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Planning Your Baby's Birth

This page was reviewed or revised on Thursday, October 29, 2009 1:44 PM

Now that you are going to be a parent, you have a number of choices to make. It is helpful if you make decisions ahead of time so that you can plan to have the birth experience that you are hoping for. Some people are happy to have the caregiver or hospital staff make decisions about their care and treatment, while others want to be more involved.

Your plan states the choices that are important to you and your partner and include the time before, during and after birth. Read, ask questions in class, talk to friends, relatives and your caregiver to be sure you are informed about different birthing options. You and your partner may want to write down how you feel about the items from the list below and then compare your answers. Use this information to develop your plan together.

Please remember, that while these and other choices are reasonable, they may not be offered in your community due to hospital policies, lack of facilities or your caregiver's preferences. You will have to decide if your choices are important enough to change hospitals/doctors/community that you will use. You must also realize that the plan may need to be changed if an unexpected situation occurs. Be flexible and realistic.
 

Choices During Pregnancy Obstetrician/doctor/midwife Ultrasound testing Choice of prenatal classes Fitness program Lifestyle habits	Choices Immediately After Birth Early contact with baby Infant's first bath Breastfeed in delivery room Eye drops Family time in delivery/birth/ recovery room
Choices During Labour Use of a birthing room/labour/delivery room Presence of father/companion Artificial rupture of membranes Medical induction/augmentation of labour Types of preparation - enema or shave Fetal monitor - use or type IV fluids Activity and position of the mother	Postpartum Choices Pediatrician/family physician Rooming in - how much Feeding - Breastfeed or formula Sibling visiting Length of hospital stay Use of video, books, pamphlets Circumcision Type of support in the home Care of sibling
Choices During Birth Father/companion present Anaesthesia - type if required Father's presence at caesarian birth Episotomy Camera, tape recorder Positions for birth Dim lights, quiet room

Communicating With Your Caregiver

Let your caregiver know what your level of knowledge is and on what basis you have made your decisions.
Cover your priorities first, don't ask all your questions at once.
Write down a list of questions in advance.
Make requests, not demands.
Have your partner at your prenatal visit when your plan is introduced.

Questions to ask When Selecting a Caregiver

About Pregnancy, Labour and Delivery...

• Are you in a solo or group practice? If a group, how many other doctors/midwives are in the group. Do you agree on methods of practice? Will I meet the other members of the group before delivery? How can I be sure that the things we have agreed upon will be carried out by your group members?
• Are husbands/partners welcome at prenatal visits and the birth?
• When do you refer patients to a dietician?
• When do you recommend inducing labour? What methods do you use?
• What types of pain medication do you prefer to use for labouring women?
• Do you expect all women to use stirrups during delivery?
• When do you consider an episiotomy to be necessary? What can be done to avoid having an episiotomy?
• Do you deliver in a "Birthing Room"?
• How do you feel about home births? (if you are interested in this option)

After Delivery...

• Do you encourage the mother to breastfeed the baby right after delivery?
• What advice do you give to the breastfeeding mother?
• What advice do you give for the formula fed infant?
• If my baby and I are well, how long will we stay in hospital? How do you decide?