As you know there’s a little baby girl coming soon.. which is craaaaazy!! I am sleeping so light right now checking my phone at every noise.
A few weeks ago we started talking about the hospital and realized that there’s SO much information available out there for birth plans.. but specifically related to adoption there’s not a lot of information… but there are TONS of questions! As prospective adoptive parents we don’t want to step on any toes, and be more of a support system rather than a parent in the hospital.. and truthfully we feel like one big family. We are certainly just thankful for the opportunity to be involved, so we wanted to fully respect Savannah’s wishes with how she saw the hospital going.
Sometimes in this process there can be uncomfortable conversations — but it’s better to ask the harder questions than to have hard feelings on questions not asked when assumptions are made. Not only for those who are living the situation, but during a birth there are lots of doctors and nurses coming in and out that likely need to know this information as well and having a quick 2-page document can really help everyone be on the same page so it’s less stress for all involved.
If you find yourself needing an adoption hospital birth plan or you are a support person to someone in this situation, you can refer to this template, and I hope it helps you as much as it has helped us!
To the hospital staff:
I, _______________________________ have filled out the following adoption pan and would like it to be followed while I am in the hospital (understanding my feelings or plans could change). Please place this in my chart so that all shifts may read it and know my wishes.
I am planning this type of adoption:
Open: Both Parties share all personal information
Closed: No personal information is shared
The adoptive parents will/will not be coming to the hospital.
If yes, the adoptive parents names are: _________________________________________________
My main support person(s) names: _________________________________________________
There are people I do not want allowed to visit while in the hospital. If YES, I request myself and baby to be listed under an alias name. YES/NO.
Names of people I would like in the delivery room ______________________________________
For pain control/positioning during labor and birth I would like to:
Walk in room/hall
Use shower/tub
Use heat/cold massage
Use birth ball
Epidural
Listen to my special music
Use my own pillow
Immediately after delivery
I want this person to cut the cord if approved by doctor ___________________
In addition to the ID band I will be wearing, I would like this person to have a second baby ID band __________________________
I want to see my baby YES or NO
If yes,
Skin to skin / Rooming in
-If baby is stable place skin to skin with me
-If baby is stable, have baby placed skin to skin with adoptive present parent
-Keep the baby in my room as long as he/she is stable
-Keep baby in nursery and out to me when I call
-Keep baby with adoptive family
I want to hold my baby YES or NO
If yes, who would you like to hold the baby first? _______________
-Wrap baby in blanket before holding
-Hand baby to adoptive parent
-Bathe my baby before holding
I want to feed and/or care for my baby while in the hospital YES or NO
I would like my baby to be fed this way:
-Breastfeed my baby
-Use hospital formula
-Have adoptive mother breastfeed
-Use human breastmilk
The postpartum plan
If the adoptive parents will be at the hospital I wish to see them in my room or another location if possible:
_______ My Room _______Another location if possible. ______No Contact
The name I want you to call my baby is: ______________________
Or the name the adoptive family is giving:________________________
Postpartum I would like to:
_____Keep baby in my room
_____Have baby stay in the nursery
_____Have my baby come to my room only when I call
_____Allow adoptive parents to have alone time with the baby
_____Allow the adoptive parents to be given the opportunity to do skin-to-skin with the baby to facilitate bonding
_____Keep baby with the adoptive parents when not with me
I want my baby to receive the Hep B vaccine YES or NO
If I have a boy, I am planning on having him circumcised before discharge YES or NO
I wish to have mementos from my baby’s birth YES or NO
___Baby Bracelet
___Hospital birth certificate with footprints
___Nursery card
___Baby Hat
- Is it okay to give a copy of above documents to adoptive parents YES or NO
Additional concerns or wishes I would like the hospital staff to be aware of: