Example birth plans

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Crantock's birth plan

Mother, Crantock and birthing partner H (with my mum being 2nd birthing partner if requested/required by C or H)

We would like labour & birth to be as natural as possible, with minimal medical intervention. We would like a waterbirth, and will be using homeopathic remedies to aid labour and delivery. If a waterbirth is not possible, I would like to remain active throughout labour.

H knows all of my wishes with relation to the birth of our child, and I am happy to let him make any decisions if I am unable to for any reason.


Before Labour

  • I intend to wait for labour to start spontaneously. If necessary I would like appropriate monitoring to take place from 42 weeks as per NICE guidelines.


During Labour

  • Please ensure my husband is aware of, understands and consents to any procedure about to take place.
  • In the event of a prolonged first stage of labour please encourage me to rest where appropriate and also to be active where appropriate e.g. taking a walk. In this situation I will be looking for support and encouragement from my midwife based on her experience.
  • I would rather avoid continuous foetal monitoring during labour as I would like to remain as active as possible. I am happy to have intermittent monitoring with sonicaid.
  • If continuous monitoring is medically necessary, I’d like the option of sitting in a chair or on a birthing ball, rather than lying down
  • If my labour needs augmenting I am happy for my waters to be broken, but I would prefer not to be given drugs to speed things up without thorough discussion beforehand.
  • I will rely on breathing and the pool for pain relief in the first instance and may choose to use Entonox as labour progresses. I would prefer not to receive pethidine, or have an epidural, and if I request either of these, please encourage me to wait a short while before making a final decision.
  • I would rather not have an episiotomy, unless it is absolutely necessary for a forceps delivery. If I have a need for stitches, I’d prefer these to be done by a qualified member of staff.
  • I would like H to announce the sex of our baby.
  • I want my baby to be delivered onto my stomach for skin-to-skin contact and to breastfeed as soon as possible.
  • I want a physiological 3rd stage of labour, and to deliver the placenta naturally unless there is any medical reason why this would not be recommended.
  • H may like to cut the cord, please ask him at the appropriate time to see if he wants to or not.
  • I agree to my baby receiving oral vitamin K. If a forceps delivery is necessary and results in the baby being bruised, I will consider vitamin K by injection.
  • My baby must not receive formula without extreme good reason and this MUST be discussed with us in advance.


Emergency C-section

  • If a c-section becomes necessary, I would prefer a spinal anaesthetic to an epidural or a general anaesthetic
  • I would prefer my husband to be with me at all times, including whilst the spinal/epidural is set up, unless he would prefer not to be present.
  • To be told what is happening at all stages.
  • I would like H to tell me the sex of our baby once it is delivered.
  • For my gown to be undone or put on backwards so I can have immediate skin-to-skin contact before my baby is cleaned and weighed.
  • To attempt to breastfeed my baby as soon as possible.
  • My baby must not receive formula without extreme good reason and this MUST be discussed with us in advance.
  • When in recovery, I would like the baby to remain with H


In the event, the birth plan went out of the window - I had to have a hospital birth, had pethedine and monitoring (although not continual), was flat on my back for most of it, and had ventouse delivery with the fastest 2nd stage ever (5 mins, I think ) because of high BP. 3rd stage was with injection because of the risk of bleeding. But it was still brilliant that we had the birth plan, so we both knew what we wanted, and H could speak for me. Just look at it as not fixed in stone, and you'll be fine.


Steph's Birth Plan

Give. Me. Drugs.

Fruit Gum's Birth Plan

  • My birthing partner will be Andy, my Fiancé and then additional to this, to help with communication and support I would like my Mum, Carolyn to be present as well.
  • I would like to stay at home for as long as I can before coming to the hospital.
  • When I get to the hospital, I would appreciate it if all staff were made aware of my deafness prior to attending to me.
  • All that I request is that they speak normally, but clearly, facing me so I can lip-read. If for any reason they are unable to face me, or I struggle to understand what is being said, then please be patient as my Mum or Andy repeat what they say.
  • I would prefer to be as mobile as possible during labour, but to give birth in a position which will make lip-reading the midwife/consultant easiest.
  • I would like to consider pain relief, as and when I need it.
  • I understand that it may be necessary to perform an episiotomy however, if at all possible, I would rather tear naturally.
  • When the baby is born, I would like Andy to discover the sex of our baby and for him only, to inform me.
  • Andy would also like to be given the opportunity to cut the cord.
  • I would like skin to skin contact as soon as my baby is born, and the chance to encourage breast feeding straight away.
  • If at all possible, please do not separate me with Andy at any time, if anything due to communication issues.
  • I would be happy for my baby to have Vitamin K by injection.
  • I would be happy to receive an injection to speed up the delivery of the placenta.
  • I would appreciate it if there were as few people in the room as possible during the labour, to minimise noises and distractions which may obtrude my understanding of what is going on.


