There is a lot of planning and preparing as you make your way through pregnancy, the baby's room is painted and furniture is moved in and placed just right. The walls are decorated and the clothes are washed and folded in perfect stacks, but what preparation have you done for the moments just before and just after your precious new baby arrives?
I make a conscious effort to avoid using words like "plan" when thinking about creating the birth experience. I like to call them "wishes for birth" or a "birth wish list", this allows, even in the early stages of preparation, for your mind to remain open to the knowledge that birth does not follow a plan that can be written on a piece of paper. Instead, creating a wish list of what the most important things are for you in the birth experience, for the time you will spend in the hospital from the onset of labor to those first amazing moments when baby is in your arms, can be incredibly helpful when the time arrives.
Part of my service as a birth doula is to to help parents create their birth wishes. When I work with mom's and dad's to be I first ask them to pick the top three things that they most want out of this birth experience, what is the most important aspect their birth. Healthy baby, healthy mom...number one every single time, but from there, it varies greatly so knowing what your top wishes are is a great place to start. I highly recommend starting with a book like Your Best Birth, written by Ricki Lake and Abby Epstein, which talks about options and gives a lot of information about birth choices. Educate yourself, if you don't know you have a choice, the less likely you are to make one.
Communication is key
One of the best ways to create a positive birth environment for you and your baby is to communicate with your provider ahead of time. This provides you with the opportunity to know early on if your birth choices will be supported. If not, you then have a new choice, stick with them or research your options. Consider what interventions you'd like to avoid and find out if that's something they can work with. This is your birth experience and its up to you to create the birth you desire. The hospital has standard procedures that you may not know about as well so talking early and often with your provider will help you in crafting a wish list for birth.
I have my wishes for birth, now what?
Now that you've read some books, talked with your provider and maybe even hired a birth doula, it's time to put it all in a nice clean organized format that can be put on file with your OB or Midwife and given to the staff upon arrival at the hospital. Do yourself a favor by keeping it to one page, separated by stage or phase (Early Labor, Pushing, Newborns First Moments, etc) with bullet points. As long as you have already discussed each item with your provider, presenting it to the hospital staff should be fairly simple. As a doula, I generally bring two copies, one for myself and one for the nurses and I put it right on the computer keyboard in the labor room. This will prompt the nurse to read, ask questions if necessary and make any changes based on what is happening at the time.
For more ideas on how to write your wishes for birth or for information about how a doula can help improve your birth experience email me at birthinbloom@gmail.com.





