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Birthing Plan questions. Mrs.Dani Due July 3; 1 child; 3 angel babies; Oxnard, California 10272 posts
12th Mar '12

So I am trying to start my birth plan and I'm trying to research as much as I can about everything, and I had some questions. First, what is a NST observation, and is it necessary? Would you get it done? Are vaginal exams really important, and what are some pro's and con's of getting your membranes stripped? I may ask more questions later.. But this is it for now.

usernametx Texas 19748 posts
12th Mar '12

I didn't want any intervention or checks unless deemed necessary and those things certainly aren't on a routine basis.



After 40 weeks of pregnancy you can schedule regular non stress tests until you go into labour naturally, to ensure baby is ok rather than being forced into an unnecessary induction.

Noneya Business Due August 29; 1 child; Pennsylvania 10738 posts
12th Mar '12

My NST's were necessary . I had high blood pressure, high protein levels in my urine and high uric acid. It helped to make sure LO was doing ok. But I didn't have my membranes swept or anything.

Mrs.Dani Due July 3; 1 child; 3 angel babies; Oxnard, California 10272 posts
12th Mar '12
Quoting Mama*AtoZ:" I didn't want any intervention or checks unless deemed necessary and those things certainly aren't on ... [snip!] ... stress tests until you go into labour naturally, to ensure baby is ok rather than being forced into an unnecessary induction."


Is that what a NST observation is? I tried googling NST observations and I wasn't sure what it was. I dont know anything about birth and making this birth plan is kinda difficult for me.

White Chocolate Milk 1 child; Chelsea, Alabama 12303 posts
12th Mar '12

NST are non invasive monitoring. They keep track of heart rate and possible contractions. They usually like to monitor throughout labor. But you can request just checking every hour or so. Vaginal exams aren't really required but most doctors like to monitor you progress to see how things are moving.

Noneya Business Due August 29; 1 child; Pennsylvania 10738 posts
12th Mar '12
Quoting Mrs.Dani:" Is that what a NST observation is? I tried googling NST observations and I wasn't sure what it was. I dont know anything about birth and making this birth plan is kinda difficult for me."


They hook you up to a monitor and check for contractions, the babies heart rate, your blood pressure and usually do some blood work.

Mrs.Dani Due July 3; 1 child; 3 angel babies; Oxnard, California 10272 posts
12th Mar '12

Which is the best way to get a medical induction if I need one? Im really hoping to not have pitocin. I'm not sure what prostaglandin gels are? And if it was medically necessary would stripping or rupturing the membranes be better?

usernametx Texas 19748 posts
12th Mar '12
Quoting Mrs.Dani:" Is that what a NST observation is? I tried googling NST observations and I wasn't sure what it was. I dont know anything about birth and making this birth plan is kinda difficult for me."


It's just called an NST,it's a fetal non stress test. It's completely unnecessary during labour for a normal pregnancy. What do you think we do at homebirths lol :P A listen in to babies heartbeat is fine, no need to be strapped down as that can cause more problems.



I'd recommend reading Ina May's books on childbirth, and Sheila Kitzinger.
Learn about natural labour. there is this stupid misinformation out there, mainly coming from OBs who can't be arsed to wait around and don't want to accept that it's the hospital environment stalling labour sometimes... that labour must progress in a certain way within a certain time limit. In reality, labour can go on for a very short or a very long time. There is no need to rush to hospital until you feel you are really getting close to delivering.. otherwise you may end up being told you're 4cm and after a while being put on monitors, labour stalls, they say you need pitocin etc. Whereas if you wait at home you can do as you please to keep you comfy and progressing, and if things stall then you rest or get moving to pick things up.



Stripping is a good start. Accupressure and reflexology are good too, then gels and balloons. Breaking your waters takes away the cushioning for baby and increases your pain aswel, but it's better than drugs. Staying active and position changes, eating and drinking to keep your energy up are good things to keep things going aswel.



You don't need to deliver right at 40 weeks either, the risks are minimal till you pass 42 weeks and NST are good for during this time for reassurance rather than induction. Over here the standard is to NOT offer induction until the woman is 10 days overdue (our maternal and fetal death rates are much lower btw).



this site is full of good info
http://www.homebirth.org.uk/
It's good for anyone, not just for homebirth. It has statistics, info and personal stories about all sorts of conditions and every question you could have. You just have to click through the options on the left hand bar.