In actual fact, this birth plan worked really well as I'd kept it simple. For us, we were open minded, but having this plan worked especially for the bits where my partner's wishes were concerned in terms of telling me the sex and cutting the cord.


Mycroft's Birth Plan

VBAC or Caesarean section This birth plan is intended to express the preferences and desires we have for the birth of our baby. We realise that situations may arise such that our plan cannot be followed. However, we would like to be informed of all procedures and kept aware of our options throughout. Nothing in this plan should be taken as final, as our main priority is the safety of our baby and me. Thank you.

Summary I would like to try for a VBAC. I am aware that I will need extra monitoring but still hope to have as active a birth as possible. I am suffering from SPD but do have a large pain-free gap; please discuss anything with me or my husband that might cause pain.

Birth Companion My husband Gavin will be my birth companion (mobile number - )

Pain relief Ideally I hope to manage without drugs for pain relief although I think this will depend on how much monitoring is required. I intend to make use of a TENS machine and would like Entonox to be available. I do NOT wish to have Pethidine so please do not offer this. If a lot of monitoring is required and my mobility is restricted I will be requesting an epidural.

Students We are happy for one student midwife to be present but would prefer not to have multiple students present, even if surgical intervention is required.

The birth I would like monitoring to be kept to a minimum, although I am aware that more monitoring is required for a VBAC. I am keen to remain upright and mobile and would like to move between a number of positions as well as making use of my birthing ball. I would like to stay off my back; if I need to lie down please encourage me to lie on my side.

Please communicate with us as much as possible and if there are any signs of possible complications or indication that a natural birth may not result I wish to know at the earliest possible stage.

I am concerned about the baby “star gazing” as this is apparently what caused my labour to fail last time and the baby has been in this position during pregnancy. I am also particularly worried about a prolonged labour which results in an emergency c-section; I would prefer a c-section to be mentioned as soon as it is suspected.


Third stage I would like a physiological third stage with no drugs being used unless a problem arises – please discuss the use of syntometrin before administering. We would like cord clamping and cutting delayed until the cord has stopped pulsating. My husband Gavin would like to cut the cord.

Vitamin K We would like our baby to be given vitamin K by injection.

Feeding and post-birth My husband and I would like some private time with our baby as soon as possible. I would like to keep the baby unclothed and close to my skin immediately after birth, to maximise skin to skin contact. I would like to breastfeed as soon as possible after birth. We do not want our baby to be given a formula feed unless necessary and our permission is given.

Complications In the case of an emergency I consent to any procedure that will ensure the safe arrival of my baby, but would like my husband and myself to be kept fully informed about all procedures and medication. If possible we would like some time to discuss these options.

If an assisted birth becomes necessary I would like Gavin to be with me at all times. I would prefer ventouse delivery over forceps and to tear naturally rather than have an episiotomy. If an episiotomy and repairs are necessary I would like these to be done under a local anaesthetic. Please be considerate of my SPD during any repair work.

Caesarean Section If a Caesarean Section is required I would like my husband to be with me at all possible times, including whilst the spinal/epidural is set up. My husband and I would like to be informed of what is happening at all stages.

I want to be stitched; please do not staple me as I have a fear of this.

If the baby is removed from the operating theatre I want Gavin to stay with the baby.

We would like to delay cutting of the cord for as long as possible, ideally until it has stopped pulsating. The cord should obviously be cut before administering any drugs that are incompatible with this situation.

My husband and I would like some private time with our baby as soon as possible. I would like to keep the baby unclothed and close to my skin immediately after birth, to maximise skin to skin contact. I would like to breastfeed as soon as possible after birth. We do not want our baby to be given a formula feed unless necessary and our permission is given.

If my baby is hungry before I have recovered from the anaesthetic I wish it to be held to my breast to feed. Ideally I would like to wait until I have a reasonable degree of consciousness and then be helped to breast feed.


I really recommend writing a birth plan. It makes you consider scenarios that otherwise you might not have thought about and my H found it empowering as he knew what I wanted.


