Handouts to Support your Birth Experience at Walnut Creek ... · Handouts to Support your Birth Experience at Walnut Creek or Antioch Medical Center 1. Complete the admitting form

Handouts to Support your Birth Experience at

Walnut Creek or Antioch Medical Center

1. Complete the admitting form to expedite your admission when you are in labor. You will want to drop this form off, or fax to the admitting office located at the hospital you will deliver.

• Walnut Creek Admitting Fax: (925) 295 - 4490

• Antioch Medical Center Admitting Fax: (925) 813 - 6971

2. Complete the prenatal questionnaire; on your delivery day, bring this form to give to your nurse.

3. Please read the other documents to support information needed for your journey through your delivery.

Admission Worksheet For Patient

Revised 6/2/09 Page 1

Dear Patient: To ensure accurate and complete admission information, please complete this form in its entirety and return it to the Admitting Department. As a Kaiser Permanente patient, you may have a hospital fee, deductible, co-payment, or co-insurance which you are required to pay at the time of admission. If you would prefer to make a payment in advance of your admission, please call or visit the Admitting Department. Thank you. Admission Date

Medical Record Number (MRN)

Last Name First Name Middle Initial

Social Security Number P

lease Provide Upon Admission

Male Female Other

Date of Birth Aliases

Address City State ZIP Country Work Phone Home Phone Mobile Phone E-Mail Address

Ethnicity Race American Indian/Alaska Native Asian Black/African American Hispanic/Latino Native Hawaiian/Other Pacific Islander

White

Other Unknown Decline to State

Religion Spiritual Need Visit Requested? Yes No

Marital Status Common Law Divorced Legally Separated

Married Other Registered Domestic Partner

Separated Single/Never Married Widowed

PA

TIE

NT

DE

MO

GR

AP

HIC

S

During your admission, we have your permission to disclose (check all applicable boxes):

Name

Condition

Location/Phone

Religion

No Information - Confidential Admit

Employer

Employment Status Full-time Not Employed On Active Military Duty

Part-time Retired Self-Employed

Student–full-time

Student–part-time

Address City State ZIP Country

EM

PLO

YE

R

O ccupation Phone



Name Address City State ZIP Country Home Phone Work Phone Mobile Phone Relationship to Patient Legal Guardian?

Yes No

Name A

ddress City State ZIP Country

EM

ER

GE

NC

Y C

ON

TA

CT

S

Home Phone Work Phone Mobile Phone Relationship to Patient Legal Guardian? Yes No

Do you have an Advance Health Care Directive? Do you have a Do Not Resuscitate form? Do you have a Physician Order for Life Sustaining Treatment?

Yes No Yes No Yes No

DO

CU

ME

NT

S

If yes, please provide copy(ies) to the Admitting Department prior to or upon admission.

Do you need an Interpreter? Yes No

Country of Birth

AD

DIT

ION

AL

INF

O

Preferred Spoken Language Preferred Written Language

Expected Delivery Date Patient’s Maiden Name

Newborn Information

Ethnicity Race American Indian/Alaska Native Asian Black/African American Hispanic/Latino Native Hawaiian/Other Pacific Islander

White Other Unknown Decline to State

LAB

OR

& D

ELI

VE

RY

PA

TIE

NT

S O

NLY

During your newborn’s admission, we have your permission to disclose (check all applicable boxes):

Name Condition Location/Phone Religion

No Information/ Confidential Admit



Guarantor Name

Relationship to Patient Male Female

Address City State ZIP Country Social Security Number Please Provide Upon Admission

Date of Birth

Home Phone Work Phone

Employer



Student–full-time Student–part-time


GU

AR

AN

TO

R

Occupation Phone

Subscriber Name Relationship to Patient Male Female

Address City State ZIP Country Social Security Number Please Provide Upon Admission

Date of Birth

Home Phone Work Phone

Subscriber Employer



Student–full-time Student–part-time


Occupation Phone

SU

BS

CR

IBE

R

Other Kaiser Region Coverage and Other Region Medical Record Number

Medicare HIC # Please Bring Card Upon Admission

Part A

Part B

Effective Date for Part A: Effective Date for Part B:

