Tips for Having a Baby in Mount Sinai

Back to the Obstetrical Care Programme

Where to go
Premature labour
Labour
What happens when/if your water breaks
Coping with pain
Epidural
Episiotomy
Electronic fetal monitoring
Forceps and vacuum
Induction of labour
Augmentation of labour
Artificial rupture of membranes
Prostaglandin gel
Oxytocin
Cesarean section

Where to become

Your labour and commitment will occur at Mount Sinai Hospital, which is located at 600 Academy Avenue:

So, go up to the 15th floor, triage area:

Once admitted, you will take a private room during the labour and delivery. You will be assigned a nurse. On the labour flooring at Mountain Sinai Infirmary, nurses are only assigned one patient, so you will take circumspect care.

Premature labour

If labour begins early on, before 37 weeks, it is called premature (or pre-term) labour. Phone call your caregiver if you begin premature labour.

It is important to know the signs and symptoms of premature labour. The signs are ofttimes unlike from those a woman experiences later in pregnancy. They include:

Bad cramps or stomach pains that don't go abroad
Bleeding, trickling or gushing of fluid from the vagina
Increase in the amount of vaginal discharge
Fever, chills, astringent dizziness, airsickness or a bad headache
Contractions that are significantly stronger and more regular than Braxton-Hicks contractions
A meaning change in your baby'south movements

If you are experiencing any of the above symptoms, call your care provider who volition help you make up one's mind what to do side by side:

Daytime Prenatal Nurse
Phone: 416 603 5800 ext. 2335

Urgent Contact Data 24 hours per twenty-four hours

Mount Sinai Hospital "locating" Operator
Phone: 416 586 4800 ext. 5133
Inquire to speak with the family medicine resident on call for obstetrics, they should call y'all dorsum within x-fifteen minutes.

Labour and Delivery Flooring Triage Nurse at Mt. Sinai Infirmary
Telephone: 416 586 4800 ext. 3210

If you have not been seen yet for your showtime prenatal visit with our plan, please contact your own family doctor, or, 911 if an emergency.

Labour

You lot may have worked out a program with your care provider to stay at habitation during early on labour, and have agreed on the phase at which you should come to the hospital. It is often more comfortable to spend the early on stages of labour at home. Trust your instincts. If annihilation seems unusual, contact your care provider.

The ii main signs of labour are contractions and pink mucus, which is discharged from your vagina. It should not comprise obvious blood or clots. Timing your contractions tin help you lot make up one's mind when labour has been established.

Other signs of approaching labour may include:

Contractions that weaken or vary in strength over time - contractions that weaken or finish altogether when you move around - contractions that are irregular and never settle into a pattern - loose stools - crampiness - your water breaking
Established labour may begin with contractions that: - get steadily stronger - make your uterus grow harder - continue to get stronger fifty-fifty when you move around - become quite regular and predictable over a period of well-nigh 30 minutes - are between 30 and 70 seconds long

In general, in one case the contractions commencement coming every iv to 5 minutes, last 45 to 60 seconds, and are painful, you should become ready to come up to hospital. If labour is non painful, try to sleep or relax, or proceed with your regular activities. Once labour is well established, you can move information technology along by staying upright and agile.

What happens when/if your water breaks?

Your "water" is the term many people utilize to describe the amniotic fluid surrounding the baby. The amniotic fluid and infant are both sitting in a "handbag" called the amniotic membrane. This bag has protected your baby throughout the pregnancy.

When your water "breaks", it unremarkably means that the bag has broken. Many women describe a gush of fluid from their vagina. Other women feel a steady trickling.

If you are not sure if your water has cleaved, you should come to the infirmary.
If your water has broken, and y'all are not having contractions:

The liquid is articulate, your GBS is negative.The baby is head-down and moving normally -Yous do non accept to come to the infirmary correct away. However, please call the resident on phone call to let them know that your h2o has broken, and they will discuss a plan with you. All patients need to be assessed within 12 hours of their h2o breaking, fifty-fifty if they are non in labour.
The liquid is articulate, your GBS is positive. The babe is head-down and moving normally -Come to the hospital within four hours or telephone call the states
The liquid is dark-green or yellow-green, the infant is breech or not moving as well or if you lot are having a bleeding like a period or heavier - Come up to the hospital correct abroad. It is non an emergency simply we want to ensure your baby has a rubber delivery

Again, the numbers to phone call us are:

Mountain Sinai Hospital "locating" Operator
Phone: 416 586 4800 ext. 5133
Ask to speak with the family medicine resident on call for obstetrics, they should telephone call you back inside x-15 minutes.

Labour and Delivery Floor Triage Nurse at Mt. Sinai Hospital
Phone: 416 586 4800 ext. 3210

Coping with pain

Anybody experiences labour differently, but one thing is constant – there is always pain during labour. At that place are many ways to cope with labour pain, including relaxation, vocalization, positioning, breathing techniques, massage and hurting medication.

