アメリカで出産 | バースプラン


私が利用したMt Auburn Hospitalでは、事前に受けた出産講座でバースプランのフォーマットをもらうことができました。










Labor (陣痛時)

  • Dim lighting
  • Quiet environment
  • Play music
  • Wear my own clothing
  • Bring these things in from home like blankets or photos:   


Mobility (可動性)

  • I prefer to maintain all mobility, including walking and changing positions.
  • I prefer to be able to move around in bed only and get up to use the bathroom.
  • Mobility is not important to me, and I understand that if I get an epidural I may be confined to bed and need a urinary catheter to go to the bathroom.

Hydration and Nourishment (水分補給と栄養補給)

  • I would like to eat light snacks and drink clear fluids whenever possible during labor.
  • It would not bother me to have an IV for hydration if necessary.
  • I prefer a saline lock if the placement of an IV is required by my hospital, but no fluids or medication are needed during my labor.


Monitoring (モニタリング)

  • I prefer my baby to be monitored as minimally as possible.
  • I would like as much monitoring as possible.
  • I prefer a method that allows me to remain mobile.
  • Fetal monitoring in bed is fine with me.


Pain Relief (鎮痛)

Nonmedical Options

  • Relaxation techniques
  • Changing positions/walking
  • Visualization
  • Massage
  • Fitness ball
  • Breathing techniques
  • Tub/shower
  • Hot/cold packs

Medical options

  • Analgesic
  • Epidural anesthesia
  • Nitrous oxide (if available)
  • I prefer that pain medication only be offered to me at my request.


Augmentation (陣痛促進)

Methods to Speed Up Labor If my labor slows down, I would:

  • First try nonmedical methods like walking and using upright labor positions
  • Prefer that my practitioner breaks my bag of waters.
  • Prefer that my bag of waters breaks on its own.
  • Not mind having an IV of Pitocin and understand the benefits and risks involved.
  • Prefer to receive an IV of Pitocin only after all other methods are tried, and only if medically necessary.


Pushing (分娩時)

  • I prefer to wait to push until I feel the urge or until my baby descends.
  • I would like to use a variety of positions during pushing.
  • I would like a mirror placed at the foot of the bed so I can watch my baby’s birth.
  • I would like to push whenever I feel like it.
  • I would like to be directed as to when to push.
  • I prefer any natural tearing over an episiotomy.
  • I would not mind having an episiotomy.
  • I would like to avoid forceps and/or vacuum extraction unless absolutely necessary.
  • I would like to touch my baby’s head as it crowns.
  • I would like my healthcare provider to hand me the baby immediately if there aren’t any complications.


Birth and Baby Care (分娩後)

  • I would like to hold my baby skin to skin immediately after birth and breastfeed as soon as possible.
  • I would like to cut the umbilical the cord.
  • I prefer to have the cord cut immediately.
  • I would like to wait to have the cord cut until the baby receives all the blood from the placenta.
  • I would like to donate the umbilical cord blood.
  • I would prefer that routine hospital procedures be done while I hold my baby if possible.
  • I would like all routine tests, shots, and procedures for my newborn.
  • I prefer to choose the tests that are done and discuss it with my baby’s pediatrician ahead of time.
  • I am breastfeeding exclusively and don’t want my baby to be given pacifiers, bottles, or formula.
  • I plan to formula-feed only.
  • I prefer a combination of breastfeeding and formula-feeding.
  • I want to room in with my baby.
  • If I have a boy, I prefer to have him circumcised.
  • I do not want my baby boy to be circumcised.
  • I would like my baby’s hearing to be tested.


In Case of a Cesarean (帝王切開の場合)

  • I would like to accompany me during surgery.
  • If possible, I would like two people to accompany me.
  • If anesthesia is a choice for me, I would prefer an epidural.
  • If anesthesia is a choice for me, I would prefer a spinal.
  • If possible, I would like music played in the operating room.
  • I would like the drape/screen lowered during surgery so I can see the birth.
  • I would like the surgeon to describe the surgery as he or she goes along.
  • I would like to have video or photos taken.
  • I would like my support person to cut the cord.
  • I would like to have at least one arm released so I can hold my baby right away.
  • I would like to breastfeed as soon as possible in the recovery room.