Selecting A Maternity Hospital: Key Considerations For Expectant Mothers

how to choose the right maternity hospital

Choosing a maternity hospital is one of the most important decisions you and your family will make. There are many factors to consider when selecting a maternity hospital, and it's crucial to find one that suits your needs and preferences. You should start by researching hospitals and their care teams, taking into account factors such as distance from home, insurance coverage, and the availability of specialised care for high-risk pregnancies. It is also essential to consider the hospital's policies and approach to childbirth, including their C-section rates, availability of pain management options, and support for breastfeeding and postpartum recovery. Taking a tour of the hospital and meeting the staff can help you determine if the environment and care team are a good fit and will make you feel comfortable and supported during labour, delivery, and postpartum.

Characteristics Values
Distance from home Choose a hospital that is not too far from home, especially if you will be going there regularly for prenatal care.
Insurance coverage Your insurance may dictate which hospital you can deliver at.
Availability of maternity tours Take a tour of the hospitals you're considering and ask questions.
Environment Choose a hospital with a respectful, professional, and friendly staff, and well-maintained and pleasant rooms.
Newborn facilities Inquire about policies and facilities for infants, such as the location of the infant nursery in relation to the postpartum rooms.
C-section rates C-section rates vary from hospital to hospital, and the maternity hospital you choose can impact whether you give birth vaginally or via C-section.
Neonatal intensive care unit (NICU) If you are at high risk for preterm birth or other complications, choose a hospital with a NICU, which has trained staff and equipment to care for newborns requiring special attention.
Board-certified specialists The hospital should have board-certified OB/GYNs, anesthesiologists, and laborists, as well as magnet-recognized registered nurses.
Lactation services Ensure the hospital provides lactation consultants and breastfeeding classes.
Pregnancy health and wellness classes Opt for a hospital that offers classes on topics like vaccines, smoking cessation, nutrition, weight management, and mindful movement.
Pain management options Hospitals offer various pain management options, including nitrous oxide, IV pain medication, and epidurals.
Provider's admitting privileges Your doctor or midwife must have admitting privileges at the hospital you choose.

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Choose a hospital with a neonatal intensive care unit (NICU) if you're at high risk of preterm birth or complications

If you are at high risk of preterm birth or complications, choosing a hospital with a neonatal intensive care unit (NICU) is a crucial consideration. A NICU is a specialised area of the hospital equipped with advanced technology and trained healthcare professionals who provide intensive medical care for newborn babies.

Around 10% of newborns require this specialised treatment, with prematurity, small size, and breathing conditions being the most common reasons for admission. If you are deemed high-risk, it is essential to select a hospital with a NICU to ensure immediate access to critical care for your baby.

NICUs offer varying levels of care, with Level I NICUs catering to healthy, full-term babies and Level IV NICUs providing the highest level of neonatal care for very sick infants. When choosing a maternity hospital, consider the potential risks and opt for a facility with an appropriate level of NICU care.

Additionally, look for a hospital with a comprehensive team of specialists, including neonatologists, neonatal fellows, pediatric residents, and neonatal nurse practitioners. These experts work together to create a plan of care for high-risk newborns, ensuring your baby receives the best possible treatment and support.

Some NICUs also offer additional support services, such as parent support groups, postpartum support programs, and neonatal transition clinics to help you and your baby adjust after leaving the hospital.

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Ensure the maternity hospital is affiliated with your ob-gyn

When choosing a maternity hospital, it is important to ensure that the hospital is affiliated with your ob-gyn. This is because your ob-gyn needs to have admitting privileges to the hospital facility in order to deliver your baby there. In other words, they cannot deliver babies in any hospital of your choice. Therefore, it is crucial to select a hospital that your ob-gyn is affiliated with or, if you have not chosen an ob-gyn yet, you can select a hospital that feels right for you and then choose an ob-gyn who practices there.

It is worth noting that many ob-gyns are affiliated with multiple hospitals and deliver at different locations based on patient needs and preferences. When choosing an ob-gyn, it is a good idea to discuss their delivery locations and whether travelling to those hospitals would be feasible for you. Additionally, not all hospitals offer the same services and coverage. For example, some hospitals offer nitrous oxide (laughing gas) for natural birth, while others do not. It is important to discuss pain management options with your ob-gyn and choose a hospital that aligns with your preferences.

Furthermore, it is essential to consider the hospital's newborn facilities and policies. You and your baby will likely be in the hospital for a few days following the birth, so it is important to inquire about the hospital's policies and facilities for infants. Consider the location of the infant nursery in relation to the postpartum rooms, and whether the hospital encourages parents to spend time with their newborns in a special care nursery. Additionally, if you plan to breastfeed, look for hospitals that offer breastfeeding classes, certified lactation consultants, and private breastfeeding consultations during your postpartum recovery and after you return home.

Another factor to consider is the hospital's approach to vaginal birth after a previous caesarean section (VBAC). While it is rare, a trial of VBAC can lead to complications that not all hospitals are equipped to manage. Some hospitals may offer the option of external cephalic version (ECV) to turn the baby's head down before delivery, so discussing this option with your doctor is important. Overall, it is crucial to choose a maternity hospital that aligns with your preferences and ensures you feel comfortable and supported throughout your childbirth experience.

