Journey through Parenthood Part One

A partner for lifelong health Contents

3 Welcome to our Family Birthing Center 4 Our nursery Before your delivery 5 What you’ll need at the hospital Your visitors 6 Good information to know about LMH Health 7 40 reasons to go the full 40 8 Labor Pain relief in labor 9 Cesarean birth How to prepare 10 Your baby’s here Mom’s recovery 11 Your baby’s safety is paramount 10 steps to successful 12 Birth certificate & Social Security card Newborn screenings 13 Newborn pictures Pertussis for mom Jaundice 14 Car seats Your doctor Safe sleep for babies 15 & 16 Valuable community resources 17, 18 & 19 Your notes

2 | LMH Health Family Birthing Center Congratulations on your ‘Journey through Parenthood’

Welcome to LMH Health’s Family Birthing Center. the plan, you may contact patient accounts at Our entire healthcare team is dedicated to making 785-505-5775 or ask your maternity navigator, the day of your baby’s birth a celebration for you 785-505-6397. and your family. The Family Birthing Center offers high-quality care, parent education, professional The information provided in this booklet about staff, comfortable rooms and choices for parents. your journey through parenthood is intended as Each of these features is close to home. Our a guide, and is not intended to replace advice healthcare team looks forward to helping you from your physician or nursing staff. Please feel welcome your new addition(s) to your family. free to ask your physician or the nursing staff any questions you may have. Your appointment with our maternity navigator is designed to help make your admission, hospital If you are in labor and stay and dismissal go as smooth as possible. Our healthcare team understands that any hospital stay coming to LMH Health: can be stressful and that you will have questions. ⚫ Please call 785-505-6380 before you leave home. Our maternity navigator is available to you. Please We want to prepare for your arrival. call 785-505-6397 to make an appointment. ⚫ Use the LMH Health Emergency entrance on Maine Street, which is open 24 hours a day. Your insurance will be billed based on the information you provide in admissions. Please be ⚫ Or use the Arkansas Street entrance, which is open sure the information you provide is correct. If any 6 a.m. to 9 p.m. Use the Emergency entrance when of the information changes before you deliver, this entrance is closed. please notify patient accounts to update the If you are not in labor or have information. If you are not insured, there is a self- payment plan offered by the hospital (also known general questions, please call as the Stork Club). For additional information on your healthcare provider.

Journey Through Parenthood | Part One | 3 Journey through Parenthood: Part One

Any amount of breastfeeding is good, but the longer you breastfeed, the better. The American Academy of says that women should breastfeed their babies “exclusively” (feed only breastmilk to their babies) for the first six months. At that point, should start giving baby foods and continue to breastfeed, at least until the baby is 1 year old. These steps can help you breastfeed. Let your nurse know that you want to follow these steps: ⚫ Breastfeed within the first hour after birth, even if you had a Cesarean or C-section birth. ⚫ Feed only breastmilk to your baby. Ask for a if your baby is not feeding from your breast, or hand express your milk. ⚫ Hold your baby “skin-to-skin” as much as you Nursery can. This means that your baby’s skin is touching Our nursery is a Level II Nursery. Our Level II Special your skin. Care Nursery is equipped to care for babies who are ⚫ Keep your baby in your room, day and night, 34 weeks gestation and beyond, including babies except for special procedures. with respiratory or feeding issues or babies who ⚫ Feed on demand. Frequent feeding help assures require antibiotic and IV therapy. We have a highly optimal milk production. skilled staff of physicians and nurses to care for your Do not give a pacifier or bottle to your baby. as well as on-call neonatologists 24 hours ⚫ a day, 7 days a week. Parents are welcome in our ⚫ Ask for help if you are having trouble. Special Care Nursery, and your involvement in your Infant Nutrition Center/The baby’s care is encouraged. Perfect Fit Store Breastfeeding Our facility has a dedicated lactation staff to assist Babies and children need good nutrition in order you with feeding your baby. Our Infant Nutrition to grow and develop. Your breastmilk is more than Center staff is comprised of International Board nutrition. It also protects your baby from getting Certified Lactation Consultants and Certified sick. Breastmilk lowers your baby’s risk for asthma, Breastfeeding Educators. Our staff will provide allergies and sudden infant death syndrome (SIDS). education and support during your hospital stay Your breastmilk keeps protecting your child long and after discharge if you need it. Additional after they stop breastfeeding – by lowering their risk information regarding outpatient resources is of being overweight later in life, developing adult provided in Part Two of this book, which you will diabetes and decreasing their risk for some types of receive when you return to LMH Health to deliver. cancer. For more information, call 785-505-6398. Breastfeeding also is good for you. It lowers your risk of breast cancer, ovarian cancer, and diabetes. Activities to complete Breastfeeding helps you to burn about 600 calories before delivery a day, making it easier to lose some of the weight ⚫ Choose a doctor for your baby. you gain while pregnant. Your body was built ⚫ Purchase a car seat (read the instructions, send in to breastfeed. You already have started making your warranty, and have it inspected). colostrum, the first milk for your baby. This helps Begin looking into childcare options if you will boost your baby’s immune system and helps them ⚫ need daycare services after delivery. poop. Colostrum is the only thing your baby needs the first few days after they are born.

