Friday, July 24, 2009
I'm loving the baby bump and I'm just so happy to be where I am! I do have a few funny things that I've read that I thought was pretty funny and thought I share.
Okay, so every night Dh watches Stargate SG1 (got hooked while in Iraq and now has all seasons). A few nights ago one came on called "Hero's" and it pretty much started with this opening line which I thought was so darn funny and so guyish. With all the baby talk going on, I thought that many of us who are just sitting around waiting...and waiting, would like a little laugh.
(4 troops have just walked through the stargate and onto another planet and are scouting the area. Two of them are paired together, having this conversation.)
Colonel Dave Dixon: Yeah, all-night screaming, projectile vomiting, nuclear diapers... you have no idea. The reason they make them so damn cute is so you don't suffocate 'em in their sleep.
Senior Airman Simon Wells: Sir, you have *four* kids.
Colonel Dave Dixon: Yeah, why do you think I enjoy my job so much? Don't get me wrong, I love the little buggers to death, but trust me, havin' four kids makes going through a Stargate and facin' off against alien bad guys look like nothin'. This is relaxing.
Senior Airman Simon Wells: Then why'd you have four?
Colonel Dave Dixon: Well, one's pretty bad, but you figure you gotta have two so the little guy can have a brother or sister, right? Then you have two boys, and the wife says she want a girl so you figure "Hell, three can't be much worse than two", right? What you don't realize is your brain is fried 'cause you haven't slept. After three, four is no big deal. You're so deep in it, nothin' seems to matter any more. It's chaos. You're just tryin' to make it through each day alive. In the end you spend all the energy you have left tryin' to get 'em into bed only to lie awake prayin' they don't get hooked on drugs, hurt, or worse... wind up dead in an alley somewhere.
Senior Airman Simon Wells: Can't wait, sir.
Colonel Dave Dixon: Yeah, miracle of birth, my ass. I'll tell you what a miracle is, birth control that works.
Friday, July 24, 2009
I posted a blog and several times over it never posted up to my blog page. Anyone else have this issue?
Tuesday, July 21, 2009
Please read "My Birth Plan-Can anyone Help? Pt 1" In order to figure out where the help is needed.-Kat
To: Madigan Army Medical Center Labor and Delivery Hospital Staff and Pediatrics Staff.:
Through much research, spiritual searching and personal experience I have come to what I believe is the best possible plan for me, my unborn child and my family. My goal is for me, my family and unborn/born child to have a pure, natural, instinctive, healing, informed and undisturbed labor, birth and postpartum in order to make this a memorable, happy and healthy experience for us all. The following is my "ideal" preference though I realize that every experience is different. These decisions have been made after much research, consultation, and thought. I respectfully request the patience and understanding of medical caregivers to refrain from any practice or procedure that could unnecessarily hamper me having my ideal birth. Your help in attaining these goals is very much appreciated. You can be assured that in the unlikely event of complications, my full cooperation will be rendered after an informed discussion with the doctor has taken place, and adequate time for private consideration has been given. Thank you in advance for your support and encouragement during my stay here at your facility.
IN THE EVENT OF AN EMERGENCY:
In the event that the situation becomes life-threatening for either me or my baby, I will, of course, yield to any request for life saving intervention, upon the briefest of consultation. In the strong likelihood that I have the normal birth that I am expecting, I ask that you refrain from any routine interventions or measures that I have not previously agreed upon.
I would like to complete all forms prior to labor; and to stay at home as long as possible. If admitted and feel that I am not progressing, I will decline admission until a later time.
When admitted, I request an experienced nurse who is familiar with or excited about natural birthing techniques. Please no training or student nurses.
Labor assistant to be present at all times.
In order to facilitate relaxation I request a quiet room, dim lights, music (brought by myself) and to wear my own clothing. No excess hospital staff please (only necessary hospital staff and minimal interruptions). I ask that staff knock on my door and announce themselves before entering, use low voices, do not talk during my contractions (please time questions or interruptions between contractions) and refrain from using words such as “Pain”, “Hurting”, “Hard work” and other such negative words that can incite fear, pain, and anger while in my presence. I request that machines be covered or removed until the likely hood that they are needed (emergency) and that I be able to bring in my own items of comfort: pillows, blankets, artwork, flowers and ect.
