2.  I am bringing extra pillows or items to help with labor relaxation.

3.  Would like to walk and move around during labor as much as possible.

3..  Non-clinical pain relief during labor. Massage of hands, feet, back.  Optimal Fetal Positioning if baby is posterior.

4.   Hydrotherapy: tub, shower, 
      Hot/cold rice packs for relaxation.

5.  Medication for pain:
  Medication (sleepy feeling)
  Intrathecal  (can walk, but numb)
  Epidural (numb legs, stay in bed)

6.  Spontaneous  rupture of membranes during labor or birth

7. Fetal monitoring:

Hand doppler instead of monitor.
External fetal monitor: (20 minute strip required every so often)

8.  Ability to eat and drink during labor, as able. Am bringing to eat:

9. Choice position for pushing:
 Semi-sitting, squatting, supported stand, birth stool, side-lying.

10.  Warm/hot compresses on perineum during pushing

11.  Touch baby’s head when crowning.

12.  I would like to lift baby out after head and shoulders are born.

13. Cord stopped pulsing before clamping and natural decent of placenta.  Dad cuts cord.

14.  Baby is weighed, measured and examined at my bedside.

Comments or suggestions:

2.  I will need to leave at some point.

3.  I want to be an active part of coaching during contractions.

4.  I would like all procedures, tests, and other procedures explained.

5…I am able to stand the sight of blood and can help birth mom work through the challenging process of labor and birth.

6.  Would like the midwife to show me how to best meet birth mom’s needs for support during labor and birth.

7.  Would like to play an active role in the delivery of the baby’s body.

8.My special needs or concerns for partner are:

9.  I would like to give baby his or her first bath.

10. I  would like to cut the cord.

11.  I am able to care for baby in the event birth mom is unable to.

12.  In the event of a c-section, I wish to be with birth mom to emotionally support her, sitting on a stool by her head, and holding baby in the operating room.

13.  I have certain limitations that the nurses, midwife or doctor need to be aware of, so that I can fully assist birth mom.

14.  I want to be present during baby’s weigh-in, measuring and other procedures.

Comments or suggestions:

2.  Warmed blankets for mom & I

3. Dim lights in room. 

4. I remain with mother for at least one hour after birth, or as long as she is wanting, to bond.

5.  Weigh-in, measuring me, and  any necessary procedures done on mom’s bed, if possible.

6.  Breastfeeding as soon as mom and I desire.

7.  I sleep with mom in her bed, or in bassinette next to bed.

8.  Mom wishes for nurses to watch me so that she can take a nap.

9.  PKU to be done while I am  nursing at bedside with mom.

10.  I wish for hospital provided soaps or lotions after bath.

11. Mom or dad wish take care of bathing me, when they wish to.

12. Mom has a special pillow she wants to use when I breastfeed.

13. Breastfeeding help if mom needs it.

14.  Mom, Dad and I have special birth traditions that are important to us: