The BirthPlace, Westwood at Ronald Reagan UCLA Medical Center 757 Westwood Plaza, Los Angeles, CA 90095 Main Operator – Hospital Information (310) 825-9111 Emergency Department (310) 825-2111 it begins with U The BirthPlace W E S T W O O D After Baby Arrives We want parents and baby to begin life as a new family as soon as possible after delivery. To help the bonding process and to make sure you have the support you need, we keep you and your baby together in the same room throughout your hospital stay and assign one nurse to care for you both. The Golden Hour Skin Contact The first hour of your baby’s life is golden. No matter how much you plan for your baby’s arrival, nothing can prepare you for the momentous transitions birth brings. The BirthPlace, Westwood helps make these transitions as gentle as possible by giving you, your partner and your newborn a Golden Hour to come together for the first time as a family. If you cannot have bonding time with your baby immediately after birth for medical reasons, you can start your Golden Hour whenever you and your baby are ready. Mother’s chest is the best place for baby to adjust to life in the outside world. When their skin touches, the brains of both mother and child are flooded with brain chemicals that promote a feeling of well-being. Newborns who have skin-to-skin contact with their mothers cry less, sleep more and are less irritable than babies who are swaddled. Skin contact not only soothes babies and helps regulate their heartbeat and breath, it also helps the mother by reducing her stress and helping her milk come in. Because it is such an important part of the mother-child bonding process, skin contact should continue through the first few weeks of your baby’s life. Monitoring Mother Your blood pressure will be monitored throughout your delivery and once you have given birth, you may receive a uterine massage to help control blood loss. Once you are stable, you may initiate baby’s first breastfeeding. When you are ready, you will be moved to the Maternity Unit, which features private rooms with private showers. First Breastfeeding Because a baby’s urge to seek the breast is strongest immediately following birth, the Golden Hour is an ideal time for your baby’s first breastfeeding. While some women may choose to bottle feed instead, The BirthPlace, Westwood strongly encourages new mothers to try breastfeeding. Studies show that colostrum, the fluid that precedes breast milk, conveys significant protective factors to your baby, even if you choose to bottle feed later. it begins with U The BirthPlace W E S T W O O D Educational Program Many moms-to-be feel excited but somewhat anxious as baby’s due date approaches. We offer a comprehensive educational program to help improve your birthing experience and to ease your transition to parenthood. All of our prenatal and postpartum classes are available at UCLA Medical Center, Santa Monica, and are designed for mothers delivering at either our Westwood or Santa Monica hospital. Topics include childbirth preparation, breastfeeding, baby care, infant CPR and safety and parenting support. Classes are open to you, your partner or support person, grandparents and other relatives. To register for all classes or to receive additional information, please call (424) 259-8250. Breastfeeding Class Childbirth Preparation Third Wednesday of every month, excluding holidays. 6:30 a.m. to 9:30 p.m. / $60 per couple Tuesdays 6:50 p.m. to 9:30 p.m. (3 sessions) or Wednesdays 7:00 p.m. to 9:00 p.m. (4 sessions) Saturdays 1:00 p.m. to 5:00 p.m. Sundays 9:30 a.m. to 1:30 p.m. $145 per couple for weekday classes $155 per couple for weekend classes Health professionals agree that breastfeeding newborns is healthier than bottle-feeding. Many new moms opt to breastfeed because it helps foster bonds between them and their newborns. Taught by certified lactation specialists, this class will help you master this important skill. Topics covered include breast physiology, nutrition, nipple care, breast pump brands and usage, nursing equipment and information about breast milk storage. We encourage partners to attend because those who understand breastfeeding concepts and techniques provide better support and understanding. We recommend you take this class during your last trimester of pregnancy. This eight-hour course (three evenings, four evenings or two weekend afternoons) provides an overview of the labor and delivery process, including beginning labor, the different stages of labor, when to leave for the hospital and what to expect throughout the birthing experience. The course features discussion and practice of pain and stress management techniques (breathing, relaxation, positioning, attention-focusing), along with helpful comfort measures. Labor partners are taught proven strategies for physical and emotional support. Medication options, medical intervention and Cesarean births are also covered. If you register for the breastfeeding class at the same time, a discount is provided. A Childbirth Preparation refresher course is also available for people who have already had a baby. Due to high demand, you should register three to four months before your due date. Bradley Childbirth Mondays 7:00 p.m. to 9:00 p.m. / $200 per couple This eight-week class will introduce you to the Bradley method, which actively