This document is housed in the records of the Social J ustice Center (APAP-
177) in the M.E. Grenander Department of Special Collections and Archives,
University Libraries, University at Albany, SUNY.
lan for
Kimberly Manning
Patient of Vicki Nolan, CNM.
The following birth plan is provided in order to facilitate a smooth and efficient working
relationship with our labor and post-partem medical care providers.
Labor Support Team:
Partner and coach: Carmen Rau
Additional support: Linda McCracken and Nadya Lawson
Emergency Medical Proxy: Carmen Rau
Back-up Medical Proxy: Consensus decision by both Linda McCracken and Nadya Lawson
Administration of Medical Procedures
So that communications between the mother/labor attendant team and medical care team(s)
remain open and productive, it is requested that all care providers be aware of the following
conditions:
1. All care providers should be introduced by name and position.
2. All procedures by consent only.
3. All procedures should be explained:
- reason for procedure
- what information it will provide or its anticipated outcome.
- any side effects or potential harms to mother or baby.
- how procedure is performed
- what is expected from mother to facilitate its efficient administration.
- Mother accepts exemption of routine procedures IE. Vital stats.
- Mother does not consider internal vaginal exams or fetal monitoring routine
and request that they only be performed by her attending Mid-wife.
4. No medication shall be administered with out consent.
5. Serious consideration to the following should be applied to the following before any offer of
analgesic or anesthesia is made:
- Mother is hypersensitive to most medications, particularly those that effect pain
reception or muscular motor control.
- Mother finds the effects of, the administration or potential for administration of
analgesic or anesthetic substances extremely anxiety provoking.
- It is requested that any offer or administration of pain medication or Anesthesia be
made only in the event of emanate medical threat to mother and/or child and that
unconsentual administration only be performed only in the event that justifiable
life-threatening emergency medical intervention on behalf of mother or child is
required.
- Administration of a novocaine local in the event of post-partem paranial ? repair is not
at issue.
This document is housed in the records of the Social J ustice Center (APAP-
177) in the M.E. Grenander Department of Special Collections and Archives,
VnIVErShY, nb ibrarics: Nati rior ae F i "tall Ny labor. Mother has a matemal family
history of precipitous labor.
7. Episiotomy only if necessary.
8. In the event of an emergency C-section:
Birthing Room
- respect for our sense privacy
- No admitance of anyone wearing strong perfuem of colognes.
- use of birthing room with whirlpool if available
- use of birhting stool if available
- consumption of clear liquids during labor
Upon Delivery
- Baby to breast right after birth
- Immediate skin to skin contact with baby
-Delayed clamping of umbilical cord, until pulsation ceases.
- Delay of erythromycin eye drops
- Delay of Vitamin K shot
- Delay of PKU blood draw
- No medicinal induction or stimulation to speed delivery of placenta.
Post Partem
1.Rooming in of baby
2. In the event baby is in the nursery:
- no glucose water or formula to baby
- Demand feeding of baby.
3. All baby exams at bedside or in the presence of a Parent, Kimberly Manning or Carmen
Rau.
4. Administration of any medical procedures to baby with the consent of and in the presence of a
Parent Kimberly Manning or Carmen Rau.