FHR monitored by fetoscope, for the first 20 minutes of labor only, rather than ultrasound devices; no internal fetal monitoring please unless there is a life or death concern and I have given consent.
Vaginal exams only upon consent and request. Pease do not inform me of my progress or “lack of progress” in dilation.
No augmentation of labor such as pitocin, amniotomy, or stripping of the membranes. I will consider inducement of labor only if labor is unusually delayed or there is medical urgency. I would prefer to use natural inducement techniques, moving to gels, Pitocin, or other procedures only as a last resort.
I decline discussion of pain tolerance or pain levels. No analgesia/anesthesia to be offered or given unless I ask for it.
I wish to use heat or cold therapy, acupressure, aroma-therapy, positioning or a shower/tub for non-medicinal pain relief.
Freedom to move and walk around during labor and use any position I find comfortable.
I ask for the use of a birth ball, rocking chair, squat bar/stool, a tub and shower as desired.
I would like to have the opportunity to record my labor, baby’s birth and our bonding time with still photographs and video cameras.
No I.V. please unless drugs are being used or there are signs of dehydration.
No heparin lock unless there are signs of an emergency.
I ask that I hydrate myself with, ice chips, jell-o, broth, popsicles, water and juice as desired, and will be happy to accept an I.V. if I am unable to do so due to medical reasons (passed out, unable to take in fluids or move)
I wish to eat light snacks during my labor such as fruits, nuts, and light carbs.
It is my strong desire to allow my labor and birth to proceed upon its natural course, in the absence of complications, without restriction to time. In the event of a slow or stalled labor I want to use natural oxytocin stimulation -nipple / clitoral stimulation—and be given the uninterrupted privacy to do so.
I will be fully apprised and consulted before the introduction of any medical procedure. I will be using the BRAN method in order to make an informed choice and ask that all Benefits, Risk, Alternatives and effects of doing Nothing be discussed and put into writing and time alone be allotted for me to make a decision before anything be done.
I will be using positions I find effective during pushing, squatting, on all fours, side lying and sitting upright and will be using a birth ball, chair, squat bar, bed, tub, shower and rocking chair as needed.-No stirrups please.
I wish for dim lights, soft music, no talking or low voice, and all staff (which should be limited) to stand in the background, out of view if possible during the birth of my baby.
I wish to use completely natural birthing instincts to facilitate the descent of the baby as much as possible – with mother-directed “breathing down” until crowning takes place, and ask that the staff respect my request and not direct me on how to push, unless an emergency arises.
I wish to continue with the second stage of labor for as long as the baby and I are stable.
I wish to not have my water broken during the second stage of labor unless I direct otherwise.
I wish to not begin pushing until I feel the urge to push.
I have been preparing for a birth with no episiotomy and appreciate your patience and support as our baby crowns. I ask that a nurse assist me with warm compresses and olive oil massage of the perineum.
If assistance in delivery is needed, please use suction rather than forceps. Use of topical anesthetic if an episiotomy is necessary during the suction.
I wish for my children to watch in the crowning and birth of their sibling, allowing them to touch the baby’s head as s/he crowns.
Please allow my baby to be born without pulling on his/her head or turning it unless there is shoulder dystocia.
I wish for a calm, gentle, encouraging atmosphere during birthing – calm, low tones of voice with no “counting” or “pushing” prompts if talking is needed. Use the vocabulary that I am using.
I wish to not have any speaking/talking as my baby proceeds to be born. The first words my child is to hear will be my own or that of his/hers siblings or father.
I wish to catch my own baby or assist in catching my own baby or have my children or husband catch my baby, if I am unable to fully take part.
I wish to announce the sex of my baby or have my children do so.
If there is a need for my baby to be taken to NICU, I ask that the cord be allowed to stop pulsating before clamping or cutting, and that I cut it at that time.
If there is any need for medical intervention such as oxygen or reviving of the baby, I wish that it be done on my lap and that the cord not be clamped or cut.
