Ethan Rhodes
People do give birth at Temple Hospital, which is located in North Philadelphia. The hospital offers a range of services for pregnant women, including labour and delivery care, maternity care, and newborn care. Temple Hospital is also associated with nearby OB/GYN offices, making it a convenient option for many expectant mothers in the area. The hospital provides a compassionate environment for childbirth, with skilled medical services, including Caesarean sections and anaesthesiology services. They also offer personalized labour management plans, pain control options, and post-delivery bonding time and coaching. While the main hospital building may not be considered luxurious, private rooms are available for the entire stay.
| Characteristics | Values |
|---|---|
| Location | North Philadelphia |
| Type of institution | Hospital |
| Services | Caesarean section, maternal-fetal medicine for high-risk births, advanced medical technologies, lactation coaching, and training in washing, dressing, and caring for the baby |
| Pain relief options | Epidural, IV pain management, nerve blocks, acupuncture, massages, holistic practices |
| Amenities | Private rooms, home-like rooms in the Mother-Baby Unit, private birthing suites |
| Other | Skin-to-skin contact with the newborn is encouraged |
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What You'll Learn
Pain management options
Pain during labour and childbirth is a normal occurrence, and people respond differently to it. Some women are eager to avoid drugs or other medical interventions, while others are happy to consider all available options. It is a good idea to be aware of the various pain management options available and prepare yourself to be flexible, as labour and childbirth are often unpredictable.
At Temple Health, an experienced team of obstetric anesthesiologists will be present during labour and delivery to provide different options to manage pain and support mothers in making the right decisions for themselves. The three most common options for pain control during childbirth are:
- Intravenous (IV) pain management: Medication is administered through an IV drip, which helps reduce the intensity of the pain. However, it cannot be administered after the mother is dilated to 6 cm to ensure the baby is awake, alert, and vigorous for the final stages of labour.
- Epidural: The most common type of pain relief for childbirth in the United States and the most effective pain relief available. It involves injecting anaesthetic into the lining of the spinal cord through the back, numbing the lower portion of the body. A dural puncture epidural is an updated technique offered at Temple that works faster to control pain.
- Nitrous oxide: Also known as "laughing gas," it is a tasteless and odourless gas used as a labour analgesic. It reduces anxiety and increases a feeling of well-being, making pain easier to manage. It is inhaled through a mask, with the mother deciding when to inhale.
Other pain management options include:
- Spinal block: Provides quick pain relief but lasts only an hour or two. It is commonly used for Cesarean births.
- CSE block: A form of regional anesthesia that combines the benefits of a spinal block and an epidural block.
- General anesthesia: The mother is not awake and does not feel pain. It is used in emergency situations.
- Nerve blocks: Such as a pudendal nerve block.
- Analgesic medications: Such as acetaminophen.
- Local anesthesia.
- Natural methods: Such as massage, breathing strategies, labour positions, guided imagery, or hypnosis.
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Benefits of a hospital birth
There are several benefits to giving birth in a hospital. Firstly, hospitals are sterile environments designed for easy cleanup, which can help to reduce the risk of infection for both the mother and the baby. Hospitals also have specific protocols and procedures in place, which can provide peace of mind in case any complications arise during labour or delivery. If there are any health concerns or the baby is in distress, immediate access to a NICU can be crucial. Additionally, hospitals typically have a dedicated nursing team with extensive knowledge of the birthing process, providing support and guidance throughout labour and delivery.
Another advantage of hospital births is the availability of various pain management options. Hospitals offer a range of pain prevention methods, including IV medication and epidural anaesthesia, which may not be accessible in other settings. The presence of obstetricians and specialists in hospitals can be beneficial for high-risk pregnancies or more complex deliveries, such as cesarean sections. Hospitals also allow for a faster response to emergencies, with the necessary equipment and expertise readily available.
Furthermore, hospitals are the traditional and most popular choice for expectant couples, with almost 99% of deliveries occurring in hospitals. This familiarity and social acceptance can provide comfort and reassurance to parents-to-be. Hospitals also provide more options in terms of who will handle the delivery, including OB/GYNs, family physicians, or certified nurse-midwives.
While birthing centres and home births offer benefits such as comfort, privacy, and a more natural birthing experience, hospitals provide easy access to specialised care and medical backup. This is especially important for first-time mothers, as home births slightly increase the risk of serious complications for the baby. Ultimately, the choice of birth setting depends on individual needs, preferences, and medical considerations, and it is essential to discuss options with a healthcare provider.
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The birthing process at Temple Hospital
Pre-birth planning
Temple Hospital encourages expectant mothers to create a birth plan, which outlines their preferences for labour, delivery, and postpartum care. This plan can include choices such as pain management options, breastfeeding intentions, skin-to-skin contact preferences, and rooming arrangements. While the hospital respects mothers' birth plans, they also emphasise the importance of flexibility, as certain adjustments may be necessary to ensure the safest possible delivery.