Scallie's Hypnobirthing Home Birth Plan

(Added as Hypnobirthing plans need to be fairly specific and refer to the special training) Not that I got to use this (I had a surprise hospital birth on dry land so a lot of it became irrelevent) but anyway. If you put it in table format and print it on landscape, it'll fit on one page.

Labour & Environment: We are a hypnobirthing couple (please see separate information sheet). We would prefer attendance by a midwife familiar with hypnobirthing, and able to deliver the baby in water. My preference is to give birth at home using a birthing pool to labour and give birth in. I would like to be free to keep as mobile as possible during the birth. I would prefer to deliver in a squatting or upright position, or whatever position feels most comfortable to me. In case of transfer to hospital, and in case of an epidural, I would like to deliver in the position that feels most comfortable to me. In case of transfer, I would prefer not to give birth in the presence of anyone who does not strictly need to be there. We would prefer the room to be kept dimly lit. I would like to eat and drink as I feel necessary. I would prefer no “coaching” in the second stage, and do not want “directed pushing” unless in an emergency or with epidural.

Monitoring: I would prefer no vaginal examinations unless I specifically request them, or if a special circumstance develops. I would like to remain as active as possible, so would prefer the midwife to monitor intermittently I would prefer intermittent sonicaid only, unless special circumstances develop, in which case I would like the option of sitting in a chair or on a birthing ball I would prefer you to use a waterproof sonic aid so that I do not have to keep standing up or getting out of the pool.

Medication & Relaxation / Pain Relief: I would appreciate no references were made to pain or pain relief – if I want anything I will ask for it. I would like to labour in the birthing pool that I will have in my home. I will have my own TENS machine, but will initially use soft-touch massage, aromatherapy and relaxation techniques I would like all forms of pain relief to be fully available should I wish to make use of them, and understand that transfer to hospital may be necessary for this.

The Birth: I would prefer not to have an episiotomy unless it is absolutely necessary In the event of a tear, I would prefer not to have stitches unless absolutely necessary, in which case I would like to receive a local anaesthetic I would prefer my husband to bring the baby directly onto my chest after the birth We would like to discover the sex of the baby ourselves

After the Birth & Feeding: I would prefer to have a natural third stage without syntometrine My husband would like the option of cutting the cord, after it has stopped pulsating We would prefer the baby to be given Vitamin K orally only I would prefer the baby not to be cleaned or bathed straight away (to allow time for the vernix to naturally absorb) and that we are left to bond before the baby is weighed I would prefer the basic post-natal checks to be carried out with the baby on my lap if possible I plan to breastfeed as soon as possible, and would appreciate some help in achieving this I would like to avoid bottle-feeding if possible and would prefer dummies not to be used I am keep to establish breast feeding, and would like to avoid all artificial forms of nipple for the baby I would like the baby to have frequent access to me for feeding If the baby is to receive formula, I would like this to be discussed with us in advance If formula cannot be avoided, I would prefer for it to be given in a cup rather than a bottle

Special Circumstances: I would like the labour to proceed at its own pace and would prefer to use natural alternatives if labour is slow In the event of a pause during labour, I would prefer to rest and let the birth continue at its own speed In the event of a Caesarean, I would prefer an epidural or spinal anaesthetic I would like my husband to be present at all times and to take the baby if I am unable to When in recovery, I would like the baby to remain with my husband If the baby needs to go to Special Care, I would like to stay with the baby as much as possible, or for my husband to go with the baby


DaisyCat's Birth Plan

I *MUST SEE* my baby’s birth even if via caesarean section. Do NOT reveal my baby’s gender.

My first child was delivered by emergency c-section after 55 hours of labour (44 hours active). During this time I dilated to 5cm and then stuck at 8cm following ARM.

Before Labour

• I fully expect to have a pregnancy of 41-42 weeks duration as labour for my first child did not begin until 41+0 and she was not delivered until 41+3. If necessary I would like appropriate monitoring to take place from 42 weeks per NICE guidelines.

During Labour

• Please ensure my husband is aware of and fully understands any procedure about to take place.

• In the event of another prolonged first stage of labour please encourage me to rest where appropriate and also to be active where appropriate e.g. taking a walk. In this situation I will be looking for support and encouragement from my midwife based on her experience.

• I am happy to have frequent intermittent monitoring with sonicaid.

• I want an active birth but will very likely need encouragement to adopt more favourable positions especially as labour progresses.

