So a while ago I posted a couple variations of birth plans, got a lot of feedback. Links below--
https://www.reddit.com/r/BabyBumps/s/TiW8dzzBUN
And anyways, I figured at this point why not just update with how it actually went! The tldr is -- not at all like I planned, but ultimately I understood what was happening, had no joint complications, and I have a healthy baby girl.
Ultimately, I think writing out a birth plan (and getting feedback) helped me understand all the options and their risks/benefits and engage with that in a way I wouldn't have otherwise. So no regrets. Hopefully this is helpful for anyone else who has accessibility concerns or has EDS. Ultimately, it's all so individual so do your own research and talk to your doctors.
A couple weeks ago, my water broke as I was getting up for the day. Reported to the hospital a couple hours later (as my OB had told me to do) and they verified that yes, water was totally broken but my contractions were very spaced out and not strong. If my water hasn't broken, I wouldn't have realized I was in labor as I thought it was just my uterus being irritable.
Nurse met with me and discussed my birth plan, put on a wireless/beltless monitor, saline lock, set up nitrous oxide etc and called for an in person interpreter. Nobody gave me a hard time about interpreters at all and they were available 24/7 until baby and I were discharged a couple days later, even though I told them I was only really concerned about the labor. Very happy and interpreters did fantastic. Hardest part with interpreters was figuring out where they should stand to be out of the way of the medical staff and equipment but that i could still see them.
They gave it some time and then said we needed things to start progressing so did a double Foley balloon. I wanted to try without pitocin because I felt it would lead to an epidural and wanted to try and avoid that due to concerns about my joints. Unfortunately, while the Foley helped with dilation, I still wasn't contracting enough so pitocin it was.
I got to about the 5cm dilation mark when my contractions became very very strong and the idea of 5 more cm felt impossible. Nurse was fantastic in advocating because she knew I was worried about both CRNAs and about epidurals at all, so she had them come down for a consultation. The CRNA was able to answer a lot of my questions and put me at ease. I have POTS but hadn't put it down on the birth plan because I didn't think it was relevant, but apparently it was very relevant to the epidural. I was very very glad for the interpreters at this point because I could not have had a real conversation and given informed consent without them with the level of pain I was in. I could no longer speak... But was able to sign!
I was also very worried about not being able to feel anything and getting injured... It turned out not to matter because I ended up needing pretty much the maximum dose possible to get any sort of relief and could still feel when I was having contractions the whole time, was fully aware of my legs, etc.
Epidural did tank my BP which caused baby become distressed and they ended up putting a fetal monitoring probe in. This made any sort of position changes or movement very difficult. Also started throwing up violently any time I changed positions. She finally stabilized and I was suddenly at 9cm... And stalled again because of the pitocin being stopped... But they gave me some more time and soon I was at 10cm. I started getting concerned that my epidural was wearing off too because contractions were hurting again (although not severely) but it was time.
Pushed for about 45min before baby was in distress again and needed to come out that very minute and they wanted to do an episotomy and vacuum. I was really glad the doctor was able to explain what was going on to me via the interpreter, it would have been too much people and too much going on otherwise. The NICU team showed up which freaked me out as there was suddenly what felt like a million people in the room. My husband told me later that he heard someone call for an OR and that if the episotomy hadn't worked, it would have been an emergency C-section . Ultimately, I said if you can avoid it, great, but I'm trusting you to do whatever you need to do to get her out safely. But they did the episotomy and several pushes later, baby was born!
She's absolutely perfect. Ultimately, while a lot of the specifics of my birth plan went out the window, I had accessibility, I felt supported by my nurses and I felt that everything that happened was because they felt it was the safest way forward. And because I researched so much, I felt confident in those decisions even if I had wanted otherwise. All is well in my world.
For any hard of hearing / deaf mamas -- it didn't really occur to me that id want interpreters after the labor, but there are a LOT of random people (checking my vitals, checking baby's, records people, hearing screening people, etc) who show up during the first night / first day while you're half asleep and they're usually wearing masks and having interpreters helped significantly with communication.