Labour and delivery care
Temple Hospital offers a comprehensive range of labour and delivery services, including Caesarean sections and advanced medical technologies. A team of board-certified obstetricians, nurse midwives, nurses, and physician assistants work together to provide personalised care for each mother and baby. The hospital also provides 24/7 support, utilising the latest technology to monitor the health of both mother and child.
During labour, mothers have the option of various pain management techniques, including holistic practices, medication, and anaesthesia. The hospital's team of obstetric anesthesiologists work closely with mothers to support their decisions and provide the necessary pain relief options.
Postpartum care
After birth, mothers are provided with bonding time and specialised lactation coaching. They are also offered guidance in essential newborn care, such as washing and dressing their babies. The hospital prioritises skin-to-skin contact between mother and baby, recognising its positive effects on breastfeeding and parent-child bonding. Mothers and babies stay in a home-like room in the Mother-Baby Unit, promoting comfort and family bonding.
Patient experiences
Reviews from patients who have given birth at Temple Hospital are generally positive. Some patients highlight the convenience of the hospital's location and the availability of private rooms. Others praise the care provided by the medical staff, sharing that they felt supported and well-cared for during their birthing experience.
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Post-birth care at Temple Hospital
Temple Hospital offers post-birth care for both mothers and their babies. The hospital has been designated as a Baby-Friendly Hospital, meaning that staff are trained to care for breastfeeding mothers and newborns. Mothers and babies are encouraged to stay close to each other after birth to facilitate breastfeeding as soon as the baby is ready. The hospital also encourages skin-to-skin contact between mother and baby, as this has positive health benefits for both and helps the baby find the breast for the initial latch.
After delivery, mothers and babies are brought to the postpartum floor, where they will stay in a home-like room in the Mother-Baby Unit. Here, they will be cared for by the same nurse, allowing them to become well-acquainted. The hospital encourages "rooming-in", where the baby stays with the mother in her room for the duration of their hospital stay, allowing mothers to care for their babies directly with staff support. This helps mothers feel more comfortable caring for their babies once they return home.
Temple Hospital also provides specialised lactation coaching and training in other aspects of newborn care, such as washing and dressing. Mothers will receive discharge papers that include postpartum care information, and any required medication can be delivered to their room before they leave. Mothers and babies will be seen by an obstetrician and a paediatrician before discharge to ensure they are healthy, and mothers will also receive education on safe infant sleep practices. All families delivering babies at Temple Hospital will receive essential baby supplies to take home.
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Choosing a birthing centre vs. a hospital
Pregnancy is a time of anticipation, preparation, and decision-making. One of the key decisions facing expectant parents is choosing between a birthing centre and a hospital for delivery. Hospitals are the traditional choice, with around 98-99% of births taking place in hospitals. They are seen as a safe option for both mother and baby, offering peace of mind that expert medical care and equipment are available on-site if needed. Hospitals also provide luxurious private birthing suites, fetal monitors for electronic monitoring of the baby's heart rate, and labour rooms. Obstetricians, who are doctors specialising in pregnancy and childbirth, lead the care in hospitals. In the case of complications, hospitals can perform emergency Caesarean sections within minutes. Insurance plans typically cover hospital deliveries but may not cover birthing centres, resulting in out-of-pocket expenses.
Birthing centres, on the other hand, aim to restore childbirth to a more natural, non-medical experience. They provide a warm, family-centred, and homely environment, with private rooms that offer comfort, soft lighting, and a calm and soothing atmosphere. Birthing centres minimise interference to facilitate a natural birth, allowing labour to progress at its own pace without the use of monitors. Mothers can move around freely, choose various birthing positions, and eat and drink as desired. Midwives or nurse-midwives, who are trained and qualified in pregnancy and birth care, lead the care in birthing centres, seeking guidance from obstetricians when necessary. Birthing centres do not perform surgery, including Caesarean sections, and generally use little to no pain medication. They focus on low-risk pregnancies and births, and the cost of prenatal care and delivery at a birthing centre is typically lower than that of a hospital birth.
When making this decision, it's important to consider factors such as the level of medical intervention desired, the availability of specialised care, insurance coverage, privacy, freedom of movement, and the overall atmosphere and environment. Modern hospital birth centres are also moving towards providing a more natural, less clinical experience while retaining access to expert medical care.
Ultimately, the choice between a birthing centre and a hospital depends on individual preferences, the specific circumstances of the pregnancy, and the level of medical intervention required.
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Frequently asked questions
People have generally recommended giving birth at Temple Hospital. The hospital offers private rooms for the entire stay, and the main hospital has been reviewed as "not the fanciest". The doctors at Temple Hospital are highly rated, and the hospital offers a broad spectrum of labor and delivery care.
Hospitals allow peace of mind, as they have the expertise and equipment for treatment on-site. Hospitals also have neonatologists available, who are doctors with specialized training in the care of newborn babies. Hospitals usually allow one or two people with the birthing mother, and insurance plans typically cover hospital births.
Hospitals may not always provide the warmth and comfort desired during the birthing process. Mothers may be moved from their room to a labor room to a delivery room as their birthing progresses. Hospitals restrict eating and drinking as they may have to perform surgery. Hospital bills are likely to be higher than birthing centers.
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