Midwives PuurBegin in Kampen

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Verloskundigen PuurBegin - Wachtkamer 2

Create your personal birth plan

Making a birth plan: what are your wishes regarding the birth?

In a birth plan you can write down your wishes regarding the birth if you like. It can help with the preparations for the birth, because you express your expectations to each other, us as midwives and any other care providers.

Writing a birth plan

When making a birth plan, it is wise to discover together with your partner what you find important: how do you want to be guided, how should you be treated and what are your wishes and ideas? A plan around your delivery is intended as a means of communication with each other and with your care providers, so that you understand each other well. This allows for better cooperation during the delivery and it helps to have trust in each other.

Benefits of a Birth Plan

Pregnant women and their partners with a birth plan appear to look back on a birth more positively. Research shows that couples experience the birth more positively because they were involved in decision-making by making a plan. Even if medical interventions are necessary and the birth does not go as expected, couples generally look back on a birth positively.

Sometimes you can't make a decision yourself. Always trust your partner and your care providers and remain flexible regarding the course of your delivery. It is good to always take the unexpected into account.

Discuss your plan

Together with your midwife at Verloskundigen PuurBegin you will discuss the birth plan in advance. For this we will schedule a longer appointment between week 32 and week 35 of the pregnancy. Together we will discuss your wishes. Sometimes during this conversation there will be additions to the plan or you will adjust something. In this way we will arrive at your 'final' version of the plan together.

Below you will find a detailed birth plan. Fill it out so we can go over it together later.

Create your birth plan below

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Where would you prefer to give birth?
When there are no risks for the delivery, all three options are possible. If there is an increased risk for your delivery (such as an increased BMI or a lot of blood loss during the previous delivery), you will hear this from us and we will discuss the options that are available to you.
Who do you want to have present at the birth besides the midwife?
In a non-medical birth, you can choose to bring someone else besides a partner. Please note that in emergencies only the partner may remain in the room, even in a home situation.
What is important to you during childbirth?
Who do you want emotional support from?
For example, consider whether or not to use humor, whether the midwife should think out loud to include you in what is happening or not, whether or not to say what is going on.
Which positions seem to you or did you like during contractions?
What positions seem to you or did you find comfortable during pushing?
Pushing in the supine position causes the sacrum (tailbone) to tilt inwards, which gives the baby less room to be born. We will therefore always encourage not to give birth in the supine position. In some emergencies it may be necessary to give birth in the supine position, we will always discuss this with you.
How would you like to be supported in your birthing positions?
We will always ask you to do what your body tells you to do when you start pushing. After a few pushes, we will see if the baby is moving down nicely with pushing. If this does not happen, we may give you instructions for pushing to help you and the baby.
Would you like to see/experience the birth yourself?
If you want to handle the baby, we will always help you with this. If you fill in 'midwife' this means that you do not want to handle the baby yourself, but that we will do this alone.
Measuring progress includes keeping track of dilation during contractions, but also telling you how things are going during pushing. During a first delivery, we measure dilation every few hours, so that we have an idea of how the delivery is progressing. During a second or more deliveries, we will do this less often.
In this region you have the choice of an epidural or remifentanil (pump with morphine-like substance)
Who do you want with you in the operating room?
We normally let the umbilical cord pulsate for 3 minutes, so that the last nutrients go to the baby. Only in case of emergency is it necessary to cut the umbilical cord immediately, because otherwise we have no room to act. We will always communicate this if this is necessary.
A lotus birth means that the umbilical cord is not cut until the placenta is born. This is possible if there is sufficient length of the umbilical cord. With a short umbilical cord, it is not possible to deliver the placenta without first cutting the umbilical cord.
We do not routinely administer syntocinon at the birth of the placenta. The only situation in which we administer syntocinon is to prevent heavy blood loss or a retained placenta. In these situations, there is a risk that you will have to go to the operating room after the birth, unless we give an injection with syntocinon. With this injection, we can sometimes prevent you from having to go to the operating room.
There is a maximum time to wait until the placenta is born. After this time, research shows that the risks increase if the placenta is not yet born and we must refer to the hospital. However, we do have enough time 30-45 minutes to let the placenta be born and can (provided there is not too much blood loss) take the time to do so.
What do you want to do with the placenta?
How do you prepare for breastfeeding if you want to do so?
If you want to breastfeed, we advise you to arrange for a breast pump before giving birth. Experience shows that you will need the pump more often than not. If you give birth in the evening or at night and it is the weekend afterwards, it is difficult to get a pump. This is not convenient, because breastfeeding is not yet at its maximum during the first few days and the baby sometimes needs formula.
What alternatives to breastfeeding are you considering?
If you want video during your delivery, you should always ask the midwife and maternity nurse for permission. If a midwife agrees, filming is only allowed as long as there is no emergency. In case of emergency, the video should be stopped immediately.
Which phases do you want to capture images of?
Think of a previous traumatic experience or experiences that were not pleasant for you in the past.

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