Download Booklet for Web-Revise - Magee

A Companion Guide to Your Video Tour
A New
Beginning
www.magee.edu
Magee-Womens Hospital of the University of Pittsburgh
Medical Center is a U.S. Department of Health and Human
Services designated Center of Excellence in Women’s Health
© 2002 Magee-Womens Hospital of UPMC Health System
02-256 5M NK 1002
What to Expect When
You Have Your Baby
at
A Message from Magee
Inside This Booklet
Table of Contents
Preparing for Birth
Education Classes
4
Planning for Your Arrival
Dear Mother-to-Be:
Congratulations! You are pregnant. It is wonderful to
have a life growing inside of you. Childbirth is one of
life’s most memorable experiences, and we hope you will
choose Magee-Womens Hospital of the University of
Pittsburgh Medical Center for your care. Our goal is to
make your baby’s birth a very special and meaningful
experience.
By providing a family-centered approach to your care at
Magee, we strive to meet the needs of new parents.
Everyone at Magee-Womens Hospital is dedicated to the
health and well-being of you and your baby. Our unique
hands-on care, state-of-the-art technology, and highlytrained staff reflect our dedication.
In preparing for the day of your baby’s birth, please take
comfort in knowing that our primary interest is to make
your experience at Magee-Womens Hospital a most
positive one, as you and your family welcome your baby
into the world.
Irma Goertzen
President and CEO
Magee-Womens Hospital
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Pre-Certification
Billing Information
Paying for Care
Baby’s Doctor
Creating a Plan
When to Call
Prepare to Stay
Other Children
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Arriving at Magee
Where to Enter
Parking
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Womancare Birth Center
Visiting Guidelines
Visitor Needs
Restrooms
Waiting Areas
Incoming Calls
Outgoing Calls
Photos & Videos
Refreshments
Comfort Aids
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11
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12
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Appliances
Jewelry/Valuables
Telephone & TV
Internet Access
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15
15
Celebrating Baby’s Birth
Baby Photo
Baby Video
Baby Web Page
Baby Book
Keepsake Bracelet
Baby’s First Charm
Cradle Roll Express
Candlelight Dinner
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16
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17
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Resources for Your Family
Healthy Pregnancy
Breastfeeding
Family Issues
Pediatrician
Crib Information
Immunizations
Circumcision
Carseat Safety
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Your Postpartum Stay
After Delivery
Your Baby’s Safety
Visiting Guidelines
Photos & Videos
Your Room
The Baby Nursery
Food Service
Your Comfort
Naming Your Baby
Discharge
Smoking
Cell Phones
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Preparing for Birth
Education Classes
Magee offers a wide variety of prenatal educational classes
that let you meet other families and learn more about this
important time in your life. Classes are held at the hospital
in Oakland, at UPMC Passavant, at our Womancare
Centers, and at a variety of other locations throughout the
area. Not all classes are offered at all locations or at all times.
Classes fill quickly, so it is important to register as early in
your pregnancy as possible to get the class at the time and
location most convenient for you.
The following educational programs provide
information for you and your family. Recommendations
below are for when you should attend classes. You should
register much earlier in your pregnancy.
Lamaze Part I: Pregnancy and Parenthood
Get important health, nutrition and exercise information for
pregnancy, as well as infant care, feeding and infant behavior
basics. Recommended in the fourth, fifth or sixth months of
pregnancy.
Lamaze Part II: Preparation for Labor and Birth
Orients expectant parents with the actual birth process, as well
as postpartum emotions, relaxation techniques for labor, and a
labor rehearsal. It is recommended that expectant mothers
complete this class at least two weeks prior to their due dates.
Lamaze Refresher:
The Basics for Your Second or Third Child
A review of the birth process for couples who have given birth
within the last four years. Recommended in the eighth or ninth
month of pregnancy.
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Preparing for Baby
The Sibling Program
Helps older children adjust to a new
baby. For soon-to-be brothers and
sisters ages 3 to 8, with special
classes reserved for toddlers.