promotes natural childbirth. Participants work with their bodies using natural breathing and deep relaxation techniques during labor. Our Bradley class emphasizes being an informed consumer and stresses positive communication with your team. Topics covered include exercise, nutrition, breastfeeding, newborn care and consumer issues. Several birth fi lms are shown. We encourage couples to take this course at the beginning of their second trimester of pregnancy. A Bradley refresher course is also available. it begins with U The BirthPlace W E S T W O O D Infant Security UCLA Health System diligently enforces strict security measures to protect your baby’s physical safety from unlikely events such as abduction. Please familiarize yourself with the following precautionary measures that the medical center and its Perinatal Unit have in place to secure your newborn’s safety. Staff Identification All hospital personnel must prominently display a UCLA Health System identification badge. Th is badge shows the authorized staff member’s name, title and department. Perinatal staff badges will include a pink stripe. If you are unsure about a staff member, please ask a nurse to verify the person’s identity. Baby Bracelets and Security Tags As soon as your baby is delivered, two bracelets will be placed on your baby’s wrist or ankles. The bracelets are marked with a five-digit code, your baby’s sex, birth date and time, and the mother’s name. For further identification verification, you and your partner will also each receive a bracelet with the same information as listed on your baby’s bracelet. Your bracelet and your baby’s bracelet will be matched and verified throughout your stay and upon leaving the hospital. In addition, an electronic security tag is attached to your baby’s umbilical cord clamp, which contains an electronic security sensor. This will activate an audible alarm if the baby is taken out of the Perinatal Unit. A hospital-wide system is in place to respond to this alarm. Babies in the Neonatal Intensive Care Unit (NICU) are continuously monitored by the NICU staff and will receive an electronic security tag when they leave the NICU and arrive in the Nursery. Baby Photos For security reasons, a nurse will photograph your baby shortly after his or her birth. This digital photograph will be deleted upon discharge from the hospital. For more details, please contact your nurse. Video Surveillance Certain areas of the hospital, including the Perinatal Unit, exits, stairways, elevators and hallways are under 24-hour videotape surveillance. Transporting Your Baby All babies are transported in their cribs. Staff members may not carry babies out of the rooms in their arms. Please stop anyone who tries to do so or contact your nurse immediately. Walking in the Halls or Leaving Your Room You are welcome to stroll with your baby in our unit hallways; however, the baby must remain in his or her bassinet. Please remember that your baby’s umbilical cord clamp may accidentally sound the alarms located at the exits. If this happens, a staff member will question you to verify your identity. We request that you not leave your baby unattended at any time, even when you use the bathroom or shower in your room. If a family member is not available to watch your infant, please close the door to your room or you may request your nurse watch your baby in the meantime. If you have any questions, please ask your labor or postpartum nurse. it begins with U The BirthPlace W E S T W O O D Parking and Campus Directory Where We Are Driving Directions The BirthPlace, Westwood at Ronald Reagan UCLA Medical Center 757 Westwood Plaza Los Angeles, CA 90095 From the San Diego Freeway (405): From the north, exit Wilshire East; or from the south, exit Wilshire Westwood. At the third traffic light, turn left on Westwood Blvd. Proceed across Le Conte Avenue and at the next light, Medical Plaza Drive, turn left and follow the ramp down to the parking lot below. Additional entrance is found north of Le Conte Avenue on Gayley Avenue, two blocks west of Westwood Plaza. Obstetrics and Gynecology Hospital Information Patient Information Emergency Department Information Desk (First Floor) (310) 794-7274 (310) 825-9111 (310) 825-8611 (310) 825-2111 (310) 267-9119 Parking Booth Hours: Mon-Fri 5:30 a.m. – 6:00 p.m. Short-Term Parking The daily single-entry parking fee is a flat rate of $11. Daily single entry with disabled person’s placard/ license plate is $3. You can pay at the pay station, the discharge lobby pay station or the parking cashier at the exit on level P. (Rates subject to change without notice.) Long-Term Parking The 24-hour parking fee is $20 with in-and-out privileges. Parking fees with disabled person’s parking placard is $7 with in-and-out privileges. Please show your disabled person’s placard to the valet attendant. From Los Angeles International Airport (LAX): Take the San Diego Freeway northbound to Wilshire Blvd. East, and proceed as previously described. From the East via the 10 (Santa Monica Freeway): Take 10 (Santa Monica Freeway) East to 405 (San Diego Freeway) North, and exit on Wilshire Blvd. East. Proceed on route as previously described. it begins with U The BirthPlace W E S T W O O D Patient Rights and Responsibilities As a patient at The BirthPlace, Westwood, you are entitled to certain rights regarding