Campbell Soup Due March 16 (boy); 4 kids; Colorado 57 posts
12th Mar '12

I was initially freaked out by a NST until I had one. Like another poster--they decided to begin this on me because of excessive protein in the urine and high-blood pressure. It is just a wrap looking thing that kinda resembles the elastic adjuster inside pants. They put it around your belly with round disk things and they track the baby's movement and heart rate to see if they work with eachother. At least at my doc's office--that is what they are looking for. There is nothing invasive about it. Not sure on what you mean as far as a vaginal exam. I had my initial exam for my pap--but I was also due at that time for one. I have had one done to check for GBS (hope I got that right) and they are now checking to see if I am dialating when I go in. It is not too invasive, personally. A pap is the most invasive IMO. No idea on getting membranes stripped. I am thinking that is for someone who has miscarried and needs a dnc--but again--I am not sure on that at all.

Noneya Business Due August 29; 1 child; Pennsylvania 10738 posts
12th Mar '12
Quoting Campbell Soup:" I was initially freaked out by a NST until I had one. Like another poster--they decided to begin this ... [snip!] ... stripped. I am thinking that is for someone who has miscarried and needs a dnc--but again--I am not sure on that at all."


When they did mine, it made me sick lol They had to keep them tight because LO was being trouble like usual and would move back away from it or just turn to the other side lol Mine beeped a lot because it kept losing the heart beat.

Mrs.Dani Due July 3; 1 child; 3 angel babies; Oxnard, California 10272 posts
12th Mar '12

thank you ladies for all this information, Its really useful for me. I am now trying to figure out what exactly I want down to the baby after birth. do you know if eye drops, vitamin k, immunizations, and pku are important to give the child after birth? do you guys know anyone pro's and con's of any of these?

Noneya Business Due August 29; 1 child; Pennsylvania 10738 posts
12th Mar '12
Quoting Mrs.Dani:" thank you ladies for all this information, Its really useful for me. I am now trying to figure out what ... [snip!] ... k, immunizations, and pku are important to give the child after birth? do you guys know anyone pro's and con's of any of these?"



My LO didn't need the eye drops so they didn't bother. LO got the vitamin K and his first set of hep B shot. My dog has hep, they don't know what type because I guess it's different in dogs, so I didn't want to take the chance. And good thing I did, LO and my dog are best friends.

Campbell Soup Due March 16 (boy); 4 kids; Colorado 57 posts
12th Mar '12
Quoting Noneya Business:" When they did mine, it made me sick lol They had to keep them tight because LO was being trouble ... [snip!] ... and would move back away from it or just turn to the other side lol Mine beeped a lot because it kept losing the heart beat."

My little guys is predictable--guess I am lucky. The docs never seem to remember where he hangs out at and rub all over the belly searching for his heart beat--I tell 'em everytime (like I did today) he tends to hang out over here, my deep down side of my right. Sure enough, right where I point, there he is. Today he did quite a bit of kicking that seemed like it kept resetting the machine and making a ton of static noise--guess he wanted to be heard? Thank goodness they don't make mine extra tight like yours--I offer to hold mine in place, you should ask if you can do that instead?

Noneya Business Due August 29; 1 child; Pennsylvania 10738 posts
12th Mar '12
Quoting Campbell Soup:" My little guys is predictable--guess I am lucky. The docs never seem to remember where he hangs out at ... [snip!] ... goodness they don't make mine extra tight like yours--I offer to hold mine in place, you should ask if you can do that instead?"


I did hold mine in place but since I needed 2, it was difficult. Also, it was my nap time lol I was in the hospital at least 2 times a week for tests in the last month. The beds were so comfy because I was able to be propped up so my heartburn wasn't too bad. LO kicked a lot when they did it as well. I'm just glad for the U/S's he was good lol He's still stubborn and independent. Even when he was born he didn't want to come out.

Mrs.Dani Due July 3; 1 child; 3 angel babies; Oxnard, California 10272 posts
13th Mar '12
Quoting Noneya Business:" My LO didn't need the eye drops so they didn't bother. LO got the vitamin K and his first set of hep ... [snip!] ... I guess it's different in dogs, so I didn't want to take the chance. And good thing I did, LO and my dog are best friends."


Yeah I'm trying to decide which things would be beneficial to my baby and which things will be a waste of time.