Pregnancy Plan English

About me

Name and surname

Maiden name

Address

E-mail

Contact person and their phone number

Name of escort at childbirth

Date for schedule

Blood group and Rh maternity factor

What is this pregnancy in order?

Occupation of the mother

Parenting Workplace

Weight at the beginning of pregnancy (kg)

Current weight (kg)

I'm a smoker

I have allergies

List of allergies:

I take therapy

Description of the therapy:

My pregnancy had complicationsIn this pregnancy, I have been diagnosed with gestational diabetesIn this pregnancy, I had high pressure

Something else:

I already know I'll have a planned caesarean sectionWe want to find out the sex of the child ourselves (do not tell us for examination or at childbirth)Macedonian is not my mother tongue, and I need to have a person by my own who speaks my mother tongueI need an interpreter for sign languageI am a person with a disabilityI have special nutritional needsI and/or my escort at childbirth have special needsI want certain religious ceremonies to be respected in childbirthI want to be accommodated in the apartment at my own expenseI have a different special need

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Place of Birth

You can choose where to give birth to your child. Encourage a conversation with a select gynecologist or midwife on what is available in your city or region. Talk about your health and how it affects your choice.

I want to give birth in a hospital maternity hospitalI want to give birth at homeI want to give birth in the midwifery department (home for the sale)I'm not sure

Reception in the maternity hospital

At the reception to the maternity hospital, healthcare professionals ask you a whole range of personal questions, despite the fact that most of the answers are already in your pregnancy booklet. To make it easier for yourself and staff to admission to the maternity hospital, you can respond here as part of the birth plan. Questions are not the same in all maternity hospitals, so there is a possibility that this list has a question more or less. It is recommended that you control your pregnancy at the maternity clinic of the maternity hospital where you want to give birth after 36 weeks, in this way you will get a sense of that institution, the staff working there and feel safer. In addition, it is a good opportunity to ask all the questions that interest you regarding childbirth and living in the maternity hospital.

In case I am not in active childbirth for admission, I want the opportunity to go home to wait for an active birthAt the reception to the maternity hospital I DO NOT want a enema (climpian)At the reception to the maternity hospital I DO NOT want to shave the pubic hairsAt admission to the maternity hospital I DO NOT want to be placed braunila (vehill road), unless medically indicated

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Accompaniment at childbirth

It is very useful to have a person of trust with yourself at childbirth. It can be your partner or partner, mother, sister, friend, doula or any other person who is calm and you feel safe on. Inquire where you plan to give birth are what are the following options at birth, in some maternity hospitals it is possible to escort on a caesarean section.

I want to have a person accompanied by the entire duration of childbirth

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My wishes and needs in childbirth

Provided that my childbirth proceeds normally and without complications, I want to:

Listen to music via headphones and/or mobile phonesDimmed lightsPeace and SilenceYes my escort at childbirth pictures and/or recordsUse mobile phone for video callsWear your own clothes (pagjama or other clothes)Wear your glassesWearing your lensesEating at WillDrinking at WillMove to the will and select positionsThat all health professionals present to me by name and surnameBe fully informed about all the advantages and disadvantages of medical procedures before they are performedBe without additional observers on childbirth (e.g. students, students)

In the first phase of childbirth, I want to:

Moving to your will on and off the bedUse the ballUse the mat on the floorUse a riboma and/or rope to adhereSpend time in the showerSpend time in the bath with waterLying downFreedom of movement is not so important to meAs few vaginal checks as possibleThat my partner leaves the room during vaginal examinations

Something else:

The child’s heartbeat

I want the child’s beats to be followed
All the time (continuous)OccasionallyOnly when it is medically justified

Only wireless doppler or wireless CTG

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Childbirth

In childbirth (printing and expulsion), I want:

Use the possibilities of changing the position of the birth table, to find the position that suits us bestBirth in water (participation bath)Birth on a chairEpisiologyMiđanica massage (to reduce the possibility of cracking)Application of methods for preventing perineum cracking (I do not explicitly want episiotomy)Printing instinctively, I don't want to be told when and how to print, unless it's medically justified

