Sloane Hospital for Women - Having a Baby With Us
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Table of Contents Table of Contents 2 First in Women’s Health Care 2 First in Women’s Health Care 3 Education 3 Education 3 Maternal Fetal Medicine 3 Maternal Fetal Medicine (High-Risk Care) (High-Risk Care) 4 Prenatal Diagnosis 4 Prenatal Diagnosis 4 Center for Prenatal Pediatrics Dear Moms-to-be (or to-be 4 Center for Prenatal again!) Pediatrics Dear Moms-to-be (or to-be again!) 5 Labor and Delivery 5 Labor and Delivery We’re delighted to be at your side during this mostdelighted We’re exciting to time bein at your your life. sideSince during1887 thiswhen most exciting time 6 Pain Management 6 Pain Management we opened our doors as the city’s first hospital dedicated we opened ourexclusively to women’s doors as the city’s firsthealth, we’ve hospital dedicated exclusi 6 Pain Relief for Labor 6 Pain Relief for Labor reassured expectant mothers just like you ofreassured one essential fact: you’ve expectant motherscome just to likethe right you placeessential fact: y of one 6 Mother-Baby Care to have your6 baby. Mother-Baby Care to have your baby. 7 Nursing 7 Nursing 7 NICU Care 7 NICU Sloane Hospital for Care Women is committed toSloane providing quality Hospital forcare in a family-centered Women is committed to providing quality ca 8 Family Centered Care environment. The Hospital’s 8 Family Centerednew CareCarmen and John ThainThe environment. Labor and Delivery Hospital’s Unit, opened new Carmen and John Thain Labor and Visiting Hours in January 2004, andsets a newHours Visiting standard for patient-sensitive care.sets in January 2004, From its standard a new light-filledfor labor and patient-sensitive care. Fro 8 Admissions delivery rooms, with sweeping views of the delivery 8 Admissions Manhattan skyline, rooms, withtosweeping specially views designed areas of the Manhattan skyline, to 9 Suggestions for What where family9 members Suggestions canfor spend Whatthe night,where the setting provides family members a comfortable can spend the delivery night,experi- the setting provides a to Bring ence supported by advanced to Bring technology. We encourage ence 24-hour supported by “rooming-in” advanced so technology.youWecanencourage 24-hour 10 Going Home adjust to your new role 10 Going Homeas parent. Sloane is also nationally adjust to your recognized new role asfor its expertise parent. Sloane isinalso high- nationally recogn 10 Directions to Sloane risk births.10 Directions to Sloane risk births. 12 Accommodations 12 Accommodations On the following pages you’ll find information about On the our capabilities, following ourfind pages you’ll programs, how about our capab information 12 Still Have Questions? 12 Still Have Questions? to get here, what to bring and what to expect. In the to get meantime, here, you are what to bring andwelcome what to to tour our expect. In the meantime, Forms (in the folder) Forms (in the folder) nurseries, semi-private and private accommodations nurseries,and to learn about semi-private some of and private the hospital’s and to learn accommodations policies. The tours are available as part of our Preparation policies. for are The tours Parenthood available Program, as part of and our can Preparation for P be arranged by calling (212) 746-3215. be arranged by calling (212) 746-3215. Please take a look at the forms in the back pocket of this Please take brochure. a look Filling in at the forms outthe forms backin pocket of this brochu advance will help facilitate your admission to the hospital. advance will help facilitate your admission to the hospital. Thank you for considering Sloane HospitalThank for Women. you for considering Sloane Hospital for Women. Robert E. Kelly, MD Mary E. D’Alton, MD Mary E. D’Al Group Senior Vice President, Willard C. Rappleye Professor of Willard C. Rap COO & Chief Medical Officer Obstetrics and Gynecology Obstetrics and NewYork-Presbyterian Hospital/ Chair, Department of Obstetrics Chair, Depart Columbia University Medical Center and Gynecology and Gynecolo Director, Sloane Hospital for Women Director, Sloa 1 1