4 | LMH Health Family Birthing Center Considerations for choosing your baby’s doctor The office ⚫ Does it take your insurance? ⚫ Is it conveniently located? ⚫ Do office hours meet your needs? ⚫ Is the staff friendly and helpful? ⚫ Is the office clean? The physician Consider your relationship with your baby’s doctor as a partnership. ⚫ Does the doctor accept your insurance? ⚫ What hospital is the doctor affiliated with, and is the hospital convenient for you? ⚫ How does the doctor handle telephone questions during office hours and after-hours? ⚫ Does the doctor answer questions clearly? ⚫ Does the doctor support your choice of infant feeding, childcare, work plans and other issues? ⚫ Does the doctor include you in making decisions? It is your responsibility to ensure the car seat is installed properly. Additional information on this is Do you feel comfortable with this doctor? ⚫ provided in the booklet, or you may ask the maternity Preparing for hospital and home navigator for more information. Things you may need for the hospital: Items LMH Health provides For mom ⚫ For mom: disposable underwear, sanitary pads ⚫ Robe and slippers and tucks pads ⚫ Pajamas (optional) ⚫ For newborn: diapers, wipes, baby soap, soft hair ⚫ Sports bra or brush, bulb syringe, thermometer ⚫ Toiletries for you and your partner Family Birthing Center Hair care items ⚫ at LMH Health ⚫ Loose-fitting and comfortable clothes to wear home LMH Health recognizes the importance of having family and friends join you in welcoming your new Your own pillow (we recommend using a ⚫ arrival. Our visiting policies are designed to provide colored pillow case from home) the best possible care for you and your baby. Lip moisturizer ⚫ ⚫ Visitors are welcome until 9 p.m. daily, but are ⚫ Change for vending machines encouraged to avoid Quiet Time in the afternoon ⚫ Birth registration fee of $4 for the birth certificate at the Family Birthing Center. This is when lights (This will be collected by the birth registration are turned down and activity is decreased to allow clerk at the time the birth certificate is completed) our families to rest. ⚫ Please leave large amounts of money and ⚫ Visitors may be asked to leave during procedures, valuables at home during bedside report to respect your privacy as a patient, or in consideration of your condition. For baby To maintain the privacy of all patients, visitors and Baby book or other keepsake (optional) ⚫ ⚫ family will not be allowed to stand outside patient ⚫ Clothing to wear home rooms or linger in the hallway. Family and visitors ⚫ Blankets or outfits for pictures (optional) are welcome to wait in our Family Birthing Center ⚫ Infant car seat Waiting Room which is just outside of our unit.

Journey Through Parenthood | Part One | 5 Additional information Monday through Friday ⚫ LMH Health is a non-smoking facility and campus. For breakfast ⚫ Cell phones are allowed for use in patient rooms. ⚫ Grill: 6:30 a.m. to 10 a.m. ⚫ Wireless Internet is available in patient rooms. ⚫ Hot bar: 6:30 a.m. to 10:30 a.m. ⚫ Free valet parking is available Monday through For lunch Friday from 7:30 a.m. - 5:30 p.m. at the Arkansas ⚫ Grill: 11 a.m. to 2 p.m. Street circle drive, and from 6:30 a.m. - 6 p.m. at ⚫ Hot bar: 11 a.m. to 2 p.m. the Maine Street entrance. ⚫ Arena station: 11 a.m. to 1:30 p.m. For dinner ⚫ Grill: 4 p.m. to 6 p.m. ⚫ Hot Bar: 4 p.m. to 7 p.m. ⚫ On weekends and holidays For breakfast ⚫ Grill: closed ⚫ Hot bar: 6:30 a.m. to 10:30 a.m. For lunch ⚫ Grill: 11 a.m. to 2 p.m. ⚫ Hot bar: 11 a.m. to 2 p.m. ⚫ Arena station is closed For dinner ⚫ Grill: Typically closed ⚫ Hot Bar: 4 p.m. to 7 p.m. ⚫ Vending machines are located on the lower level next to Sunflower Café and on the first floor in the Emergency Department hallway. Please ask an LMH Health associate to direct you. ⚫ For the safety of visitors or siblings, any medications kept at the bedside or in your bathroom (nipple ointments, tucks, sprays) should be kept in your bedside table or on a shelf in your bathroom. Bedside reporting At the Family Birthing Center, our entire staff believes it is important to work as a team. Our nurses typically work 12-hour shifts, from 7 a.m. to 7 p.m. or 7 p.m. to 7 a.m. Before your nurse goes off shift, your oncoming nurse will receive a report on you and your baby. Your nurses will share with each other the information needed to care for you and your baby with regard to your pregnancy, labor and delivery. LMH Health believes this approach ensures you receive the best care possible. Your involvement in your plan of care is important to us, and we encourage you to use this time to give us feedback.