Recommended in the eighth month
of pregnancy.
Prenatal Tour
for Expectant Parents
Tour Magee’s Womancare Birth Center. Recommended in the
seventh or eighth month of pregnancy.
Prenatal Exercise
Learn exercises to strengthen muscles, as well as enhance
relaxation skills, increase endurance and relieve some
discomforts of pregnancy. Recommended throughout
pregnancy.
Prenatal Preparation for Breastfeeding
Helps moms-to-be make a confident choice to breastfeed.
Recommended in the seventh or eighth month of pregnancy.
Children at Birth
Required for siblings under 13 to attend the birth. Call for more
information.
Follow-Up Classes
Take care of yourself and your baby by enrolling in our “Mother
and Baby Exercise” series, a perfect combination of bonding
and safe exercise with your baby. “Infant Massage” class is
also available to you, offering parents instruction in step-by-step
massage and relaxation techniques.
For more information on class registration, content, dates,
locations and fees, call 412-641-4492, or visit Magee’s website
at www.magee.edu.
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Planning for Your Arrival
Planning for Your Arrival
Pre-Certification
Please check with your insurance carrier to make sure
your plan/policy permits you to use Magee. If you should
find that it does not, ask what charges you will be
responsible for if you choose to come here anyway. Bring
your insurance identification cards and other pertinent
information to be used at the time of admission.
Most commercial insurance carriers and HMOs/PPOs
require pre-admission certification before you enter the
hospital. To secure the highest level of benefits provided by
your insurance company, please contact your insurance
carrier prior to coming for admission to verify that all
requirements have been met.
Billing Information
Remember to bring your insurance cards with you every
time you have services performed at Magee. The Billing
Office will submit a bill to your insurance companies. You
will receive an itemized bill any time you are an inpatient at
Magee. The bill will be mailed to you soon after discharge.
You can request an itemized bill for outpatient services by
calling 412-641-1136. If you do not have insurance, call
412-641-1136 for information about our
charity care program.
After your claim is processed,
you may still be responsible for
co-pay or deductible amounts.
You can pay these charges
by credit card by calling
412-641-1136. Magee accepts
Visa, MasterCard, Discover
and American Express.
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If you have any questions about your bill, please call
412-641-1136. You can speak with a Customer Service
Representative between 8 a.m. and 4:30 p.m. Monday
through Friday. Automated assistance is available 24 hours
a day at the same number.
Paying for Your Care
All financial arrangements must be made prior to or at the
time of admission. Consult the Patient Financial Services
Department at 412-641-4451 or 412-641-1690.
If you think there will be a problem paying for your
hospitalization, Magee has a Patient Financial Assistance
Program to help you. Please do not hesitate to take
advantage of this service. We are here to help you. Call the
numbers listed above to speak to a financial counselor.
If you do not have insurance, we encourage you to apply for
Medical Assistance through your local office.
Choosing Baby’s Healthcare Provider
Your baby’s first check-up will occur shortly after birth
while you are still in the hospital. It is very important that
you start now to think about the healthcare provider who
will care for your baby.
You need to make a decision on a family practitioner or
pediatrician for your baby by your seventh month of
pregnancy at the latest to be sure you have a doctor available
in case you deliver early.
Obtain a business card from the healthcare provider
you choose, and bring it with you to the hospital. You will
be asked to sign a selection form naming your family
practitioner or pediatrician.
If you do not have a pediatrician when you arrive, you will
be given a list of physicians with privileges at Magee. You
must select one as your baby’s healthcare provider before
your baby is born.
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Planning for Your Arrival
Arriving at Magee
Creating a Plan
Most people don’t think about having to go to the hospital
before the baby is due. Develop a plan in case of the small
possibility this might happen. Your plan should include things
like who to notify, how to reach your primary support
person(s), and care for your other children (if you have any).
