pregnancy
Your birth plan sets the stage, but labour writes its own script.
Abirth plan is a pre-discussed list of how a mother would like to experience their labour and delivery, explains Dr Kgomotso Makgamatha, obstetrician and gynaecologist practising at Netcare Pretoria East Hospital. But keep in mind, it isn’ t a contract – think of it more as a conversation starter.
“ It’ s important to make birth plans as it is a way to ensure that the whole birthing team is on the same page as the mother and her support team,” she says.“ In this way, the care provided to mom during the delivery process can be tailored to meet her needs and she can walk away with a positive experience.”
Sr Wikje du Bruyn, midwife and member of the Netcare birthwise Pretoria team, breaks down the essential elements every birth plan should include.
Before birth:
• Place of birth: Where will you deliver your baby?
• Mode of delivery: Vaginal birth or caesarean section?( Medical history or complications may influence this decision)
• Support team: Who will be present – your partner, doula, or both?
• Atmosphere: Lighting, music, or calming touches like LED candles
• Pain relief: Medication options( oral meds, mask, injection, drip, epidural) or natural methods( breathing, massage, counterpressure)
• Labour position: Walking, bouncing on a Pilates ball, or resting in bed?
• Vaginal examinations: Routine, or only when necessary?
• Water breaking: Natural, or artificial if required?
• Foetal monitoring: Continuous, or intermittent, if safe?
• Delivery position: Supine, squatting, or on all fours?
• Assisted delivery: Vacuum, or forceps, if needed?
• Caesarean section: If planned or required in an emergency, discuss how much of your plan can still be honoured
24 www. babysandbeyond. co. za