I realize labor won't necessarily go exactly as I imagine it, but at least there is an outline there for what I absolutely want to try and what I absolutely don't want. Otherwise, it's what the doctors want to do because it's easiest and it covers their asses.
I did add to it under vaginal birth that I want the placenta to be delivered spontaneously, that's instead of them deciding it needs to come out at x point and that they need to go in and get it because it can't wait until it's ready.
That's actually about it for now, at least when it comes to that. We'll see how close the actual labor, etc. goes to this!
The perspective of a young single mother, a 4th year equine business student with the world at her feet
6.20.2010
6.19.2010
Birth Plan
This is what I typed up today.
Birth Plan
EDD:7/13/10
Dr. Stockwell
Delivering at Riverside Hospital
Attendants and Ammenities:
People Present:
• Kittie Palm-Houser, mother
• Amy Wakeling, Doula
• Tobey Johnson, FOB (possibly)
Other Details:
• Music requested
• Pictures to be taken during labor and after birth(by mother)
Labor:
• I’d like to do early labor at home and come to the hospital while in active labor.
• Once admitted I would like
o My birth partners to stay with me at all times
o To have clear fluids instead of an IV for hydration
o To walk and move around as I choose
o A birthing ball
o To take showers
o To be allowed to progress without time limits, as long as all is well.
• As long as baby and I are doing well, I would like to have intermittent rather than continuous fetal monitoring.
• INDUCTION OPTIONS
o I don’t want the amniotic membrane ruptured manually unless there is fetal distress.
o I want to try nipple stimulation and changing positions before pitocin is administered.
• When it’s time to push, I would like to do so instinctively rather than be told when to, unless I ask for help.
• I’d like to be in a semi- reclining position when it’s time to push. I would also like this to progress naturally and at its own rate unless there’s a problem.
PAIN RELIEF
• I would like to manage pain by
o Shower
o Breathing and distraction techniques
o Hot/cold therapy
o Visualization
o Massage
o Birthing ball/walking
o Will request epidural if I need it- I do not want it offered please!
Vaginal Birth
• I would like to risk a tear rather than have an episiotomy, unless the baby is in distress.
• After Birth:
o I would like my baby to place on my chest to try to nurse right away, any non urgent procedures should be put off.
o I would like to breastfeed ASAP
o No oxytocin after placenta delivery
C-Section
• I want my mom present in this case, and Tobey if he’s there. I also want my doula there to help me nurse once I give birth.
• I want the baby given to Tobey if he’s there, my mother if he’s not right after she is dried.
• I want to breastfeed in the recovery room. No bottles or pacifiers should be offered.
Post-Partum
• After delivery, I would like:
o All newborn procedures done in my presence, including bathing, weight taking, etc.
o My mom/Tobey to be with the baby at all times if I can’t be there
• I would like the cord cut right after and I want to bank the cord blood.
• I plan to BREASTFEED EXCLUSIVELY. PLEASE DO NOT OFFER MY BABY ANY BOTTLE/FORMULA OR A PACIFIER AT ANY TIME!!!! Unless a bottle is needed for medical reasons.
• I want to feed on demand.
• I want to room in with my baby 24 hours a day unless there’s a problem with her or unless I request she go to the nursery.
Birth Plan
EDD:7/13/10
Dr. Stockwell
Delivering at Riverside Hospital
Attendants and Ammenities:
People Present:
• Kittie Palm-Houser, mother
• Amy Wakeling, Doula
• Tobey Johnson, FOB (possibly)
Other Details:
• Music requested
• Pictures to be taken during labor and after birth(by mother)
Labor:
• I’d like to do early labor at home and come to the hospital while in active labor.
• Once admitted I would like
o My birth partners to stay with me at all times
o To have clear fluids instead of an IV for hydration
o To walk and move around as I choose
o A birthing ball
o To take showers
o To be allowed to progress without time limits, as long as all is well.
