Ethereal Birth
Jordan
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Birth Planning Session Guide
BIRTH PLANNING SESSION GUIDE
Topical Discussion Guide for Birth Doula Consultations
Your full name
*
Email address
*
Estimated Due Date
*
Planned Birth Location
*
Who will be on your birth team, and what are everyone's roles and responsibilities?
*
Do you and/or baby have any health conditions being monitored by a provider?
*
Have any questions or concerns come up in relation to your pregnancy that you'd like to explore?
*
In Case of Emergency: Should I plan to notify any loved ones that you want them at the hospital?
*
If you have had previous pregnancies and births, how would you describe them?
*
Do you have birth trauma from previous births?
*
Do you have a history of trauma, abuse, domestic violence, sexual violence, and/or obstetric violence?
*
Have you experienced postpartum mental illness with a previous pregnancy? What were your symptoms & how did you treat it?
*
Are you currently taking SSRIs or medical marijuana? If yes, do you plan to abstain in the weeks leading up to your due date?
*
Do you need additional postpartum care services?
*
Physical Therapy
Trauma Therapy
Hormone Therapy
Postpartum Talk Therapy
Postpartum Doula Visits
Overnight Doula Visits
Meal/Cleaning/Laundry Services
What kind of postpartum support do you have in place, and what is your plan if you experience severe postpartum mental illness?
*
Surgery/Anesthesia: Do you have any medical history that could complicate a procedure?
*
Do you have any questions or concerns about the non-pharmacological options for labor comfort?
*
Rebozo
Tens
Massage Gun
Wooden Comb
Lil' Spikies
Heat
Water
Eye Mask & Earplugs
Movement
Essential Oils (Nausea/Vomiting/Comfort)
Soft Lighting
Galaxy Projector
Affirmations
Hypnobirthing
...Pharmacological interventions, risks & benefits in labor?
*
Elective Induction
Zofran (Vomiting)
Saline or Lactated Ringers (IV fluids)
Cytotec/Misoprostol (Oral)
Cervidil (Vaginal Insert)
Foley Balloon (Manual Dilation)
Pitocin (IV)
Antibiotics (Fever, ROM 24h, IV)
Nitrous
IV Fentanyl
Epidural
Elective C-Section
Emergency C-Section
...Placenta & hemorrhage management options?
*
Cord Traction
Take my placenta home
Examine Placenta Before Disposal
Placenta Encapsulation
Oral Placenta for Natural Oxytocin
Manual Retrieval of Retained Placenta
Cytotec/Misoprostol (Oral)
Pitocin (IV)
Catheter (Empty Bladder)
Tranexamic Acid aka TXA (No adverse sfx known, helps clotting)
Fundal Massage
Bakri Balloon
Jada (Suction)
Hysterectomy
Spinal Block vs General Anesthesia
Difficulty obtaining sufficient numbing or waking during surgery
...Common interventions & procedures for baby, and their risks & benefits?
*
Vitamin K Shot
Erithromycin Eye Ointment
Metabolic Screening
First Bath
Blood Glucose Testing
Neonatal Resuscitation
NICU monitoring for vitals
Do you have interest or questions about traditional doula ceremonies?
*
Mother's Blessingway
Cord Burning Ceremony
Closing of the Bones Ceremony
Ceremonial Cacao
Submit
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