This is the birth plan that we established:
Our baby, Keagan David, has been diagnosed with anencephaly, in the 18th
week of his life. Knowing that our time with him may be short, it is important
to us that as many of our needs and requests be met as possible. Our decisions
are based on the desire for Keagan to have the longest life possible, and we
request that as options are presented to us, that the staff will keep this in
mind. Attached is our Perinatal Palliative Care Plan that we established with
the care team, but we have additional requests that are not outlined in the
plan.
We request that Roy be permitted to stay with Jenny at all times. He will remain
at the hospital for the duration of our stay. He, Jenny’s mother, and our
photographer through “Now I Lay Me Down to Sleep” will be present during
Keagan’s delivery.
If labor is not progressing, we ask that Jenny’s water not be broken until
absolutely necessary. We request that medication during labor should be in
doses to provide maximum comfort for Jenny but in doses that will allow for her
to remain alert. She does not desire narcotics or sedatives prior to birth.
During labor, we would like continuous fetal monitoring. We have not
decided if we would like to hear Keagan’s heartbeat during labor or not, but
please accept our decision. When Keagan is born, we want to be told right away
if he is breathing or if he has a pulse. We would like for staff to keep our
family updated during this time so they will know if Keagan was born alive. Depending
on Keagan’s status, we may ask that the umbilical cord not be cut right away.
We will like to be advised as to what is best in this situation and when it
would be medically necessary to cut the cord. At that time, Roy would like to
cut the cord. We do want suctioning, drying off, etc. but would like these
procedures as well as any interventions to be done on my chest or in Roy’s arms
when possible. We want the nursing staff to
weigh and measure Keagan when we request it; should we forget to do so, please
do it prior to us leaving the hospital.We anticipate that Keagan may be born with a large opening on the top of
his head. We would like to see our baby then for his head to be dressed using
first a covering of Vaseline gauze and then an outer layer of gauze and a hat
that we will provide. This dressing is to be changed daily or based on
saturation to prevent infection.
If Keagan is still alive, we ask that when it is time for visitors, they
not be limited if possible. We want everyone to have the chance to be present
when Keagan is alive if the situation allows. If he is stable, we will allow
visitors to hold him. Jenny would like to attempt to breastfeed Keagan. If he
is unable to suck or swallow, we would like comfort drops of breast milk to be
provided. If he lives long enough to require nutrition but is unable to suck or
swallow (breastmilk or formula), we would like a feeding tube inserted. If
Keagan is still alive at the time of Jenny’s discharge, we would like to take
him home with us and request the services of hospice through Children’s
Hospital.
If Keagan is not doing well, we ask that a nurse keep us informed on his
status and let us know if his time is near. We would feel best if someone
compassionately walked us through those last moments of his life as we are not
sure what to expect. If Keagan passes away at some point during our hospital
stay, we will inform staff when we would like the funeral home contacted as we desire
to keep him with us for hours after his passing.
We have brought several things with us – clothing, blankets, toys, keepsake
items. We would like to dress Keagan in a few different outfits and will desire
our photographer to take several pictures. We are prepared to do this as well
as bathe Keagan and create our keepsake items after his passing so that we may
fully enjoy the time that he is alive. Please be patient and understanding with
the number of things we desire to do and make – this is our baby boy and could
be the only chance we have to do these things.
We welcome the open expression of emotion from staff and family. We are
grateful for the support and understanding we have received from your staff so
far and would like to thank you in advance for your love and care during this
difficult time for our family. We have greatly enjoyed Keagan’s life thus far
and have created several memories with him. He is our first son and we love him
more than we even knew possible. We have faith that our situation is in God’s
hands and whatever happens is exactly what was supposed to happen. Keagan is a
very special boy and we hope to make this experience as memorable and peaceful
as possible and appreciate your part in this.