28 March 2011

Birth "plans"



I spent last night and then again this morning reviewing an incredibly lovely client's birth plan. Um - it shouldn't take that long. And it should fit on one page. No one else (in a hospital birth at least, which is who this post mostly concerns) is going to really read it if it's way too long or complicated. They don't want or need a preamble. Make it easy for them - think bullet points. And know that they can't really sign off on incredibly specific requirements...sure, you'd like a heplock (if medically necessary) in your left hand if you are right handed, but what if they can't find a vein there? See where I'm going with this? Not for nothin', but I think sometimes some childbirth educators or resources out there can get hung up on dogma and end up doing a disservice to people who might expect that all they have to do is show up with the plan. It's not that simple...birth happens within the culture of our society and of individual institutions (unless you are having a home birth) and practices. So it behooves you to approach that micro-culture in a way it can understand most easily. And do your homework before you go into labor to make sure you are with the right care provider and birth place for the type of birth you want.

Don't get me wrong - I think the exercise is very valuable for the woman/couple. I consider it part of my job as a doula and childbirth educator to make sure people understand their options and know what will typically happen if they do not express a preference. The process is important (for those who want it) even if "the plan" never sees the light of day. It's also a great jumping off point from which to have a discussion with your care provider.

But a potential downside is that sometimes women and couples think that it is somehow a binding document or that it can be the end of the discussion with their care provider. I know that's what I thought when I was pregnant with my first. For some wacky reason, my care provider (an OB) actually signed my birth plan, complete with preamble. I was an attorney at the time - I thought we were set (and as it turns out, we were - everything cooperated). But what about the others in the practice? What if my birth hadn't gone the way it did? I think I would have been upset - we had a deal, right? And yet plans have to be flexible...if I am taking a trip and plan to take the very scenic and lovely Road X, but Road X is under construction, I need to find a way around it. I'm not talking about caving to every intervention thrown at you - not at all! I'm simply saying that you need to have an understanding of what you are getting or giving up with your choices and when trading in one preference might, in the big picture, keep you more on track with where you want to go and how, generally, you want to get there. I'm talking about avoiding bigger interventions.

I prefer the idea of "Birth Preferences" because that's what they are. And I suggest that instead of just one big talk, there be a continued mentioning of preferences at all subsequent appointments, just to keep reminding them who you are and what's important to you (there are a lot more "yous" than there are of "them", as in other patients). I also suggest that you consider making the receptionist aware that extra time is needed at the appointment where you intend to have the initial birth plan talk. Nothing like trying to be heard and having your care provider looking at the clock or having her hand on the door handle (though if that's the case, it might be time to consider a new practice!).

So when I am faced with an incredibly detailed birth plan, I know it's time for a talk about big picture. It may be that every item can be adhered to with no issue. But what if someone is dead set against an IV and then vomits for hours and labor stalls due to dehydration? Sometimes a little intervention can save a bigger intervention. That's why they are preferences. It's good, I think, to always consider what the next best thing is too...

6 comments:

WendyPinNJ said...

Amen lady. If a person is incredibly lucky, their birth will go exactly and precisely as they planned it would. But it's kind of like dictating to a tornado, to the extent that it will go where it will and do what it will, regardless of what you've written down, and you need to work with what it gives you.

Anonymous said...

Nicely said. I always tell my patients we want to make their experience up to their expectations, but that they need to keep options open if things don't go as planned

Donna Conklin King said...

Indeed, well said. It took me three times to get my perfect birth plan fulfilled, lol! And even the third time had it's flaws. You simply must go with the flow.

Jan Kaminsky said...

SO SO well-said, Kim!! I think that this whole "birth plan" era has also unfortunately ushered in a huge amount of antagonism between patients & nurses, which is just SO upsetting to me (as a nurse). Believe it or not, we WANT you to have the birth that you want, but sometimes things just don't go the way they are "planned." Welcome to parenthood, that's your first lesson that kids never stick to the plan! ;) Thanks so much for writing this!

Rita Desnoyers-Garcia said...

Well said Kim. My birth plan (after my first child) was about my intent. I realized that birth can be unpredictable and there is a surrendering necessary here. Ultimately I had preferences but the bottom line was that I just didn't say "yes" to everything offered. I wanted to feel empowered (which I did), and to have choices (which I did). For me, that was the birth I wanted. Intentions and detachment. Thanks for bringing this up!

DoulaMomma said...

Thanks Jan - you inspired the next post on birth plans!

Thanks all!