The most ridiculous birth plans you've had the pleasure of reading

Specialties Ob/Gyn

Published

I don't know when I became so jaded- I had a birth plan with my son...every single thing went the opposite of what we had wanted (induction, ITN with subsequent pukefest and finally stat section for non reassuring heart rate and suspected chorio). But when I see that a patient has a birth plan I cringe! Maybe it's because every couple I've encountered with a birth plan have turned out to be the biggest PITA's I've had to deal with as patients- this last couple...sheesh, the dad interrogated my every action as though he thought I was going to hog tie his newborn daughter and assult her with formula and vaccines.

Their birth plan read as though it was copied out of a book...one of those ever popular "the medical industry and hospitals are EVIL and nurses are bullies and will bully you to do everything you don't want to do!!" Why are nurses and hospitals getting demonized so much? Do they really think we went into nursing because we like to harm babies and mothers and pi** off patients?

Ok, back to the birth plan thing: I've read plans that state "We require a private room" (good thing we have private rooms). "We demand immediate skin to skin and breastfeeding initiation" (gee, I was looking forward to poking your baby and letting him/her starve). "We do not want ANYONE in our room during labor except our accupuncturist and chiropractor".

I suppose these "requests" are not totally unreasonable, maybe it's just the way the plan is worded, and the defensive vibe I get from the patients who copy them from a book or author them themselves.

Specializes in Maternity.
I came across a very interesting birth plan. My hospital is Baby Friendly and this particular patient had her baby at our hospital 3 years ago. She breast fed her first child through a mix of BF and supplementing. She wrote on her birth plan that she doesn't "drink the BFHI koolaid and wants a pacifier" and that "nipple confusion won't occur and the world will not end." She asked that "any La Leche League nurses be reassigned to another patient". She also specifically requested 2 rooms on our mother-baby unit that are our largest. How does she remember those things from years ago?? It was pretty hysterical to see the other spectrum.

I'm sorry Ratlady but actually the message I got from this persons post if that been made on the basis of an informed decision from past experience and its seems very resonable to me.

You'd be surprised the things mothers remember about their labours, I'm recently getting a few mothers back who I looked after years ago and they still remember what design of scrub hat I was wearing (on also commented that the new beard looks less groomed than before!).

Specializes in Maternity.

Oh and one of the most comprehensive birth plans I saw never got past page one, not because she ended up with all interventions (actually had a relativly straightforward labour; although the epidural and perineal suturing we're in the plan) but one of the first lines was "All communication to me must be done through James my husband", poor James spent most of the labour fainting and throwing up anytime any bodily function was discussed or procedure (inc VE's) were done. Poor guy was hopelessly underprepared and I think thats a new problem in this new age that partners are expected to attend their childs birth wether they like it or not (topic for my first article I think!!)

Specializes in HH, Peds, Rehab, Clinical.

It's one thing to THINK those things, but there's no need to verbalize it quite like that. I also LOVE how patients think they get to pick and choose staff assignments AND rooms. Oy vey!

I came across a very interesting birth plan. My hospital is Baby Friendly and this particular patient had her baby at our hospital 3 years ago. She breast fed her first child through a mix of BF and supplementing. She wrote on her birth plan that she doesn't "drink the BFHI koolaid and wants a pacifier" and that "nipple confusion won't occur and the world will not end." She asked that "any La Leche League nurses be reassigned to another patient". She also specifically requested 2 rooms on our mother-baby unit that are our largest. How does she remember those things from years ago?? It was pretty hysterical to see the other spectrum.
Specializes in Maternity.

Again to me it doesn't sound that she's asking for specific staff assignments, more that she doesn't wish the La Leche League/brestfeeding support nurses to be pestering her about her choice of infant feeding. Like all professions there are good and bad breastfeeding support workers and their extreme members have earned the "Breastfeeding Nazis" nickname that we sometime give them.

As for the rooms, yeah its a bit cheeky.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Ahave earned the "Breastfeeding Nazis" nickname that we sometime give them.

Yuck. I find that phrase extremely distasteful and offensive. Unless they're murdering women who choose not to breastfeed, I would say that NOBODY has earned the nickname of anything "Nazi"

What an ignorant weirdo for sure.

Minus the room request, I'm sure that my birth plan (if I were to make one), would say many of the same things. Baby friendly kind of is kool-aid...at least the way it's implemented most places (I think the concepts are good ones, but it's not used correctly in most cases). And LLL nurses CAN be bullies and I wouldn't want them in my face either. I know what I'm doing, and my child will have formula if he needs more than he's getting from me (as evidenced by inappropriate weight loss, lack of wet diapers, and lab work showing borderline dehydration)...like a baby that I cared for a baby in the NICU recently. Lactation freaked out about supplementation, even though the MD wrote an order to do it (which is now required in my hospital d/t BFHI...formula is kept in "Fort Knox").

End result, lactation got their way, and the baby got a 2 day NICU stay for dehydration. Would have been avoided with a bottle or two. That isn't going to happen to me.

Being called an ignorant weirdo is disrespectful and just makes you look like yet another BFHI/LLL bully. People who want to avoid the nonsense aren't the ignorant ones. To me, an unneeded NICU admission, extra sticks for lab work, and separation from the mother is NOT very "friendly" to anyone.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

What the hell is a LLL nurse?

I've met very few nurses who were LLL Leaders, and those that are, do not wear their LLL Leader hat while working as a nurse.

Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.
Yuck. I find that phrase extremely distasteful and offensive. Unless they're murdering women who choose not to breastfeed, I would say that NOBODY has earned the nickname of anything "Nazi"

Lactivist is a word I prefer to use. I am a lactivist!

Specializes in Eventually Midwifery.
Yuck. I find that phrase extremely distasteful and offensive. Unless they're murdering women who choose not to breastfeed, I would say that NOBODY has earned the nickname of anything "Nazi"

^^^^^THIS

I'm sorry Ratlady but actually the message I got from this persons post if that been made on the basis of an informed decision from past experience and its seems very resonable to me.

You'd be surprised the things mothers remember about their labours, I'm recently getting a few mothers back who I looked after years ago and they still remember what design of scrub hat I was wearing (on also commented that the new beard looks less groomed than before!).

The reason I say "ignorant" is because she clearly does not understand the physiology of the first 3 DOL if she thinks a pacifier will do no harm, she is mistaken. Which I could probably safely assume is why she had to supplement her kid.

Specializes in Eventually Midwifery.
@Ratlady, I

I love that you love it. Suddenly bffs. =P

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