• As long as baby and I are doing well, I would like to have intermittent rather than continuous fetal monitoring.
• INDUCTION OPTIONS
o I don’t want the amniotic membrane ruptured manually unless there is fetal distress.
o I want to try nipple stimulation and changing positions before pitocin is administered.
• When it’s time to push, I would like to do so instinctively rather than be told when to, unless I ask for help.
• I’d like to be in a semi- reclining position when it’s time to push. I would also like this to progress naturally and at its own rate unless there’s a problem.
PAIN RELIEF
• I would like to manage pain by
o Shower
o Breathing and distraction techniques
o Hot/cold therapy
o Visualization
o Massage
o Birthing ball/walking
o Will request epidural if I need it- I do not want it offered please!
Vaginal Birth
• I would like to risk a tear rather than have an episiotomy, unless the baby is in distress.
• After Birth:
o I would like my baby to place on my chest to try to nurse right away, any non urgent procedures should be put off.
o I would like to breastfeed ASAP
o No oxytocin after placenta delivery
C-Section
• I want my mom present in this case, and Tobey if he’s there. I also want my doula there to help me nurse once I give birth.
• I want the baby given to Tobey if he’s there, my mother if he’s not right after she is dried.
• I want to breastfeed in the recovery room. No bottles or pacifiers should be offered.
Post-Partum
• After delivery, I would like:
o All newborn procedures done in my presence, including bathing, weight taking, etc.
o My mom/Tobey to be with the baby at all times if I can’t be there
• I would like the cord cut right after and I want to bank the cord blood.
• I plan to BREASTFEED EXCLUSIVELY. PLEASE DO NOT OFFER MY BABY ANY BOTTLE/FORMULA OR A PACIFIER AT ANY TIME!!!! Unless a bottle is needed for medical reasons.
• I want to feed on demand.
• I want to room in with my baby 24 hours a day unless there’s a problem with her or unless I request she go to the nursery.
6.18.2010
Doula
I met with a doula on Tuesday. She was recommended by my next door neighbor, Cindy. I have decided to use her during the birth.
What happened Tuesday was a free consultation where she told me what hiring her involved and gave me some literature on different options during the birthing process and additional prenatal care she would have me do.

What I'm doing now is adding Calcium Magnesium and Evening Primrose Oil to my daily supplements. I don't really remember what the Calcium is for, but the Primrose Oil is said to help with softening a woman's cervix. Apparently a first time labor requires the cervix to soften before a woman can dialate, whereas after that she can dialate without softening, so it's important that my cervix have as much help as possible so that I can have a natural labor.
She also gave me a recipe for pregnancy tea, which Steve made for me. I drink a couple glasses a day. Also, I have a list of foods high in protein that are also nutritious. My mom got the ingredients I needed today and the rest of the stuff we already have. So, I can make small meals out of those things. Most of them are lighter than meat, anyway, which is better because sometimes I get heartburn from eating too much meat.
I also have to write up a birth plan including what I want to happen during labor, during birth, and after the birth. Basically, whether I want (unnecessary) induction, pitocin, epidurals, etc. and whether I want to walk, shower, etc., then whether I want the cord cut right away (apparently there are benefits to waiting), then whether I want the baby handed straight to me before she is weighed, cleaned, etc. and given a chance to nurse, whether I want them to offer her any formula or a pacifier, etc. That needs to be done soon. It really should have been done in time for my doctor's appointment on Thursday so the doctor could sign off on it sooner rather than later, since he's out of town today until the 27th. But, it wasn't. I just have to do that as soon as possible.
The plan is that I will have two office visits and one home visit before the baby is born. Then, when I go into labor, she will come to my home and labor with me until we decide it's time to go to the hospital and finish laboring there, probably at about 7 cm or so. Then she will help me through the rest and assist me with breastfeeding when the baby is born. We then have a follow up visit about 3 weeks after Kiley is born. I already have a visit scheduled at the office for Wednesday at 8 PM, then another at home the following Tuesday at 12:30.
