Best Birth Plan EVER

Best Birth Plan EVER

This week, I heard the best birth plan EVER. But first, let me preface this with my spiel I give every pregnant lady who asks about birth plans or my take on their delivery. I tell them: It’s your body, your baby, your delivery. My job is to keep you both safe and explain everything along the way. You can do whatever you want, as permitted by state law. My one rule is you get an IV placed. You don’t have to use it, you just need to have it in case you hemorrhage or get sick fast and we need it. You can eat, walk, monitor or not, have cervical checks or not, be induced (39+w) or wait for labor, go medication free or get your epidural as soon as you hit the door, you can be in whatever position that suits you, delay cord clamping, have immediate skin to skin, breastfeed, bottle-feed, use a paci, opt for an elective CS if you listen to my rationale for why it can be a bad idea- because it’s your deal. You can have no birth plan or a 10 page birth plan, as long as you know that all good plans can go to shit and the Murphy’s joke is Birth Plan = CS. I will tell you what I recommend and what I don’t and why. We’ll discuss it all as it comes up. If we don’t see eye to eye on something major, we’ll bring in someone else to weigh in. That being said, the best birth plan EVER: “My clients ask me about my birth plan...
Birth Story SNAPSHOTS: The Imperfect Ultrasound and Difficult C-Section

Birth Story SNAPSHOTS: The Imperfect Ultrasound and Difficult C-Section

Here’s the premier post to this column about birth stories.  It details the difficult C-section experience and recovery for a mom who is also a nurse.  What follows is the story and then my direct reply to the author.  All names of included people have been altered or omitted for privacy reasons.   The story: When I responded to the c-section article you asked for my son’s story. It has taken me a while to get it together, but here it is. My husband and I tried for 4 years and had 3 losses. When we found out [this pregnancy] was viable we were over the moon. I had always had an idea of how I wanted delivery to go. I wanted an unmedicated delivery and immediate skin to skin. At 28 weeks I was diagnosed with gestational diabetes. I was very strict with my diet and exercise. I only gained 9 pounds during my pregnancy. At about 30 weeks both my primary OB and the MFM (maternal fetal medicine) doctors started telling me [my baby] was macrosomic. My primary OB started pushing me to do a lung maturity and deliver at 35 weeks. I was determined to keep him in until term. At my 38 week appointment my primary OB told me my baby weighed 4200g. She sat down in front of me and told me an induction would be dangerous. She told me it wasn’t safe for me to stay pregnant. “It would be a real shame if after all you have been through he had a dystocia (baby’s shoulder getting stuck at the time of vaginal...
Birth Story SNAPSHOTS

Birth Story SNAPSHOTS

So, I hear lots of pregnancy and delivery stories.  Lots. Some are beautiful. Some are fraught with disappointment. Some are heartbreaking. Some are so intensely inspiring. I’m starting a standing series on the blog where I feature a pregnancy/delivery/postpartum story from you.  They will be shared anonymously and only with the explicit permission of the author.  If there are any take home lessons or experiences that warrant commentary, I’ll add my two cents with the hope that hearing a little something extra will be helpful. If you would like to share your birth story, send it in to kristiangevineMD at gmail   Thank you in advance! Kristi       {Due to the volume of stories I currently receive, not every one will be able to be...