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Birth Plan As we welcome you to McDonald Murrmann Women’s Clinic, we would like to share with our obstetric patients our philosophy on childbirth. We hope you will have the most enjoyable, safe and memorable delivery possible. It is not necessary to formulate your own birth plan. We encourage open communication with us regarding your desires regarding your birth experience as we are your partners in birth. The following are answers to the most frequently asked questions: 1. The pelvic area is not shaved for anticipated vaginal deliveries. If a cesarean section (C-section) is required, the hair at the lower abdomen may be shaved. 2. Enemas are not required. If you desire an enema, one may be given. 3. It is preferred that patient’s have ready intravenous access during labor and childbirth. This access will allow rapid administration of life saving medications, should they be required. An intravenous catheter in the hand or forearm is acceptable. 4. If there are no labor risk factors, intermittent external fetal heart monitoring can be applied. Current American College of Obstetrics and Gynecology guidelines for fetal heart tone monitoring include: a. Evaluation and recording of fetal heart rate for at least fifteen (15) minutes of each hour until you are fully dilated. b. Monitoring fetal heart rate at least every five (5) minutes during pushing. c. Continuous fetal heart rate monitoring if you are receiving pitocin augmentation or induction. 5. When there is inadequate external heart rate tracing or a non-reassuring fetal heart rate pattern, an internal scalp electrode may be placed through your vagina to the baby’s scalp. 6. To assure the safety of your newborn, it is suggested that the maximum number of people attending your birth should not exceed three (3). However, this number is at the discretion of your physician. 7. Videotaping your delivery is at the discretion of your physician, and a signed consent form must be recorded in the hospital chart. 8. The physicians at McDonald Murrmann Women’s Clinic do not routinely perform an episiotomy. 9. Please discuss your birthing preference (Lamaze, Bradley, etc.) with your physician at the beginning of your pregnancy. 10. Pitocin may be used to enhance your labor if your physician feels it is clinically necessary. This decision will be at the discretion of your delivery physician. 11. Different styles of prepared childbirth plans have developed alternative delivery positions. Delivery positions in a bed with modifications to simulate alternative positions (e.g. using foot pedals or stirrups) are preferred. 12. Use of forceps or vacuum extraction is performed only in cases where the delivery physician finds it necessary to assist the patient or the baby. 13. You are encouraged to have support people during your delivery; however, midwives are not utilized in the clinic for patient care. McDonald Murrmann Women’s Clinic 7205 Wolf River Blvd, Suite 150 Germantown, TN 38138 Office Phone: (901) 752-4500 www.mmwc.md