Medi-Cal BIC # Please Bring Card Upon Admission

Issue Date

Workers’ Compensation Claim #

Date of Injury/Illness

Workers’ Compensation Policy #

Other Commercial Insurance Group Number Insurance ID Number

CO

VE

RA

GE

Insurance Address

Insurance Phone Effective Date of Insurance

Coverage

Nurse midwives have long been a part of Kaiser Permanente’s efforts to ensure that you receive high quality healthcare. Certified nurse midwives are registered nurses who have advanced education and clinical training to provide a wide range of services for women, including caring for women during labor and delivering their babies.

Our nurse midwives deliver over half of the more than 4,000 babies born yearly at our Walnut Creek and Antioch Medical Centers. On our labor and delivery units, the nurse midwives and physicians work as a team to bring you the safest and most comprehensive care available.

Certified Nurse Midwives

Midwives Letter

Female Providers Letter

Department of Obstetrics and Gynecology Kaiser Foundation Hospitals The Permanente Medical Group, Inc. STATEMENT REGARDING ATTENDANCE BY FEMALE PROVIDERS Physicians, nurse midwives and other members of the Department of Obstetrics and Gynecology understand that some of our members have a very strong preference for female attendance during pregnancy, labor, and birth. We respect these feelings and will honor them whenever we can. However, we are not able to provide a guarantee that you will have a female provider at any or all times during the courses of your care. We carefully consider requests for a female provider, but our primary obligation is to provide members with a competent provider of medical care. We cannot assure you that you will be cared for by a person of a particular gender, such as a female. We are providing you this statement so that you will clearly know, far in advance of labor and birth, what we can and cannot provide. During labor and birth your care will be provided by nurses, nurse midwives doctors, and anesthesia providers. However, labor and birth are unpredictable and problems can arise suddenly, even if a woman has been healthy historically. In this situation it is essential to the well being of the baby and mother that care is provided by a doctor. About half of our obstetricians are male and half are female. This means that there is about one chance in two that you will have a male doctor available to care for you when you are in labor. We also have anesthesia providers, nurses, and pediatricians who are male, and again there is a significant chance that pediatric or anesthesia care will be given by a male provider, should the need arise.

Rev. 07/10 NB

Maternity Hospital Stay and Follow-up Care

Maternity Hospital Stay and Follow-up Care

Information for Kaiser Foundation Health Plan Members

Your Kaiser Foundation Health Plan Benefit: Your coverage through Kaiser Foundation Health Plan does not limit your hospital stay after delivery of your baby. Your Hospital Stay: After you have your baby, your physician or midwife will talk with you about length of your hospital stay, which will be based on what is needed for your recovery. Your Newborn’s Hospital Stay: After the birth of your baby, your pediatrician or nurse practitioner will talk to you about your baby’s hospital stay. The length of time that your baby stays in the hospital is based on what is needed to give your baby a healthy start. Unless there is a medical need, you and your baby will be discharged together. Your Follow-up Visits are available: Your coverage through Kaiser Foundation Health Plan includes all follow-up visits prescribed by your treating physician, nurse practitioner or midwife. Your Location of follow-up visits: Follow up visits will take place for you and your baby at the outpatient medical facility. Your physician, nurse practitioner or midwife will let you know when your visit will take place.