• I plan to use a birthing pool.

• Do not offer me any forms of pain relief, I will request these as I feel it necessary. I will rely on breathing and the pool in the first instance and may choose to use Entonox as labour progresses. I do not want to receive pethidine under any circumstances. I do not intend to have an epidural and if I request one please encourage me to wait a short while before making a final decision.

• I prefer to tear rather than receive an episiotomy.

• I want my baby to be delivered onto my stomach for skin-to-skin contact and to breastfeed as soon as possible. If I am in an appropriate position I would like to catch my baby myself.

• I want only myself or my husband to discover our baby’s gender.

• I want a physiological 3rd stage of labour and would like the cord to be fastened with ties or tape, not a cord clamp. I am undecided as to exactly when to cut the cord in relation to delivery of the placenta, and whether to deliver the placenta in the pool – I will decide this on the day.

• I want my baby to receive vitamin K by injection.

• After our baby is born my husband and I would like some private time with him/her.

• Please use a local anaesthetic during any tear repairs.


In hospital

In addition to the points listed above:

• I only want to be treated by staff who feel positive about VBAC.

• I will be accompanied throughout by my husband and my Independent Midwife (IM). My IM will be acting only as a birthing partner during our time in the hospital.

• I do not give consent for student doctors to observe my labour and delivery and I will consider requests for student midwives to attend on the day.

• I do not want to have continuous foetal monitoring during labour as I would like to remain as active as possible. I am prepared to have a short session of continuous monitoring upon arrival at the hospital, whilst sitting in a chair, standing or kneeling (depending on my preference) and I expect a qualified member of staff to be in attendance for the duration to read the output of the monitor.

• I do not want a venflon to be sited “just in case”.

• I do not want to have artificial rupture of membranes.

• If my baby needs resuscitation out of the room you must take my husband with you.

• Please ensure I am offered some food and drink soon after the birth.

• Any tear repairs should be done by an experienced midwife.

• No one except me or my husband may bath and dress our baby.

• After the birth I want to have a bath/shower, dress and will then leave as soon as I feel able. If it has not been possible to arrange any doctor's checks by this point please arrange for these to be done in the community.

Emergency C-section

I fully understand the circumstances are emergent, however, I prefer the following:

• For my husband and IM to be with me at ALL times, including whilst the spinal/epidural is set up or the general anaesthesia is administered.

• To be told what is happening at all stages.

• ***For no screen to be erected so I can see my baby emerge.***

• For no music to be playing in the theatre.

• Do not reveal my baby’s gender. My husband or myself should be the people to discover this.

• For my gown to be undone or put on backwards so I can have immediate skin-to-skin contact BEFORE my baby is cleaned and weighed.

• To delay cutting of the cord for as long as possible, ideally until it has stopped pulsating. The cord should obviously be cut before administering any drugs that are incompatible with this situation.

• To attempt to breastfeed my baby as soon as possible, preferably during suturing, and for the baby to be held to my breast if I am asleep/unconscious.

• If I am under general anaesthetic my husband will have skin-to-skin contact with our baby until I am awake.

• My baby must not receive formula without extreme good reason and this MUST be discussed with me and/or my husband in advance.

• The catheter and drip should be removed as soon as possible.

• Do not give me a blood drain unless there is no other option.

• No one except me or my husband may bath and dress our baby.

• If myself and my baby must be separated because of medical emergency no one may visit the baby except my husband, this includes any members of our families.

• I will discharge myself 24 hours after surgery if I feel well, as per NICE guidelines. If it has not been possible to arrange any doctor's checks by this point please arrange for these to be done in the community.

Alicardinal's Birth Plan

I've put this in a table in landscape form so it all fits on one side of A4. The bits in bold are the things that are most important to me - hopefully it just draws people's attention to the key stuff. I'll let you know if the plan ever makes it out of the bag!

Although these are my preferred options for birth, I am happy to consider anything which will result in a safe delivery for me and my baby. Please explain any procedures with us so that we can make informed decisions.

EDD 25/11/2007 Birth Partner Mr alicardinal, Husband (Contact no.)

Preferred Birth Location Home from Home Suite

Before Labour & Induction I prefer to wait for labour to start spontaneously.Happy to have a stretch & sweep. Beyond 42 weeks I will consider induction– please tell me my options.

Early Labour I intend to stay at home for as long as possible if I am comfortable.

