My Birth Plan

I am a planner and I cannot help it. Not only do I like to know the who, what, when, where and why’s, but more often then not I like to plan the who, what, when, where and why. So needless to say pregnancy is teaching me a lesson or two about plans and how to roll with the punches (and kicks and twirls).

I found out I was pregnant on Mother’s day. Two months later I had a pretty good outline done of my birth plan and by August I had already gone on several hospital tours. I took the information I learned from the tours and updated my plan as necessary. I cannot stress the importance of a hospital tour and the importance of writing out what is ideal for you in your birth plan to help you pick the place that is most compatible. Most of the tours I went on had about 5 or so pregnant women and their spouses (one woman had brought her in laws, parents, brother..which is really not necessary in my opinion). On all tours I was the only one to ask questions. This surprised me! It seemed like people just assume that because it’s the hospital it’s their rules – which just isn’t true. You have a say in your healthcare! Fortunately during each hospital tour a lot of my questions were answered as we went from room to room and they gave their usual speech. However some of my more important questions that I had to ask were:
  • Is this a teaching hospital? Can I expect interns/students to be present during my delivery?
  • Is skin to skin immediately after birth an option?
  • Is their the option of delayed cord clamping?
  • what happens in the event that my baby is in distress and requires NICU attention? Do you have the setup here? Or will they be transferred to another facility? Will I be in transport?
  • What security measures are in place to protect me and my baby?
When I first found out I was pregnant I was immediately introduced to this amazing podcast called ‘The Birth Hour’ (I tuned in via Spotify). I have a long commute to work so I was able to get an episode in each work day. I was (and am) obsessed! I learned so much from listening to women all over the continent talk about their birth stories and what they planned. They shared what went right, what went wrong, what they would do again and what they wouldn’t. I learned so much and with listening to these amazing women I can say I have no fear of birth at all. That may change with each contraction, but for now I am content and look forward to the whole process.
Listening to the podcast and knowing myself I knew a midwifery and birth center was not for me. I’m a worst case scenario type of girl (which isn’t a compliment) and knew I wanted a hospital. I have been seeing the same gynecologist since I was 18 and he is now my OB. He is wonderful and I’ve worked up 13 years of trust with him so I knew I wanted him there too. I work in the veterinary field and although I deal with animals and not people – medically they are very similar. I’ve seen the good that can come with medical intervention and am not going to shy away from it if it means a safer birth for my baby.
Below is my birth plan (as of now). I say as of now because as I learn more and get farther along in my pregnancy things change!
In early Labor I plan on:
  • Eating and drinking light foods
  • Taking walks and stretching (until I receive an epidural)
  • Resting
In active labor I’d prefer:
  • Minimal cervical checks, unless medically necessary
  • To labor until at least 7cm dilated then get an epidural
  • To not receive pitocin (unless absolutely necessary)
  • Fetal monitoring
  • To labor in water if I choose to
  • Low lighting
  • Just my husband in the room with me

In birth (pushing) I’d prefer:

  • To deliver out of water
  • To be offered a mirror to see the baby crowning
  • To be helped/guided when pushing if their is slow progress
  • To catch the baby myself if possible
  • Cord to stay attached until it stops pulsating
  • My husband to cut the cord if he chooses
  • To be shown my placenta
  • For all newborn exams and procedures to happen with me present
  • No mother/baby separation if medically possible

Newborn Decisions

  • To be informed of all procedures that are being performed on my newborn
  • To have my baby room with me
  • To keep my baby with me until she has breastfed successfully on both sides (if medically possible)
  • Administer erythromycin eye prophylaxis
  • Administer Vitamin K injection
  • Apply the pulse ox to my baby during newborn exam

In case of a cesarean birth I’d prefer

  • To be awake
  • To have my partner with me during birth
    • I understand if general anesthesia is needed my husband is unable to be with me.
    • I do not want extended family or friends to meet my newborn until I have recovered and have had time to bond with my baby (My husband is excluded from this).
  • To have my hands free
  • To place baby skin to skin as possible after birth
  • For my husband to stay with the baby at all times after birth
  • That someone is with me in recovery

My birth plan used to be a lot longer. However, when we finally selected the hospital I took out what was standard care in this hospital. This way they just see the bullet points of things that are not routine practice. I hope this post helps anyone that may be confused on where to start in their birth plan. If you have any questions feel free to message me using the contact tab. I’d be happy to send you my full list of questions I had for the tours.

Things I learned in my first trimester

I have been around a lot of pregnant women in my life. Whether it was a sister, cousin, friend, best friend or co worker – I have been exposed. My own pregnancy made me realize how much of it does not get shared which leaves many of us first timers surprised and wondering if what we are experiencing is normal. It’s odd to me that I can learn through a message board lessons that a dear friend is to embarrassed to share. Pregnancy is not luxurious. For me it’s full of discomfort and fatigue. I cant help but love it though. Knowing as my belly grows my daughter is in there. I have so much love in my heart for her already it makes it all worth it. Below is a list of things that I learned in my first trimester.

