Hailey Tran
Giving birth in a hospital is the most popular choice for expectant couples in the United States. It is also the recommended choice for women with a high-risk pregnancy, such as those aged 35 or older, pregnant with multiples, or with a condition like gestational diabetes. This article will guide you through what to expect from the moment you decide to go to the hospital to when you head home with your baby. It will also offer tips for those who wish to have a natural birth.
| Characteristics | Values |
|---|---|
| Recommended for | Women with "high-risk" pregnancies, e.g. women aged 35 or older, pregnant with multiples, or with a condition such as gestational diabetes |
| Advantages | Most popular choice, most birthing options, medical backup, OB/GYN, family physician or certified nurse-midwife available |
| Privacy | Limited due to the constant presence of hospital staff |
| Rest | Limited due to the constant presence of hospital staff |
| Separation | Mothers and babies may be separated for newborn screenings |
| Birth plan | Can be created with the help of a practitioner to ensure the desired delivery experience |
| Birthing options | Limited; check with the hospital first to find out their protocols |
| Preregistration | Required, involving providing insurance information and filling out paperwork |
| Stay duration | 2 days after vaginal birth, 3-4 days after C-section |
| Clothing | Hospital gown provided, but own clothes can be worn, preferably loose and made of cotton |
| Pain management | Medication, walking, showering, bathing, epidural |
| Monitoring | Periodic monitoring of baby's heart rate and mother's contractions |
| Natural birth | Possible with preparation, e.g. reading books, watching videos, taking childbirth classes |
| Care provider | Significantly influences the birth experience; choose one that makes you comfortable and supports your goals |
| Communication | Communicate birth plan and preferences clearly to the birth team |
| Items to bring | Going-home outfit for baby, receiving blanket, warm clothing, baby socks, baby hat, phone list of contacts, snacks and drinks, massage rollers and oils, focal point object, healthcare provider contact information |
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What You'll Learn
- Preparing for a hospital birth: preregister at the hospital, pack a hospital bag, and prepare for birth by reading, watching videos, or taking a childbirth class
- Choosing a hospital: opt for one with a low c-section rate, a good reputation, and options that align with your preferences
- Selecting a care provider: ask for recommendations, interview multiple options, and choose a provider that makes you feel comfortable and supported
- Creating a birth plan: communicate your preferences for labour and postpartum to your birth team, including pain management and birthing options like water birth
- What to bring: a phone list of contacts, snacks and drinks, massage rollers and oils, a focal point object, and clothes for yourself and your baby?
Preparing for a hospital birth: preregister at the hospital, pack a hospital bag, and prepare for birth by reading, watching videos, or taking a childbirth class
Preparing for a hospital birth can be a daunting task, but with some planning and preparation, you can make the process smoother and more manageable. Here are some detailed steps to help you get ready for your upcoming hospital birth:
Preregister at the hospital:
Before you go into labour, contact the hospital or birthing centre where you plan to deliver your baby and inquire about pre-registration. Preregistering at the hospital can save you time and hassle when you're in labour. It ensures that your essential information, such as your name, doctor's name, and insurance details, are already in the system, streamlining the check-in process. Keep in mind that not all hospitals offer pre-registration, and you may not need to pre-register if your doctor is affiliated with the hospital.
Pack a hospital bag:
Packing your hospital bag in advance is crucial, as only 5% of babies are born on their due date. Include essentials such as comfortable clothing, toiletries, important documents, and any items that will make your stay more comfortable and relaxing. Don't forget to pack a copy of your pre-registration details or save the link to access them quickly. Additionally, consider packing items for your birthing partner or coach, who can provide support and assistance during labour and delivery.
Prepare for birth through education:
Enhance your understanding of the birthing process by reading books, watching informative videos, or enrolling in a childbirth class. These resources can provide valuable insights into what to expect during labour and delivery in a hospital setting. Understanding the process can help alleviate anxiety and empower you to make informed decisions. Remember to discuss your birth plan with your practitioner to ensure your preferences are respected and accommodated as much as possible within the hospital's protocols.