I ask that my baby’s nose and throat not be suctioned out unless there are signs of meconium present. I ask that natural draining be allowed or that I do the suctioning myself.
My baby is to be immediately placed in my arms and on my abdomen and to my breast (if the cord allows) to start nursing in order to aid in the natural delivery of the placenta and skin to skin warmth.
No pitocin, uterine massage, or pulling on the cord please.
I wish for a lotus birth and ask that the umbilical cord not be cut or clamped even after pulsating (unless there is a life of death emergency, NICU involved) or the delivery of the placenta. I will personally provide the means to take care of both the placenta and cord which will remain attached to my newborn until both become detached on their own.
I will dry and wrap my baby for warmth and ask that blankets be available for use for the both of us and that we be covered if requested.
I ask that all newborn procedures be delayed until bonding is over, 2 hours or more.
I ask that the Vitamin K shot and the Hepatitis B vaccine not be given and I am willing to sign any paper work for this.
I ask that all medical staff leave during the bonding time and allow for me and my newborn to bond and rest and for the rest of the family to connect.
No bright lights or talking during bonding please.
If stitching of perineum is necessary, please use local anesthetic after baby and placenta are born and after bonding.
If my baby is a boy, I will decline the surgical removal of his foreskin.
I request to bath my baby on my own and during my own time. Please do not rub or clean off my baby.
Please do not apply any clothing (hats included), diapers or creams onto my baby.
Please do not cut or clamp the umbilical cord or disturb my baby’s placenta.
I will be exclusively breastfeeding my baby and request that no bottles of any kind, pacifiers or artificial nipples be given to my baby.
I ask to room in with my baby and be able to co-sleep with my newborn in order to enhance the bonding experience, breastfeeding and to keep my baby warm and secure.
Please perform all physical exams and procedures in the room with me.
I prefer not to room in with laboring moms or moms who have already given birth unless there is no space available. If there is no space available I wish to be released to another facility.
I wish to have food provided to me within a few hours after delivery.
I prefer to be allowed to leave the hospital with my baby within 24 hours after birth and wish that my children stay with me for as long as I am comfortable during that time.
In Case of an Emergency:
I wish to be encouraged to go into labor on my own before a scheduled c-section is performed.
I wish not to consider possible induction until a Bishop score had been given.
I wish not to consider possible induction until after I am 42 weeks along.
I wish only to proceed with a c-section only if there is an emergency or induction has failed.
For a scheduled cesarean, preoperative blood work and test to be done on an out-patient basis.
Support person allowed in the OR at all times if I wish.
I wish for only the incision site and area for regional anesthesia to be shaved.
I wish for both my hands to be unstrapped.
I ask that a low transverse uterine and abdominal incisions to be performed.
I would like the choices of anesthesia to be discussed with me and put in written form.
I wish to view the birth and the surgery either by mirror or by lowering the screen and a description of the surgery.
I wish to have pictures and video of the birth.
I wish to touch my baby.
If general anesthesia becomes absolutely necessary, it is my wish that my support person is to remain during the birth in order to greet my baby.
I wish to not have the sex of my baby announced.
I wish for the first spoken words that my baby hears to come from me or my support person/children and only minimal and low voices after that.
If my baby’s health is fine, I wish to continue on with my plans: No procedures done until after bonding for at least 2 hours. I ask that the Vitamin K shot and the Hepatitis B vaccine not be given and I am willing to sign any paper work for this. I ask that all medical staff leave during the bonding time (once I am in recovery) and allow for me and my newborn to bond and rest and for the rest of the family to connect. .No bright lights or talking during bonding please. If my baby is a boy, I will decline the surgical removal of his foreskin. I request to bath my baby on my own and during my own time. Please do not rub or clean off my baby. Please do not apply any clothing (hats included), diapers or creams onto my baby. Please do not cut or clamp the umbilical cord or disturb my baby’s placenta. I will be exclusively breastfeeding my baby and request that no bottles of any kind, pacifiers or artificial nipples be given to my baby. I ask to room in with my baby and be able to co-sleep with my newborn in order to enhance the bonding experience, breastfeeding and to keep my baby warm and secure. Please perform all physical exams and procedures in the room with me. I prefer not to room in with laboring moms or moms who have already given birth unless there is no space available. If there is no space available I wish to be released to another facility. I prefer to be allowed to leave the hospital with my baby within 24 hours after birth and wish that my children stay with me for as long as I am comfortable during that time.
