Birth Intentions

Mom:  Emily Richardson
Dad/Partner:  Dan Richardson

Mom’s Health Care Provider:  Dr. Lynn McCool

Doula:  Rebekah Meurer

The following are my Birth Intentions, for a natural childbirth. If a medical emergency arises, the health and happiness of mom and baby are a top priority.

• No visitors, only people listed on this document along with the medical staff are allowed to be in my room with me.

• No male attendants.

• After initial monitoring I wish for intermittent monitoring.

• Freedom to labor in any position I wish.

• Minimal Vaginal Exams

• Please do not recommend medical pain relief to me.  I will ask for it, if I desire.

• Please do not ask me what my pain scale is.

• Always discuss with me any interventions you plan on using.  Please give me the time to process and be part of the decision making.

• No A.R.O.M

• I wish to push in any position I choose.

• No episiotomy

• Baby to be placed on my chest, for two hours to bond.

• Please delay cord clamping until, cord is done pulsating.

• Dad to cut the cord.

Thank you for all your attention and care, honoring my wishes for my birth.  We are excited to share our special moment with you.