical reason. 
• I would like to meet with a lactation consultant to have breastfeeding techniques checked.