Ethan Rhodes
Picking a hospital to give birth in is an important decision, and there are many factors to consider. The maternity hospital you choose can have an effect on whether you end up giving birth vaginally or via C-section. It's worth doing some research to make sure the hospital's policies and approach to birth fit your needs. You should also consider the hospital's safety measures and policies on birth support partners, especially during a pandemic. Other factors to consider include the hospital's location, whether they accept your insurance, their NICU and birthing center facilities, and whether they offer breastfeeding and prenatal classes.
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What You'll Learn
Safety measures and support people
Additionally, consider the hospital's policies on birth support partners. Some hospitals may place restrictions on the number of support people allowed in the delivery room to reduce exposure risks. It is advisable to clarify whether partners are permitted to be present during labour and birth and whether they can leave and re-enter the hospital premises. If you plan to have a doula, confirm if they are allowed as an additional support person.
The availability of specialized care and the hospital's ability to handle potential complications are also crucial safety considerations. Opt for a hospital with a Neonatal Intensive Care Unit (NICU) if you are at high risk for preterm birth or other complications. Not all NICUs are the same; some hospitals cater to extremely premature infants, while others have limitations. It is beneficial to choose a hospital with an on-site birth centre or a nearby children's hospital, providing a safety net in case you require additional care or specialized paediatric services.
Board-certified specialists, including OB/GYNs and anesthesiologists, are essential for ensuring expert care during labour and delivery. Inquire about the availability of anesthesiologists or anesthetists around the clock and the nurse-to-patient ratio to understand the level of attention you can expect. Ask about pain relief options, as not all hospitals offer the same choices, and whether your preferences, such as access to a tub for labour or specific lighting and music, can be accommodated.
Lastly, consider the hospital's C-section rates and success rates for vaginal births after caesarean (VBAC) if that is your desired birth plan. Ensure the hospital supports your decision and has the necessary medical personnel available for immediate C-sections if needed.
While safety and support are paramount, it is also essential to prioritize your comfort and overall well-being. Assess the hospital's ability to meet your needs and preferences, including the availability of lactation consultants and breastfeeding support, as well as pregnancy health and wellness classes to optimize your prenatal and postnatal care experience.
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C-section rates and vaginal birth options
If you are considering a vaginal birth, it is worth researching whether the hospitals you are choosing between offer this option. Some hospitals have on-site birth centres in addition to traditional labour and delivery suites, providing a more relaxed setting for labour and birth. Vaginal birth options include water births and births with little to no medical intervention. Vaginal births are generally safer and less risky than C-sections, and they usually result in a shorter hospital stay and faster recovery.
If you have previously given birth via C-section and are interested in a vaginal birth after cesarean (VBAC), it is important to discuss this with your healthcare provider to ensure you are a good candidate. You should also ensure that the hospital where your provider has admitting privileges allows VBACs and has the necessary medical personnel available 24/7 to perform an immediate repeat C-section if needed. Inquiring about VBAC success rates for both the hospital and your provider can be informative.
C-sections are surgical procedures used when a vaginal delivery is not possible or safe, typically resulting in a longer hospital stay and recovery period. C-sections carry slightly higher risks of complications, such as loss of blood and embolisms, and may increase the likelihood of chronic pelvic pain and breathing problems for the baby. However, C-sections can be lifesaving in emergencies when there is a risk to the parent or baby. Gentle C-sections, sometimes called "natural" cesareans, offer choices traditionally associated with vaginal births, such as immediate skin-to-skin bonding.
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Pain relief options
When it comes to pain relief options, it's important to remember that every woman and every delivery are different, and plans need to be flexible to keep the mother and baby safe. It's a good idea to discuss your preferences and available options with your healthcare team.
If you plan to give birth in a hospital, you will usually have access to a wide range of pain relief options, including epidurals. However, this doesn't mean you have to use all of them, and it's perfectly fine to keep your options open until the birth.
- Epidural: This involves injecting local anaesthesia and a painkiller into the mother's back to block pain from certain parts of the body. It is commonly used during labour and can provide significant pain relief. However, it is not available outside of hospitals as it needs to be administered by an anaesthetist.
- Opioids: These drugs can help relax the mother and may be useful in the early stages of labour to aid rest. Commonly used opioids include morphine, pethidine, and diamorphine, which are administered via injection. While they can be effective, they may also cause side effects such as sleepiness, nausea, and confusion.
- Nitrous Oxide: Also known as "laughing gas," this gas can be self-administered through a mouthpiece or mask during labour. It can help provide pain relief without the need for an epidural, but it may cause feelings of grogginess or nausea.
- Pudendal Block: This is an injection that can be given around the time of delivery to relieve pain in the vagina, vulva, and perineum.
- IV Medicines: Intravenous medicines such as fentanyl and hydroxyzine can help reduce anxiety and provide partial pain relief.
- Water Birth: Labouring in water is recommended for pain relief and can be a relaxing and safe option. Some hospitals offer tubs or whirlpools for water births, which can help reduce pain intensity and may decrease the likelihood of using an epidural.
- Self-help Techniques: These include distraction techniques, warm water therapy, movement, and focused breathing. Acupressure and hypnotherapy or hypnobirthing are also gaining popularity as non-medical pain relief options.