I wish to continue on with my Lotus birth, with the placenta being removed with the baby, all at once and the cord not being cut or clamped.
I wish for my baby’s health to be judged on its own merit. No special nursery care unless necessary.
Immediately after the birth, as soon as my baby is stable, I wish for my baby to be held by myself or my support person and to stay within my arm’s reach at all times.
Unless my baby requires special nursery care I wish for my baby to stay in recovery with me.
If special care is needed for my baby, I request that my support person accompany my baby to the nursery.
I request the option to refuse routine immediate postoperative medications.
I.V. and Catheter are to be removed as soon as possible after birth.
Food and drink are to be made available within a few hours after surgery.
My baby is to remain with me during recovery and postpartum so that I can breastfeed and co-sleep and 24 hour visitation for my support person and children is requested to assist me.
I request that my older children be permitted to bond with their baby as soon as possible and see me as soon as possible.
If I develop noncontiguous fever I ask that my baby be allowed to remain with me.
I ask for a lactation consultant to be provided and that any supplements needed be done by a supplemental nursing system rather than by a bottle.
I ask for open visitation and parent involvement in care during care in the NICU/ nursery.
I ask that these special requests be followed in the event of a natural birth or c-section.
1. If my baby has a medical condition that can not be corrected and is yet life threatening, I request that I be handed my child, things continue on as in a normal birth and all medical staff leave so that me and my family can have as much time alone during my baby’s short life time.
2. If my baby has a medical condition that is not life threatening and can be dealt with at a later time, I request that I be given my baby immediately, plans continue on and after bonding all discussion on what to do next with the condition be talked through.
3. If my baby has an abnormality (is deformed) I wish that it not be spoken of, pointed out and that my baby be given directly to me (as long as it is not a condition that requires immediate medical attention) and for things to continue on as planned. Later discussion will be done after bonding has been established.
4. In all the above cases, I wish that all discussion be done in private with me and the doctor alone. I wish to share the information give to me with my support person, children and family on my own. I wish for them not to find out through medical staff and wish for medical staff not to be present during the time when I inform them.
5. In all the above cases, I wish that no interns, student nurses or extra un-needed staff be permitted into my room or to see my baby. No pictures, no video taping is to be done by the medical staff. I ask that the staff not comment, stare, or come in to “exam” my baby.
6. In any case, after birth if myself or my baby are crying, in distress, I ask that we be united at once. I wish to have my baby in my arms or one of us moved within arms reach of each other in order to avoid initial protest/hyper arousal (fear-terror) response and despair-dissociation(metabolic and emotional shutdown and quieting) which normally follows due to maternal- newborn separation.
7. I ask that in cases in which me and the staff can not agree on, Against Medical Advice forms be given. If the staff insist that they can not assist me, I ask that I be given a doctor or nurse who can or relocated to another facility that can assist me or that the opportunity to speak to my lawyer be allowed.
8. I request the right to be assigned to new doctor or nurse if I feel there is a conflict of personal interest.
9. As with all procedures, routines and polices in place, I request that: I be fully apprised and consulted before the introduction of any medical procedure/routine/policy. I will be using the BRAN method in order to make an informed choice and ask that all Benefits, Risk, Alternatives and effects of doing Nothing be discussed and put into writing and time alone be allotted for me to make a decision before anything be done.
I have put much thought and consideration into my birth plan. I have gone through research, my spiritual beliefs, religious beliefs, philosophical beliefs, past experience and maternal instincts and feel that the decisions I have come to are for the best for me and my child and will help in aiding in the decline of mental, emotional, spiritual and physical negative effects and out comes not only during my labor, birth, postpartum but during the many years that me, my baby and my family will be together. I hope that you and your staff help to aid me in a birth without fear and without violence, one that will fill my journey with healing love, peace, devotion, health, natural creativity and happiness so that I can continue to mother my children in the same manner for as long, for as we are together here on this earth and beyond.