I'm pretty excited about this. It makes me feel better about the possibility of a natural labor.
What happened Tuesday was a free consultation where she told me what hiring her involved and gave me some literature on different options during the birthing process and additional prenatal care she would have me do.

What I'm doing now is adding Calcium Magnesium and Evening Primrose Oil to my daily supplements. I don't really remember what the Calcium is for, but the Primrose Oil is said to help with softening a woman's cervix. Apparently a first time labor requires the cervix to soften before a woman can dialate, whereas after that she can dialate without softening, so it's important that my cervix have as much help as possible so that I can have a natural labor.
She also gave me a recipe for pregnancy tea, which Steve made for me. I drink a couple glasses a day. Also, I have a list of foods high in protein that are also nutritious. My mom got the ingredients I needed today and the rest of the stuff we already have. So, I can make small meals out of those things. Most of them are lighter than meat, anyway, which is better because sometimes I get heartburn from eating too much meat.
I also have to write up a birth plan including what I want to happen during labor, during birth, and after the birth. Basically, whether I want (unnecessary) induction, pitocin, epidurals, etc. and whether I want to walk, shower, etc., then whether I want the cord cut right away (apparently there are benefits to waiting), then whether I want the baby handed straight to me before she is weighed, cleaned, etc. and given a chance to nurse, whether I want them to offer her any formula or a pacifier, etc. That needs to be done soon. It really should have been done in time for my doctor's appointment on Thursday so the doctor could sign off on it sooner rather than later, since he's out of town today until the 27th. But, it wasn't. I just have to do that as soon as possible.
The plan is that I will have two office visits and one home visit before the baby is born. Then, when I go into labor, she will come to my home and labor with me until we decide it's time to go to the hospital and finish laboring there, probably at about 7 cm or so. Then she will help me through the rest and assist me with breastfeeding when the baby is born. We then have a follow up visit about 3 weeks after Kiley is born. I already have a visit scheduled at the office for Wednesday at 8 PM, then another at home the following Tuesday at 12:30.
I'm pretty excited about this. It makes me feel better about the possibility of a natural labor.
6.17.2010
36 weeks, 2 days today

I went to the OB again today and have another appointment for Tuesday at 9:45 AM. The regular OB is out of town next week so another Riverside Hospital OB is filling in and it's only one day during one hour. Normally it wouldn't be 5 days apart like that, but that's why it is this time.
Anyway, she's doing perfect. There are still no signs that I'll go into labor anytime soon. That's a good thing, she's still "preterm" right now. The longer she can bake in here, the better. That's not to say I'm not plenty ready to be done being pregnant and to meet her!
I find it hard to tell people how I feel about my baby, but I really can't wait to hold her. I really can't wait to be a mommy. I've wanted to be a mom since I was about 3 years old. When I got pregnant, I had no plans to have any babies anytime soon. Most of my friends had names for babies like "crib midgets." I wasn't much different.
I knew what to do with a baby, but I didn't have any desire to be around them very much at that point in my life. I liked the fact that everyone I was around could take care of themselves, at least enough to feed themselves and wipe themselves! (Although her dad really isn't that great at taking care of himself! I didn't even realize how much I was taking care of him until I wasn't anymore!) No one I was around was under 17. I was fine with that. Spending my weekends playing Spongebob Life with a 10 year old and changing diapers was NOT my idea of a good time. I had NO plans to be a mommy for a WHILE.
The day I found out I was pregnant, that all changed. My whole world changed. I struggled hard to quit smoking, and finally kicked the habit completely 3 weeks and 2 days ago. I started making plans differently. I started to think about her before I thought about what I wanted to do, eat, drink, smoke, not do, whatever. She even trumped horses. (I haven't ridden since December.) I never thought ANYTHING would trump horses.
