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BRING TO THE HOSPITAL: an overnight bag, chap stick, lotion, loose clothing, extra bras, underwear, minipads, your own pillow and pillowcase, notebook, pens, pencil, stationary, notes on labor and delivery, reading materials, games, cards, hair dryer, money for hospital snack bar and full strength, sports drink Gatorade. Your phone, camera, a disposable backup camera, notebook computer, IPOD (or similar device) (don’t forget battery chargers, your Insurance card and your photo ID!),
LABOR ENVIRONMENT: You may control the lighting (dim or bright), music (bring your own) or other aspects of the environment if deemed safe by those caring for you. The labor room has an unsecured wireless network.
EATING, DRINKING, SMOKING IN LABOR: Please bring two bottles (2 Liters) of your favorite flavor of Gatorade energy drink – NOT the low calorie version. Popsicles, ice chips, sips of liquids, moistened washcloths, are permitted and encouraged during normal labor. Eating or excessive drinking is prohibited for the laboring mother. Smoking is prohibited on hospital grounds.
WALKING IN EARLY LABOR: After you have been evaluated, if it is felt that it will be safe for you (and the baby) to be up and walking around in early labor, you may do so if you wish. Once in full active labor you may sit up if desired. You may walk to the bathroom if able. Few women choose to walk around during active labor
NATURAL CHILDBIRTH TECHNIQUES: Relaxation, visual focusing, controlled meditative breathing, massage, and other well recognized techniques are all encouraged. Our birthing bed allows great flexibility in positioning for labor and delivery. You can even achieve a sitting position if wish. Other pain relief methods such as IV medicines and Epidural are available.
HUSBAND AND/OR SUPPORT PERSON IN LABOR AND DELIVERY ROOM: One or two support people are strongly encouraged. Occasionally a third support person is allowed if you very much want them present. There are very good reasons to limit the number of people present in the room. Please discuss with us if you have questions. In true emergencies or other very unusual situations All unnecessary people may be asked to step out of the room.
LABOR DOULAS: are privately hired birthing attendants who are trained to give advice as well as emotional and physical support through labor. Some patients are dramatically helped by them! However, Labor Doulas can be expensive and on occasion reduce communication between the birthing center nurse and the patient. If you are planning to use a Doula please let us know ahead of time. Occasionally a Doula may have ideas about how labor is managed that may conflict with our principles of pain management or safety.
CAMERA: You are encouraged to take as many still pictures of the laboring mother and newborn child as you wish. Don't forget your film and a fresh camera battery. Please ask nurses permission before taking their photograph.
VIDEO: Video Capture of the birth (this includes ALL methods of video capture) is not allowed by Hospital policy. You MAY video AFTER the birth of a healthy child where no resuscitation is required. We have commonly found excited people may capture very embarrassing images on video (your bottom immediately after birth) – PLEASE HAVE THEM BE CAREFUL OF WHAT THEY CAPTURE! You must obtain consent of all health care providers (Nurses and Physicians) before turning video on. Tripods are not permitted.
CUTTING THE CORD: Under the physician's guidance, the partner can usually cut the infants umbilical cord if he wishes. This is usually done following a 3 minute delay to allow for the great majority of benefit to the baby. If any problems or complications exist, the birth attendant will rapidly cut the cord and take care of the situation. Let us know your wishes at the time of delivery.
EYE CONTACT WITH THE INFANT: In an effort to improve bonding and eye contact, we avoid eye drops and ointments to the baby's eyes until the baby is taken to the nursery.
AT BIRTH: We immediately check to see that the baby is doing well. We then dry the infant and place it on the mother’s abdomen for close eye to eye and physical contact with the mom.
BONDING IN THE DELIVERY ROOM: Early, close contact with the infant is strongly encouraged. The baby may be placed on your abdomen promptly after delivery if desired and no difficulties arise. Generally at least one hour is allowed to pass before the baby is taken to the nursery. This is called "The Magic Hour" at DePaul - it is nurtured and protected.
BREAST FEEDING IN DELIVERY ROOM: If the baby is breathing easily and breast-feeding is chosen as the infant’s method of feeding, then you are encouraged to put your baby's mouth to your breast in the delivery room.
PARTICULAR POSITIONS USED WHEN PUSHING: Efficiency of push and comfort of the patient are both considered. Lying on your side, or your back, or in a semi-sitting position are all allowed if no complications are occurring.
PREP, ENEMAS, ETC.: I have virtually never shaved hair from around the opening of the vagina. Enemas are VERY uncommon but if you WANT one I’ll allow it.
MEDICATIONS: Limited use of Narcotics such as Nubain may be used if a patient is in significant pain and requests this type of pain relief. They are usually given intravenously for better predictability and safety.
EPIDURALS: If selected as a method of pain relief, an epidural block is used when the patient is 3 cm. dilated or more and having strong regular contractions. They are disappointing about 10-15% of the time – therefore you should know natural childbirth techniques even if you are dedicated to having an epidural. They are sometimes (not commonly and only if necessary) allowed to wear off for pushing or for stalled progress in labor.
HOSPITAL DISCHARGE: The average stay about two days but safety and your baby’s status are strongly emphasized.
MONITORS (EXTERNAL and INTERNAL): Once you are making clear progress in labor, Continuous Fetal Heart Rate Monitoring is the current standard of care in providing reassurance that the baby is doing well. Internal monitors (scalp electrode) are only used if there are special concerns or difficulty getting a clear external signal.
INTRAVENOUS ACCESS (SALINE LOCK OR IV'S): Are required to improve overall safety, for epidurals, allow the safest means of giving pain relievers and provide protection in the event of hemorrhage. After you are well hydrated, on request your IV may be converted to a Saline Lock. The IV can be reconnected as needed.
PITOCIN STIMULATION AFTER LABOR STARTS: It will be discussed with you if it is felt pitocin would be of help to you. Dr. Lackore or the Obstetrical provider on call may elect this option to assist you in making progress if you are having inadequate contractions. In some cases it will reduce the need for cesarean section or prevent prolonged difficult labors.
HUSBAND IN C-SECTION ROOM: Almost always encouraged, but may not be possible in life-threatening emergencies.
INDUCTIONS: WITH YOUR INFORMED REQUEST AND CONSENT - If there is a medical need to do so and the cervix is favorable, you may be offered labor induction.
EPISIOTOMIES: They are very uncommon and are NEVER performed routinely. A great deal of experience has convinced me that sometimes episiotomies may be important and helpful but usually they are totally unnecessary and cause unnecessary injury. However, I have no way to guarantee you will experience no tears and no episiotomy. I’ll use my best judgement to try to serve your best interests. Even staunch opponents of episiotomy agree they may be important to speed delivery if the baby’s heartbeat is unfavorable.
FORCEPS or VACUUM EXTRACTOR: Most women push their babies out by themselves. These aids to delivery are very uncommonly used and only for specific medical indications - never for convenience.
I have an absolute commitment to my patients through high quality, cost effective medical care.