Rev. 06/12 NB

Your Birth Experience at Antioch and Walnut Creek Medical Centers

To view the video of the Antioch or Walnut Creek Medical Centers follow these steps on kp.org/mydoctor:

Type in your Provider’s name Click on “Search Directory”

Now on – “Home Page Search Results”

Click on Provider’s name

Next page - Your Provider’s page – “My Doctor Online”

Look to the Right for “Quick Links” or look

for “Show more Links”

Click on – “Your Birth Experience…” Next Page - Click on – Either Medical Center site

Next page – Enjoy viewing the video

Rev. 06/12 NB

Walnut Creek Medical Center Labor and Delivery & Mother Baby Unit

2nd floor Hospital South

# 2 on map (925) 295-5200

Parking Garage 24 hour Parking

Stork Parking 1 hour (3 spaces)

Emergency Parking Lobby

Labor & Delivery 2nd fl

Admission office 925-295-5101 Fax # 925-295-5186

** Preadmission Form for L/D: return to your Provider’s assist. For convenience, you may fax or call the Admission office if close to Due Date to complete the preadmission process prior to delivery. * Fill out the Anesthesia Questionnaire Form and Birth Plan - bring with you

NB WHC 1/12

What to bring to the Hospital

What Mom remembers to bring: Kaiser Medical card and ID Slippers Bathrobe – postpartum time Comfort measures – (i.e. Massager, music- CD

or dvd) remember it has to be battery operated Toiletries – postpartum time Leave purse and all valuables at home

What Support Person remembers to bring: Warmth – Something to keep you warm Comfort – couple extra pillows and maybe if the

chair is not comfortable something to rest on. Food – To keep you energized for the labor-

Remember nothing smelly (makes her nauseous), nothing crunchy (noise may irritate her) and very important something for your breath (may make her nauseous)

Photo Opt. – Make sure you have extra memory cards and batteries, camcorders need to be charged and only still pictures in C-sec. Suites

Extra set of Clothes – To feel refreshed

Remember all other comfort measures from your Healthy Beginnings newsletter # 7 or Childbirth class list (i.e. Birth ball etc)

Clothes and blanket for Baby - going home

HEALTH EDUCATION

E-Handout #7320-E (Revised 2-11) RL 10.3© 2008, The Permanente Medical Group, Inc. All rights reserved. Regional Health Education.

Page 1 of 5

Having a baby is sure to be one of the most exciting experiences of your life! As your due dateapproaches, you will have a lot on your mind. Some of your thoughts are likely to be “What will itfeel like to give birth to my baby?” “How will I handle the pain?”

Labor and DeliveryGiving birth is a process that includes both labor and delivery. Labor is the body’s way of preparingto give birth. Delivery is the birth of the baby, and also includes delivery of the placenta. Labor anddelivery can last from a few hours to more than 24 hours.

Almost all laboring women will feel some pain from the contractions of the uterus during labor.Most women will feel comfortable between contractions. Each labor is unique. The type, amount,and intensity of pain women report varies a great deal.

Preparing for childbirthChildbirth preparation classes teach you and your partner many skills that can help you managelabor and delivery. These classes also explore the range of physical and emotional changes that areusually a part of labor and birth. Many Kaiser Permanente facilities offer these classes. Class contenttypically includes: Tips for the laboring woman’s companion(s) – How the partner, spouse or other close

support person can best tell what the woman needs, how to “read” her body language, and thebest ways to respond to her during and in between contractions.

The benefits of posture changes – How labor is helped along by the mother trying differentpositions. Changing positions encourages labor to progress and increases the laboring woman’scomfort.

Ways to release tension – The kinds of touch and massage that are effective in releasingmuscular stress that can otherwise make contractions feel more intense than necessary.

The why’s and how’s of slow, deep breathing – This tool is the key to releasing tension,saving energy, and staying centered during contractions.

How to enhance the labor environment – Both at home and in the hospital, many mothersare helped a great deal by simple changes to the space in which they are laboring. Women canbenefit from dimmed lighting, pleasant and familiar smells, a warm bath or shower, and listeningto soothing music or nature sounds.

Women who have taken childbirth preparation classes are more prepared to manager their labor.However, taking childbirth classes does not mean that you have to deliver your baby without painmedication. Keep in mind that even if you use pain medication and take childbirth classes, it isunlikely that you will be totally pain-free during your whole labor. Rather, the goal is to learn themany ways you can manage what you may feel during your labor. It is also important to rememberthat the first part of labor usually happens while you are still at home. During this phase of labor,deep breathing, relaxation, and comfort strategies can help you to manage pain. Once admitted tothe hospital, medications are an option for most women. Many women can cope better knowingthat these choices are available.