privacy, patient safety, advance directives and other issues. You also have some responsibilities while receiving care at our hospital. Patient Rights You have many rights as a patient in accordance with requirements of the Joint Commission on Accreditation of Healthcare Organizations; Title 22, California Code of Regulations, Section 70707: and Medicare Conditions of Participation. They are posted throughout the hospital and available online and upon request from the Admissions Department. They are also described at the end of this document for your convenience. Patient Responsibilities As a patient, you have the responsibility to: • Treat those who are treating you with respect and courtesy. • Be considerate of the rights of other patients and hospital personnel. • Observe the medical center’s rules and regulations, including the Visitor and No Smoking policies. • Be as accurate and complete as possible when providing information about your medical history and present condition, including your level of pain. • Cooperate fully with the instructions given to you by those providing your care. • Fulfi ll the financial obligations of your health care, know your insurance benefits and eligibility requirements, and inform the hospital of changes in your benefits. • Provide a copy of your Advance Directive (Durable Power of Attorney for Healthcare) if you have one. Infant Safety and Security For the safety of your baby, you and the baby’s father or your support person will be given identification bracelets to wear during your stay. Please wear the bracelets until you and your baby are discharged. The bracelet is one component of a comprehensive Infant Security System in place at The BirthPlace, Westwood. All hospital personnel who care for you and your baby should be wearing a UCLA Health System badge. If someone is not wearing a badge, ask for identification or call your nurse. Please do not leave your baby unattended in your room. If you are alone and need to shower or use the restroom, call your nurse for assistance. Always make sure your baby is being transported in a bassinet. Carrying your baby in the hallways is not permitted. Child Passenger Safety Law California law requires that all children be restrained in a federally approved car seat when traveling by automobile. The law remains in effect until the child is age 6 and weighs at least 60 pounds. You must have an infant car seat to transport your baby home. Remember that all babies under 1 year of age must be secured in a car seat facing backward in the back seat for at least one year but preferably two, on recommendations by safety experts. it begins with U The BirthPlace W E S T W O O D Screenings and Vaccinations Families choose to bring their babies into the world at Ronald Reagan UCLA Medical Center because they know we provide the highest-quality care, tailored to their individual needs, in a safe and supportive environment. That care for you and your baby’s health doesn’t end after delivery. To make sure your family stays healthy, we offer important health screens and vaccines to babies and their mothers. Keeping Your Baby Healthy For the sake of your baby’s health, your newborn will receive several tests and vaccinations — some of them required by the state of California — following birth. All babies are screened, even if they look healthy, in order to check for a number of potentially serious conditions, some of which can be lifethreatening. Discovering these conditions soon after birth can save a baby’s life or help prevent serious problems, such as brain damage. Parents may refuse any of these tests for their babies. If they refuse the state-mandated Newborn Screening Test, they must submit a signed waiver to the state of California indicating they are aware of the risks. Newborn Screens/Vaccines To make sure your baby is healthy and stays healthy, The Birth Place, Westwood provides all newborns with a state-mandated Newborn Screening Test and several other recommended tests and vaccines before they leave the hospital. A single heel prick provides blood for two of the tests, while other painless tests check your baby’s hearing and oxygen levels. Because newborns are vulnerable to infections, we also offer several vaccines to you and your newborn to protect you both against certain infectious diseases. Parents may refuse any of these tests or vaccines. Tests for Your Baby 1. California Newborn Screening Test This is a blood test to check newborns for a number of metabolic abnormalities, including phenylketonuria (PKU), hypothyroidism, and cystic fibrosis. This state-required test is administered through a small prick to the heel. The blood sample is sent to a newborn screening lab for testing. If parents refuse to have their baby undergo the state-mandated Newborn Screening Test, they must submit a signed waiver to the state of California indicating they are aware of the risks. 2. Newborn Hearing Screen The state also requires newborns to undergo a hearing test that checks the brain’s response to sound. For this test, a sensor is placed on the baby’s head to monitor brain wave activity while the baby listens to a series of soft tones through a pair of headphones. This quick and painless test can be done while the baby sleeps. 