Vocalizing is a good release, too. Chant, hum, or moan. The goal of labor hypnosis is to reduce anxiety, facilitate labor, and relieve pain. No form of hypnosis works for everybody.
Certain individuals are more susceptible to hypnosis than others. The technique should be tried and practiced before labor. Books and other resources are available to help you with self-hypnosis.
Unless you need continuous electronic fetal monitoring, you should be able to move around. If possible, avoid lying flat on your back—it interferes with blood flow to the fetus. Use pillows to support your joints. Find out in advance if you can bring extra pillows for labor. Use the bed or your partner as a leaning post. Try the hands-and-knees position as if you were going to crawl , but on the bed. Experiment with walking, rocking back and forth, or swaying during contractions.
Change positions frequently. Birthing balls. In labor, you can sit and relax your back against the ball with the ball supported by the wall or your partner or lean your belly over the curve of the ball from a hands-and-knees position. Find out if you can bring a birthing ball to labor, or if one is available. Visualization and affirmations. Visualization involves creating mental images of the body letting go, the cervix opening of the uterus thinning and opening, and the baby moving down in the pelvis.
There are visualization tools available, many are free, or you can make your own or have your partner or somebody with a soothing voice make one for you.
Create your own affirmations, using phrases with personal meaning. Heat and cold. Some women prefer applications of heat, others prefer cold. Sometimes alternating between the 2 works best.
You might try placing an ice pack on your lower back or a heating pad on your lower abdomen. Effleurage is a gentle massage used during or between contractions. You or your partner can glide the tips of the fingers in an up-and-down or circular motion on the uterus. Late in labor, however, even effleurage may be too much pressure for the uterus. Back massage is good for back labor and general relaxation.
Your partner or doula can give the massage. Aromatherapy uses the soothing scents of essential oils, extracted from flowers, plants, trees, roots, and fruit. Many health-food stores and pharmacies sell these oils. Lavender, sandalwood, chamomile, melissa , geranium, rose, and orange oil may be relaxing or refreshing. You may not be able to bring candles to a hospital, but you can use the oils in a tub for massage or as a compress.
Dilute the oils; 6 drops in a bathtub is sufficient, and half that makes a good compress. Acupressure is a massage technique in which the body is stimulated by touch. Nitrous Oxide. For labor pain, half nitrous oxide gas is mixed with half oxygen and breathed through a mask or a mouthpiece. In some countries, such as Canada and Australia and many parts of Europe, as many as 8 in 10 women use nitrous oxide to manage the discomfort of labor.
Narcotics are another common type of pain medication used in US hospitals to help women manage the discomfort of labor. Sometimes these medications are available in birth centers as well. Narcotics are usually given directly into your blood stream through an IV.
An epidural epidural analgesia is a local anesthetic placed in a part of your back where it numbs the nerves that go from your pelvis and legs to your brain.
This is by far the most common form of labor pain management in US hospitals. With an epidural, you get an injection into the space around the nerves in your spine that makes your body numb below the site of the injection. Childbirth Connection: Labor Pain. Please arrange transportation in advance so you will be ready to go home at that time. The person driving you home should arrive by a. Our free valet service at the main entrance will park the car. Someone from Central Patient Registration will call or come to your room before your expected discharge.
At that time, a financial counselor will verify that the financial arrangements are in order for your hospital stay. If you have not been cleared by a financial counselor, please stop at the Business Office on the first floor when you are discharged. If you have a vaginal delivery, you can expect to go home on the first or second day after you have delivered your baby. If you have a cesarean section, you can expect to go home on the third or fourth day after your baby has been born.
Many new mothers choose to recover from childbirth in the hospital. But, if you and your baby are both healthy, you may bond more quickly at home. Early Maternal Discharge Home Visits replace some of the recovery time in the hospital with a personal visit in your home by a registered nurse specially trained in maternal child health. If you would like to schedule an Early Maternal Discharge Home Visit, let your nurse on the postpartum unit know within 24 hours of your baby's birth.
While you are still in the hospital, your medical record will be reviewed to confirm your eligibility for early discharge, and you will be contacted to schedule your home visit. Once you are home, you will receive a follow-up call from a nurse. A home health nurse experienced in maternal and child health will then visit approximately 48 hours after your discharge from the hospital.
During this visit, the nurse will conduct a thorough and complete assessment of you and your baby and help with your physical and educational needs as a new mother. Find A Provider. In The News Media Relations. Site Search. Having A Baby. Congratulations on your pregnancy.
