IN THE EVENT OF AN EMERGENCY: If the situation becomes life-threatening for Heather or our baby, we will of course yield to any request for life-saving intervention, upon the briefest of consultation. In the strong likelihood that we have the normal birth that we are expecting, we ask that you refrain from any routine interventions or measures that we have not previously agreed upon.
DURING LABOR:
· Do not offer pain relief medication to mother. Heather or Ryoji will request if needed. No narcotics will be considered at any time.
· Intermittent rather than continuous fetal monitoring.
· Limit number of internal exams – ideally only initial assessment for admission and final check before pushing.
· No IV if Heather is able to stay hydrated by drinking liquids. Saline or Heparin Lock permitted if required by hospital policy.
· Permitted to eat and walk around if Heather desires.
· Helpful suggestions are welcomed from birthing staff for positions and props to try in aid of pain relief, progression, and pushing.
· Appreciate assistance to reduce tearing (i.e. perineal massage with oil, warm compress, encouraging Heather to breath and break from pushing, etc.)
POST-PARTUM (Mom & Baby Care):
· Ryoji shall make the official announcement of baby’s sex to the mother and any one in attendance of the birth.
· Kangaroo Care (skin to skin) immediately following birth for at least 30 minutes. Apgar, vitamin K shot, basic cleaning & testing to be done while baby is on mother.
· Delay application of eye ointment as long as possible, ideally 1 hour.
· No Hepatits B vaccine is to be administered to the baby.
· Cut cord only after it’s finished pulsating.
· Unless medically necessary, please do not administer pitocin to aid in delivery of placenta. Nursing and external massage should be tried first.
· No supplemental formula or sugar water.
· All procedures should be authorized by Heather and/or Ryoji, who should be present during any procedures.
· Please use local anesthetic before making any repairs to Heather post delivery.
· Boy baby will not be circumcised.
DURING LABOR:
· Do not offer pain relief medication to mother. Heather or Ryoji will request if needed. No narcotics will be considered at any time.
· Intermittent rather than continuous fetal monitoring.
· Limit number of internal exams – ideally only initial assessment for admission and final check before pushing.
· No IV if Heather is able to stay hydrated by drinking liquids. Saline or Heparin Lock permitted if required by hospital policy.
· Permitted to eat and walk around if Heather desires.
· Helpful suggestions are welcomed from birthing staff for positions and props to try in aid of pain relief, progression, and pushing.
· Appreciate assistance to reduce tearing (i.e. perineal massage with oil, warm compress, encouraging Heather to breath and break from pushing, etc.)
POST-PARTUM (Mom & Baby Care):
· Ryoji shall make the official announcement of baby’s sex to the mother and any one in attendance of the birth.
· Kangaroo Care (skin to skin) immediately following birth for at least 30 minutes. Apgar, vitamin K shot, basic cleaning & testing to be done while baby is on mother.
· Delay application of eye ointment as long as possible, ideally 1 hour.
· No Hepatits B vaccine is to be administered to the baby.
· Cut cord only after it’s finished pulsating.
· Unless medically necessary, please do not administer pitocin to aid in delivery of placenta. Nursing and external massage should be tried first.
· No supplemental formula or sugar water.
· All procedures should be authorized by Heather and/or Ryoji, who should be present during any procedures.
· Please use local anesthetic before making any repairs to Heather post delivery.
· Boy baby will not be circumcised.
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