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Things to consider
Things to consider about your birth. Support Team: - Who do I want present? Partner, doula, family? Is What comfort measures would I like to try?
- Do I want to limit personnel, students/observers, etc?
Environment:
- Will I wear my own clothes or the hospital gown?
- Would I like music, television, silence?
- Would I like the lights dimmed & curtains drawn?
- Focused relaxation, meditation- Heat or cold packs
Movement:
- Would I like to walk around? What medical
equipment may impede this (IV, monitors) and what
- Do I want to reminders and assistance with changing - Epidural
positions while laboring - standing, dancing, rocking
chair, getting into shower, on all fours, etc?
- Would I prefer to stay in bed?- May I use the shower or tub in labor? Under what
circumstances would these not be available?
Monitoring: - Would I like continuous or intermittent monitoring (set time per hour with EFM, hand How do you cope with stress or pain? * Do you prefer to be alone or with others? * Focus internally or focus externally? Nutrition:
* Explore your thoughts or distract yourself?
Heidi Thaden-Pierce, Better Birth Doula Services
Pushing: - What are the possible positions I can birth in and which am I interested in? On all fours,
using a squat bar, side lying, in tub, partner behind me providing support?
- Are there any positions I want to avoid pushing in? Am I comfortable using stirrups?- Do I want to be coached on my breathing & pushing? Only quiet encouragement?- If I do NOT want to be coached and staff or family are doing so, would I like my partner or
- Do I want to push without time constraints so long as the baby is doing fine?- How do I feel about episiotomies? Tearing?- Would I like olive oil, warm compresses, or perineal massage while crowning?- What are my options for postpartum bleeding - nursing, pitocin, cytotec, etc? Am I
comfortable with pitocin being given immediately after birth by IV (if at hospital)?
Birth: - Would I like the baby to be placed immediately on my chest? Skin to skin? - Do I want the cord clamped immediately or delayed? Who will cut the cord? - Will I nurse? How soon after birth will I start? - How do I feel about pacifiers? supplemental bottles? - Would I like to see a lactation consultant (if at hospital)? Will I hire one privately? Newborn Needs: - Do I want to delay the newborn exam or any nursery visits? - What is the nursery policy (if at hospital) for baby being taken away? - Will the pediatrician come to our room for the exam? - Will we room in or have the baby sleep in the nursery? Bring to me for nursing? - Do I want the baby bathed? Postpone bathing? Use no scented soaps (will we bring our
own?) Just use water? Will we bathe baby in our room?
- Do we want the antibiotic eye ointment? vitamin K? Hep B vaccine?- Will we circumcise? in the hospital or elsewhere?
Situations to Discuss: - If surgery is needed may my partner accompany me? doula? wait in recovery room for me? - Do we want the staff to explain to us what is happening as they work? - Can the staff give us a moment of quiet so we baby can hear our voices right after birth? - If the baby must go to the nursery, may my partner accompany the baby and my doula stay
- May I have immediate access to a breast pump if my baby is not able to nurse?
Heidi Thaden-Pierce, Better Birth Doula Services
BIOGRAPHICAL SKETCH Employment Research Assistant, Violence Prevention Project, University of California at San Francisco, San Francisco, CA Pre-doctoral Research Fellow, National Cancer Institute, National Institutes of Health, Bethesda, MD Aug. 1998-Nov. 2000 Research Specialist, University of Illinois, School of Public Health, Chicago, IL Nov. 2000-Aug. 2003 Program Associate, Populat
IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA GERALD FUNK, CIVIL NO. 1:CV-10-0915 Plaintiff, (Chief Judge Kane) CHARLES CUSTER, et al., Defendants MEMORANDUM Gerald Funk (“Funk”), an inmate at the State Correctional Institution at Coal Township(SCI-Coal Township), Pennsylvania, filed this civil rights action pursuant to 42 U.S.C. § 1