Hear from our team. Information and Resources for Families. Learn More. Resources and Education. Having a baby. Your Birth Preferences. Early labor is sometimes long. During this time, it is very important for you to be able to move freely, change positions, rest, and eat light snacks. Usually, home is a much better place for early labor.
Do not be discouraged if, on the first exam in the obstetric triage unit, you are asked to return home so that you may walk, rest, and be comfortable in your own surroundings. If you wish, a safe medication may be given to help you rest at home. We do not routinely start an IV upon admission, unless there is a medical reason or it is part of your pain management plan.
You will be free to walk around, drink clear liquids, and try different positions for comfort and to help your labor progress. Sometimes continuous monitoring is medically necessary. If there is a need for your labor to be induced, your provider will discuss this with you and schedule it with the antepartum care and labor units.
You may find more information on the process of induction here. In some cases, and after consulting with your doctor or midwife, we may need to change the time of your induction or we may need to re-schedule your induction for another day. Most of our labor and birth rooms are private; some have showers. We encourage you to bring your favorite music with a portable player; dim the lights to create a relaxing environment and change positions as you need for comfort.
It is important to stay well hydrated during your labor, so we encourage you to drink clear liquids during this time. We provide ice chips, water, juice, broth, tea, and Jello. You may also wish to bring hard candy for yourself and snacks for your partner.
Our nurses are experts in labor support. For pain medication, we offer three options that are both safe for the baby - a short-term narcotic either IV or intramuscularly, a shot in the thigh , Nitrous Oxide is a self-administered, breathable form of analgesia that relieves pain and reduces anxiety during labor and epidural anesthesia pain medication in the lower back. However, there are some circumstances in which your care provider may recommend it. Should a cesarean birth become necessary, you will likely be awake and your support person can remain with you for the birth.
Discuss the available option of a gentle cesarean with your provider. On rare occasions, you may need general anesthesia. In this circumstance, you will be asleep and your support person will be asked to wait outside of the operating room. Recovery Period. After a vaginal birth, we usually place the baby on your belly and the umbilical cord is clamped after a period of time. For security purposes, matching identification bands will be given to the baby, mother and one designated support person.
Our staff will discuss our state-of-the -art infant security system with you. The recovery period is a time of transition for both you and your baby. You will stay in the labor and birth room while we monitor you and the baby.
During this time, you and your baby stay together as much as possible, and we encourage you to spend time with your baby skin to skin. Your baby will be receiving standard medications such as Vitamin K to help blood clotting and Erythromycin ointment to the eyes to prevent infection.
After the recovery period, you and your baby will be moved to a private postpartum room. If you choose to deliver in our in-hospital Alternative Birthing Center ABC , you may stay there and opt for early discharge home with follow-up care in your home. We support your decision to breast or bottle-feed your baby.
While there are many studies demonstrating the health and social advantages of breastfeeding, each family has its unique needs. If you choose to breastfeed, we will help you initiate this within the first hour of life. Our staff is here to help you become successful in caring for your baby. The baby will be transferred with you to the Mother Baby Unit where we support rooming-in to promote bonding with your baby.
The circumcision is scheduled after the pediatrician has examined the baby and after you have signed the informed consent. Please discuss the procedure with your pediatrician and obstetric provider. Our Birth Partnership. Childbirth Options. Induction of Labor. The Process As labor induction is sometimes unexpected and may be performed at an earlier point in your pregnancy than anticipated, your body may not be quite ready for labor. Scheduling We do not schedule a time until the day of induction depending on how busy the labor room and antenatal care unit are.
Your support person must walk around to front of hospital to come in through the screener at the same front entrance as you. The Emergency Room entrance is only for those going to the emergency room.
When you come through the main entrance tell the screener you are here for induction, they will direct you further. Bring only what you feel you need for the labor process.
Leave the infant car seat, baby bag, and anything else you need for after delivery in the car. Your partner will be able to go out to car when you need them. The process time varies per individual and we never know in advance how long it will take. It is possible the ripening process will take days. This will change our testing procedures. Please know that your health and safety, as well as all people in the hospital, is our utmost concern.
Masks need to be worn by both you and your partner throughout the process Contact Information If you have further questions you may contact our Induction Coordinator at We look forward to caring for you!
Vaginal Birth After Cesarean. Vaginal Birth After Cesarean Delivery. If you have delivered one or two babies by c-section in the past, you may have two options for delivery with this pregnancy: Trial of Labor After Cesarean TOLAC , with the goal of a vaginal delivery. Elective repeat cesarean delivery. Between 60 and 80 percent of women who attempt a trial of labor after a cesarean delivery will be able to deliver vaginally.