Ways to Manage PainDuring Labor and Delivery

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Your Labor and Delivery teamYour doctor or nurse midwife in the Labor and Delivery Unit will help you decide whether or notto use pain medication during your labor and delivery.

In addition to the doctor or nurse midwife, a nurse anesthetist may be part of the team. Ananesthetist is a registered nurse who has completed a 2-3 year residency and usually has a Master’sdegree in anesthesia. An anesthetist is always scheduled and assigned to Labor and Delivery. Youmay also meet with an anesthesiologist. An anesthesiologist is a doctor who has completed specialtraining in anesthesia. Either specialist can give anesthesia to patients.

Choices for pain relief during labor and deliveryDecisions about pain medications during labor will be made with your preferences and comfort aswell as your baby’s safety in mind.For most normal (vaginal) deliveries, there are a number of choices for pain relief. All medicationshave pros and cons that you should think about so you can make informed decisions about whetherto use them.

There are 2 main types of pain medications that are used in labor and delivery. They are known as“analgesics” and “anesthetics.” Analgesics are medications that reduce pain without total loss of feeling or use of the muscles.

Analgesics can be given through a vein (in an IV) or by an injection directly into a muscle. Anesthetics block most pain. They also block most feeling and movement. The most common

type of anesthetics used in labor and delivery is epidural anesthesia. Anesthetics can beadministered as a local anesthetic (numbing a small area of the body), or as a regional anesthetic(numbing a large area of the body). Only rarely, general anesthetic is used so that the person iscompletely unconscious and pain-free.

Pros and cons of analgesics and anesthetics• Intravenous (IV) analgesics:

These medications are narcotics that help reduce pain and increase relaxation.

Pros: The feeling of pain is lessened (not eliminated) The woman is conscious The woman may easily proceed to epidural anesthesia if pain relief from analgesia is not

enough It can help with pain relief after childbirth

Cons: May cause the mother to become drowsy or have difficulty concentrating May reduce the mother’s memory of labor, and/or her baby’s birth May cause nausea or vomiting May not provide enough pain relief May slow the baby’s breathing if given close to delivery

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• Regional anesthesia or “blocks”

EPIDURAL BLOCK:An epidural injection may include an analgesic or an anesthetic type of medication. Anepidural can also be used during the birth. With an epidural, the medication is injectedthrough a very thin tube into the “epidural” space, which is a space near the spinal cord. Anepidural block takes away the most intense sensations of contractions, but women will stillfeel pressure. Usually, a thin plastic tube is left in place so that the medication can becontinually infused to keep the mother as comfortable as possible until the baby’s birth.

Pros: The woman is mostly pain-free from the waist down It can be used for hours The woman is awake and alert

Cons: It requires preparation that takes time (15-30 minutes) before pain relief is felt The woman will not be able to walk The woman will need a catheter to remove urine from her bladder It will probably make the second part of labor (from the time the cervix is completely

dilated until the baby is delivered) take longer It may increase need for instrument (forceps for vacuum) or surgical (cesarean) delivery There is a small risk of headache that may need treatment It can cause a drop in blood pressure that may require treatment

SPINAL BLOCK:A spinal block is similar to an epidural injection. It is usually only given for anesthesia beforea C-section. It is also given as an injection through a thin tube in the lower back. Instead ofbeing injected near the spinal cord, it is put directly into the area around the spinal cord andfluid.

Pros: Immediate pain relief from the waist down The woman remains awake and alert

Cons: It can be used only once during labor It works for a limited period of time (1-2 hours) The woman has no feeling and is not able to walk The woman needs a catheter to remove urine from her bladder There is a small risk of headache that may need treatment It can cause a drop in blood pressure that may require treatment

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It is important to know ahead of time that when epidural or spinal anesthetics are used, severaldifferent machines will be used to monitor you and your baby. The fetal heart rate, uterinecontractions, and the mother’s blood pressure are all watched closely. The mother’s blood oxygenlevel and heart rate are also monitored. These are normal safeguards when these anesthetics areused; it is not a sign that there is a problem with you or your baby.