Y'all will demand to determine what is correct for you lot. Yous might desire to larn different coping techniques while yous are pregnant so you lot will accept many strategies to draw from during labour. Prenatal classes teach a diverseness of relaxation techniques. You can learn about some of these in the following pages. Once you accept learned a relaxation technique that works, use it whenever you need it.

During labour you lot will experience more comfortable with a method that y'all have used often and trust. In that location is nothing magical about relaxation techniques. You may already be using them in your everyday life. Which ways of relieving stress take worked for y'all before? Call up back to an especially stressful time in your life. What worked? What didn't? Does it work best for you to be placidity or to scream and curse? How might you exist able to change your ain proven strategies to work for you during pregnancy and labour?

Some of you may take been skimming through these paragraphs looking for the information on drugs! Many women want to use epidurals and other pain medications; others want to avoid this alternative. Recollect about this choice before labour begins and apply the data below to learn and to create your own pain command strategy. Fifty-fifty if medications will exist a major part of your strategy, these other techniques tin can help yous cope during the birth:

Relaxation
Massage
Breathing techniques
Positions
Medication
Shower/bath
Music

Epidural

Labour is painful, but how you lot control that hurting is a personal selection. Virtually women at Mount Sinai cull an epidural. There are other options if you lot can't have an epidural, or don't want one (see in a higher place).

Nosotros will likewise back up y'all if you choose to have a natural delivery. Please keep an open mind either way, as we may brand suggestions if we think the safety of your delivery is at stake. There are ever doctors who specialize in epidurals (anesthesiologists) on-call. You tin can expect that it will accept at least xxx minutes betwixt when you request the epidural and when you experience pain relief.

Episiotomy

An episiotomy is a cut made in the perineum (the pare and muscle betwixt the vagina and anus). It is used to enlarge the vaginal opening and make the birth of the babe easier if the perineum is non stretching. Local anesthetic tin can exist used and the cutting will exist stitched up after the nascency. It should heal within iv-half-dozen weeks.

Episiotomies used to be performed routinely; yet, several studies showed that with normal births, women who did not have episiotomies by and large fared better than women who had 1. Therefore, most women will not need or get an episiotomy. Nevertheless, in that location are some circumstances when an episiotomy may help to preclude a larger tear from happening.

Electronic Fetal Monitoring

This is a auto used to record the baby'south heartbeat and the frequency of the mother's contractions during labour. Electrodes that record the baby's heartbeat can be put on the female parent's belly with a belt (external monitoring) or tin be placed onto the babe's scalp, through the mother'southward vagina (internal monitoring).

Electronic fetal monitoring is not used routinely but it may be used to check the baby'southward health during the nativity. When internal monitoring is done, your water must be broken if this has not already occurred naturally. The monitor will be attached to your babe'due south head with a scalp clip. This is a safety technique with very few risks.

Forceps and Vacuum

These instruments are designed to guide the baby out of the vagina, when a woman needs help to push her baby out completely. These methods may be used if: you are exhausted - the position or size of the infant makes the birth difficult or if in that location is fetal distress.

Both procedures will be discussed with you lot in detail at the time of delivery if they are necessary for your baby to exist built-in safely.

Induction of Labour (bogus starting of labour)

There are many reasons why yous may need to exist induced, such equally:

Going past your due appointment
Concerns nigh babe's health
Concerns virtually female parent's health

The most common ways of inducing labour are:

Artificial rupture of membranes (ARM)
Oxytocin
Prostaglandin gel

Augmentation of Labour (artificial speeding upward of labour)

A very long labour increases the risks of childbirth for you and your baby. Therefore, augmentation of labour is done when your labour is progressing more than slowly than usual.

ure of membranes

In the hopes of starting or speeding upward labour, your caregiver may pause the bag of amniotic fluid surrounding the baby. This may be done with a long thin plastic hook called an amnihook.

Prostaglandin Gel

Prostaglandin gel is a hormone. Prostaglandin gel tin exist used when the cervix is less than three centimeters dilated. Information technology is practical to the dorsum of the vagina where it softens and "ripens" the neck, to help it dilate. At Mount Sinai Infirmary, this is usually done on an outpatient basis.

Oxytocin

Oxytocin can cause or increment the strength of your contractions, and usually makes the birth keep more rapidly. Information technology is given through an intravenous line later the woman is in the nascence room. Once you are receiving oxytocin, your infant's eye beat volition be monitored continuously.

Cesarean Section

A cesarean section is a surgical procedure used to deliver a babe. Your partner is allowed to stay with you lot and your babe during the surgery.

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Source: https://www.twfht.ca/displayPage.php?page=Labour+and+Delivery