Lately in the UK (or in the group of parents to be and parents that I know anyway), there has been a shift away from planning your birth experience. A lot of mums-to-be especially have said to me that there’s “No point planning for what you can’t control” or that “If I don’t make a plan, I can’t be disappointed”. I should mention a deeper interest here: I teach parents to be about birth for a living - but I’m also a parent and even before I had learnt more about care during labour, I still felt strongly that being engaged in the process would lead to a better outcome.
I would urge any expectant parents to plan for their birth as carefully as possible. After all, many parents spend a lot of time choosing items for their baby’s nursery or their pushchair. I would argue that birth plans are just as good a use of that time.
Whatever you choose to call this plan, it’s worth it
When I teach, I have to be realistic. Not every mother is the same, not every baby will behave as expected, not every birth will follow a particular path. We’re all individuals with different medical backgrounds, different hopes and different bodies. That’s fine. Wonderful even. Conformity is not the point.
I try very much to help parents reach a point where they understand that the birth experience they have, as long as they feel like they understand what happened and why certain choices were made, will absolutely be the right one for them. I would argue that engaging with your caregivers and the information they are giving you so that you can make decisions from a position of focus and knowledge is much more likely to help you feel happy with your birth.
It’s absolutely correct to not be overly attached to your original wishes. They can add an extra layer of stress and tension to what can already feel like a fairly pressurised situation. This shouldn’t stop us from trying for what we hoped for though so use the words that feel right. Birth plan, birth preferences, birth proposal - what really matters is that you’re expressing your wishes.
Making plans together is critical
One of the major benefits of couples taking antenatal classes together and then reflecting on the information afterwards, is that they do it together. This might sound obvious but it’s often not that straightforward. For a birth partner to defer to his partner’s wishes might sound like the ideal but actually, this birth partner might need to be able to explain these choices, to advocate for them and to protect the mum’s birth space. To do this well, it’s essential that both of the couple are as equally well informed and know how the other feels about the choices made.
Mum might want to make sure that not too many people are in the room; the birth partner might not want to cut the umbilical cord. To get a chance to know this about each other, they will need to talk about making a plan and potentially consider the options available. Again, this sounds obvious but it’s a weight off mum’s shoulders to know that the choices are understood then can be protected by someone else and hopefully the birth partner will feel empowered to take a more active role in the birth.
Your caregivers will know what you want
This sounds so simple when I say it but it’s true. If you don’t make a plan and let people know what you’d like to happen, how will they know?
Birth professionals like midwives and obstetrics doctors meet a lot of parents and deliver a lot of babies. Although it would be great if they remembered all of us individually, it’s not likely even if you were definitely going to see the same carers the whole way through. By not making your plans clear, you’re leaving a lot to chance. And why would you want to do that?
Step off the standard pathway
All medical institutions have what are known as standard pathways of care. They are planned out by the heads of the obstetrics and midwifery departments and they follow the principles of defensive medicine. Defensive medicine is exactly what you imagine it to be - assuming the worst case scenario and planning to mitigate that. While there is merit in this approach when something is actually going wrong, if you’re a mum who isn’t likely to need any medical interventions or assistance, the care you are offered can contradict your own plans.
If you don’t express your wishes, you’ll receive standard care and a much more negative approach. In fact, put the bits that matter most to you at the top of your plan, especially if they deviate from the norm.
Consider that you might need a back up plan
Having said all I have, as much as I believe in positivity and an open minded approach to care, I also believe in being informed.
Despite the fact that I was hoping for a home birth in a pool using hypnobirthing, my little girl was running late. She was also in a fairly unusual position for a baby who was looking like they wanted to make a break for it in the near future. By the time I was 9 days over, we were talking about c-sections - probably my very worst nightmare (although as Amy Poehler says “Good for her! Not for me!”) - and I was updating my birth plan to include my preference for a gentle c-section.
As much as I hoped for and visualised my ideal scenario, I found it easier to put aside my fear knowing that I’d covered all eventualities. It calmed me.
Our bodies are amazing and the power of our minds over them can have a profound effect. If you can take the time to plan, be true to your heart and set your worrying 4am mind at ease, you can write the kind of birth plan that any caregiver will be delighted to receive. After all, they’re in their job to support parents at this most incredible time. Make the most of your chance to have things your way - it literally is your moment of magic.