First in Women’s Health Care nitric oxide administration, and head cooling for infants to perhaps decrease the risk of Spanning three centuries, the hospital that brain injury. Our team of physicians, specially Emily Thorn Sloane – granddaughter of trained in intensive care, has pioneered thera- Cornelius Vanderbilt – and her husband pies for newborn babies now used worldwide. William D. Sloane endowed has never faltered as a national model for what a The labor and delivery suite on the 10th floor women’s hospital ought to be. is in the same building that houses the Morgan Stanley Children’s Hospital of We’re proud of our reputation as a hospital NewYork-Presbyterian on the corner of of medical innovations. In our early days West 165th Street and Broadway. The we were thought of as radical because we antepartum and postpartum units are cur- believed in cleanliness, antiseptics and fresh rently located on the fifth and sixth floors of air. In the first part of the 20th century we NewYork-Presbyterian. In 2006, these newly set a standard for hospitals by linking obstet- renovated units will open adjacent to the rics with gynecology. We had outgrown our labor and delivery unit on the 9th and 10th name by then and changed from Sloane floors. Sloane Hospital for Women is part of Maternity Hospital to Sloane Hospital for NewYork-Presbyterian Hospital at the Women. Not long after that we became part Columbia University Medical Center. of the newly created Columbia-Presbyterian Medical Center. On these floors you’ll find labor, delivery and recovery rooms that have the latest technology Along the way we’ve developed a vaccine that – such as fetal monitoring, oxygen saturation allows women with Rh-negative blood to monitoring, cardiac and blood pressure moni- deliver healthy Rh-positive babies. We were toring – in a comfortable and private setting the first hospital to introduce amniocentesis with sweeping views of Manhattan. and pioneer its use in detecting birth defects. We initiated genetic counseling in the 1970s We offer the option of keeping your baby in and opened the city’s first in-vitro fertilization your room around the clock to help you clinic – in fact we were the first hospital to adjust to each other. perform surgery on a fetus in utero. Our childbirth education classes will provide Our staff today includes the world’s leading helpful strategies to prepare you for the birth experts in obstetrics and gynecology – of your child. We will answer questions and respected physicians who have made key concerns that you may have about pregnan- advances in minimal access surgery, treat- cy, labor and childbirth. In addition, the ments for menopause, high risk pregnancy Division of Obstetric Anesthesia offers sem- and new options for infertility. inars on anesthesia for childbirth, ranging from whether or not to use any pain relief, We’re especially proud of our leading-edge differences between spinal and epidural technology, such as our state-of-the-art anesthesia and analgesia, and anesthesia ultrasound and fetal diagnostic center. To options for Caesarean section. A schedule of diagnose and treat premature and newborn these anesthesia seminars is included in the infants, we use a variety of technologies, registration packet. For more information, including 3D and 4D ultrasound, advanced call the Division of Obstetric Anesthesia at neuroimaging, general and cardiac surgery, (212) 342-2028. 2
Maternal Fetal Medicine (High-Risk Care) Many expectant mothers, because of age or previous medical conditions, or who have miscarried, shown problems in past pregnan- Education cies, or are carrying a fetus with a problem are referred for specialized care. Here, we are The Preparation for Parenthood Program nationally known for our broad expertise in features a full range of classes for new and managing high-risk pregnancies. experienced parents. The classes offer strategies for labor including relaxation, visu- At Sloane, we use diagnostic ultrasound alization, breathing techniques, acupressure screening (including 3D), fetal echocardio- and developing a birthing plan. Discussion graphy and MRI for the early detection of topics also include medical interventions and fetal abnormalities. We also provide expert Caesarean birth. Breastfeeding classes provide obstetric care required for other medical an introduction to the art and science of problems – including diabetes, thyroid breastfeeding including confidence building disease and cardiac problems. approaches to get you off to a good start. Tours of the maternity unit, arranged by In fact, we provide every possible diagnostic appointment, are available. You can get more and therapeutic option for both mother and information regarding classes and tours by fetus. This includes management of twins calling (212) 746-3215. and other multiple pregnancies, as well as the complications that may occur during multiple When you are in the hospital you can take pregnancies. Our physicians are involved in advantage of the Newborn Channel on the numerous research endeavors supported television in your room. It’s a free channel by the National Institute of Health (NIH) and is available in both English and Spanish. such as the Maternal Fetal Medicine Unit It covers basic newborn care, newborn safety (MFMU) Network which focuses on high and feeding your infant. For