3. Pulse Oximetry This safe and painless test helps to detect certain types of congenital heart disease that might otherwise not be discovered before leaving the hospital. Early detection improves treatment results and can prevent death. The test can also reveal other treatable conditions, such as pneumonia. The test measures the level of oxygen in the baby’s blood, using a sensor that is gently wrapped around the baby’s hand and foot for a few minutes. 4. Bilirubin Check Bilirubin, a by-product of the recycling of red blood cells, is excreted by the liver into the bile, and leaves the body via the stool. Before birth, the bilirubin made by the fetus crosses the placenta and is excreted by the mother. After birth, it takes a few days for the baby to turn on the mechanisms in the liver that allow the baby to excrete bilirubin efficiently. During that time, the level of bilirubin in the baby’s blood rises. This is a normal process, and occurs in all babies to some extent. If the bilirubin level is high enough, it produces a yellow-orange color of the skin, which is called jaundice. Jaundice in babies is very common, and normally does not cause any problems. However, in some babies, the bilirubin can rise to extremely high levels and cause permanent brain injury. Safe and effective treatment is available to Planning for Your Child’s Birth Delivery Baby Care Plan I would like the following people present with me during delivery: Feeding the Baby ——————————————————————————————————— ——————————————————————————————————— I would like to (check one): F Breastfeed exclusively F Bottle feed F Combine breastfeeding and bottle feeding F Unless it needs to be done to ensure my baby’s safety, I would prefer not to have an episiotomy. Circumcision F I have made prior arrangements for storing umbilical cord blood. F For a vaginal birth, I would like (choose as many as you wish): F To use a mirror to see the baby’s birth. F My labor coach to help support me during the pushing stage. F For the room to be as quiet as possible. F For one of my support persons to cut the umbilical cord. F For the lights to be dimmed. F For my baby to be put directly onto my abdomen after delivery (unless my baby’s condition requires immediate medical intervention). If my baby is a boy, I would like my baby circumcised at the hospital or birthing center. Cultural or Religious Preferences F Yes F No If yes, please specify: ——————————————————————————————————— ——————————————————————————————————— ——————————————————————————————————— After Delivery F I would like to begin skin-to-skin as soon as possible after birth to promote attachment and successful breastfeeding. In the event of a Cesarean delivery, I would like the following person(s) to be present with me: ——————————————————————————————————— ——————————————————————————————————— F I would like to see my baby before he or she is given eye drops. F I would like one of my support persons to hold the baby after delivery if I am unable to. ———————————————————————————————————Patient Name (Print) ———————————————————————————————————Patient Signature ———————————————————————————————————Date/Time The BirthPlace it begins with U W E S T W O O D Planning for Your Child’s Birth We know you have many choices in deciding where to give birth to your child and thank you for considering Ronald Reagan UCLA Medical Center, which is consistently ranked among the finest hospitals in the United States. By choosing us, you can rest assured you and your baby will receive the excellent and personalized care you want with the technology and safety you need. Pre-Admission Registration Choosing a Pediatrician Financial Information When a woman in labor is ready to give birth, she doesn’t need the additional stress of fi lling out insurance and hospital registration forms. That’s why The BirthPlace, Westwood offers pre-admission registration to expectant mothers. If you have a UCLA Medical Record Number (MRN), you are already preregistered and only need to tell the Admissions office your due date. Obstetricians who work in clinics or private offices affi liated with UCLA usually submit Pre-Admission Registration forms for their patients, but you can also preregister yourself if your obstetrician does not offer this service. In the first year of your baby’s life, you will visit the pediatrician for well-baby visits at least six times, so it’s important you choose a doctor you trust and like. UCLA Health System makes the decision easy by providing you with convenient access to dozens of top-quality physicians in your neighborhood. For a list of UCLA pediatricians near you, go to www.uclahealth.org or call (800)825-2631. Most UCLA pediatricians offer a getting-to-know-you visit to help you learn more about them. Some items to discuss with your prospective pediatrician include breastfeeding versus bottle-feeding, circumcision, newborn screenings and hearing tests, examinations and vaccinations. The cost of having a baby at The BirthPlace, Westwood varies according to your insurance coverage, the type of delivery and your length of stay. We suggest you talk to your insurance company about your coverage and then speak with one of our financial counselors. They can answer your questions and provide more detailed information about accepted insurance plans and any other charges you may incur. If you do not have a UCLA MRN, please fill out a Pre-Admission Registration form as soon as possible during your