Review my birth plan

Would anyone like to offer some suggestions or some flame-free constructive criticism on my intervention-free birth plan?

For the record:

-I have already one intervention-free birth at a baby-friendly hospital with an OB/GYN. This time, we will be using a midwife at the same hospital.

-The plan prints out to be less than 2 pages.

-As we all know, a plan is just that, a plan, and I am adaptable to changing circumstances that may occur.

Here ya go:

Birth Plan Worksheet

Name: Niki
DOB: xx/xx/xxxx

I understand that labor and birth are unpredictable and ultimately want the health and safety of both the baby and I to take precedence. In all non-emergency situations, all proposed procedures are to be discussed (benefits and risks) so I can direct the decision making with informed consent.

ATTENDANTS: I would like only my husband present during delivery. Family/friends permitted at parent's discretion after 1-2 hours after delivery.

HOSPITAL ADMISSION & PROCEDURES
Once I'm admitted, I'd like:
-my partner to be allowed to stay with me at all times
-only my midwife, nurse, and husband (i.e., no residents, medical students, or other hospital personnel) in the room
-to eat/drink if I wish to
-to have a heparin or saline lock
-to walk and move around as I choose
-to change labor positions often (please offer to assist)
-to not have my membranes ruptured without my consent
-not to undergo internal exams unless they are medically necessary

OTHER INTERVENTIONS
As long as the baby and I are doing fine, I'd like to:
-have intermittent rather than continuous electronic fetal monitoring
-be allowed to progress free of stringent time limits and have my labor augmented only if necessary
-to labor in the Jacuzzi tub/shower


PAIN RELIEF

I am planning on a natural birth. Please don't offer me pain medication. I'll request it if I need it.

PUSHING
When it's time to push, I'd like to:
-be allowed to progress free of stringent time limits as long as my baby and I are doing fine
-push instinctively-I do not want to be told how or when to push (Mother-Directed Pushing)
-feel unrestricted in accessing any sounds of chanting, grunting, or moaning during labor



DELIVERY
I would like to:
-view the birth using a mirror
-touch my baby's head as it crowns
-catch my baby and pull it onto my abdomen as it is born
-give birth without an episiotomy

To help prevent tearing, please:

-Apply hot compresses
-Apply oil
-Use perineal massage
-Encourage me to breathe properly for slower crowning.

C-SECTION
If I need to have an emergency c-section, I'd like:
-my partner present at all times during the operation
-the screen lowered a bit so I can see my baby being delivered
-the baby to be given to my partner as soon as he's dried, if appropriate
-to breastfeed my baby in the recovery room

POSTPARTUM
After delivery, I'd like:
-for the placenta to be born spontaneously without the use of pitocin, controlled traction on the umbilical cord, or massage of the uterus
-to wait until the umbilical cord stops pulsating before it's clamped and cut
-my partner to cut the umbilical cord if he desires
-to have routine newborn procedures delayed until bonding and breastfeeding have occurred
-my husband to stay with the baby at all times if I can't be there
-to breastfeed as soon as possible (if needed, please page a lactation consultant while I am still in the birthing room)

NEWBORN PROCEDURES: I would like to have routine newborn procedures delayed until bonding and breastfeeding have occurred.

FEEDING: I plan to breastfeed exclusively.
Do not offer my baby:
-formula
-sugar water
-a pacifier

CIRCUMCISION: We do not want our son circumcised.