When to Call
Most pregnancies progress normally, but there may be
reasons your healthcare provider would want you to be seen
early at the hospital. Be sure to review these reasons. Do not
try to treat yourself or use any over-the-counter medications
or “home remedies” without talking to your healthcare
provider.
In general, any time you have labor pains before your due
date, or your water breaks, or you have bleeding (with or
without pain), or you have not felt your baby move in four
hours, contact your healthcare provider. They will also review
with you how often you should feel your baby move every
day. The best advice is to trust your instincts. If you feel that
something is not right, do not hesitate to call.
Prepare to Stay
If you do have to come to the hospital early, it will not be a
quick visit. You will be evaluated by nursing and medical staff
and tests may need to be run. Please plan to stay at least four
to six hours. If you have fallen, been in an accident or
somehow been injured, you may have to stay for 24 hours
while we monitor you and your baby.
Your Other Children
There is no childcare available at Magee. You must find
someone to care for your other children while you are here.
If you are unable to do so, hospital staff will contact a medical
social worker to arrange for temporary placement.
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C
hildbirth is a family event. We welcome visitors and
value the support that friends and family give during
your hospital stay. We would also like you to be aware of the
safety and security concerns with having many people
coming in and out of hospital areas. Please help us to
maintain a safe environment for you and your newborn by
sharing this information with your family members and
friends.
Admission to the Womancare Birth Center
When you arrive at Magee, enter through the Emergency
Department, where you will be briefly assessed by a nurse.
The Emergency Department staff will help you to the
Womancare Birth Center, where you will be registered.
After you enter the Birth Center, the registrar will obtain
all the needed information. If you are not stable enough to
be registered, the Birth Center staff will take you to a Triage
room immediately.
Once in Triage, the nurse will ask about your complete
history. A certified registered nurse practitioner (CRNP),
certified nurse midwife (CNM), resident physician, or your
attending physician will perform a medical screening exam.
You will either be transferred to an LDR room (labor,
delivery, recovery room), stay in Triage for further
observation, or be discharged to go home.
Parking
We have a new parking facility at Magee and some of the
entrances have been changed. Please follow posted signs
when coming to the hospital.
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The Womancare Birth Center
Womancare Birth Center
Visiting Guidelines
Remember that labor can be very overwhelming and
emotional, and it may be best to limit visitors to only those
there to provide support. The Womancare Birth Center
(WCBC) permits four visitors at a time until 8:30 p.m.
After 8:30 p.m., only your four primary support people will be
permitted to stay in the department. All other visitors will be
asked to either leave the hospital or will be sent to the
Emergency Department waiting room.
■
Only the new baby’s brothers and sisters are allowed to
visit after the baby is born. They must be supervised by an
adult at all times. No other children under age 13 are
permitted to visit.
■
Anyone who is sick or has been exposed to an infectious
disease (such as chicken pox) in the past three weeks
should not visit.
■
In the Triage area, visitors are limited to only one support
person because of limited space in the area.
■
In the LDR, staff may request that fewer than four visitors
stay, depending on your condition and the baby’s. Visitors
also may be asked to step out if you wish or to give
appropriate care.
■
During birth, one or two visitors may be present.
■
Once your baby is born, you will need some time to
physically and emotionally recover from labor and birth.
The first two hours after delivery are an important time to
bond with your baby. During this time, encourage other
family and friends not to visit for longer than 10 minutes.
■
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After approximately two hours, you will be transferred
from the LDR to the Postpartum Unit. Your family and
friends are welcome to spend time with you on the
Postpartum Unit during regular visiting hours. Only the
person wearing the fourth Ident-a-band (see Page 12) will
be allowed on the Postpartum Unit after visiting hours are
over. There will also be plenty of time for visiting at home.
Visitor Needs
Staff cannot give medication to anyone other than the
patient. Visitors must bring their own medications and pain
relievers.
Restrooms & Waiting Areas
Restrooms are located throughout the Birth Center.