more informa- risk pregnancies and neonates. We were also tion about the Newborn Channel, please be the lead center in a national study known sure to talk to your nurse. as FASTER (First and Second Trimester Evaluation of Risk) designed to evaluate Meanwhile, if you plan to breastfeed your new screening tests for Down Syndrome. newborn, the nursing staff will be able to assist you and answer your questions. At Sloane, we offer a Maternal Fetal Lactation consultants are also available to Medicine transport program. If necessary, work with you and the nursing staff. your physician can arrange transport from an outside hospital. This service includes direct and immediate access to a Maternal Fetal Medicine specialist, reliable service by a dedicated ambulance and transport team, transport planning, comprehensive manage- ment including fetal evaluation and monitoring and follow-up with your referring physician. 3
Center for Prenatal Pediatrics The Center for Prenatal Pediatrics is dedicat- ed to helping pregnant women and their families when a significant birth defect or genetic syndrome is found in their unborn baby. Prenatal Diagnosis Complex, high-risk pregnancies often require several specialists and a variety of diagnostic Another unique aspect of the expertise at tests over multiple visits. At the Center, the Sloane Hospital for Women is the availabili- care of the patient is carefully coordinated ty of a complete prenatal diagnosis service by a genetic counselor who leads the family which includes genetic counseling, medical through all diagnostic, clinical and counseling genetics, state-of-the-art sonography and steps. When possible, all consultations occur prenatal diagnosis procedures. Often, a in one visit. The Care Coordinator also fol- family’s history or even ethnic origins may lows up with the referring physician to suggest a possible risk for a complicated ensure the best management of care for the pregnancy – with the potential for an inher- patient. The detection of an abnormality can ited disorder or a birth defect. At Sloane, be understandably stressful for a family. This our patients benefit from the research and service-oriented focus provides patients and expertise of our physician colleagues trained their families with the support and informa- in developmental biology and genetics – the tion required for a more complete and various ways that our bodies may change the accurate picture of their medical situation. genetic patterns in an embryo. Our genetic counselors are available to speak with you The term “prenatal pediatrics” means that and your family about test options, and to the care of babies with abnormalities begins case manage the results of those tests. We’re during the prenatal period and continues after also ready to provide support and follow-up. birth with pediatric followup. This integrated approach requires the close involvement of both prenatal and postnatal specialists, such as perinatologists, neonatologists, genetics, pediatric cardiologists, pediatric surgeons and all pediatric subspecialties. One of the keys to the success of the Center for Prenatal Pediatrics is the quality of physicians and their dedication to collaboration. For referrals or questions about the Center, please call 1-877-THE-BABY or go to the website www.prenatalpediatrics.org. 4
Labor and Delivery Q. Where will I actually deliver my baby? A. It depends. You may deliver in an LDR – Here are some common questions our labor, delivery and recovery room – or an patients ask about procedures at Sloane operating room. But don’t worry. Your labor Hospital for Women. coach can be with you in either of these locations. After a vaginal delivery, you will Q. If I’m in labor, where do I go? remain in a labor room to recover for one A. If you’ve spoken to your obstetrician and to two hours. were told to go to the hospital, you will be directly admitted to an LDR room in the Q. What if I’m having a Caesarean? Carmen and John Thain Labor and Delivery Who can stay with me? Unit on the 10th floor in the Morgan A. Even if you have a Caesarean section, Stanley Children’s Hospital Building. The your coach can be with you as long as you entrance at 3959 Broadway (at 165th St.) is have an epidural or spinal anesthesia. If you operational 24 hours a day, 7 days a week. have general anesthesia, your coach will be taken to the recovery room to wait for you Q. What happens when I arrive in the Labor and your baby. After a Caesarean, you will and Delivery and Recovery Room (LDR), be monitored in the recovery room until the but haven’t been evaluated by effects of anesthesia wear off. Your coach my doctor? can stay with you during your recovery in A. In that case you’ll be evaluated in the