Symptoms start right away
I first had a feeling I was pregnant when I felt like I ran fourteen marathons by the end of one work day.  To top it off I got one (just one!) nosebleed. I remember even telling my co worker, as a joke, I think my body is thinking it’s in false pregnancy. This comment came from trying for over a year and being on Clomid. One night I even woke up thinking I was having period cramps so I got up, took a Pamprin and went back to bed (hello implantation!).  It isn’t always like the movies where you are hugging the toilet. Frequent bathroom breaks, gas, heartburn – they all happen in the first trimester. Who knew (not me)!

Bloating while on  your period is nothing in comparison to bloating while pregnant
I felt like I looked and weighed 15 pounds heavier. My clothes are tight, but until very recently I had no baby bump. I had a fairly flat stomach before pregnancy so I thought it would continue to be until my cute little bump started growing. In reality you can look like you ate a bunch of donuts and that you are up a few pounds until your bump starts to take shape.

Ultrasounds aren’t at every doctor visit
If you are like me and are considered a low risk pregnancy – don’t count on seeing your baby every doctor visit. You have the initial to confirm the pregnancy and heartbeat and then the 20 week anatomy scan. I had my 16 week doctor appointment and found this out. Luckily my doctor could sense my disappointment and did a quick one so my husband can see our daughter move.

Pregnancy can cause low blood pressure
You always hear about high blood pressure, but I never realized you can get low blood pressure while pregnant. This can cause symptoms such as feeling faint, dizziness, feeling clammy and lack of concentration.

You can be generally uncomfortable all the time
I found out I was pregnant after I woke up and was generally uncomfortable. I knew something was up based on how I felt that last few days. Throughout my first trimester I was hot, then cold. I felt tired, but restless when I laid down. Bloating was no joke and my clothes began feeling snug before I could even announce my pregnancy to people. I became introverted and a big home-body. Even now at 17 weeks 3 days I prefer to not be out and about socially.

The first trimester was certainly an experience. Due to my low blood pressure fatigue is lasting well into the second. My bump is starting to form and I am counting the days until I feel my daughter move inside me. Pregnancy so far has been different then I ever could imagine, but I am so happy to be expecting it makes it all worth it.

Maternity Leave

Yesterday I spoke with my employer about my maternity leave. When it comes to boss’ I am very fortunate because mine is very family oriented and just all around super kind. However, I feel like I left the conversation feeling more concerned then when it started. This feeling had nothing to do with my boss. She is more then willing to give me the time I asked for (20 weeks). The concerned and uncertain feelings comes from how much I didn’t know about maternity leave in general. You have a baby, get unpaid time off work, come back and that is that!….WRONG! I have never felt more naive then I have in this pregnancy. I had no idea that I had to pay my own insurance premium after a certain amount of time. Now that I know it makes total sense; I just didn’t give that a second (or first for the matter) thought.

Currently I am hunting for childcare. Trying to find something within budget and that works for our schedules is proving to be a bit more difficult. I have so many concerns with being a working mom. Some of this stems from my own childhood and some stems from who I want to be as a mom. I would love nothing more then to be able to be a stay at home mom, but financially it makes no sense for my family. We are accustomed to living a certain way and I don’t want to give that up either (especially with the added expense of a child). I am at war with my mind and my heart and it is really hard.
Because I cannot be a stay at home mom I really want this extra time with my baby before going back to work, but I’m having a hard time swallowing the fact that I have to pay financially for this time. Sure I can cut my losses and just not get paid for that time, but to have my income not coming in and then paying is just not an idea I’m having an easy time with.
Monday-Wednesday I am gone from my home for 14 hours (commuting and work). Thursdays are a bit of a shorter day for me and I have Fridays off. This is another thing weighing on my mind. Can I really be gone for 14 hours half of the work week? What stress would that put on my husband? I don’t even know if his work will be flexible when it comes to childcare drop off and pick up. I keep telling myself not to stress about it. To enjoy my pregnancy and take this one step at a time. Have the baby then worry about work schedules. I am a planner and totally type A in regards to control so this is easier said then done. I am 16 weeks (as of tomorrow) and I feel like I have so far to go in my pregnancy, but I know it’s going to fly by and I don’t know if I can not obsess over this.
Is anyone else having a hard time grasping maternity leave? I’d love to hear your thoughts on what you are going to do or what you have done and how you are handling it emotionally.

Heather-Maple Loop Pass

The Pacific Northwest is one of the most beautiful places you can live. We have a little something for everyone although sometimes it feels like there isn’t much room left up here for anyone (thanks Amazon!). My husband and I try to frequent the trails when the weather permits (which is harder to do now that we are home owners and there is yard work to be done!) or try to camp multiple times a year. I’m happy to say pregnancy hasn’t stopped us from camping! We are going on our fourth trip this summer this weekend!