There have definitely been times when I have missed riding so much I could shoot myself but I have NEVER resented her for a second! I know that graduate school will be VERY HARD for me with a child to worry about, as will getting my bachelor's, but I NEVER resented her for that. I think she's a blessing. I thought I would resent her at some point of my pregnancy, while I was puking my guts up or experiencing round ligament pain...but I really was able to seperate PREGNANCY SYMPTOMS from MY HELPLESS, INNOCENT CHILD. I am really surprised with myself!
I am now having fears that I won't be a good mommy. I don't even know why. I know what makes a good mommy and I'm clearly willing to change things around to accomodate her. I guess it's just normal, not thinking you will be good enough to do a good job at something so huge and beautiful as raising a child.
I just have to remind myself of the sacrifices I've already made for my child without a second thought and trust that I would make them again in a heartbeat and so much more.
I am not SCARED of the labor and delivery at this point. I am scared that something will go wrong with HER and that she won't be okay, but I guess that is normal, too. I just have to pray that she will be protected, do what I can do to have a healthy newborn, and try to relax. This is such a wild ride!
6.14.2010
Character defects: My emergencies are everyone else's

I think it all boils down to selfishness, but I really do come off this way many times. I panic when I plan on things being done a certain way at a certain time and they are not. Then everyone else must jump on it immediately.
Hormones at 8 months pregnant do not help this little habit because it makes all my emotions and sentiments about 1000 times stronger!
That is a character defect to work on, and the solution is to pray to be more available to and aware of others, and to help them. Prayer does no good without any action. I struggle with this, though, too, as I have mentioned in previous blogs. I guess it's something I will REALLY need to work on ASAP.
*Dish bill update:
I called today because the boxes need to be reshipped (since Tobey didn't tell Bo, the Native American he's living with, that they would be coming so Bo didn't know they were at the right address and sent them away.) and found out I only have to pay $280 for a cancellation fee to Dish. STILL quite ridiculous, but better than $315. My grandma is giving me $300 to spend! So, I'll pay the $280 to Dish and then have $20 to spend!
My mom says I should get something for me with the $20, even though my first instinct is to save the money for diaper and wipe money. I said I'd spend it on me, but I don't know whether I will...I may not be able to resist the temptation to put it in Kiley's saving account. Yes, I opened an unborn child a savings account. Probably in attempt to avoid what this blog was originally about.
Well, I think I'm going to hit the sack pretty soon, but there's my update for today.. Tomorrow I meet with the doula my next door neigbor recommended for the first time!
6.13.2010
Inventory-- "Closed- Mouth" Syndrome
Part of this little antisocial thing has been pure tiredness, but I think I need to take a deeper look at it.
I don't talk in meetings hardly at all, in fact the last couple of times I have totally forgot what I was trying to say (pregnant brain!) and spaced out in the middle of my sentence. I couldn't even find anything to say upon receiving my one year chip. I don't REALLY know why this is....except maybe that I talk so much most of the time, maybe I need to learn how NOT to say anything. I think right now that could be the truth.

Another reason I don't talk much is because sometimes it's really hard to bear my soul to a room full of mostly older people. The ones who aren't older, for the most part, want no part of sobriety. For the most part, they are there because of a DUI or a public intoxication charge and plan to go get really shitty after the meeting. I, quite frankly, want nothing to do with them. As for older people, I feel like they won't be interested in what I have to say. And I'm probably wrong, because a lot of them say they wish they'd figured it out this young.
I've also heard a lot of them say that they did come in this young and proceeded to go back out for 5+ years. I'm scared that if I go back out, they will think I was full of shit. And, to be honest with you, I feel like I actually have nothing to say a lot of the time. The truth is, when people ask for ways to handle what they're going through, I really have no clue how to handle it, in fact a lot of times I struggle with it myself.
