Name: Danielle Zavala Partners Name: Johannes Klose
I would Like The Following People Present for the Birth:
-My Partner Johannes Klose -My Midwife: Wallburga Muller- Cyran (if she is available)
During labor I would like:
-Dim Lights -Few interruptions -few vaginal Exams -Wear my own clothes -Partner stays with me at all times
-To film and take pictures -use a tripod to film the delivery -Stay hydrated naturally (no IV)
– To be able to eat and drink – Move around as much as I want -Use the Birthing tub –take a shower
I would like fetal monitoring to be:
– Only with a Doppler or stethoscope
– Only If electronic fetal monitoring is necessary I wish for the external fetal monitoring where I can move freely.
-NO INTERNAL FETAL MONITORING
Labor inducing methods:
-Only natural methods such as nipple stimulation -I do not want my birth to be rushed or put to a time limit
– I would like to be able to go home if labor stops or slows down. -I DO NOT want to be offered pitocin
For Pain Relief I would like:
-Only to use natural methods Such as using the birthing tub, taking a shower, moving around, massages.
*DO NOT ask me if I want pain medication *I would Like encouragement when I feel hopeless, not to be tempted with drugs
For Delivery I would like:
-To have a water birth in the birthing tub (optimal birth wish) –Encouragement to get in the water
-Do whatever comes naturally to me at that time
I would Like to try other techniques & positions to push as an alternative to water birth as well such as:
– squatting -using a birthing stool –a birthing ball –side laying etc.
As the baby is delivered, I would like to:
-Push instinctively –Be offered coaching help -Touch the head as it crowns -either me or my partner help catch baby -my partner get into the water with me -my partner be with me at all times
-film the delivery using a tripod –Deliver Placenta Naturally -avoid forceps -avoid vacuum extraction
– A midwife help deliver the baby
After The Birth Of Baby
As soon as my baby is born I would like to:
-Immediately hold my Baby -Bond with my baby as long as I wish so long as she is healthy
-Breast feed right away -wait for the cord to stop pulsating before cutting it off
I would like my baby’s medical exams & procedures be done:
–Only after we have bonded – In the presence of me and or my husband -always ask me and my husband for permission before performing any procedure.
Do NOT Give my baby:
-Vitamin K -Formula -sugar water – A pacifier
I would like to feed my baby:
-ONLY with my breast milk -On baby’s demand -With the help of a midwife or lactation consultant
I would like my Baby to be with me:
*AT ALL TIMES and sleep in my room if I need to stay the night.
I would like my partner:
*To have unlimited visiting time and stay with me over night.
*After Birth I would like to stay at the hospital as briefly as possible. I would like to go home within hours after birth if it is possible.
If my baby is not well, I would like:
-My partner and I to accompany her to the NICU or another facility
-To breastfeed or provide pumped Breast milk -To hold her as much as possible
If a C-section is necessary, I would like:
-A second Opinion -To make sure all other options have been trialed -To stay conscious – My partner remain with me the entire time -My hands left free so I can touch my baby –My Partner holds baby after birth –baby held to my face after birth –breastfeed in the recovery room –get extra help with breastfeeding -use an epidural as the form of anesthesia
If my baby is breech I would like:
-To try to flip the baby –try movements and positions to flip my baby – try to deliver vaginally and naturally if baby is still breech.