Hospital Information Pre-registration Mercy Medical Center – 330.489.1301 Labor and Delivery – 330.489.1039 www.cantonmercy.org Aultman Hospital – 330.452.6724 Labor and Delivery – 330.438.7400 www.aultman.org Infant Car Seats You will need a suitable car seat to bring your newborn home from the hospital. Plan to install it well in advance – it can be tricky! Carefully read the car seat instructions as well as what your vehicle owner’s manual says about child passenger safety. In addition, we recommend that you have your installation checked by a certified Child Passenger Safety Technician. Unit Location Mercy – 2nd floor Aultman – 4th floor Who to Call and Where to Go When you suspect you are in labor, call your provider and they will assess you. If it is after hours, call the office and the on-call provider will contact you. If you feel you or your baby are in danger call 911. What to Bring to the Hospital When you arrive at the hospital you will only need to bring in a small bag containing your labor supplies. Please leave all other luggage in the car. These other items can be retrieved after the birth. Please leave all valuables at home. If you are in labor after 7 pm, please proceed to the emergency room - the main entrance will be locked. The emergency room staff will transport you to Labor and Delivery. Hospital Information 2 LABOR AND DELIVERY SUPPLIES FOR MOM • Contact lens case and solution, eyeglasses • Baby book for footprints •Socks • Hairbrush, hair clips or scrunchies • Toothbrush and toothpaste • Your choice of music to labor with • Birth ball and/or other labor aids • Lip moisturizer • Lotion or powder for massage • Slippers or comfortable shoes •Camera • Pillows, if you want more than 2 FOR SUPPORT PERSON • Comfortable clothes • Sweatshirt, in case mom wants to labor in cool room • Low-odor snacks and drinks POSTPARTUM SUPPLIES FOR MOM •Sleepwear • Shoes or slippers to wear around the hospital • Nursing bra • Nursing pads • Toiletries (sanitary pads will be provided) • Maternity outfit for the trip home FOR SUPPORT PERSON • Pajamas or loose-fitting clothes for sleeping • Shoes or slippers to wear around the hospital •Toiletries • Clothes for the 2 to 3 day stay FOR BABY • One laundered outfit and several baby blankets for the trip home • Car seat Hospital Information 3 Selecting Your Pediatrician Your labor nurse will ask you for the name of your pediatrician. It is wise to choose a pediatrician at least a month before your due date. Infant Security (suggested ideas) Our program includes the following: • ID bands are placed on baby, mother and mother’s chosen support person immediately after birth. The numbers on these bands must be matched every time the infant is given to the parents. • When outside their mother’s room or the nursery, all infants must be transported in the rolling cribs. Infants are never to be carried in arms in the corridors. • Infants are never to be left without supervision or a responsible adult. • Entry doors to all nurseries are locked at all times. • An electronic alarm system monitors babies’ locations within the hospital. Postpartum Care and Postpartum Depression Our goal is safety for you and your baby at all times! Infant Security Precautions Immediately after birth your baby will be given a security band that fits around his/her leg. It will remain on until you and baby are discharged home. This is for the safety of you and your newborn. While you are in the hospital: • Never leave an infant unattended, even in your hospital room • If you are alone in your room with your baby and must use the bathroom, leave the door to the bathroom open where you can see your baby • Know the name and job titles of infant caregivers • Never release the baby to anyone not wearing the proper colored hospital ID badge • Report any suspicious person or activity immediately to your nurse • Transport the baby in the bassinet • If you have to leave the unit for any reason, please notify your nurse The ABC’s of Infant Safe Sleeping LEARN THE ABC’S OF SAFE SLEEPING. IT COULD SAVE YOUR BABY’S LIFE. A for Alone • Put baby to sleep alone in their own crib or bassinet. • Don’t put baby to bed with other children or adults. • Keep all soft items out of the crib or bassinet. • Use blanket sleepers/sleep sacks instead of heavy blankets. B for Back • Put babies to sleep on their back. • “Back to Sleep” is safest for babies. • “Back to Sleep” will not increase a baby’s risk of choking. Postpartum Care and Postpartum Depression 2 C for Crib • Cribs and bassinets are the safest places for babies. • Cribs should be free of pillows, bumpers, stuffed toys, and blankets. • Always return your baby to their crib after nursing. • To make nursing easier, keep a crib or bassinet next to your bed. More Information: www.cdc.gov/sids, www.aap.org Hearing Screening Your baby’s hearing will be tested by a hearing specialist which is called an audiologist prior to discharge. The audiologist will be available to answer any questions you may have regarding the hearing screening. Newborn Screening (PKU) The state of Ohio requires that your baby be tested for rare metabolic disorders. A blood test will be drawn after 24 hours of life and prior to the baby being discharged home. The test is mailed to the state and the results will be sent to the baby’s pediatric healthcare provider. Jaundice Sometimes after birth a baby will have jaundice which is due to the baby’s increase number of red blood cells. Jaundice is not harmful and will usually not need treatment. Your baby will be tested each morning with a noninvasive monitor to let us know what the level is. Very few babies need treatment and it can be done at your bedside with ultraviolet light, if needed. Circumcision Circumcision is the removal of foreskin that surrounds the head of the penis. This is usually done by your OB physician after your consent. Ask your physician for more details and to explain the procedure. This is usually done the day of discharge prior to going home. Birth Certificate The birth certificate representative will come to your room and have you complete the mother’s worksheet. Please be sure to complete prior to discharge and turn in to a birth certificate representative or nurse. Any other questions will be addressed when you complete your mother’s worksheet. Postpartum Care and Postpartum Depression 3 Discharge Information You will be discharged from the hospital when your healthcare provider and the provider caring for your child feels you are medically ready. The typical hospital stay for a vaginal delivery is 24-48 hours. The typical hospital stay for a cesarean delivery is 48-96 hours. These times will vary depending on your health and that of your baby. At the time of discharge, the discharge nurse will go over instructions for both you and your baby. These instructions will be printed out for you to refer to once at home. Postpartum Depression What is postpartum depression? Women with postpartum depression have such strong feelings of sadness, anxiety, or despair that they have trouble coping with their daily tasks. Without treatment, postpartum depression may become worse or may last longer. Education Postpartum depression is more likely to happen in women who lack the support of a partner or who have had: You will be instructed on your care • Postpartum depression before and that of your newborn during • A psychiatric illness your hospital stay. Please feel free • Recent stress, such as losing a loved one, family illness, or moving to a new city. to ask questions if you need more guidance in any area. We want you to Signs of postpartum depression be equipped with the resources you • The baby blues don’t go away after 2 weeks. need. • Strong feelings of depression and anger come 1-2 months of childbirth. • Feelings of sadness, doubt, guilt or helplessness seem to increase each week and get in the way of normal functions. • Mother is not able to care for herself or her baby. • Has trouble doing tasks at home or on the job. • Appetite changes. • Things that used to bring pleasure no longer do. • Concern and worry about the baby are too intense, or interest in the baby is lacking. • Anxiety or panic attacks occur. She may be afraid to be left alone in the house with the baby. • Fears harming the baby. These feelings are almost never acted on by women with postpartum depression, but they can be scary. These feelings may lead to guilt, which makes the depression worse. • Has thoughts of self-harm, maybe even suicide. A new mother having any of these signs should take steps right away to get help. Postpartum Care and Postpartum Depression 4 What to do if you have signs or symptoms of postpartum depression If you are feeling depressed after the birth of your child, there are some things you can do to take care of yourself and your baby: • Get plenty of rest. Don’t try to do it all. Try to nap when the baby naps. • Ask for help from family and friends, especially if you have other children. Have your partner help with feedings at night. • Take special care of yourself. Shower and dress each day and get out of the house. Get a baby sitter or take the baby with you. Go for a walk, meet with a friend and talk with new mothers. • Contact provider and/or support groups. Pertussis Vaccine It is recommended that pregnancy patients get the Tdap vaccine during pregnancy or as soon as possible after delivery. These vaccines provide protection against pertussis (whooping cough), tetanus and diphtheria. If vaccination is needed during pregnancy, Td usually is preferred over Tdap. Check with your doctor. More Information: www.odh.ohio.gov/features/odhfeatures/pertussis.aspx Car Seat Guidelines Every state requires that Proper Installation of Your Baby’s Car Seat Basic Guidelines infants and children Using a car safety seat correctly can help prevent injuries to your infant. The biggest ride buckled up. gift in the box. Many new dads come to the hospital with it STILL IN THE BOX for the mistake new parents make is keeping the new car seat they received as a shower nurses to help put it in the car. THEY WON’T. It is your responsibility to know the proper installation of your baby’s car seat. Go to a car seat safety class at your hospital or clinic. If they do not offer this class, check with your car dealership to see if they can guide you to a class. The National Highway and Traffic Safety website, www.nhtsa.dot.gov, has child safety inspection station locations. Take the time to know how important it is for proper installation of the seat, harnesses and buckles, and how to position them. Car seats can be hard to install and use correctly without instruction and help. It is a good idea to practice installing and adjusting the car seat before the birth of your baby. If you have trouble at first, you have time to practice and get the proper help that you need. A baby needs a safety car seat from the moment he takes his very first ride home from the hospital. Although