Birth Preferences (Quick Reference)

Facility: VHC Health (Arlington)  |  Patient: [Mother Name]  |  EDD: [MM/DD/YYYY]  |  Provider: [OB/Midwife]
Goal: physiologic vaginal birth; minimize unnecessary interventions
Do not offer epidural routinely (patient will request if desired)
Avoid episiotomy unless emergent/necessary
Baby stays with parents unless medically indicated
Top priorities
  • Unmedicated plan; please do not routinely offer epidural.
  • Delayed cord clamping; prioritize uninterrupted golden hour when stable.
  • Limit interventions (episiotomy, cesarean, frequent cervical checks) unless medically indicated.

Support People / Room Preferences

  • People in room during labor and delivery: father of baby and doula only.
  • Low-stimulation environment requested (dim lighting; patient will provide twinkle/birthing lights).
  • Music permitted; patient will provide playlist and Bluetooth speaker.

Communication / Consent

  • Please explain significant changes and obtain consent before procedures when feasible.
  • If recommendations change due to evolving risk, please state the indication and options.
  • Preference language: “avoid unless medically indicated.”

Monitoring / Mobility / IV

  • Intermittent fetal monitoring preferred if clinically appropriate for risk status.
  • Saline lock / portable IV preferred to allow ambulation when possible.
  • Freedom to move, hydrate (as allowed), and use position changes during labor.

Pain Management

  • Plan: unmedicated.
  • Please do not routinely offer epidural; patient understands she may request it at any time.
  • Non-pharmacologic comfort measures encouraged (movement, positioning, doula support).

Cervical Exams

  • Limit cervical checks to those necessary for clinical decision-making.
  • Prefer fewer exams and spacing them out when possible; minimize repeat exams by multiple staff.
  • If an exam is recommended, please briefly state how it will change management.

Labor Interventions (General)

  • Vaginal delivery preferred; avoid cesarean if safely possible.
  • Avoid episiotomy unless emergent/necessary.
  • Artificial rupture of membranes, augmentation, or operative vaginal delivery only if indicated and discussed.

Induction / Augmentation Preferences (If Needed)

We understand induction method depends on cervix, fetal status, and clinical context.
  • If induction is indicated, preference is to start with cervical ripening approaches (mechanical balloon and/or prostaglandin cervical ripening per provider judgment) rather than proceeding directly to oxytocin when appropriate.
  • If oxytocin (Pitocin) is needed, request a low-dose protocol: start at the lowest feasible rate and titrate slowly in small increments, with close assessment of contraction pattern and fetal response, aiming to avoid tachysystole.
  • If tachysystole or fetal intolerance occurs, prefer prompt dose reduction/stop and reassessment.

Second Stage / Perineal Protection

  • Patient-directed pushing preferred when feasible.
  • Patient is comfortable with perineal massage and other perineal protective measures as clinically appropriate.
  • Open to warm compresses and position changes to reduce tearing risk.

Cord Management

  • Delayed cord clamping preferred when mother and baby are stable.
  • Request: delay clamping at least 60 seconds, and longer if feasible without compromising safety.
Note: some teams use time-based guidance (e.g., 30–60+ seconds); some use cord pulsation/appearance as a practical cue.

Placenta Delivery (Third Stage)

  • Prefer physiologic placental delivery when safe.
  • Please avoid traction/tugging on the umbilical cord to deliver the placenta unless clinically indicated.
  • If active management is recommended due to bleeding risk, please explain the indication and options.

Golden Hour / Skin-to-Skin

  • Immediate skin-to-skin requested if mother/baby stable.
  • Uninterrupted golden hour requested when clinically appropriate; delay routine measurements and non-urgent procedures.

Newborn Location / Rooming-In

  • Baby to remain with parents as much as medically appropriate.
  • If separation is required, request explanation and parent accompaniment when feasible.

Bathing

  • Delay first bath until after golden hour is complete (unless medically necessary).
  • When bath occurs, prefer submerged bath over sponge bath if clinically appropriate.

Labs, Injections, Vaccinations

  • For blood tests, injections, or vaccinations: request one parent present and holding baby unless medically contraindicated.
  • Please explain what is being done before proceeding.

If Cesarean Becomes Necessary

We understand cesarean may be the safest option in some situations. If needed, we request family-centered practices when feasible.
  • Father present in the OR per policy.
  • Skin-to-skin as soon as mother and baby are stable (in OR or PACU).
  • Delayed cord clamping if feasible and safe in the surgical context.
  • Minimize separation; baby with parents when possible.
  • For labs/injections: father holds baby when feasible; inform parents before any procedures.

Sharing Notes (For Staff)

  • This page is designed to be skimmed quickly by OB, RN, anesthesia, and doula.
  • Patient preference: collaboration and shared decision-making; flexibility if clinical status changes.
  • To print: use the “Print / Save as PDF” button above.