Pain Relief I would like to try to manage with as little drug – based pain relief as possible. I would like to use the Birth Pool if available. I am happy to try entonox, and will consider pethidine or epidural if my midwife thinks these would be helpful or if I am not coping well. I would like to be encouraged to wait a short while before moving up to the next level of pain relief, and would like Mr alicardinal to confirm that I am happy with my choice.

Other coping mechanisms I would like to use aromatherapy, relaxation, breathing, yoga and may listen to my natal hypnotherapy CD. Please encourage me to be mobile and help me to find comfortable positions.

Environment I would prefer dim lighting and for unnecessary conversation to be kept to a minimum. I may also like music playing which I will bring with me.

Monitoring I would like intermittent monitoring so that I can remain mobile. If continuous monitoring is necessary, I would like to be in a chair or on a birth ball if possible.

Slow Labour I would prefer labour to continue at its own pace and not to have drugs, or have my waters broken to speed it up unless myself or the baby are in danger. Please make sure David and I are aware of any risks at the earliest possible stage.

Episiotomy & repairs I would prefer not to have an episotomy, but will take advice if it looks like I will tear badly without one. Please administer a local anaesthetic before episiotomy and any repairs.

Skin to skin I would like my baby delivered onto me for immediate skin to skin contact and breastfeeding.

Vitamin K I would like my baby to have Vitamin K by injection

Cord Please ask Mr alicardinal if he would like to cut the cord. I would prefer for the cord to stop pulsating before it is cut, but if this prevents me having skin to skin due to short length, then please cut as appropriate.

Delivery of Placenta I would like the injection to speed up delivery of the placenta.

Complications In an emergency I consent to any procedure that will ensure the safe arrival of my baby, but would like Mr alicardinal and myself to be kept fully informed at the earliest opportunity should problems arise. Please explain any procedures and medication. If possible we would like some time to discuss any options. I would like Mr alicardinal to be with me at all times during any procedures.

C-Section Should a C-Section become necessary, I would like Mr alicardinal to be with me at all times. I would like to have skin to skin contact immediately, but if this is not possible, I would like Mr alicardinal to take the baby.

Assisted Delivery I would prefer ventouse over forceps should an assisted delivery become necessary.


MistyM's Birth Plan

Birthing partner

My husband will be my birthing partner. Please ensure that he is aware of any procedure that is about to take place.

Pain Relief

I am intending to use gas and air for as long as I can manage but would like to have an epidural at the appropriate time. I would prefer not to use Pethidine but would be willing to take this if there will be a delay in receiving an epidural. I am open to trying the birthing pool before I have an epidural to see if helps.

Positions

I would like to stay as mobile as possible during the initial stages of labour. I am undecided about the position I would like to give birth in and will rely on advice from the midwife as to the most appropriate position.

Placenta

I would be happy to receive the injection to aid the delivery of my placenta.

The Birth

I would like to have the baby delivered onto my stomach to ensure immediate skin-to-skin contact.

I would like my husband to remain at the top of the bed at all times to support me. He will not be cutting the cord.

Whilst we have been told the sex of our baby at previous scans, I would like my husband to confirm the sex of the baby when the baby is born.

If I am incapacitated, I would like my husband to remain with the baby at all times.

If I require a caesarean section, I would like my husband to remain with me for as long as possible.

Feeding

I am intending to try breast-feeding and would like the chance to breast-feed my baby fairly soon after he is born.

Vitamin K

I am happy for my baby to have the Vitamin K injection.


mrshappywithlife's birth plan

Induction I would prefer labour to start spontaneously, but I am happy to look at the options for medical reasons.

First stage I intend to stay at home for as long as possible, if I am comfortable. I would like to be able to eat and drink lightly during this stage.

Photos I wish for mum/husband to be able to take pictures during labour if appropriate and once the baby is born.

Students I do not want any students to be involved in my labour, so please do not ask.

Pain Relief I would like to consider pain relief as and when I need it, however would like to avoid an epidural unless I request it, as I would like to remain active throughout the birth. I would like to be able to use my TENS machine and Birthing Ball, and be encouraged to be mobile and to find comfortable positions.

Monitoring I would like intermittent monitoring so that I can remain mobile. If continuous monitoring is necessary, I would like to be in a chair or on a birth ball if possible.

assistance I would prefer labour to continue at its own pace and not to have drugs, or have my waters broken to speed it up unless myself or the baby are in danger. Please make sure husband and I are aware of any risks at the earliest possible stage.

