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It was created to help guide your thinking as you assemble your birth team, whether you prefer a natural, non-medicated birth or a medically assisted epidural delivery. Thoughtfully considering areas of concern is empowering and helps prepare you for better communication. Be sure to make enough copies to present your customized birth plan to your doctor, midwife, nurse, doula, birthing center or hospital and any attending family or friends. You will also be able to download your PDF after submitting your form, so be sure to scroll down for the link.
We promise not to send you unwanted emails. Also, please be sure to check SPAM folder, or add earthmama. As long as the baby and I are healthy, I would like to go at least 10 to 14 days over my due date before inducing labor.
As long as the baby and I are healthy, I would like to have no time restrictions on the length of my pregnancy. I would like to discuss laboring at home as long as possible. I trust that my practitioner will seek out my opinion concerning all of the issues directly affecting my birth before deviating from my plan. If nonstress test observation becomes necessary after my due date, I am flexible and support this procedure.
I would like to discuss induction before I reach my due date. If I go past my due date and the baby and I are fine, I prefer to go into labor naturally rather than be induced. Please obtain my permission before stripping my membranes during a vaginal exam. I prefer to have no vaginal exams until I go into labor. I prefer to have only one vaginal exam on or around my due date. During a vaginal exam, I prefer not to have my membranes broken unless there is an emergency situation.
I prefer minimal internal vaginal exams. If I am less than four centimeters dilated, I would like to discuss with my healthcare provider the option of going home. Upon arrival at the hospital, I prefer to have my partner with me at all times. Please, no residents or students attending my birth. I would like for people entering the room to speak softly. I would like to play music.
I would like no one to speak during the actual delivery. I would like to wear hospital clothing. I would like to wear my own clothes during labor and delivery.
I would like to be reminded to remove my clothing during the actual delivery. I would like to have a TV available. I would like to have a VCR available. I would like to wear headsets during my labor and delivery.
I would like to have my birth photographed. I would like to wear my glasses or contact lenses unless removal becomes medically necessary. Please only offer pain medications if I ask for them.
Please suggest pain management options for me if you see that I am too uncomfortable to handle the pain. Please discuss pain management options for me as soon as possible. After medical guidance for pain relief, I would appreciate some private time with my partner to discuss which pain management technique or medication I would like to use. I would like to feel unrestricted in accessing any sounds of chanting, grunting, or moaning during labor.
Please always keep my door closed while I am in labor. Continuous fetal monitoring Intermittently monitored to allow for as much mobility as possible. Lamaze techniques Bradley techniques Childbirth Hypnosis. As long as the baby and I are healthy, I prefer to have no time limits on pushing. If pushing for more than several hours, I am open to medical intervention in 2nd stage labor. I will ask for an enema if I feel that I need one. I would like to have an enema upon being admitted.
I prefer to have an episiotomy I prefer to have no episiotomy and risk tearing unless I'm having a medical emergency. If I need an episiotomy, I prefer a pressure episiotomy. Apply hot compresses Apply oil Use perineal massage Encourage me to breathe properly for slower crowning. If possible, please allow the shoulders and body of my baby to be born spontaneously, on their own.
Please use a local anesthetic for repairs. No stirrups please unless I'm having a medical emergency. I would like to view the birth using a mirror. I would like to touch my baby's head as it crowns. I would like to catch my baby and pull it onto my abdomen as it is born. I would like my partner to catch my baby. I would like the doctor to catch my baby.
For spiritual or religious reasons, I would like the room to be totally silent as the baby is born. I would like for our baby to hear our voices first. I prefer to have the lights dimmed for delivery or, if it is daylight, to access only natural light. It's important to me to push instinctively. I do not want to be told how or when to push. Please tell me when to push. As long as my baby is healthy, I would like my baby placed immediately skin-to-skin on my abdomen with a warm blanket over it.
Please do not separate me and my baby until after my baby has successfully breastfed on both breasts. Please delay all essential routine procedures on my baby until after the bonding and breastfeeding period i. Please place my baby on pulse oximetry after 24 hours of life to rule out any obvious heart conditions present at that time, as recommended by the federal government, American Academy of Pediatrics and American Heart Association.
If a C-Section is not an emergency, please give my partner and me time alone to think about it before asking for our written consent. My partner is to be present at all times during the c-section. Ideally, I would like to remain conscious during the procedure. I would like the baby to be shown to me immediately after birth. I would like to have contact with the baby as soon as it is possible in the delivery room. I prefer to have a hand free to touch the baby. We would like to have the option to photograph or film the birth.
If possible, please discuss anesthesia options with me. I prefer a low transverse incision on my abdomen and uterus. Please respect my wishes to be quiet during the operation e. I would like to sign any waivers necessary to permit me to be with my baby in recovery.
