Hospital L&D Tour - NY Presbyterian-Weill Cornell Medical Center
- Number of deliveries per year (5,600)
- Cesarean Section rate (Risk, age, para; adjusted lower than national rate)
- Whom to call in emergency
- Make sure to turn off anonymous call rejection (*87 disable; *77 enable)
- Answer phone
- Make sure you have your car parked safely
- 24/7 child care, house sitting arranged (What if ROM at 2 AM Saturday night?)
- When to call (PROM, early labor, high-risk, complications, twins etc)
- Physician’s coverage
- Where to enter hospital - “dry run”
- Car and parking
- Triage rooms
- Single rooms vs. semi-private (how much, where, how, availability)
- Who can stay in room (semi-private no one)
- How long stay in hospital CS vs. vaginal
- Baby staying longer in CCN - jaundice, sepsis
- Circumcision who does it and where?
- Where is the nursery?
- What security measures are in place for the maternity ward? [Security bracelets]
- How do you identify the people who are allowed to take the baby? Purple tag.
- What are the visiting hours? No restrictions, but pay attention to neighbor
- Peds rounds daily with moms
- Lactation consultants available for consultation; Responsibility of primary nurse
- Education postpartum (groups, videos)
- Where is the cafeteria?
- What is the process for ordering food? Pick up food downstairs.
- Take-out food/Where is the snack machine?
- What to pack for L&D?
- Videotaping versus photography; Make yourself familiar with new equipment. No pictures with other babies.
- Siblings in room and age? Supervision of children, in waiting, short visits during labor; not delivery
- Family waiting
- Doulas
- Routine procedures (shaving, enema, IVs, NPO)
- Eating during labor
- When being admitted? Active labor, ruptured membranes, early labor, complications
- Epidural availability and asking for it
- Indications for cesareans
- Residents and PAs and attendings and nurses
- One support person during cesarean
- Two during normal delivery
- Cord blood collection (public versus private)
- Eat after NSVD and after cesarean
- Routine Episiotomy?
- Enema?
- IV
- Forceps/Vacuum