pregnancy. Forms are available in the Admissions office on the first floor of Ronald Reagan UCLA Medical Center. When labor begins and your doctor instructs you to come to our hospital, you can go directly to our Labor and Delivery Unit on the fift h floor. Please remember to bring your insurance card and some form of identification, such as a driver’s license. We strongly encourage you to choose your baby’s pediatrician before you are admitted for delivery and request that you provide us with the doctor’s name, address and phone number so we can forward all test results to his or her office. Please be advised that every baby delivered at The BirthPlace, Westwood is seen by a neonatologist, a pediatrician with extra training to care for sick babies. If you also want your pediatrician to visit your newborn at the hospital, you will need to make those arrangements yourself. Preparing for Your Hospital Stay Notes The BirthPlace it begins with U W E S T W O O D Preparing for Your Hospital Stay We are proud to be your partner in this exciting moment in your family’s life. Our goal is to offer the highest-quality care in the safest and most supportive environment possible. We hope the following tips will help you prepare for your big day. What to do When Labor Starts While every woman’s experience of labor is unique, expectant mothers undergo the following changes before giving birth: they have uterine contractions, the baby moves down into the birth canal, and the cervix starts to open. You may have some painful contractions for days or even weeks before giving birth, but labor doesn’t begin until the contractions become regular and strong enough to stretch open the cervix. If you can stay calm during the process, your contractions will be easier to endure. It’s a good idea to have someone with you during labor to provide comfort and company. Although it may not be easy to relax, there are some things you can do to help keep yourself calm: • If your water bag hasn’t broken, take a warm bath or shower. • Try lying on your side with pillows for support while listening to music. • Meditate. Think about the way you are breathing and let your head, neck, shoulders, arms and legs feel heavy and loose. When a contraction begins, take a deep breath and let it out slowly. Continue to breathe slowly until the contraction passes. • Take a walk. Standing and walking helps the baby’s head move lower into the pelvis, which can shorten labor. As your due date approaches, the three most important things you need to know are WHEN to go to the hospital, WHO to call and WHERE to go when you arrive. When to go to the Hospital Your Contractions are Stronger and Closer Together If this is your first baby, you should go to the hospital when your contractions last 45 to 60 seconds each and have been coming every three to four minutes for at least two hours. If you’ve had a baby before, go to the hospital when your contractions have been coming every five to seven minutes for at least one hour. Your Water Breaks You do not need to wait for your water bag to break before you go to the hospital. However, if you feel water leaking or gushing from the vagina, you should go immediately to the hospital as the breaking of the water bag can be one of the last things that happens before your baby is born. You are Bleeding Heavily It is normal to have a small amount of blood and mucus discharge known as “bloody show” when the cervix starts to open. You do not need to go to the hospital for bloody show. Wait until your contractions are stronger and closer together. Bright red bleeding that looks like a menstrual period is not common and may be a sign of hemorrhage, which needs immediate medical care. If you are bleeding heavily, do not stand up or walk. Lie down and stay on your side on your way to the hospital. Who to Call Please notify your obstetrician and your pediatrician when you are going to the hospital. If you are not sure whether it is time, please call your obstetrician or ask one of our Labor and Delivery nurses for advice. You may be able to avoid arriving too early or too late. The following phone number is available 24 hours a day. UCLA Labor and Delivery: (310) 267-7560 If you think it is too late to get to the hospital, call 911. Paramedics will come and assist you if your baby is about to be born. They may also arrange for an ambulance to take you to the hospital. If paramedics decide there is no urgency, they may instruct you to go to the hospital in your own car. Congratulations on your pregnancy and welcome to one of Southern California’s most comprehensive maternity centers at one of the top five hospitals in the nation. The BirthPlace, Westwood provides family-centered care and offers a wide range of personalized services to make your birthing experience an event to cherish. At The BirthPlace, Westwood we offer the highest-quality healthcare professionals and the latest proven technology in a serene, patient-oriented setting to ensure a safe and comfortable birthing experience. Our elegant Labor/Delivery/Recovery rooms are designed to recreate the feel of a home or hotel room. After your delivery, you and your baby will be moved to one of our comfortable maternity rooms in the Postpartum Unit. To encourage bonding, we keep you and your baby together as much as possible throughout your hospital stay. 1