All are accessible for those with special needs.
For safety reasons, hallways must stay clear to help staff
move about more easily to meet the needs of our patients.
Visitors may use the waiting rooms in the individual team
stations. However, these rooms fill up quickly if each patient
has many visitors. The main hospital and Birth Center
waiting rooms are also comfortable areas for visitors.
Incoming Calls
For your privacy, the telephones in Birth Center patient
rooms do not receive incoming calls. The staff will try to get
a message to you, but we suggest that family and friends do
not call. You or your bedside visitors can make calls to give
out information. We are committed to protecting your
confidentiality and will not give out patient information,
regardless of who calls.
Outgoing Calls
To make outgoing local calls, dial 9 and the area code first.
Regional and long-distance calls require a calling card or
operator assistance. Public phones are located nearby. Cell
phones must be kept “OFF” to avoid electrical interference
with monitoring systems, especially those used for the babies
(special staff phones do not present this problem).
Photographs & Videos
Pictures and videos of the birth are permitted from the
head of the bed. Tripods are not allowed. Videotaping is
not permitted in the hallways. Not all staff wish to be
photographed, so please ask first.
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The Womancare Birth Center
Refreshments
During labor, most women are offered ice. Each LDR
area has its own nourishment room, where visitors can
purchase coffee, tea or cocoa and get ice and water. Other
items such as juice and ginger ale are only for patients.
Vending machines for visitors are located nearby.
Comfort Aids for Mom
If you are interested in aromatherapy, water therapy,
or a birthing ball, talk to a staff member. Each room has a
television and a CD/tape player/radio to play your own
CDs or tapes to help you relax.
After Delivery
After delivery, the nurses will help you hold and greet your
baby. A nurse from the Postpartum unit will visit shortly
after birth to check the baby and help you if you are
breastfeeding. You will be taken to the Postpartum/Newborn
Nursery floor by wheelchair if your condition allows. The
nurses there will make you familiar with your room and give
you instructions for yourself and your newborn.
Your Baby’s Safety
Identification bands are given to mom, baby and one
support person of the mother’s choice. This support person
is the only visitor who may stay overnight. This is also the
only person, other than the mother or hospital staff, who can
transport the baby to and from your room and the nursery.
Bands cannot be exchanged for any reason.
Never leave your baby alone in your room. If you want to
sleep, shower or leave the room for any reason, take your
baby to the unit nursery. Babies are always moved in their
cribs, not carried in arms.
Always ask to see the Magee-Womens Hospital photo
identification badge of all staff wishing to transport your
baby. Staff who are allowed to move infants have a picture of
a stork on their badge. People who are not permitted to
transport infants will not have this picture on their badge.
Magee-Womens Hospital has an Infant Surveillance System
as part of an overall plan to help keep your baby safe.
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Your Postpartum Stay
Postpartum Unit Visiting Guidelines
Following recovery, you and your baby will be moved to a
private room on a Postpartum unit. Visiting hours there are
from 11 a.m. to 8:30 p.m. The new baby’s siblings are welcome
during these times. Except for the new baby’s siblings,
children under 13 may not visit. The main support person is
the only visitor who may stay overnight.
Photographs & Videos
Upon admission, you will be asked to consent for baby
photography on the Consent to Admission form. If you
agree that photographs and videotape may be taken of your
baby, information on purchasing these items will be
provided in your Postpartum room. Your baby’s picture and
video will be taken at about 24 hours of age. The pictures
are taken in your room so you can help pose your baby.
Your Room
All rooms are private with showers. Hair dryers are
available in each bathroom for your convenience. Sheets and
towels are changed as needed. Please tell your caregivers if
you want the linens changed.
The Baby Nursery
Your baby can be taken back to the nursery whenever you
want, but we encourage you to keep your baby in your room
and let us help you become comfortable caring for your
newborn. Every effort is made to keep you and your baby
together as much as possible.
