我的分娩计划书

              图/文 Natalie Lai   http://blog.sina.com.cn/nataliekeyton

  孕后期的时候，我就开始在琢磨生产计划书的问题。因为凯桐不会说中文，我不指望医生护士能说英文，万一在生孩子的过程中发生了什么不可预测的事情，要指望我这个可能在歇斯底里地大喊大叫的产妇那可不是很靠谱。what to expect when you are expecting 里面也有一段是指导孕妇如何写生产计划书的，我再上网搜索了一下别人的经验，按自己的实际情况改动以后，就有了这样的一份双语计划书。

  你要问我，是不是100%按着计划走。我可以肯定地回答你，那是不可能的。但有了一个具体的计划，如果真的发生了什么事，心里有底了也不至于太慌张。我在孕36周的时候就把计划书给我的主诊医生过目了一下，她觉得没什么大问题。然后我就打印了5份，放在待产包里面，入院的时候就给了护士一份，上产房的时候再给了助产士一份。

我们准备了这份生产计划书，希望能够帮助你们理解我们生孩子的理念以及我们在孩子出生这个问题上所希望得到的照料方式。我们渴望能找到可以理解我们，采取尽可能少的干涉产程操作，在良好的交流上尊重我们的助产士和产科医生。我们希望生产越自然越好，避免没有必要的操作和药物治疗。然而，如果必须要采取药物治疗和技术参与的话，我们要求参与商讨和做决定，我们希望医生和其他医院人员做任何事情之前应该先与我们商量后再行动。

We have prepared this Birth Plan to help you understand our philosophy and the kind of care we hope to have for the birth of our child. We hope to find a midwife and obstetrician who shares our desire for a low-intervention birth and respects our need for good communication. We wish for as natural a birth as possible, avoiding unnecessary procedures and medications. However, if medications or procedures become necessary, we ask that you discuss them with us in advance so that we can participate in the decision-making. We expect that doctors and hospital staff will discuss all procedures with us before they are performed.

我希望没有医学学生，实习生或其他无需人员出现在我待产和生产过程中。

I would prefer that no students, interns or non-essential personnel be present during my labor or the birth.

待产　

　　我更愿意穿我自己的衣服而不是医院的病号服。

　  请保护我的隐私和尊严，进门前请敲门。

　　我希望尽可能的保持周围安静。

　　除非我脱水了，否则我不需要点滴。

LABOR

     I may prefer to wear my own clothes rather than a hospital gown.

　   To preserve my privacy and dignity, I would prefer that everyone knock before entering.

  　 I would like the environment to be kept as quiet as possible.

   　I do not want an IV unless I become dehydrated.

　　

加速产程

　　我不希望人工破膜，除非胎儿的情况需要内部监护。

　　如果我的产程需要加速，我希望在使用催产素或其他医学加速手段或人工破膜之前，允许我尝试改变体位和其他自然的方法(如走路，刺激乳头)。

LABOR AUGMENTATION/INDUCTION

　　I do not wish to have the amniotic membrane ruptured artificially unless signs of fetal distress require internal monitoring.

　　If my labor needs augmentation, I would prefer to be allowed to try changing position and other natural methods (walking, nipple stimulation) before pitocin or other medical augmentation methods or artificial rupture of membranes are administered.

　　

麻醉、止痛药

　　我知道有很多止痛药，如果需要时我会要的。

ANESTHESIA/PAIN MEDICATION

　　I realize that many pain medications exist I'll ask for them if I need them.

　　

生产

　　我想呼吸和使劲把孩子生出来，我不希望我的孩子以任何方式拉出来，

　　如果必须要采用外力帮助，我希望不用产钳而是用胎头吸引术。

ACTUAL BIRTH

　　I want to breathe and push my baby out -- I don't want my baby pulled out in any way

　　If absolutely necessary, I would prefer the use of vacuum extraction rather than forceps.

 

水中分娩

　　我希望在水中以任何舒服的体位分娩

　　如果有些原因我不能在水中分娩，我希望允许我选择体位来生产，包括蹲坐式，支撑蹲坐式，用手和膝盖式。

　　我希望我的丈夫是孩子出生时抱起孩子的那个人。

　　我更希望当孩子出生时房间内保持安静。

　　孩子一出生后，我希望能把孩子抱在我的胸前。

WATER BIRTH

       I would like to give birth in the water, and I would like to be able to deliver in any position in the water that I feel comfortable in.

　　If for some reason I cannot give birth in the water, I would like to be allowed to choose the position in which I give birth, including squatting, a supported squat, a hands-and-knees position.