Prepare for your baby's arrival:
Get ready for your baby's homecoming by gathering essential items such as car seats, diapers, baby clothes, and feeding supplies. Prepare some meals in advance and freeze them so that you have convenient and nutritious options when you return home from the hospital. If you have older children or pets, help them adjust to the new family member by setting up the baby's room and introducing them to their new sibling gradually.
Remember, every birth is unique, and it's essential to stay flexible and adapt to any changes or unexpected situations that may arise. By preregistering at the hospital, packing a hospital bag, educating yourself about the birthing process, and preparing for your baby's arrival, you'll be well on your way to a more confident and comfortable hospital birth experience.
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Choosing a hospital: opt for one with a low c-section rate, a good reputation, and options that align with your preferences
When choosing a hospital for giving birth, it is important to consider various factors to ensure a positive birthing experience. While childbirth can be overwhelming, choosing the right hospital can help ease anxieties and provide a safe and comfortable environment. Here are some key considerations:
C-Section Rate and Medical Capabilities:
Opt for a hospital with a low caesarean section rate if you are aiming for a vaginal birth. Inquire about their VBAC (Vaginal Birth After Caesarean) success rates and ensure they have the medical personnel and facilities for immediate C-section if needed. Additionally, consider the hospital's medical capabilities. Choose a hospital with a neonatal intensive care unit (NICU) if you are at high risk for complications or preterm birth. NICUs have specialised staff and equipment to care for newborns requiring special attention.
Reputation and Expertise:
Select a hospital with a good reputation and a team of board-certified specialists, including OB/GYNs, anesthesiologists, and neonatologists. Board certification ensures that the physicians are experts in their field and stay up-to-date with ongoing professional development. Inquire about their safety measures, testing policies, and birth support partner policies, especially during a pandemic.
Alignment with Your Preferences:
Choose a hospital that aligns with your wants and needs. Consider factors such as lactation centres, breastfeeding classes, and private consultations during postpartum recovery. Inquire about their model for taking care of the baby after birth. Do they room-in exclusively, or do they offer the option of a nursery? Ensure the hospital supports your birth plan and offers options that are important to you, such as pain relief medications, natural birthing techniques, or special amenities.
Proximity and Insurance Coverage:
While the distance between your home and the hospital may not directly impact birth outcomes, choose a hospital that is not too far away to avoid added stress during labour. Consider the travel distance and traffic when making your choice. Additionally, insurance coverage is a crucial factor. Opt for hospitals with doctors who accept your insurance, as in-network and out-of-network coverage can vary significantly.
Remember, it's essential to do your research, tour facilities, ask questions, and consider reviews and recommendations from friends and family. Don't be afraid to explore different options until you find the right fit for you and your preferences.
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Selecting a care provider: ask for recommendations, interview multiple options, and choose a provider that makes you feel comfortable and supported
Selecting a care provider for giving birth at a hospital is an important decision. Here are some steps to help you choose the right one:
Ask for recommendations
Start by asking your primary care provider or family and friends for recommendations. You can also reach out to healthcare providers you're considering to ask about their services and birthing options. Your health insurance may also provide specific providers or options to choose from.
Do your research
Before selecting a care provider, it's essential to do your research. Learn about the different types of providers, such as obstetricians, gynecologists, midwives, and perinatologists, and understand their qualifications and areas of expertise. Consider your specific needs and preferences, such as whether you prefer a more personalised and comprehensive approach or a more relaxed relationship with your provider.
Interview multiple options
Don't be afraid to interview multiple care providers before making a decision. Prepare a list of questions to ask each provider, such as their care model, who will attend your prenatal appointments and be present during birth, and their experience with patients similar to you. This will help you understand their practices and ensure they align with your birth plan and expectations.
Choose a provider that makes you feel comfortable and supported
Selecting a care provider is a personal decision, and it's crucial to choose one that makes you feel comfortable and supported. Consider your childbirth philosophy and find a provider who respects your preferences and advocates for your needs. Ask about the hospital's policies and guidelines regarding labour techniques, interventions, use of cameras, newborn care, and pain management options to ensure they align with your values and goals.
Remember, the key to a positive birthing experience is finding a care provider and hospital that suits your individual needs and preferences. Don't hesitate to ask questions, advocate for yourself, and choose a team that will support you throughout your pregnancy and delivery.