Food Service
Once in your Postpartum room, Room Service is available
from 7 a.m. to 11 p.m. Light meals, snacks and beverages are
available on patient units after hours. Ask your caregiver
about what is available. For your partner and family, there is
food in the Cafeteria at meal times and in the Garden View
Gift Shop. Items like yogurt and sandwiches are available in
a Cafeteria vending machine.
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Your Postpartum Stay
Your Postpartum Stay
While you are in the hospital, you can enjoy a Candlelight
Dinner celebration for you and one other person. Simply
place your order with the Food Service Department over the
phone. You or your partner can pay for the meal at the
Garden View Gift Shop. The Candlelight Dinner can also
be purchased as a gift for you by calling the Garden View
Gift Shop at 412-641-4181.
Smoking
Your Comfort
Please be aware that wireless/cellular phones can disrupt
vital equipment and set off alarms. Please keep all cell
phones in the “OFF” position. You will see staff using special
phones that look like wireless/cell phones. These special
phones do not interfere with vital equipment and only work
in limited hospital areas.
Your physician will order any needed medications, creams,
or sprays to relieve discomfort. Please ask your nurse for the
medications when you feel any discomfort. Tell us if they are
not effective, so we can call your healthcare provider to
order other medications for you.
Naming Your Baby
During your hospital stay, the baby will be known by your
last name for identification and security reasons. However,
the day after birth, a member of the Health Information
Management Department will visit you to fill out the baby’s
birth certificate with the first and last name of your choice.
Information for your baby’s Social Security Number will
also be filled out. You will receive both the certificate and
the Social Security Card in the mail at home.
Discharge
Mothers usually stay in the hospital for 48 hours after a
vaginal birth and for 72 hours after a C-section. Your nurse
will tell you in advance what time you can expect to be
discharged. Please try to arrange a ride for this time.
On the day of discharge, your
healthcare providers will see you and
your baby. They will write your
discharge orders. We will review the
discharge instructions and basic care
with you again. You will sign final
papers that include the footprint
sheet. After your baby’s security tag
is taken off, you will be taken to
the front lobby in a wheelchair.
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For your health and safety, Magee is a smoke-free
environment. All patient rooms and hallways are equipped
with smoke detectors. Ask about designated visitor smoking
areas outside.
Wireless/Cell Phones
Electrical Appliances
Please leave personal appliances at home. Hair dryers are
available. Audio/video equipment must be battery-operated.
Please do not bring any item that needs to be plugged in.
Jewelry/Money/Valuables
Please leave your valuables at home. The only jewelry
you will be permitted to wear is a wedding band. All other
necklaces, bracelets, watches, etc. will have to be removed.
Body-piercing jewelry for areas other than ears will have to
be removed. It is better to do this before you come to the
hospital. Have a small amount of coins and cash for coffee,
newspapers, public phone calls, gift cart items, etc. A phone
calling card is helpful, especially for long-distance calls.
Telephone & Television
Phone and television services are available to all patients
24 hours a day. These services will be charged to your home
phone number after you are discharged from the hospital.
You may want to bring a calling card.
Internet Access
Computer ports may be available on request. See Page 16
for information about a free baby Web page service offered
by the hospital to share the arrival of your new baby with
family and friends.
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Celebrating Baby’s Birth
I
t’s hard to imagine a more exciting time than the arrival
of your baby. Because those first precious hours happen
only once, you’ll want to capture the events surrounding the
birth. The baby photographer will bring you information
about all of the ways Magee offers to celebrate the birth of
your baby. You can call Volunteer Services at 412-641-4185 for
more information about any of these services.
Baby Photo
A professional photographer will take your baby’s picture. There
are many photo packages to choose from. The prints will be
mailed to your home.
Baby Video
A personalized videotape captures baby’s first hours in the
nursery and includes narrated details of your baby’s birth, as
well as historic events and the names of famous people who
share the same birth date.
