I’m 34 weeks pregnant with baby 2. OB asked for my birth plan preferences. Curious how many other mamas experienced similar and have any advice for advocation?

My delivery with baby 1 was uncomplicated - but had never met the delivery doctors, they were so pushy/rushing me, insisted I lay on my back with knees wide (tried asking for side laying / knees close feet out but they refused) and manually stretched my vag until it tore / baby was born.. it was so unnecessary.

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No one has suggested this yet, but i would also make sure your husband is 100% aware and driving your birth plan. He can be your biggest advocate.

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Yes, came here to comment the same thing. Even in my birth class, they emphasized that whoever you have with you at the hospital—most likely your husband—should know your birth plan well and should be advocating for it

It’s pretty standard to tell your doctor your birth plan, also pretty standard for it to fly out the window or be ignored entirely

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I had a midwife at my birth who was really helpful — she regularly poured oil and massaged the perineum to help avoid tearing —and a friend had a good experience too — her doctor wanted to do an episiotomy, the midwife intervened, ran some canola oil around the perimeter of the baby’s head, and the baby came right out.
(Kaiser has midwives who do delivery and also has ones roaming the floor — I don’t know if it’s an option at your hospital but may be worth looking into).
Another friend wants a doula at her next birth to help her advocate for herself better — that might be something to consider too.

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Mine was pretty limited - I wanted an epidural (performed by an attending if possible), I wanted no one in the delivery room but my husband, I really wanted to avoid an episiotomy and do anything possible to avoid tearing. (The hospital policy already provided delayed cord clamping and uninterrupted skin to skin for an hour after birth. Technically also no routine episiotomies but I wanted to stress that extra).

For my next birth, I’ve got the same preferences and want to note that the epidural was too heavy last time.

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Get a midwife and/or doula. They help advocate & will most likely follow your birth plan more than a OB. Your story sounds frustrating. They should have respected your requests.

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See if it’s covered by your insurance. Mine both were.

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Definitely recommend a doula, and see if it’s covered by insurance, mine was. One of the most helpful things I learned from her was when something was pushed on me, you can always ask to try xyz other option first, or wait 30min and reassess—it doesn’t have to be yes or no. She also taught me what the other options were.

Also recommend finding a midwives practice rather than an OB, the approach is so much different. Many hospitals have them if you’re more comfortable in the setting. A birthing center would also be a good option.

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