- TENS Machine: This machine uses a gentle electrical current to create a tingling sensation that some people find reduces their pain.
Remember, not all pain relief options may be available at every hospital, so it's important to discuss your preferences and explore your options with your healthcare provider.
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Breastfeeding support
When choosing a hospital to give birth, it is important to consider the kind of breastfeeding support they offer. Breastfeeding is one of the healthiest things you can do for your baby, but it can come with challenges. Therefore, it is crucial to select a hospital that provides comprehensive breastfeeding support to ensure a positive experience for both you and your baby. Here are some key factors to consider:
Lactation Center and Consultants
Ensure the hospital has a dedicated lactation center with certified lactation consultants. These specialists can provide expert guidance and support during your hospital stay and in the early postpartum period. Their presence can make a significant difference in addressing any breastfeeding challenges and ensuring a successful breastfeeding journey.
Breastfeeding Classes and Consultations
Look for hospitals that offer breastfeeding classes to help you prepare before giving birth. These classes can provide valuable information and techniques to enhance your confidence and knowledge about breastfeeding. Additionally, inquire about private breastfeeding consultations during your postpartum recovery and after you return home. This way, you can receive personalized support and address any concerns or issues that may arise.
Pregnancy Health and Wellness Classes
Choose a hospital that prioritizes your overall health and well-being during pregnancy. Look for programs that offer pregnancy health and wellness classes covering various topics. These may include nutrition, weight management, mindful movement, chronic disease management, and smoking cessation. Such classes can help optimize your health during pregnancy, benefiting both you and your baby.
Prenatal and Postnatal Care
Select a hospital that provides comprehensive prenatal and postnatal care. This includes offering prenatal classes that cover a range of topics, from childbirth preparation to infant care and CPR. Additionally, inquire about postnatal care services, such as postpartum recovery support and follow-up consultations. This holistic approach ensures that you receive the necessary guidance and assistance during the entire perinatal period.
Board-Certified Specialists
Ensure the hospital has a team of board-certified specialists, including OB/GYNs and anesthesiologists. Board certification demonstrates the physicians' expertise and their commitment to ongoing professional development. This gives you the assurance that you and your baby will be in highly qualified and skilled hands throughout your maternity care journey.
When making your decision, remember to prioritize your specific needs and preferences. Consider taking a hospital tour, speaking to healthcare professionals, and gathering information from multiple sources to make an informed choice about where to deliver your baby.
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NICU availability
When picking a hospital for birth, it is important to consider the availability of a neonatal intensive care unit (NICU). NICUs are special units in hospitals that provide advanced medical care for newborn babies who are born prematurely, have low birth weight, or have health conditions that require special attention.
Not all NICUs are the same, and they vary in terms of their capabilities and resources. Some hospitals have NICUs equipped to care for extremely premature infants, while others may only be able to accommodate babies born after a certain gestational age, such as 32 weeks or later. It is crucial to understand the level of care provided by the NICU and whether they have the necessary expertise and equipment to handle various scenarios.
If you are at high risk for preterm birth or other complications, choosing a hospital with a NICU can be crucial. The presence of a NICU ensures that your baby will receive immediate specialized care if needed. Inquire about the NICU's capabilities, such as their success rates, the availability of medical personnel, and the types of conditions they commonly treat.
Additionally, consider the support services offered by the NICU. Ask about parent support groups, lactation consultants, social workers, and other resources that can provide emotional and practical support during what can be a challenging time.
Furthermore, understand the visitation policies of the NICU. While parents are typically allowed access to their babies in the NICU, there may be restrictions on other family members and visitors, especially during a pandemic. Inquire about any specific guidelines, such as the requirement to wear hospital gowns, masks, or gloves when visiting your baby in the NICU.
By considering the availability and capabilities of a NICU, you can make an informed decision about the hospital that best suits your needs and ensures the best possible care for your newborn.
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Frequently asked questions
Here are some key factors to consider:
- The hospital's safety measures and policies, especially during the pandemic.
- The hospital's C-section rates and whether they align with your preferences for vaginal birth or C-section.
- The availability of a Neonatal Intensive Care Unit (NICU), especially if there is a risk of preterm birth or complications.
- The hospital's policies on birth support partners and pain relief options.
- The qualifications and expertise of the medical staff, including board-certified OB/GYNs and anesthesiologists.
- The hospital's location and convenience, including the travel time from your home.
- The hospital's amenities and additional services, such as lactation consultants, childbirth education, and prenatal classes.
In most cases, you will deliver your baby at the hospital where your doctor or midwife has admitting privileges. Therefore, choosing a specific doctor or midwife may determine the hospital where you will give birth. If you prefer a particular hospital or birthing center, you may need to switch providers if your current one does not have privileges there.
Hospital births are generally recommended for high-risk pregnancies or first-time births. Hospitals offer specialized care and immediate access to medical specialists, reducing the risk of serious problems for the baby. While home births provide a more comfortable and relaxed setting, they may increase the risk of complications, especially for first-time births.
Start by asking your midwife or doctor about the options available in your area. You can also seek advice from friends and family members who have recently given birth. Join local moms' groups on social media platforms, such as Facebook, to seek recommendations and learn about others' experiences. Additionally, consider taking a hospital tour or viewing virtual tours offered by some hospitals on their websites.