I'm a little scared I'll go back out. That scares me because, honestly, my plans don't really match up with what my life will become if I go back out. If I DO pick back up where I left off, I won't keep my scholarship for long. I sure as hell won't be able to keep a job. I won't want to do anything but use, drink, and sleep. That's where I was when I came in. I'm so grateful for the ego that alcoholics are famous for, because that's why I came into the rooms of AA. Because my ego was bruised because I could not control my drinking and using and I was supposed to be the strongest woman in the world.
I didn't just use drugs either, I used men. See, if I didn't smoke a blunt or drink a pint, I had sex. Anything to fill the hole, anything to make me feel better, anything to get me high in some form or another. I almost feel like allowing myself to be used like that by other people is MORE shameful than the drug doing.
The first year of sobriety, I may not have done drugs or drank alcohol, but I got another addiction! Tobey! He worked for a little while, too! Once I got pregnant and he went back to doing drugs, he no longer worked because he wouldn't pay attention to me anymore and I tried to FORCE him to work! I tried to literally force him. I tried to make him think it was his JOB to be everything I wanted. I want something different in my second year...I want to be SOBER and let GOD/MY HIGHER POWER be my "addiction"/"refuge"/"hole-filler" whatever you want to call it!!
You know what though, it's hard to get out of myself when my instincts are turning inward, to my baby and to my body. I'm doing what I can, and most days I make it to a meeting, try to call my sponsor, try to get some big book reading in, try to pray at least a little, try to be honest and of service, and I don't use or drink. But you know, some days I'm just too damn tired to get anything out of a meeting!
When I only have one other thing, a meeting is just fine to get to and I get something out of it. When I have 4 or 5 other things going on, I get nothing out of it and I just resent being there. I guess those are the times when I need to try and really be of service. Right now, though, my maternal instincts are telling me that only my baby is important and therefore what my body thinks my baby needs is the ONLY priority. Sometimes that's sleep or rest instead of a meeting.
Oh, I can't get ahold of my sponsor!!!!! UGH frustrating...I feel that a lot lately. I had road rage yesterday and it scared me. It makes me scared to drive anywhere. My hormones are taking me for a ride!!! I have NEVER experienced impatience, frustration, anger, resentment, sadness, ANYTHING like this before!! Crazy hormones!
My point is that I may have 1 year and 2 weeks sober, but I am still a complete mess!!! I just want to try to make this second year of sobriety count and really try to be a little more serene. Here goes, I guess!
I don't talk in meetings hardly at all, in fact the last couple of times I have totally forgot what I was trying to say (pregnant brain!) and spaced out in the middle of my sentence. I couldn't even find anything to say upon receiving my one year chip. I don't REALLY know why this is....except maybe that I talk so much most of the time, maybe I need to learn how NOT to say anything. I think right now that could be the truth.

Another reason I don't talk much is because sometimes it's really hard to bear my soul to a room full of mostly older people. The ones who aren't older, for the most part, want no part of sobriety. For the most part, they are there because of a DUI or a public intoxication charge and plan to go get really shitty after the meeting. I, quite frankly, want nothing to do with them. As for older people, I feel like they won't be interested in what I have to say. And I'm probably wrong, because a lot of them say they wish they'd figured it out this young.
I've also heard a lot of them say that they did come in this young and proceeded to go back out for 5+ years. I'm scared that if I go back out, they will think I was full of shit. And, to be honest with you, I feel like I actually have nothing to say a lot of the time. The truth is, when people ask for ways to handle what they're going through, I really have no clue how to handle it, in fact a lot of times I struggle with it myself.
I'm a little scared I'll go back out. That scares me because, honestly, my plans don't really match up with what my life will become if I go back out. If I DO pick back up where I left off, I won't keep my scholarship for long. I sure as hell won't be able to keep a job. I won't want to do anything but use, drink, and sleep. That's where I was when I came in. I'm so grateful for the ego that alcoholics are famous for, because that's why I came into the rooms of AA. Because my ego was bruised because I could not control my drinking and using and I was supposed to be the strongest woman in the world.