　    I would like my husband to be the person who catches the baby at birth.

　　I would appreciate having the room as quiet as possible when the baby is born.

　　I would like to have the baby placed on my stomach/chest immediately after delivery.

　　

剖宫产

　　除非是绝对的需要，我想尽量避免剖宫产。

　　如果剖宫产是指征是明显的，我愿意被完全告知并参与决定。

　　如果要求做剖宫产，我希望我的丈夫一直陪伴我度过手术。

　　请告诉我手术的进展。

　　如果条件允许，我希望我是在孩子出生后第一个抱孩子的人。

　　如果有可能，我希望孩子一出生就马上开始母乳喂养。

CESAREAN

　　Unless absolutely necessary, I would like to avoid a Cesarean.

　　If a Cesarean delivery is indicated, I would like to be fully informed and to participate in the decision-making process.

　　I would like my husband present at all times if the baby requires a Cesarean delivery.

　　Please explain the surgery to me as it happens.

　　If conditions permit, I would like to be the first to hold the baby after the delivery.

　　If possible, I would like to breastfeed the baby immediately after the birth.

分娩后

　　我希望脐带在它不再抖动后钳住和剪断(或者是孩子出生三分钟后剪断)(有可靠研究表明脐带早切可能会导致幼儿贫血，孤独症，脑出血以及精神损伤)。

    我愿意捐出脐带血。

　　我希望由我的丈夫剪断脐带。

　　我希望抱着婴儿，肌肤贴着肌肤，帮助婴儿保持正常体温。

　　我希望按着我方法来给婴儿洗澡。

　　请在我或我丈夫面前给孩子进行检查和处理。

　　除非有特殊情况，孩子必须抱走接受治疗，我的丈夫一定要始终陪着孩子。

　　比起把他放在暖灯下，我更愿意自己抱着孩子。

　　我一生完孩子就要尽快开始母乳喂养孩子。

IMMEDIATELY AFTER DELIVERY

　　I would prefer that the umbilical cord stop pulsating before it is clamped and cut (or wait at least 3 minutes after birth before clamping and cutting) (There is considerable research that links early cord clamping with infant anemia, autism, brain hemorrhaging, and mental impairment.)

I am willing to donate the cord blood.

　　I would like to have my husband cut the cord.

　　I would like to hold the baby skin-to-skin during the first hours to help regulate baby's body temperature.

　　I would prefer to bathe the baby myself, at my discretion.

    Please do not take the baby away from me or my husband for any examination or treatment.

　　If the baby must be taken from me to receive medical treatment, my husband will accompany the baby at all times.

　　I would prefer to hold the baby rather than have him placed under heat lamps.

　　I will have the baby breastfeed as soon as possible and as frequently as possible after birth.

　　　

　　产后

　　除非有医疗原因，我不希望孩子与我分开。

　　如果孩子需要抱走，我自己或我丈夫要一直陪着孩子。

　　如果孩子需要抱走去治疗，要在我自己或我丈夫面前操作。

　　我希望孩子一直就呆在我的房间。

　　POSTPARTUM

       Unless required for health reasons, I do not wish to be separated from my baby.

　　If baby must be taken from room, I would like myself and/or my husband to accompany the baby at all times.

　　If medical procedures must be performed on the baby, I would like for myself and/or my husband to be present at all times.

　　I would like to have the baby "room in" and be with me at all times.

　　

　　母乳喂养

　　我计划一生完孩子就要在最短的时间内开始母乳喂养孩子。

　　我不希望孩子使用任何的安抚奶嘴, 或者是奶瓶(包括葡萄糖水和普通白水)。

　　BREASTFEEDING

　　I plan to breastfeed the baby and would like to begin nursing very shortly after birth.

　　I do not wish to have any pacifiers or bottles given to the baby (including glucose water or plain water).

其他

　 我希望能尽早回家。

OTHER

　　I would like to be released home at as early as possible.

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这张照片是临生之前一晚拍的。现在看来，那时候的肚肚真的好大哟！（忽略我凌乱的头发吧。。。）

http://s9/bmiddle/60e0409eh8bfbfbec3748&690

坏爸爸喂女儿吃鸡爪，拍拍照留念，美其名曰“广东特色”。

http://s8/middle/60e0409eha0e16ac9a097&690

又是父女情深

http://s2/middle/60e0409eha0e16c9f86c1&690

完全不把我放眼里了！！！

http://s6/middle/60e0409eha0e173451d35&690