There are tools that will allow your doctor or midwife to look at your individual history and try to predict your chance for a successful vaginal delivery. Women with a prior vaginal delivery. Women who begin labor on their own. Women who had their first cesarean section for reasons that are not likely to happen again i.
Increased age of the mother. High birth weight of previous baby ies. Women who are overweight. A pregnancy that continues beyond the due date. Short time interval between pregnancies less than 18 months. You should discuss your options with your own obstetrical provider Your doctor or midwife will review your records to determine what type of incision you had with your previous c-section s.
Which delivery option has the least risk? The fewest complications occur with a successful trial of labor after cesarean and vaginal delivery, also called a vaginal birth after cesarean VBAC.
These improved outcomes include: Faster recovery time. Shorter hospital stay. Less chance of a blood transfusion. Lower risk of infection. Avoiding major surgery. If a uterine rupture does occur, an emergency cesarean delivery will be needed.
The baby may be seriously injured or could die if a uterine rupture occurs. Other risks to the patient with uterine rupture include: Blood transfusion. Injury to internal organs and structures bowel, bladder and urinary tract. Blood clotting problems.
Very rarely, patient death due to complications. These women include those with: Previous classical cesarean delivery, due to the type of incision. Some types of previous uterine surgery including the removal of fibroids. More than two consecutive cesarean deliveries with no prior vaginal deliveries. Prior uterine rupture or dehiscence separation of scar. Too small a pelvis. Medical or obstetrical problems that prevent vaginal delivery. What are the benefits and risks of a scheduled or elective repeat cesarean delivery?
The outcomes of scheduled or elective repeat cesarean delivery are more complicated than with successful TOLAC and may include: Higher rate of infection than with vaginal birth. Greater blood loss and higher risk of transfusion.
Rare injury to bowel or urinary tract. Increased risk of problems with the placenta with future pregnancies.
Rare need for hysterectomy removal of the uterus. All of these risks are higher the more cesarean deliveries you have. If you have further questions, please speak with your health care provider. Preparing for Your Stay. Comfort Measures Women have several options when coping with the discomfort of labor and childbirth. Antenatal Care Unit Some women must be hospitalized before delivery to monitor their health and the health of their unborn baby.
Choosing a Pediatric Care Provider You must choose a pediatric care provider - a family practitioner, pediatrician or nurse practitioner—before you are 35 weeks pregnant. Parenting Newsletter Sign up for our parenting communications and get the right information at the right time. You will receive a text message back with a link to an online sign-up form or Click here to sign up. Arriving at the Hospital. Checking In If you are presenting to be seen in the emergency room, when you arrive at the hospital, come into the Women's Emergency entrance and check-in at the Triage desk.
Parking Valet Services Our complimentary valet service is available for anyone coming for outpatient surgery and for people picking up patients being discharged. Public Parking Parking is available in the public lot which is located opposite the Emergency Triage entrance of the hospital.
Admission Forms Admitting staff will ask you to verify the personal and financial information submitted by your health care provider.
You must also sign admission forms and provide: Positive identification, such as a license Your insurance card s Name of the pediatric care provider Consent for first portrait of your baby You may also provide copies, if you have them, of a Living Will written document stating your wishes for withholding or withdrawing medical care or treatment if your condition becomes terminal or Durable Power of Attorney written document that appoints someone to make health care decisions for you.
Cord Blood Banking Patients may choose to donate their cord blood to a private cord blood banking program. During Your Stay. Patient Information While you are in the hospital, your family and friends can call , ext. Length of Your Hospital Stay Hospital stays are relatively short.
Visiting Hours Visiting hours are from 9 a. Who's at the door? The following people may stop in your room while you're here: Nurses or nursing assistants check on you hourly to make sure you are safe, comfortable and have everything you need. Nursing instructors may also ask permission for a nursing student to aid in your care. Nurse managers or hospital administrators may stop by to make sure you are happy with your stay and the care you are receiving.
Physicians and midwives will monitor your recovery and discuss ongoing care and your transition home. Lactation consultants will help you if you are breastfeeding. Housekeepers will keep your room and bathroom clean. Food and Nutrition staff will deliver your meals, assist with ordering meals, and obtain feedback on your dining experience.
Visiting nurses representative will check in to talk about setting up a possible visit in your home after discharge, if eligible. Social services representative will see you on a referral basis to explain community services. Chaplains may visit to offer spiritual support. Research study assistants will discuss studies that are recruiting patients.
Photographers from Mom will take your baby's first portrait. Business Office representative may explain payment for your hospital stay, if needed. Hospital Safety The hospital follows measures to protect your safety, including: Having staff identify patients by asking their name and checking the identification bracelet.