Something else:

Accelerating childbirth

I don't want to speed up childbirth unless it's clearly medically justifiedIt is important to me that the Aquarius is not interrupted, unless it is clearly medically justifiedIt is important to me that no drip is used unless it is clearly medically justified

In the event that there is a clear medically justified reason for speeding up childbirth, I want to

First try a change in position, as a natural methodFirst try acupressure or acupuncture, as a natural methodSeparate to this fruit from the wombWater breakUsed drip (syntocinone)

Relief of pain

To relieve pain I want to use the following methods:

Choosing the position that suits me best in labor and between laborUsing the ballWater use (shower and/or when)AcusericismAcupunctureBreathing TechniquesCold claddingHot compressesHypnosisMassageMeditationTENSThat my midwives propose natural methods to relieve my pain at all times

Some other method:

Medications

Medicines to relieve pain
I will explicitly ask if I want pain relief medication, do not offer them without my requestI want to use pain relievers

Please offer me medicines that you think are the most effective and effective for me at that pointNitrogen oxide (paradise gas)DolantinSpasmexStandard epidural (with lying down, I don't want to hurt)Epidural with which to walk (not always available)

Some other medicine:

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It is important to plan for the case of caesarean section.

Escort on a C-section
I want to have a person accompanied on a caesarean sectionI don't want to have a person accompanied on a caesarean section

During the Clamatic cut, I want:

General anesthesia (sleep during surgery)Regional anesthesia (alone during surgery)Music by your choice, in agreement with the staffSilence in the operating room at the moment the child is bornTransparent or lowered curtain in front of the operating field, so they can see the baby as soon as it is bornThat the heater, scale and table are placed in my field of vision, so they can observe the first examinationA free hand with which I can hug a childSkin contact skin in the operating roomTo put a child on my face in the operating roomA few photos of yourself and the child in the operating room (please be the midwife or other person to take pictures)Midwife by the header that explains to me what's going onContact skin on the skin of an escort at childbirth and child when/if the mother is unableSkin contact with the child as soon as possible after surgeryTo have the child be with me until the end of the operation

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After childbirth

After vaginal birth, I want:

Receive and raise your childDiscover the sex of the child herselfHave skin contact on the skin with the baby immediately after childbirth“Golden clock” after childbirth without interfering (bathing, changing, medication can wait)That the umbilical cord is obscure before the clemination and cuttingSeeing your placentaTake your placenta homeThat a pediatric examination of the child takes place while the child is on me

Bedhold family:
I want a natural birth of placenta (without medication)I want to speed up the birth of the placenta with drugs

Cutting the brick:
I want to cut the umbilical cord on my ownI want my partner or escort at childbirth to cut the umbilical cordI want the staff to cut the umbilical cord

Blood from the umbilical cord:
I want to donate blood from the umbilical cord (arrange in advance)I want to store cord blood in the bank (arrange in advance)

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Nutrition and care for the baby after childbirth

Breastfeeding of the child:
I plan to exclusively breastfeed your childI want to give my child first milk (colostrum), but after that I do not want to breastfeedI don't want to breastfeed

Feeding the child:
If the child needs a recharge, I want to try to breastfeed and give the child breastfed milkIf the child needs a recharge, I want to give my child adapted milk or glucose an alternative method (squints, cups)

I want help with breastfeedingI don't want my child to be given adapted milk, glucose or other substitutes without my consentI want to be present at all the tests, bathing and changing my child

Something else:

During the Clamatic cut, I want:

I have the opportunity to stay as much as possible with the childThe more I participate in caring for the child (baking, changing)

Something else:

Breastfeeding of the child:
I want the child to get my breast milk, that is, that is, that I have the opportunity to breastfeed the child as much as possibleI want the child to receive milk from the human milk bank

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The End

In this plan of childbirth, I have stated my desires. Before filling out the plan, I was educated and I am ready to actively participate in order to fulfill my wishes as much as possible. I am aware that childbirth and care can be complicated and that in this case there will be a necessary change in the birth plan.

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