Baby Web Page
Baby Bead Keepsake Bracelet
Personalized with baby’s first name and birth date, this bracelet
makes a wonderful keepsake. These bracelets, ordered through
the Garden View Gift Shop, are available for a donation of $10 or
more.
Baby’s First Charm Keepsake
For a donation of $15 or more, your baby can have a delightful
14-karat gold-filled or sterling silver shoe charm. It’s a wonderful
way to start a charm bracelet, or it can be worn by a child or
adult as a pendant on a necklace.
The Twenty-Five Club Cradle Roll Express
For a donation of $10 or more, your baby’s name will be
inscribed for one year on the Express Board in the
Womancare Birth Center.
Candlelight Dinner
A very nice option for you while you are in the
hospital is the Candlelight Dinner. Call the
Garden View Gift Shop at 412-641-4180
to purchase this special dinner.
Share the arrival of your new baby with family and friends by
creating your baby’s personal Web page. These unique,
personalized sites are privacy protected and only accessible by
authorized users. Visit www.magee.edu and follow the links to
sign up for this free and secure service even before your baby is
born.
Personalized Baby Book
Your baby’s very own personalized book tells the special story
about the events surrounding his or her birth. Inter-woven
throughout this professionally-illustrated story are baby’s name,
birth date, time and place of birth, parents’ names, and other
information. A variety of these books are available to meet
special needs. Books can be ordered in the Garden View Gift
Shop.
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Resources for Your New Family
Resources for Your New Family
Healthy Pregnancy Tips
Choosing a Pediatrician
Find more healthy pregnancy information online at:
■ The March of Dimes at www.modimes.org
■ The Office of Women’s Health at www.4woman.gov
You will need to know the name of your baby’s healthcare
provider when you come to the hospital to deliver. For a
list of family practitioners or pediatricians on staff at Magee
who can take care of your baby, call Magee’s Resource &
Referral Service at 412-647-4747.
Breastfeeding Support
Magee-Womens Hospital’s Lactation Center: 412-641-1121:
■ Assists you during your hospital stay, provides
telephone help after discharge, and continuing help
through outpatient consultation once you are home
■ Rents/sells breast pumps and other breastfeeding aids
■ Is available to you seven days a week
“Prenatal Preparation for Breastfeeding” Education Class:
Register for this 2-1/2-hour class by calling Magee-Womens
Hospital’s Education Department at 412-641-4492.
Allegheny County Breastfeeding Help Line: 412-247-1000
Answers 8 a.m. to 10 p.m. daily
La Leche League: 1-800-525-3243
Community groups provide education and support
In the Workplace: Talk to your employer about breastfeeding
policies to help you breastfeed as long as you and baby
desire.
Family Issues
Pregnancy affects all
family members. If your
relationship with your
partner is more difficult
and includes aggression
or violence, let your
healthcare provider
know right away and/or
call
1-800-799-SAFE (7233)/
1-800-787-3224 (TDY).
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Crib Information
Crib Safety: For more information about crib safety, visit
www.kidsource.com
Crib Assistance: If you do not have a crib and cannot afford
one, call the SIDS Alliance at 1-800-721-7437
Immunization Information
Find reliable vaccine safety information online at
www.cdc.gov/vacsafe
Circumcision Information
For an overview of circumcision, refer to the American
Academy of Pediatrics website at www.aap.org
Carseat Safety
Carseat Safety Checks: Children’s Hospital and the
Allegheny County SAFE KIDS Coalition help families
learn about carseat safety “hands on.” Certified staff show
parents how to best protect their children using their own
carseats and car safety features in a safety checkpoint
program. The programs are free and open to the public,
but appointments are required. Call 412-247-7821. For
listings of carseat checkpoint events, visit www.chp.edu
Carseat Information: Call 1-800-227-2358 for more carseat
information and a list of places where you can take your
car to check if you have placed the seat safely. This line is
answered 8 a.m. to 5 p.m. Monday through Friday.
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