either location. Once you are ready, you will triage room. Your doctor or another health- be moved to the postpartum unit. care provider will examine you internally to determine your progress in labor. An exter- Q. Can my family take pictures while nal fetal monitor will be applied to your I’m delivering? abdomen to assess your pattern of contrac- A. Yes. Pictures may be taken at delivery. tions and fetal heart rate. Depending on Photographs are permitted behind the anes- what the doctor finds, you may be sent thesia screen in the operating room at the home, asked to walk around until your labor discretion of your obstetrician and anesthe- increases or be admitted to a birthing room. siologist. Videotapes or audiotapes of the baby are also allowed. Q. What happens once I’m in the LDR? A. When you are admitted, your nurse will take your blood pressure, pulse and tempera- ture and put you on a fetal monitor. She will check your progress throughout your labor and help you explore which comfort meas- ures work best for you. An intravenous line may be placed to give you medication and fluids. You may also receive ice chips, lollipops or candy sticks to help quench your thirst. Q. Who can stay with me during labor? A. You can have up to two people with you at any given time. Your other visitors need to wait in the lobby or cafeteria. 5
Many women opt to receive a regional anesthetic for their labor. Modern tech- niques include combinations of medications which usually minimize pain during labor. This permits your full participation in your delivery, and has greatly increased Pain Management our patients’ satisfaction with analgesia and the entire labor process. Many of our Undoubtedly you have plenty of questions patients are now offered patient-controlled about pain and its management during the epidural analgesia in which you have birthing process. Keep in mind, your various partial or complete control over how much options for labor pain relief will be discussed medication you receive through a computer- as part of the Preparation for Parenthood controlled pump. Regional anesthesia is Program. And you’ll also get a chance to talk used more than 90% of the time during them over with your doctor and anesthesiol- Caesarean delivery. ogist before delivery. In the meantime, know that during your labor and delivery, you’ll have access to a full range of nonpharmaco- logic anesthetic and pain relief services. At Mother-Baby Care all times, there is at least one attending After giving birth, you will be given a room obstetric anesthesiologist on duty, and one or in the postpartum unit. Generally, in post- more senior anesthesia residents whose sole partum you can keep your baby in your responsibility is the Labor and Delivery suite. room with you all of the time. This “room- ing-in” gives you an opportunity to bond with your baby. Our family-centered care Pain Relief for Labor approach helps you get to know your baby’s behaviors and patterns. If you choose to In the past, intravenous injections of med- breastfeed, the lactation specialists will help ications such as opiods (narcotics) were you understand all the techniques to be suc- commonly used for relief of pain during cessful. If you become tired, you can have delivery. While they are still used, the most your baby taken to the nursery. In this case, effective methods for relief of labor pain different nurses will care for you and your are the various “regional anesthetic” tech- baby. You’ll want to discuss your preferences niques. In these, medications are placed near with your nurse beforehand. the nerves that carry the painful impulses from the uterus and cervix. These tech- Our postpartum units offer private and niques include epidural, spinal, and the semi-private accommodations. Every room combined spinal-epidural analgesia – all of has air conditioning with bathroom and which are commonly used at Sloane shower facilities. Telephone and television Hospital for Women. service is available on a rental basis. 6
Nursing Our dedicated nurses take a great deal of pride in all they do, from their caring, the services they deliver, the relationships they develop and the contributions they make to the community. They strive to provide a healing environment that promotes com- fort, respect and privacy. They provide high tech care with personal touch and sensitivity. NICU Care Each of the nurses caring for you and your baby has received extensive education in the birthing process. This includes all aspects of A hallmark of the high-risk expertise at both high-risk and routine pregnancies and Sloane Hospital for Women is our Newborn deliveries, as well as postpartum and newborn Intensive Care Unit (NICU), a state-of- care. If you need to be hospitalized prior to the-art nursery for premature infants and your delivery, these same nurses will monitor newborns with special needs. In November your baby using the latest technology. 