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  • Activity #7 - Birth Plan - Escueta

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    Mary Grace Escueta
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    This document is a birth plan for Jenny Davis, who is due to give birth on March 10, 2021 at Mission Hospital in Jaro, Iloilo. The plan states that she wishes to have a normal vaginal delivery in the hospital with her spouse and mother present. During labor, she wants to try lying down and would like pain medication. She does not want students present and prefers dimmed lights and massage for comfort. After delivery, she wants skin-to-skin contact and to breastfeed but delay circumcision if the baby is a boy.

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    This document is a birth plan for Jenny Davis, who is due to give birth on March 10, 2021 at Mission Hospital in Jaro, Iloilo. The plan states that she wishes to have a normal vaginal delivery in the hospital with her spouse and mother present. During labor, she wants to try lying down and would like pain medication. She does not want students present and prefers dimmed lights and massage for comfort. After delivery, she wants skin-to-skin contact and to breastfeed but delay circumcision if the baby is a boy.

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    3 views18 pages

    Activity #7 - Birth Plan - Escueta

    Uploaded by

    Mary Grace Escueta
    This document is a birth plan for Jenny Davis, who is due to give birth on March 10, 2021 at Mission Hospital in Jaro, Iloilo. The plan states that she wishes to have a normal vaginal delivery in the hospital with her spouse and mother present. During labor, she wants to try lying down and would like pain medication. She does not want students present and prefers dimmed lights and massage for comfort. After delivery, she wants skin-to-skin contact and to breastfeed but delay circumcision if the baby is a boy.

    Copyright:

    © All Rights Reserved
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    of 18

    BIRTH PLAN

    Related Learning Experience:


    Out-patient Department (OPD)

    FEBRUARY 18, 2022 | MARY GRACE ESCUETA BSN-2C


    A birth plan is a written summary of
    your preferences that communicates
    your wishes and goals before labor
    and giving birth.
    BACKGROUND DETAILS
    Name: Jenny Davis

    Due Date: March 10, 2021

    Doctor: Dr. Peter Gonzales (09876543210)

    Spouse: Henry Davis (09123456789)

    Hospital : Mission Hospital , Jaro Iloilo


    BEFORE LABOR
    WHERE WOULD YOU LIKE
    TO GIVE BIRTH?
    Home / Birthing center / Hospital

    HOSPITAL
    At Mission Hospital , Jaro ILOILO
    DO YOU WANT A LABOR
    PARTNER OR A DOULA?
    Yes / No

    NO
    WHAT TYPE OF DELIVERY ?
    Normal delivery / Caesarean section / Assisted

    NORMAL DELIVERY
    DURING LABOR
    WHOM DO YOU WANT WITH
    YOU DURING DELIVERY?
    spouse / partner / family member / friend

    MY SPOUSE & MOM


    WHAT POSITIONS DO YOU
    WANT TO TRY OR
    COMFORTABLE WITH?
    lying down / sitting / moving around

    LYING DOWN
    DO YOU WANT ANY
    MEDICATION TO HELP WITH
    THE LABOR PAIN?
    Yes / No

    YES
    Are you comfortable having students
    observe or help with your labor and
    delivery?

    NO
    Are there any comfort measures
    you would like to try?

    GETTING A MASSAGE &


    HAVING THE LIGHTS
    DIMMED
    Do you prefer to wear your own
    clothes rather than a hospital-
    provided gown?

    OWN CLOTHES
    During the
    Delivery
    I don't want loud noises, i want the room to be
    peaceful and quiet

    I don't want any people in the delivery room except


    my doctor, the nurse, my spouse and my mom.

    I don't want to be photographed during the delivery


    I allow to undergo Cesarian Section/episiotomy if
    necessary

    I want to have my baby's heart beat to be continually


    monitored
    After the
    Delivery
    I want my baby to be placed in my chest

    I prefer to have your baby with me at all times

    I want to breastfeed my baby.

    If it is a boy, I don't want him to be circumcised


    immediately.
    https://www.parents.com/pregnancy/giving-birth/labor-and-

    References
    delivery/checklist-how-to-write-a-birth-plan/

    https://www.pampers.com/en-us/pregnancy/giving-
    birth/article/what-to-include-in-your-birth-plan
    THANK YOU!

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