Hi,
I've had four deliveries, the middle two naturally in hospital, and the last at home.
The first thing I realized about the 2nd one in the hospital (which was my first completely natural) was that the nurses are really in charge during labor, not the doctor. My recommendation would be to try to go meet these nurses. Be proactive! Go meet them all...they are very busy but figure out a time to meet them. Call the hospital and find what times are slowest. You don't want to seem pushy but you want to be...proactive! :)
Also, I was able to have my OB deliver my babies but I learned that if he wasn't on-call, I would be delivering with another doctor that I had never met. If this is the case for you, you may consider meething them as well. And don't let the doctor say, I'll give them your birthplan, you try to meet them yourself. Get that face-to-face contact. (Sorry, am I sounding pushy? :)
With my hospitals, they preferred I lie down during part of the labor because my BP went up a bit. Other than that they let me pace the room back and forth (this helps a lot!!). Then when it came down to pushing I wanted to do it upright but it never got to this point and I delivered supine. Another thing I have learned on reflection is this...they tell you 'when' to push but this is not respecting when the mother/baby natural push may be. So you may want to discuss this too. That you will push when you feel like it and not according to the count-to-ten push. That counting to ten push could increase problems like increasing the 'need' for episiotomy.
You are right, during labor is not the time to be reminding the hospital staff of your birthing plan and intentions. It would be best to have your partner understand your commitment so that he can be your advocate.
Or consider having a doula or some other advocate with you.
I would also check with the hospital again and find out if you need to do anything additional to ensure the baby doesn't get the drops, vit k, or shots. There are some good posts on this forum about it, you'd have to search for them.
This does seem to be a case where the more prepared you are, the more likely you'll have the birth you want. Look forward to this event exactly the way you want it to occur, as detailed as you can imagine. Think about the positive emotions/experiences.
Oh, another big point I would suggest is don't go to the hospital right away. THis can be a little tricky for a first delivery. But the earlier you go, of course the more chance for them to intervene. When the contractions are 4-5min apart, you are in early labor 1-4cm, when they start getting uncomfortable and feel pressure, you are probably mid-labor between 4-6cm. The end (which you will be in hosp by then) are very short 1-2 min gaps and very intense 7-10cm. The great thing about natural labor is that you really do get a break in between the contractions and you feel like you aren't even in labor.
If you have specific questions about practices you're questioning that we haven't covered, please ask!
Love
Lori