2003, with the opening of the new Morgan Stanley Children’s Hospital Building, a Before you go home, they will teach you to state-of-the-art, 50-bed NICU on Tower 7 safely care for your newborn, assist you in opened its doors. The new facility is a model adjusting to parenthood, and educate you of family-centered high-tech care for the about your baby’s physical needs and sickest of babies. changes. All of this will help get you back to your pre-pregnancy strength. Our intensive care program has been an international model since its opening in the 1930’s. The NICU treats low birth weight, premature babies and infants with respirato- ry distress and congenital abnormalities. Our cardiac surgery survival rate for infants is the best in the state. We’ve also been rec- ognized for excellence in care of respiratory disorders. We take enormous pride in having dramatically reduced the incidence of chronic lung disease in babies. Our Neonatal Follow-up Clinic evaluates the growth, nutrition, general health, and neurodevelopment of at-risk infants during their first three years of life. A team of neonatologists, development therapists, nutritionists, and nurses perform detailed, regular evaluations to identify early, mild signs of delayed or abnormal growth and treat diagnosed problems. 7
Family-Centered Care Admissions and Visiting Hours Once you’ve selected Sloane Hospital for Women as the place to have your baby, The birth of a baby is a wonderful and happy you’ll have a chance to pre-register so you time for all members of the family. With this can avoid filling out paperwork on the day in mind we heartily encourage family involve- you arrive to deliver your baby. You can ment in getting to know your baby right away. even come into the hospital ahead of time to take care of registration. It’s a good time We welcome visitors, though we find it to take a tour of the hospital as well. If you works best for moms and babies if we limit are interested in a tour, please schedule guests to two at a time in a room. Generally, it in advance by calling (212) 746-3215. our visiting hours are from Noon to 8:30 p.m. If it is necessary, fathers, siblings or a In the meantime, you’ll probably want to get support person can visit at almost anytime started on this list of things to bring, both during the day. Just be mindful, if you’re in for yourself and your baby. a semi-private room, that consideration and respect of your roommate’s privacy is very important. It’s also important that visiting children be free of colds and infections, and that their immunizations are up to date. Your baby may remain at your bedside, throughout the day and night if you wish. You can always have your baby cared for in the nursery if you need some rest. Talk to your nurse about what you’d prefer during your stay. 8
l Two bras. Buy two different styled nursing bras during the last month of your pregnancy. Also, if you are breast- feeding, buy some disposable nursing pads (without plastic or rubber lining). l Two nightgowns, short if you have them, Suggestions for What to Bring opening down the front if you are breastfeeding For the Birthing Room l Shower cap and rubber thongs for l Slippers the shower l Eyeglasses (if you wear contacts, pack a l Toiletries, including shampoo, tooth case and solution) brush, tooth paste, lotion, (your skin may l Robe, short gown or night shirt if you be dry from a loss of fluids), a bar of soap prefer to wear your own – hospital gowns in a carrying case, deodorant, hairbrush, are available hand mirror, makeup and any other l Picture to focus on during labor personal beauty and hygiene products. l Sandwich-size small paper bag l Wrist watch or portable clock l Books or magazines or deck of cards (battery operated) l Change for the telephone for your l Pen and stationery (possibly birth husband/designated companion(Cellular announcements) if you wish phones may only be used in the main l Checks for TV or telephone service lobby or outside the hospital building) if desired l Can of tennis balls or rolling pin l No valuable jewelry or large sums l “Freeze-it” cold packs of money l 1-2 wash cloths l Going home clothes for yourself. l Warm socks during winter months They should be loose fitting. l Purse-size mouth wash spray l The hospital will provide sanitary pads. l Your favorite body lotion or powder l Watch with second-hand l Lollipops During Your Stay, the Hospital l Chapstick or Vaseline Will Provide l Diapers and wipes l Snacks for the coach l Undershirts l Camera and film l Blankets and hats l Hairbrush l Small battery-operated radio or cassette recorder What to Bring to Take Your Baby Home l An infant car seat for car ride home l Pillows (It’s state law.) l A copy of your birth plan, if you have one l Undershirt l Birth ball and its pump, if you have one l Onesie (stretch suit) l Sweater, hat and heavy blanket or For the Hospital Room bunting for cold weather For Yourself: l Receiving blanket l Slippers and bathrobe l Large cloth diaper/burp pad l Underpants l Few dollars for miscellaneous items 9