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Research the hospital's policies and approach to birth and find out if they align with your preferences

When choosing a maternity hospital, it is essential to research the hospital's policies and approach to birth to ensure they align with your preferences and birth plan. Here are some factors to consider:

Childbirth Philosophy and Options

Research if the hospital supports your childbirth philosophy and preferences. Some women prefer a natural childbirth experience, while others may want the option of pain relief medication, aromatherapy, or a warm whirlpool tub. Find out if the hospital has special rooms for natural birth options, such as water birth. Inquire about the hospital's C-section rates and policies, especially if you are considering a vaginal birth after a previous C-section (VBAC). Some hospitals may have higher rates of C-sections, which could influence your likelihood of having one.

Newborn Facilities and Policies

You and your newborn will likely spend a few days in the hospital after birth, so it is crucial to understand the hospital's newborn policies and facilities. Find out about the infant nursery's proximity to the postpartum rooms and whether the hospital allows "rooming-in," where your baby stays with you in your room. Ask about the availability of a special care nursery with dedicated neonatologists and nurses trained in caring for premature babies or those requiring special attention.

Breastfeeding Support

If you plan to breastfeed, ensure the hospital provides adequate support. Look for facilities that offer a lactation center with certified lactation consultants, breastfeeding classes before birth, and private breastfeeding consultations during your postpartum recovery and after you return home.

Hospital Environment and Staff

The hospital environment and staff can significantly impact your birthing experience. Observe how the staff interacts with each other and patients during your tour. Choose a hospital with respectful, professional, and friendly staff who will make you feel comfortable and supported. Consider the cleanliness and comfort of the rooms, as you want a well-maintained and pleasant space for your stay.

Board-Certified Specialists

Opt for a hospital with a team of board-certified specialists, including OB/GYNs, anesthesiologists, and laborists, to guide you through your labor and delivery. Board certification ensures that the physicians are experts in their field and participate in ongoing professional development.

Remember, choosing a maternity hospital is a personal decision, and there is no one-size-fits-all approach. The right hospital for you is one that respects your preferences, keeps you comfortable, and provides the necessary support and expertise for a safe birthing experience.

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Consider the hospital's location and distance from home

When choosing a maternity hospital, it is important to consider the hospital's location and distance from home. While you may be willing to travel a little further for the best hospital, you will want to consider the distance from your home to the hospital when making your decision. You won't want to worry about how long it will take to get to the hospital once you're in labour. Having a hospital close by may be especially helpful if it's where you'll be going regularly for your prenatal care.

If you have a few hospital options to choose from, you may want to consider the following: If you've previously given birth by C-section and are interested in trying to have a vaginal birth after cesarean (VBAC) this time, talk with your provider. You'll want to make sure you're a good candidate and that your provider supports your decision. Also, make sure the hospital where they have admitting privileges will allow a VBAC and has the medical personnel available 24/7 to do an immediate repeat C-section, if necessary.

It is important to remember that where you deliver your baby is as important as who delivers your baby. Do your research and make sure the maternity hospital you choose is the right fit for you. You can start by finding an OB/GYN that’s right for you or, if you are further along in your pregnancy, you can come in for a hospital tour. You can also browse upcoming dates for maternity tours, women’s wellness, and prenatal classes.

In most cases, you'll deliver your baby at the hospital where your healthcare provider has admitting privileges. So keep in mind that when you choose a doctor or midwife, you'll likely be choosing the place where you'll give birth. It's worth doing some research to make sure the hospital's policies and approach to birth fit your needs.

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Assess the hospital's environment, staff behaviour, and room maintenance

When choosing a maternity hospital, it's essential to assess the hospital's environment, staff behaviour, and room maintenance to ensure a positive and comfortable birthing experience. Here are some factors to consider:

Hospital Environment

The hospital environment should be comforting, supportive, and well-organised. Take note of how the staff interacts and communicates with each other. Observe if the environment is stressful or if the staff maintains a respectful, professional, and friendly atmosphere. This can impact your overall experience during labour and delivery.

Staff Behaviour and Expertise

During your maternity tour, observe the staff's behaviour and expertise. Assess if the staff seems attentive to patients' needs and if they are managing patient care effectively. Ask yourself if you feel comfortable with the staff-to-patient ratio, especially during off-hours and weekends. Ensure the hospital has a team of board-certified specialists, including OB/GYNs, anesthesiologists, and labour nurses, to guide you through your labour and delivery.

Room Maintenance and Newborn Facilities

Examine the condition of the rooms. Are they well-maintained, clean, and pleasant? Inquire about the hospital's newborn policies and facilities. Find out how close the infant nursery is to the postpartum rooms and if the hospital allows "rooming-in," where your baby stays with you in your room instead of being cared for in the nursery.

Remember, the hospital environment and staff can significantly impact your birthing experience, so choose a maternity hospital that makes you feel comfortable, supported, and respected.

Frequently asked questions

It's important to choose a hospital that feels right for you. You can do this by researching and touring maternity hospitals, considering factors such as the hospital's policies, environment, cleanliness, newborn facilities, and the availability of specialists and support staff.

It's important to ensure that the hospital has a team of medically trained professionals, including doctors, advanced practice providers, and nurses. If you are at high risk for preterm birth or other complications, choose a hospital with a neonatal intensive care unit (NICU). Some hospitals also offer additional support, such as breastfeeding classes and consultations, pregnancy health and wellness classes, and postpartum mental health support.

Consider factors such as distance from home, the availability of specific services or birthing options (such as VBAC), and the reputation and reviews of the hospital and its staff. You may also want to get advice from friends and family or take a tour of the hospitals to get a sense of the environment and the care provided.

There are other options available, such as giving birth at home or in a midwifery unit or birth centre. Midwives often use more holistic approaches to labour and delivery and can provide continuous support during the labour process. However, it's important to consider the potential risks of delivering outside of a medical facility and ensure that you have a plan and contingency plans in place.

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