As long as my baby is healthy, I would like my partner to be the baby's constant source of attention until I am free to bond with it i. I would like my baby to be sent to the nursery while I am in recovery. Please pay special attention to our nursing needs in recovery.
I may need some extra help nursing after the operation. Please discuss with me what I can expect to feel immediately following the procedure.
Please discuss my post-operative pain medication options with me before or immediately following the procedure. I prefer to have a gentle C-Section. Please wait for the umbilical cord to stop pulsating before it is clamped. Please allow my partner to cut the umbilical cord. I would like to bank my baby's cord blood and have made arrangements for this procedure prior to the birth.
I would like to have routine pitocin given to me after the placenta is born. I would like to delay routine pitocin after the placenta is born unless there are any signs of hemorrhaging. I would like the option of taking home the placenta. If the baby has any problems, I would like my partner to be present with the baby at all times, if possible.
I would like to have routine newborn procedures delayed until bonding and breastfeeding have occurred. I would like all newborn routine procedures to be performed in my presence. I would like all newborn routine procedures to be performed right away. I would like my baby to have eye drops administered immediately after birth. I would like to delay the administration of eye drops until after breastfeeding and bonding has occurred. Please do not administer eye drops to my baby, I am willing to sign a formal waiver if need be.
I would like my baby to receive a routine injection of vitamin K immediately after birth. I would like to delay the administration of vitamin K up to 1 hour after birth, after breastfeeding and bonding, unless medically necessary. I would like only the orally administered vitamin K to be given to my baby.
So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
This content does not have an English version. This content does not have an Arabic version. Overview Women's sexual desires naturally fluctuate over the years.
Request an Appointment at Mayo Clinic. References Frequently asked questions. American College of Obstetricians and Gynecologists. Sexual dysfunction in women: Epidemiology, risk factors, and evaluation. Longo DL, et al. Harrison's Principles of Internal Medicine. The McGraw-Hill Education; Hoffman BL, et al. Psychosocial issues and female sexuality. A focus on flibanserin. International Journal of Women's Health.
Goldstein I, et al. Hypoactive sexual desire disorder: Hirsch M, et al. So how do you end the drought? First step to regaining physical intimacy with your partner?
Making time to talk about it. As a professional sex researcher and relationship coach, I've heard from many people who resist broaching the subject with their partner because they fear rejection.
A man in his late 60s, for example, told me his wife turns her back as soon as he slips between the sheets — the unmistakable message being "Don't even think about it.
And don't think the disappointment dims with the decades: A man of 80 recently disclosed his sadness at the fact that his wife had stopped wanting sex. Suspending sex may not be all that uncommon for a couple, but rarely are both members willing to say good-bye to the practice for good.
At least one partner likely feels cheated, even betrayed; wasn't sex supposed to be part of that whole "till death do us part" deal? It can be difficult to end a sexual drought, but it's not impossible. If the situation is dire, see a therapist: A skilled professional can tease out why the sex stopped, and what it might take to resume it.
She or he can help each partner let go of whatever fears or grudges may be keeping sex at bay. Just as helpful, the therapist can prescribe exercises designed to slowly reintroduce physical contact — an approach I recommend. Qualified therapists can be located through the American Association of Sexuality Educators, Counselors and Therapists. Ask your partner to set aside a time to talk about your sex life or lack thereof. If your partner balks, you may have to press.
If there are medical issues — a bad hip, perhaps, or heart-attack concerns — agree to see a doctor for an exam and, most likely, some reassurance.
Hold hands while you have this discussion. You'll find the physical connection calming: It forges a bond that mere words cannot. Start the conversation with kind and loving language. Say how much you love your partner, how attractive she or he is, how much you're looking forward to touching and being touched by him or her.
Explain that you'd like to start with cuddling and then massage. A little snuggling should make an easy first step for both parties. Experiment with "sensate focus" — a Masters and Johnson technique in which one partner gently strokes the other's naked body, back and front, each person learning how to touch and be touched again.
As you vary the pressure of your touch, you give and get feedback on what feels good; however, there is no attempt to arouse the other person with genital touching. Instead, the goal is a sensual experience that builds trust and comfort with physical interaction.
Do as many sessions as you need to feel comfortable — and to find yourself craving more. Clear the decks for action. You may need to buy a lubricant or a vaginal moisturizer to repair tissues. It may be necessary to get medical advice on erectile or medication issues. There are more solutions to physical problems than you can imagine. Flirt with each other during the day or at a dinner out.
7 steps to resolving sexual desire differences · How sex changes for men after seniors face? See the AARP home page for deals, savings tips, trivia and more. Low libido can be damaging to a man's self-image and his relationships. Learn the 6 most common causes of low male sex drive and how to. Many women experience a low sex drive at some point. But you can get your desire back. Learn about the diagnosis and treatment of lost libido.