Going Home Directions to Sloane Going home with your newborn is a heart- Hospital for Women warming occasion that brings joy mixed The Sloane Hospital for Women is easily with some anxiety. We’ll help prepare you as accessible by car, bus, and subway. We are much as possible for those first days at located in Washington Heights, at West home. On the day you go home, discharge 165th Street and Broadway at the Columbia time is 10 a.m. Generally, you will be dis- University Medical Center. charged 48 hours after a vaginal delivery and on the fourth day after a Caesarean birth. The entrance at 3959 Broadway Please plan ahead so you can leave by 10 (at 165th St.) is operational 24 hours a day, 7 a.m., on the day of your discharge. Both days a week. your obstetrician and your pediatrician must authorize your discharge. By Public Transportation Be sure to have an infant car seat ready in Take the A (express), C (local), 1 or 9 the car for the baby’s ride home. subway train to West 168th Street and Broadway. Or take the M-2, 3, 4, 5 or Thanks so much for your interest in Sloane M-100 bus to the Medical Center stop. Hospital for Women. We wish you and your baby the very best. By Car The most direct way from most locations is to follow directions leading to the George Washington Bridge. Then exit onto Riverside Drive. From the exit ramp, bear right and proceed south to West 165th Street (a left exit). Proceed to Broadway. Make left. Hospital is on your left. 10
From upstate New York and New Jersey By car from the west side of Manhattan After crossing the George Washington Take the Henry Hudson Parkway to Exit Bridge, follow signs to the Henry Hudson 15-Riverside Drive South. From the exit Parkway (also called the West Side ramp, bear right and proceed south to 165th Highway), and then to Riverside Drive. Street (a left exit). Proceed to Broadway. From the exit ramp, bear right and proceed Make a left. Hospital is on your left. south to West 165th Street (a left exit). Proceed to Broadway. Make a left. Hospital Parking is on your left. Valet parking is available for patients’ families and visitors from 5:45 a.m. to By car from Riverdale and Westchester 10 p.m., Monday through Friday, 7:00 via the Saw Mill River Parkway a.m. to 10 p.m. Saturday and Sunday in Follow the Saw Mill River Parkway to the front of the entrance at Broadway and Henry Hudson Parkway. Exit the Henry West 165th Street. For all other times, use Hudson Parkway at Riverside Drive immedi- the West 165th Street and Fort Washington ately past the George Washington Bridge. parking garage. Parking is free during day From the exit ramp, bear right and proceed of discharge. Just present your discharge south to West 165th Street (a left exit). papers at the cashier. If you have an antici- Proceed to Broadway. Make a left. Hospital pated stay of five days or more, you can save is on your left. money on parking by purchasing discount coupons at our parking office – please call By car from Westchester, Connecticut, (212) 305-4903 for more information. or the east side of Manhattan, via the Major Deegan, Cross Bronx Expressway, or Harlem River Drive Approaching the George Washington Bridge, take the Henry Hudson Parkway, stay to the left and follow signs to Riverside Drive. From the exit ramp, bear right and proceed south to West 165th Street (a left exit). Proceed to Broadway. Make a left. Hospital is on your left. 11
Nearby Accommodations The Fort Lee Hilton Fort Lee, NJ (201) 461-9000 Just across the George Washington Bridge. Reach hospital by car or taxi. Radisson Englewood Hotel Englewood, NJ (201) 871-2020 Across the George Washington Bridge. Reach hospital via free shuttle bus from 7 a.m. to 8:30 p.m. that stops at the Milstein Hospital Building on Fort Washington Avenue. You are a one block walk to the entrance to Sloane Hospital for Women. Special room rates are available – mention you’re visiting the hospital. Still Have Questions? l For classes and tours call our Parent Education Office: (212) 746-3215 l Admitting: (212) 342-1759 l Division of Obstetric Anesthesia: (212) 342-2028 12
Sloane Hospital for Women 622 West 168th Street New York, NY 10032 Web site: www.nyp.org
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