Episiotomy & repairs I would prefer not to have an episiotomy, but will take advice if it looks like I will tear badly without one. Please discuss my options with me before a decision is made. I will like any repairs to be carried out by an experienced midwife.

pushing I intend to give birth, either standing, crouching or on all fours, I want to be discouraged from laying on my back during labour at any stage. If I feel I want to lay down please encourage me to lay on my left side.

Skin to skin I would like my baby delivered onto me for immediate skin to skin contact and breastfeeding.


Feeding I wish to breastfeed my baby at the earliest opportunity. My baby must not receive formula without extreme good reason and this MUST be discussed with us in advance. If I am unable to breast feed immediately, I would like husband to decide on the course of action in regards to feeding, taking into account how long my absence my be.


Gender I would like Darryl to announce the gender of the baby.

Vitamin K I would like my baby to have Vitamin K by injection.

Cord Please ask husband if he would like to cut the cord, if he does not wish to, please then ask mum if she would like to cut the cord.

Delivery of Placenta I would like the injection to speed up delivery of the placenta.


Complications In an emergency I consent to any procedure that will ensure the safe arrival of my baby, but would like husband and myself to be kept fully informed at the earliest opportunity should problems arise. Please explain any procedures and medication. If possible we would like some time to discuss any options. I would like husband to be with me at all times during any procedures.

C-Section Should a C-Section become necessary, I would like Darryl to be with me at all times, and I do not want a general anastetic unless absolutely necessary. I would like to have skin to skin contact immediately, but if this is not possible, I would like Darryl take the baby.

Assisted Delivery I am happy for any forms of assisted delivery to be used if needed, but would like to be kept informed as this progresses.

I would like husband to stay with the baby at all times after the birth if I am unable to be there.

I must say that my birthplan was really taken in to account and i was really pleased that i wrote one, i put mine in with my maternity notes, and my midwife read it and they tried to stick to it as much as possible, so was definately worth doing


Joy M's Birth Plan

This birth plan is intended to express the preferences we have for the birth of our child, we realise that situations may arise where it is not possible for this plan to be followed. However we would like to be informed of all procedures and kept aware of our options throughout. Nothing in this plan should be taken as final, the safety of our baby and myself is our priority. At the time of writing it is planned that an induction of labour will take place at around 38 weeks. I do not want hospital lancets used for taking samples for blood sugars. I have my own finger pricker with me and would prefer it if Andrew or myself could be responsible for drawing blood. Where possible please site any cannulas in my left arm. Students – I am happy for one student to be present at any time during the birth. Pain relief – Ideally I would like to manage with a minimum of medication, I intend to bring a TENS machine into hospital and would prefer to use this alongside gas and air if needed. If labour does not progress or becomes too painful I will consider an epidural. Pethidine will be my last choice of pain relief and I would prefer not to use it, if I request pethidine please give me time to fully consider this option. Monitoring – During the administration of prostaglandins I would prefer it if monitoring could be kept to a minimum, and that I can remain as active as possible. If continuous monitoring becomes necessary I would like to discuss positions that will assist labour, rather than lying on my back. I have had problems with pelvic pain during pregnancy, and have been advised to try lying on my side during labour. During birth – We wish to be informed as soon as possible of any complications and involved in any decisions that need to be made. I would like to avoid an episiotomy if possible, but if an assisted delivery becomes necessary then I will give consent for this to take place. I would like the baby to be delivered onto me, and to be able to discover the sex for ourselves. Andrew may want to cut the cord, please ask him at the time. If possible I would prefer that the cord is cut after it has stopped pulsating. We are happy for the baby to receive Vitamin K by injection. I am happy to have a managed third stage of delivery. If for any reason the baby has to leave the delivery room I would like Andrew to go with them. I wish to be able to breastfeed the baby and have skin to skin contact as soon as possible, the baby is not to receive formula feed without discussion with us.

Caesarean Section – Should this become necessary my preference is for a spinal or epidural anaesthetic, in case of emergency I will obviously consent to a general being used. I would like Andrew to be with me at all times, including during insertion of anaesthesia. We would like to be kept informed of what is happening during the procedure. If possible we would like to baby to be passed to me as soon as possible after delivery, and to discover the sex for ourselves. It would also be appreciated if noise could be kept to a minimum at this time. Whilst the operation is completed I would like to be able to see the baby and for Andrew to maintain skin to skin contact, once all tests have been carried out. I would also like to be able to breastfeed as soon as possible.