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Creating a birth plan: communicate your preferences for labour and postpartum to your birth team, including pain management and birthing options like water birth
A birth plan is a written summary of your preferences for labour, birth, and postpartum. It is a great way to communicate your wishes to your birthing team, which may include your partner, parents, siblings, midwife, doula, or general practitioner. Here are some steps to create a comprehensive birth plan:
Pain Management
It is essential to outline your preferences for pain management in your birth plan. You can specify whether you would like to use medication or opt for a medication-free approach. If you choose medication, you can list your preferred order, such as trying gas before an epidural. It is also helpful to list any pain relief methods you want to avoid. Keep in mind that your preferences may change during labour, and it is okay to be flexible and adapt your plan as needed.
Birthing Options
Your birth plan can include specific birthing options you prefer, such as a water birth. You can also mention any equipment you would like to use, such as a birthing stool, Swiss ball, mat, or beanbag. Additionally, consider including your preferred birthing position, such as lying on the bed, kneeling, standing, or squatting.
Postpartum Care
Outline your preferences for postpartum care, including how you plan to feed your baby. You can indicate whether you would like to breastfeed exclusively, bottle-feed, or combine both methods. You can also specify whether you would like your baby to stay in the nursery or room-in with you, and if you prefer to have your baby boy circumcised.
Birthing Environment
You can also include details about your preferred birthing environment in your birth plan. This may include specific music, aromatherapy, or dimmed lighting. Most hospitals accommodate such requests, but it is worth checking with your chosen hospital beforehand to ensure they can meet your preferences.
Communicating Your Birth Plan
Once you have created your birth plan, share it with your caregivers and discuss it during your pregnancy appointments. This allows you to ask questions and ensure your preferences align with your health and medical history. It is also beneficial to keep a copy of your birth plan with you during labour so that you can show it to your birthing team, ensuring they are aware of your wishes. Remember that births may not always go according to plan, and unexpected complications can arise, so stay open to adjustments as needed.
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What to bring: a phone list of contacts, snacks and drinks, massage rollers and oils, a focal point object, and clothes for yourself and your baby
When packing your hospital bag for labour and delivery, it's a good idea to wear something loose and comfortable. The hospital will likely give you a hospital gown to wear during delivery, but you can also bring your own nightgowns, slippers, socks, and nursing bras for after the birth.
Phone list of contacts
You'll want to share the news of your baby's birth with friends and family, so don't forget to bring your phone, a phone card, or change for calls. An extra-long phone charger is also a good idea, as outlets may be far from your bed.
Snacks and drinks
Pack some healthy snacks, such as granola bars or dried fruit, to keep your energy up during labour. Your favourite snacks can also act as comfort food after giving birth. It's important to stay hydrated, so bring a reusable water bottle as well.
Massage rollers and oils
Massage rollers and oils can help relieve back pain from labour.
A focal point object
Bring an object that you've chosen to use as a focal point to help you focus your attention during labour.
Clothes for yourself and your baby
For yourself, you may want to bring a few changes of clothes, such as fresh pyjamas or sweats, especially if you have visitors. High-waisted underwear can provide extra support for your abdominal area and avoid irritating the incision after a C-section. For your baby, bring a going-home outfit that has legs so that the car seat strap can fit easily. The hospital will likely provide long-sleeved shirts, infant hats, and swaddling blankets for newborns, but it's a good idea to bring a hat and socks for cold weather climates. Don't forget to install a car seat in your car before you go to the hospital, as this is required by law.
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Frequently asked questions
About a month before your due date, it is recommended to preregister at the hospital by providing insurance information and filling out paperwork. It is also a good idea to pack a hospital bag and prepare a birth plan that can be shared with your birth team.
A labour and delivery nurse will be assigned to you. You will be asked to change into a hospital gown and periodically monitored to check the baby's heart rate and your contractions. You may also be examined by a midwife or doctor, who will ask about what has happened so far.
Some items to bring to the hospital include a phone list of contacts, snacks and drinks, massage rollers and oils, and a going home outfit for the baby. The hospital will typically provide a gown, slippers, disposable underwear, and basic toiletries.