you may feel like it is safer to hold your baby in your arms, IT IS NOT! An infant car seat should state that it complies with the Federal Vehicle Safety Standard 213. The AAP recommends children ride facing the rear of the vehicle until they reach their second birthday as long as they do not exceed the height and weight limit of the seat. This is to promote continued head and neck safety in the event of a crash. The AAP also recommends children continue to ride on a booster safety seat until they reach 4 feet 9 inches. This is to maintain proper placement of a seatbelt and decrease the risk of internal organ damage in the event of a crash. Car Seat Guidelines 2 The “best” car safety seat is one that fits your newborn and can be set up the right way for your car. You must use it EVERY time you take your baby in the car. It does not matter if it is the most expensive… if it is not installed properly, it may not protect your baby. Take the time to review the following points and remember take a minute to check and be sure: • An infant in a rear-facing seat should not be used in front of an active airbag. • The safest place is in the middle of the back seat (depending on the car). Using a car seat correctly makes all the difference in the world. • Infants should remain rear facing to the upper limits of their infant car seat, graduate into a convertible seat and continue facing rearward until the age of 2. This will keep your children five times safer. Infant-only seats may come with more than one harness slot. They allow room for your baby to grow. In the rear-facing position, the harness usually should be in the slots at or below your baby’s shoulders. Check the car safety seat manufacturer’s instructions to be sure. What are the basic guidelines for proper safety seat use? Using your infant car seat correctly: • Tightly install a child seat in the back seat, facing the rear. The infant seat should not move more than an inch side-to-side at the seat belt pathway. • Infant seat should recline at approximately a 45-degree angle. • Harness straps/slots at or below shoulder level (lower set of slots for most convertible child safety seats). • Harnesses should be a snug fit. • Be careful about attaching toys to harness straps or using mobiles to keep the infant occupied. The addition of hard objects is not recommended as they can injure the child in the event of a crash or sudden stop. Car Seat Guidelines 3 Are You Using a Second-Hand Car Safety Seat? Know the history of a hand-medown! Even if there was a car crash at 5 miles per hour, a child car seat should not be used again. Double-Check Everything! A new car safety seat is best. However, if you must get a used seat, shop very carefully. To tell if a used car safety seat is safe, keep the following points in mind: Do not use a car safety seat that... • Is too old. Look on the label for the date it was made. If it is more than 5 years old, it should not be used. Some manufacturers recommend that car safety seats only be used for 5-6 years. Check with the manufacturer to find out how long the company recommends using their seat. • Was in a crash. It may have been weakened and should not be used, even if it looks fine. Do not use a car safety seat if you do not know its full history. • Does not have a label with the date of manufacture and seat name or model number. Without these, you cannot check on recalls. • Does not come with instructions. You need to know how to use the car safety seat. Do not rely on the former owner’s directions. Get a copy of the instruction manual from the manufacturer before you use the seat. • Has any cracks in the frame of the seat. • Is missing parts. Used car safety seats often come without important parts. Check with the manufacturer to make sure you can get the right parts. Has the Car Safety Seat Been Recalled? • You can find out by calling the manufacturer or the Auto Safety Hot Line at 1-888/DASH-2-DOT (1-888/327-4236), from 8:00 am to 10:00 pm ET, Monday through Friday. • If the infant car seat has been recalled, follow the instructions to fix it or return it. • Another good resource is NHTSA at www.nhtsa.dot.gov. • Get a registration card for future recall notices for your model. • Send in your registration card. Shopping Carts You will find that infant-only car safety seats lock into shopping carts, but please DO NOT DO THIS. Although infant seats may help prevent falls from shopping carts, injuries may occur if the cart tips over. The weight of an infant alone in a car seat placed high in a shopping cart makes the cart top-heavy and more likely to tip over. You will find built-in infant seats in some stores’ shopping carts. These, too, have been known to tip over. Instead, consider using a stroller while shopping with young infants. Car Seat Guidelines 4 A REVIEW Basics of Car Safety Seat Use • Always use a car safety seat, starting with your baby’s first ride home from the hospital, and always use your own seat belt. Help your child form a lifelong habit of buckling up. • Read the car safety seat manufacturer’s instructions and always keep them with the car safety seat. • Read your vehicle owner’s manual for important information on how to install the car safety seat correctly in your vehicle. • The safest place for all children to ride is in the back seat. • Never place a child in a rear-facing car safety seat in the front seat of a vehicle that has an active passenger airbag. Be a Good Example to your children... always buckle up!