I am officially in my second trimester and when I look back on my first I cant help but feel like I was lazy. I cant be to hard on myself because I was giving my body what it needed – nutrition and rest. Since my fatigue is wearing off I got super ambitious and dragged my husband and good friend on a hike in the Northern Cascades. We hiked the Heather-Maple Pass loop. Just shy of 4 months pregnant I feel the gain was intense, but the views were worth it once we reached the peak. It was 7.2 miles round trip added to a 3 hour drive home. It took us a bit longer then it would have if I wasn’t pregnant, but it’s important to give your body rest and not overdo it.

I love living in the pacific Northwest and I love being outdoors. It was really great being on the trail and I cannot wait to share these experiences with my daughter.

Weighing in on weight gain

The other day I was chatting with a friend about weight gain in pregnancy. Based on my height and body my doctor said ideally I should gain about 25-35 pounds. My non-pregnancy diet is pretty routine (during the work week at least) and for the most part healthy. I’ve tried to keep on the same track during my pregnancy with the occasional detour to whatever is going to satisfy my sweet tooth craving.
Based on the scale I’ve gained roughly 5lbs in my first trimester which puts me right on track. I’m short with hardly any midriff so 5 pounds on me looks a lot different then those who are taller. Already almost none of my summer clothes fit. During this conversation with my friend I mentioned how Summer time is so brief in Seattle I really do not want to spend money on a bunch of maternity clothes that I’ll just have to pack away in a month.
When I first found out I was pregnant I quit the gym. I lifted weights and because it took us so long to get pregnant I did not want to take any chances. My doctor says it is OK for me to do my routine workout just go lighter on the weights but I am afraid. For two years I worked out and ate right to get to my goal and it’s really hard to see something you dedicated yourself to go away in less then 4 months. My conversation was overheard by an acquaintance who just had a baby. She basically read me the riot act. “Your baby needs you fat, your baby needs you to gain weight, you worry to much, why do you care”..etc. First of all let me stress – I am happy to be pregnant! It’s not something that just happened for me accidentally or happened in a matter of a month or two. It was a long and emotional process for me. However, I am allowed to be frustrated as I try on my clothes and have none of them fit and I am allowed to worry that I am making the right choices for myself and my baby. This does not make me a bad future mama. I feel the media and society have this idea of what pregnancy should be – a glowing, expectant mother with a smile on her face who is emotionally steady, always put together and no insecurities or second guesses. I can only speak for the first trimester so far, but the reality is, my reality is, that you hardly feel cute, you look like you indulged on a box of donuts more then you look pregnant and if you can lift your head off the pillow you’ve conquered the day. I find myself being my biggest critic during this pregnancy and it’s all so new and foreign to me. Gaining a healthy amount of weight during pregnancy is very important. Why do I feel so judged when I still monitor what I eat and the amount? It’s definitely more then my pre-pregnancy self. Why is it anyone else’s business? Even if I wasn’t pregnant – why is my weight anyone else’s business?

The first trimester has been hard. As I head into my second I find myself a little more (emotionally) steady, a little more awake, a little more confident and feeling a little more like my old self. This weekend Seattle had a heatwave. I tried taking advantage of my new found energy and tried to walk as much as possible for daily exercise. I attended a wedding, had friends in town from California and strolled along Alki Beach. It was a weekend I needed: busy and full of people I care about. It was a nice reminder to take it all in and step back to see the bigger picture.

Alki Beach in West Seattle during low tide
Whitman wedding
Close friends and I attending a wedding this past weekend


Living This True Life

In March 2018 I started a blog that I was really excited about called Non Senza Vino. This excitement was met with difficulty as it was hard to give 100% of myself to it.  I eventually lost all enthusiasm with it. Part of this loss of enthusiasm was because I found out I was pregnant in May of 2018. My first trimester robbed me of motivation and completely knocked me flat on my back in a deep snooze. Fatigue is no joke!

I’m currently ending my first trimester and find myself slightly  more awake and slightly more motivated, but I still felt very unattached to my original blog. Pregnancy brings a lot of excitement, change and, for me at least, a lot of fear. I love my life and worry about how much it will change. I also didn’t have the most attentive parents and worry that I’ll somehow not show up for my children in the way they need me to.

This blog is a promise to myself to be present in the everyday with my family and my children, but still hold onto me. To grow as an individual but also as a family unit. I want to inspire and encourage others while enjoying life’s little moments. Thus the birth of This True Life. A way to ground myself while navigating through motherhood, marriage and whatever else comes my way.

The first 6 blog posts on this site were when it was Non Senza Vino. I decided to keep them because I still believe in their content and hope you enjoy them.