What are my other choices for pain relief? Local anesthetics: A local anesthetic may be injected into the area of the vaginal opening. This

provides some pain relief during delivery. It is most often used if forceps for vacuum delivery or“episiotomy” is needed. An episiotomy is an incision sometimes made by the doctor or midwifein the area of the vaginal opening to enlarge it just before delivery. Local anesthetics do notaffect the sensations of a uterine contraction.

General anesthesia: General anesthesia is used for a very small number of surgical deliveries.General anesthesia makes you completely unconscious and pain-free. One drawback of generalanesthesia is that it may cause the baby to be quite drowsy after delivery. This can sometimesmake it hard for the baby to breathe well when it is born.

How will I know if I need medication during labor and delivery? Talk with your doctor, nurse midwife, or other medical professional about how you can get

ready for the experience of delivering your baby. Attend childbirth preparation classes to learn relaxation and breathing techniques. These can

help you manage the sensations of early labor while you are still at home as well as once you areadmitted to the hospital in more advanced labor.

Understand your options for pain medications. Share your ideas and preferences with your doctor or other medical professional.

Consider using the Kaiser Permanente Birth Plan to outline your preferences for your labor and birth.The Birth Plan helps a woman to shape the environment and the care she receives during herchildbirth experience. One section of the Birth Plan is devoted to helping the laboring woman relayhow she would like to be helped through her contractions – whether with or without painmedication. If you have a written Birth Plan, it can be especially useful in helping hospital staff knowhow you would like to manage your labor. Preparing in this way can help make the birth of yourbaby as rewarding and safe as possible. Ask your doctor for the Birth Plan form.

* * * * *Other resources Northern California members can view an interactive online program entitled “Pain Relief for

Childbirth” on their doctor's Home Page. Click on the “Prepare for Your Procedure orChildbirth” link on the left side of your doctor's Home Page at kp.org/mydoctor, then registerto view “Pain Relief for Childbirth.”

Connect to our Web site at kp.org to access health and drug encyclopedias, interactiveprograms, health classes, and much more.

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Contact your Kaiser Permanente Health Education Center or Department for healthinformation, programs, and other resources.

American College of Obstetricians and Gynecologists (ACOG): acog.org American College of Nurse-Midwives: midwife.org Your health and your baby’s health during pregnancy can be seriously affected by violence or

abuse. If you are hit, hurt or threatened by a partner or spouse, there is help. Call the NationalDomestic Violence Hotline at 1-800-799-7233 or connect to ndvh.org.

This information is not intended to diagnose health problems or to take the place ofmedical advice or care you receive from your physician or other health care professional.If you have persistent health problems, or if you have additional questions, pleaseconsult with your doctor.

permit expires: permit expires:

Limited to 1 hour parking in designated parking spotsfor drop off and pick-up only.

Limited to 1 hour parking in designated parking spots.For pick-up and delivery only.

Park in Emergency room parking lot off South Main. Enter hospital through main entrance. Take elevators on the left up to the second floor. Turn right out of eleva-tors and right in hallway. Follow signs to Labor and Delivery.

Permit to be placed on vehicle dashboard

Antioch Medical Center4501 Sand Creek Road

Labor & Delivery Phone Number:

(925) 813-6820

Permit to be placed on vehicle dashboard

Walnut Creek Medical Center1425 S. Main Street

Labor & Delivery Phone Number:

(925) 295-5200

You are welcome to park in the designated Stork Parking Spaces. These spaces are located just as you enter the traffic circle in front of the hospital. As you enter the hospital through the glass rotunda, use the elevators straight in front of you. Take them to the third floor and exit left. Continue all the way down the hallway and Labor and Delivery is on your left.

Documents

Handouts to Support your Birth Experience at Walnut Creek ... · Handouts to Support your Birth Experience at Walnut Creek or Antioch Medical Center 1. Complete the admitting form