Re: [ozmidwifery] Your thoughts on Birth Plans?

Wed, 21 Jun 2006 17:09:41 -0700

I always emphasise to women that one of the reasons they need a birth plan to birth in an institution is that the careprovider has one and their birth will run to it if they don't provide an alternative. Let's not kid ourselves that birth plans are respected though when even basic stuff like "Please don't offer me drugs I will ask if I require pain relief" is ignored so frequently. Birth plans SHOULD be treated with the same respect that living wills are accorded and until then they are too often used as a way to pacify women and make them feel that their birth is under their control when it isn't. I've heard from too many women who've had birth plans laughed at and actually even ripped up in front of them.
 
I also recommend to women that they take their birth plan to "important people" in the institution and have it signed so that in labour there are no arguments about having aspects of it implemented that are not usual - no drugs, physiological third stage, no vit k or hep b etc.
 
It's worth considering the argument in "Birthing from Within" that writing a birth plan indicates mistrust of the CP. I don't agree necessarily although experience has shown that institutions don't cope at all well in general with women having plans so perhaps the argument has something to it. I know that home birth plans, for example, look VERY different because women are able to assume that their wishes will be respected in a way that they just can't in the system. I have a TF plan so my support people are clued up on what I want even if I'm unconscious.
 
Unfortunately too few women labour unhindered in the system regardless of their desire so to do and as a result there's a misconception in the mainstream that birth plans are pointless. Given how few true emergencies occur when women are left alone to birth, this has now become a self fulfilling prophecy. Too many women come back to their peer group and say "There was no point having that birth plan because it all went pearshaped" without realising that had they not been induced/augmented/given an epidural, it wouldn't have gone pearshaped and their plan would have served them and their baby well.
 
Including the baby in the birth plan is also really important because once the baby leaves the woman's body it can too easily become the hospital's property and be given all manner of unnecessary tests and drugs and formula without parental consent.
 
Ultimately the staff have the final power to respect, or not, each woman's wishes in labour so maybe, Kelly, you'd be better serving women to address those who receive the plans in the hospitals/BCs - that's where the power really lies in this situation. Let's not pacify women further by kidding them that they have more control than the staff are prepared to share, hey?
 
This is from my website re: birthing outside of the home.
 
J
----- Original Message -----
Sent: Wednesday, June 21, 2006 9:27 PM
Subject: [ozmidwifery] Your thoughts on Birth Plans?

I am writing an article as we speak on birth plans (I prefer to say birth intentions or birth preferences and hopefully everyone else will too one day!) and I was wondering if anyone would be happy to comment from a midwife perspective?

 

I’d like to know:

 

  • What do you think of birth plans women are writing at the moment
  • What do you think about it being called birth preferences or intentions instead,
  • What you like and dislike when you read them – i.e. too long, too unrealistic or whatever springs to your mind

 

I won’t put your name to the comments so you can feel free to be open and honest about it, I would really love to add your perspectives if you are open to it. Thank-you in advance J

Best Regards,

Kelly Zantey
Creator, BellyBelly.com.au
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support

 

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