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Emergency hospital transfer plans for a planned homebirth...

 
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RainbowMummy
Newborn


Joined: 11 Jun 2008
Posts: 7


Location: Near Brisbane

PostPosted: Fri Jun 20, 2008 8:21 am    Post subject: Emergency hospital transfer plans for a planned homebirth...  Reply with quote

We are planning to birth our baby at home but we want to make a list of our wishes in case we have to transfer to the hospital.  

As we only plan to transfer in an emergency situation we realize we will be limited in what we can demand because we will not have time to challenge the hospital's 'standard procedures' so our list is bullet point rather than detailed.

I would love some suggestions from others of anything else that we might want to add to our list! Very Happy

Hospital Transfer Plan - Vaginal Birth

• No VE’s or baby monitoring
• Do not offer pain relief. Mother or support people will advise if it is required.
• Do not cut or clamp cord.
• Parents or support person to catch baby.
• Baby to be handed straight to mother & to stay with mother.
• Do not administer Synto unless requested from parents.
• Do not give Vit K to baby.
• Do not give formula to baby.


Hospital Transfer C-Section Plan

• Do not cut or clamp cord until it stops pulsating
• Do not suctions baby’s nose or mouth unless parents give permission
• If baby needs suctioning, do it while baby is in parents arms.
• Baby to be handed to mother as soon as possible
• Baby to stay with parents at all times
• Baby to go with mother into recovery
• Baby not to be bathed until following morning.
_________________
DD Born March 2006 via unnecessary C-Section

Bub2 Due July 2008 - planned homebirth
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Hathor
Site Admin


Joined: 09 Mar 2008
Posts: 91



PostPosted: Sat Jun 21, 2008 1:38 pm    Post subject: Reply with quote

That all looks great, the only issue I see is that in an event of a transfer, it usually means there is something "wrong" which would require intervention, so VE's and other monitoring may be required.
I would personally re word it to say, in event of a VE or other interventions, I want to be asked first with an explaination of the need for the intervention.

We have to remember that if we end up transfering, we are doing it to get the help and intervention of the hospital.

As far as the c-section plan goes, the cord may need to be cut straight away as you will have an open wound which would be suseptable to infection if left open too long. Sometimes it can takes 20 minutes for the cord to stop pulsating.
Suctioning is normally done because the baby hasn't had the squeezing through the vagina to help clear the airways, however you have added
Quote:
unless parents give perimission
which is great seeing at the baby is YOURS not the hospitals, so everything they do should be something that has been discussed with your first.

Everything else is great Very Happy I see no reason for them to not follow your plan.
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stellar
Banned


Joined: 14 Jun 2008
Posts: 3



PostPosted: Sun Jun 22, 2008 8:26 pm    Post subject: Reply with quote

I have to agree with Hathor...if you are only transferring in the event of a true emergency then you will probably require intervention...if you get to the hospital and have the luxury of requesting no intervention then I wouldn't call that an emergency iykwim?

If it's any consolation my midwife said the number of times she has transferred for an emergency is teeny tiny...she has a total transfer rate of 7% and only a fraction of those were for an emergency. Emergencies - life threatening ones - need to be dealt with there and then, there is little time to transfer in those cases.
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Mama to Oscar jay Cool and another one on the way in September sometime...
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RainbowMummy
Newborn


Joined: 11 Jun 2008
Posts: 7


Location: Near Brisbane

PostPosted: Sun Jun 22, 2008 11:54 pm    Post subject: Reply with quote

Good points! Thanks :-)
I really don't see us needing the plans at all but we didn't do a C-Section plan last time which was stoopid! stoopid! Stoopid!!!!
At least I've put some thought into it this time! :lol
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DD Born March 2006 via unnecessary C-Section

Bub2 Due July 2008 - planned homebirth
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Hathor
Site Admin


Joined: 09 Mar 2008
Posts: 91



PostPosted: Mon Jun 23, 2008 1:14 pm    Post subject: Reply with quote

You have done the right thing doing up a c-section plan Smile
Put it away and forget about it and hopefully you may never have to bring it out Wink

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