I didn't just use drugs either, I used men. See, if I didn't smoke a blunt or drink a pint, I had sex. Anything to fill the hole, anything to make me feel better, anything to get me high in some form or another. I almost feel like allowing myself to be used like that by other people is MORE shameful than the drug doing.
The first year of sobriety, I may not have done drugs or drank alcohol, but I got another addiction! Tobey! He worked for a little while, too! Once I got pregnant and he went back to doing drugs, he no longer worked because he wouldn't pay attention to me anymore and I tried to FORCE him to work! I tried to literally force him. I tried to make him think it was his JOB to be everything I wanted. I want something different in my second year...I want to be SOBER and let GOD/MY HIGHER POWER be my "addiction"/"refuge"/"hole-filler" whatever you want to call it!!
You know what though, it's hard to get out of myself when my instincts are turning inward, to my baby and to my body. I'm doing what I can, and most days I make it to a meeting, try to call my sponsor, try to get some big book reading in, try to pray at least a little, try to be honest and of service, and I don't use or drink. But you know, some days I'm just too damn tired to get anything out of a meeting!
When I only have one other thing, a meeting is just fine to get to and I get something out of it. When I have 4 or 5 other things going on, I get nothing out of it and I just resent being there. I guess those are the times when I need to try and really be of service. Right now, though, my maternal instincts are telling me that only my baby is important and therefore what my body thinks my baby needs is the ONLY priority. Sometimes that's sleep or rest instead of a meeting.
Oh, I can't get ahold of my sponsor!!!!! UGH frustrating...I feel that a lot lately. I had road rage yesterday and it scared me. It makes me scared to drive anywhere. My hormones are taking me for a ride!!! I have NEVER experienced impatience, frustration, anger, resentment, sadness, ANYTHING like this before!! Crazy hormones!
My point is that I may have 1 year and 2 weeks sober, but I am still a complete mess!!! I just want to try to make this second year of sobriety count and really try to be a little more serene. Here goes, I guess!
6.12.2010
Expectations of the Birth Experience
I know that every birth is different, and that mine will be what it is, but I still think it's helpful to talk about expectations. I want to try a natural childbirth, with little or no drugs and no intervention.
I learned a bunch of pain management technicques in my childbirth class and I want to use them instead of having an epidural. My understanding is that an epidural means you cannot walk around during labor. I think I'll go crazy if I have a long labor and can't walk around! I'm far too ADHD! I am looking into a doula right now.
I have told myself that if I do need interventions, such as pitocin or an epidural or even a C-Section because of a long and hard labor, I will try my best not to be too hard on myself. I just want to be able to take care of her as much as possible as soon as she's born and breastfeed ASAP. I will be disappointed if inteventions prevent her from being able to stay with me and not in the nursery.
I am also scared to do it without her dad being there. I just assumed he would be there, but he probably won't. I don't want to do it without him. It just doesn't seem right to me.
I just want a positive first few hours with my little girl, more than anything else. I don't want to sleep through it!
I learned a bunch of pain management technicques in my childbirth class and I want to use them instead of having an epidural. My understanding is that an epidural means you cannot walk around during labor. I think I'll go crazy if I have a long labor and can't walk around! I'm far too ADHD! I am looking into a doula right now.
I have told myself that if I do need interventions, such as pitocin or an epidural or even a C-Section because of a long and hard labor, I will try my best not to be too hard on myself. I just want to be able to take care of her as much as possible as soon as she's born and breastfeed ASAP. I will be disappointed if inteventions prevent her from being able to stay with me and not in the nursery.
I am also scared to do it without her dad being there. I just assumed he would be there, but he probably won't. I don't want to do it without him. It just doesn't seem right to me.
I just want a positive first few hours with my little girl, more than anything else. I don't want to sleep through it!
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