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Just in Case

Making a Plan for Cesarean Birth

By Ann Haarman

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Planning for a Cesarean
Once you know what you want, you need to find out how your doctor and hospital typically handle Cesarean births. "We asked specifically about things like pre-medication, what kind of anesthesia they routinely use, what they do with the babies, and do they routinely give tranquilizers after the surgery," says Humphries.

If parts of your plan are against hospital policy, remember that policy isn't written in stone. In some cases, requests "could be brought up in a meeting and an exception could be made," Dr. Flamm says. "That would save a lot of headaches if a Cesarean became necessary."

Once you and your caregivers have agreed on a plan, you'll write it up and have it filed in your hospital chart. Remember that dozens of different people will be involved in your care. Not all of them will have read your plan. Make sure your support people know what you want. If things aren't done according to your wishes, they can step in and gently remind the staff of your plan.

No amount of planning can guarantee you the birth that you want. But including Cesarean preferences in your birth plan can help you have the best birth possible under the circumstances. "I was able to not worry about the details because they had been taken care of," says Lansberry. "I could focus on the joy of Elsie being born."

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