Health Care Provider(title):__________________________
Head Nurse, Labor & Delivery:_________________________________
Tuesday, July 21, 2009
I wrote up my birth plan deal because I go in on Thursday to the Head Nurse to go over it. My last appointment didn't go so well so they set me up with her because...well because I had a lot of "changes" that needed to be made and added to their pre-written, check me off as you go plan.
So, since this time I know I'm talking with someone and going through a plan (last time I thought I was just picking up the packet), I want to be more prepared and have my own "personal" plan, one that I made up, not the hospital.
This plan is set up for the "In case" I end up at the hospital deal since I want to birth at home or at the very least, labor as long as I can at home...actually, I rather labor in the hospital and birth at home since my fear is giving birth there, not laboring....
Can someone, or more than someone, read through my plan and help me with spelling, grammar, punctuation, making sure that things are in order and everything makes sense. Also if you think there is something I might have forgotten (something I've talked about before or you think may follow my ideals) please let me know.
I'll post it in the next post, it's long...
You can copy and paste, send it via email or just post the suggestions up here...which ever.
Any and all help is needed...I so wish I didn't suck at basic English!!! LOL
PS: Can you let me know if it sounds on the defensive/negative and which areas (hopefully not the whole thing!
Also, the spacing is off. I do have spacing after titles and bold letters are used and the such. Sparks is not working with me on this though.
Tuesday, July 14, 2009
I'm living in the world of ...stupidity. If I wasn't so damn dumbfounded right now I would be angry. All I can do is laugh though.
All a joke.
I went to the doctors today to get a birth plan packet. I got the packet from a NURSE not even the doctor. Doctor came in (different one again!) and I told her that there were just a few adjustments that I wanted to go over. Her words, "Have you given birth here before?" my words, "Yes, sorry to say and I rather die before doing it again."
That set her back a bit so she wanted to go over the birth plan in hopes of improving my birth experience this time.
There's just toooo much stupid to go over but let me give you one example...Okay make it two.
1. I started with the Lotus birth-"I want a Lotus Birth"
"Well that's up to the doctor, if he's comfortable with that and it won't hurt the baby or you I don't see why not."
"Why would it hurt either one of us and how would he even be involved?"
"Well...wait, what's a Lotus Birth?"
There's more to that story such as...I actually had to spell it for her...L-O-T-U-S...as in the flower...
Yes, it's listed as a way to induce labor. I asked her "Why? It's not even approved by the FDA" her response "Well yeah we know that." I then informed her that the makers of Cytotec even have stated that they don't intend for it to be used for this matter. She says that they have had no negative effects yet and I said, "But what happens when you do and it's proven that you harmed or killed someone with a product that not approved for this use by the company or the FDA?"
"Well, that's not happened yet."
I tell her about all the placenta issues and such and she admits that she's heard of that but has never seen it during her time as an OB and has never heard of it happening at Madigan.
Later on down the line she says that they mostly use it for the second stage, getting the placenta out and contracting the uterus because it's so strong that it will separate the placenta from the uterus wall and it also contracts so hard that it stops the flow of blood.
My response: So you use this drug that is known for separating the placenta from the uterine wall and contracting the uterus so strongly that it stops blood flow on women who still have a baby in their womb and you aren't worried about it separating the placenta and contracting so hard that it stops the blood flow to the baby and cuts off oxygen?
Ah the look of, "What the f*ck do I say now" is always priceless.
I did get a lot of "well it is up to the doctor and how comfortable he is." You know because I'm the one with a human between my legs and we sooo don't want to put the doctor out on anything right...
Example...the doctor is not comfortable with me drinking water but is also uncomfortable with me dehydrating...He wants an I.V but will allow me to eat "Ice chips" and as many as I want.
Ice chips...water...water...ice chips...hydration...I.V. filled with water...
Okay, I got it.
I can't drink liquid water but I can drink solid water or have water pumped into my veins...
Wait I don't get it...doesn't solid water turn into liquid water within seconds of being in your body?
I'm just confused...
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