Having staff ask what procedure you are having. Use of Video and Photography Equipment At the request of our medical staff, we cannot allow the use of video and audio equipment during delivery or a medical procedure.
Alternative Birthing Center. Skin to Skin. How do I do skin-to-skin? Hold your baby, wearing just a diaper, on your bare chest with his or her head under your chin and face turned to the side. Your baby's chest should be flat against your chest between your breasts. Cover the baby with a warm blanket, making sure the baby's face is uncovered. Why should I do skin-to-skin? The best place for your newborn to be is skin-to-skin with you.
It allows the baby to stay at an ideal temperature and regulate his or her breathing and heart rate using the least amount of energy, keeping calm, and comfortable. It is a way of bonding with and soothing your baby. Having your baby close to you will help you recognize the early signs of hunger. Skin-to-skin holding, also called kangaroo care, is ideal for early breastfeeding sessions and for babies who are not breastfed.
Babies held skin-to-skin are better at calming themselves as they get older. How can I soothe my baby? Offer your breast. Use other comforting techniques such as swaddling and skin-to-skin. Ask for help. Our nursing staff can teach you other comforting techniques and are happy to help. Will a pacifier help? Rooming In. When you Room-in You can more easily hold, cuddle, look at, learn to respond to and get to know your baby.
Your baby can get to know you more easily. Your baby should cry less than babies in the nursery who are away from their mothers. Your baby can learn to breastfeed faster and gain weight sooner.
You should feel more able to take care of your baby when you go home. What to Expect You and the staff will work together on bonding with your baby, keeping your baby warm, and, if you choose, breastfeeding. This is an exciting time for you and your family.
We suggest you limit your visitors for the first few hours after you get to your private room so you and your partner can give all your attention to your new baby. Your baby may need to go to the nursery for a short period of time to: Have a circumcision if you choose for your son. Be examined by his or her doctor with special equipment in the nursery. Let you be cared for if you are not feeling well or allow staff to watch you or the baby more closely.
You might think you will get less sleep if your baby is with you. However, studies actually show that mothers get more sleep with their baby in the room. For the first few hours, we suggest that you keep your diapered baby directly against your skin called skin-to-skin contact. When you are sleeping, we ask that you put the baby in the pram next to your bed to be safe. Please talk to your baby's doctor about sleeping with the baby in your bed if you plan to do this at home.
If you have visitors, please ask them to wash their hands thoroughly. Hand-washing is the best way to prevent passing colds or infections. Everyone, including children, should use an alcohol-based hand gel like Purell. Dispensers are located throughout the hospital. If hands are visibly dirty, use soap and water to clean them. In addition, to keep you and your baby healthy, please ask your visitors to stay home if they have any symptoms of a cold or diarrhea, or have recently been exposed to chicken pox, measles, mumps, rubella, or the flu.
Pain Relief. Preparation for labor: Stay active during pregnancy. Some proponents of rooming in say having baby right by your side may give you a chance to get a bit more shut-eye. At the end of the day, the hospital wants both Mom and baby to be safe. Many new parents wonder if they can room in with baby following a c-section. The answer? Many parents find they can successfully room in after a c-section or complicated birth as long as there are no medical implications such as sedative drugs that may make rooming in unsafe.
Having a partner available to help with skin-to-skin contact and transferring baby to Mom for feedings and then back to the bassinet can be invaluable post c-section. While rooming in can be a great option for moms and their newborns, there are some reasons why you might want to take advantage of a nursery option. Here, some of the notable upsides to using the hospital nursery. Giving birth can be an intense experience, and complications such as tearing or an unexpected c-section can make you feel as though you need some baby-free time to recuperate.
Some parents find the nursery invaluable in giving them some time away from their newborn to pay attention to their older children. It was relaxed and allowed me to divide my attention between both of my kids. Some moms of multiple kids say the nursery was a must to help them wrap their heads around the expansion of their family, and what it meant from going from one child to two.
Some hospitals have available nurseries on-site, while others reserve the nursery for babies with specific medical needs. Parenting is a team process, and it can be helpful to have a partner or a mom, sister or friend stay with you in the room, to hold baby and help you. Hearing what support would be at your disposal in a worst-case scenario can help give you peace of mind.
Some hospitals may have set times when they bring baby to you, while others may bring your child whenever you want. Knowing the nursery schedule can help you understand what your day may look like. Some hospitals have a policy that moms who room in are given private rooms, while others may offer private rooms for an additional cost.
Coming up with these sorts of strategies, talking to other moms who have roomed in or used a nursery, taking a hospital tour and asking questions—no matter how silly they may seem to you—can all help you decide which option to go with. Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.
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