6 | LMH Health Family Birthing Center Journey Through Parenthood | Part One | 7 Every patient’s labor experience is different, and it is our goal to assist you with comfort measures for pain and to ensure the safety of you and your baby. Some patients may choose non-medication methods of pain relief during labor while others may choose pain medication or an epidural for pain relief. While we support your decision to have family and friends in the labor/delivery room, your physician or nurse may choose to have them leave if special circumstances arise in order to provide the appropriate care for you and your baby. After delivery, it is important that your infant be skin to skin with mom or dad. Our staff will assist you with this much-needed bonding time for your family. At some point after delivery, you will be moved to a postpartum room. Methods of pain relief in labor How individuals experience pain during labor and delivery varies from person to person. There are a variety of methods that women use during labor Scheduled inductions or and delivery to cope with pain. We encourage Cesarean sections our patients to choose what methods are most LMH Health supports the recommendation of the comfortable for them. American College of Obstetricians and Gynecologists Because pain and how we experience it is unique that no elective inductions or cesarean deliveries to each of us, you will be asked frequently by our be scheduled prior to 39 weeks gestation unless healthcare team to discuss and describe your pain. medically necessary. Babies born early are at greater This helps your healthcare team manage your pain, risk of serious problems including respiratory which will allow you to do daily activities (such distress, delayed brain development, sudden infant as showering, walking, caring for your baby) and death syndrome, jaundice, feeding problems and rest. Your health care team at LMH Health feels it is readmission to the hospital. important for you to have the best pain control you Labor can have, so please talk with your team about how you are feeling. If you think you are in labor (you are leaking fluid or having regular contractions), you should contact Non-medications include: your physician. If you are unable to contact your ⚫ Walking physician or you don’t have time, come to the labor ⚫ Hydrotherapy (shower or Jacuzzi tub) and delivery unit. At night — between 9 p.m. and 6 Birthing ball a.m. — you will need to enter the hospital through ⚫ the Emergency Room doors on the east side of the ⚫ Relaxation and breathing hospital on Maine Street. ⚫ Massage Once at the hospital, you will be admitted to a room ⚫ Position changes for assessment of labor. Your labor nurse will have ⚫ Warm and cold compresses you change into a hospital gown, place monitors to ⚫ Aroma therapy watch your baby’s heart rate and your contractions, review your symptoms, complete a physical Medications include: Analgesics assessment, review your health history, check your ⚫ vital signs and perform a vaginal exam. Once this is ⚫ Epidural anesthesia completed, we will notify your physician and obtain orders.

8 | LMH Health Family Birthing Center Cesarean delivery Cesarean births may be planned or unexpected. There are many medical reasons why a cesarean birth may be necessary, and your physician will discuss these reasons with you. Our goal is to ensure the health of both you and your baby. Scheduled Cesarean birth What to do at home ⚫ Do not have anything to eat or drink after midnight. ⚫ Brush your teeth and spit out water the morning of surgery. ⚫ Do not put lotions or powders on after your shower, but you may wear deodorant. ⚫ If you have routine medications that you take daily, speak to your physician about whether to take them the morning of your surgery. When to arrive for surgery ⚫ You need to arrive two and a half hours prior to your scheduled surgery time. ⚫ Before 6 a.m., enter through the Emergency ⚫ You will be given an oral antacid (to help neutralize entrance, which is on Maine Street on the east stomach acid). side of the hospital. After 6 a.m., use the Arkansas ⚫ Your support person will be asked to change into Street entrance, which is on the west side of the clothing appropriate for the operating room that hospital, and check in at Admissions. we will provide. ⚫ After you stop in Admissions for registration, they ⚫ You will have heart and respiratory monitors will direct you up to the Family Birthing Center, placed and a monitor placed to measure your which is on the third floor. oxygen level. At the Family Birthing Center ⚫ You will be asked to participate in a process called “Time Out.” This is to ensure your safety You will be admitted to a room and asked to put ⚫ and acknowledgement of any procedures being on a hospital gown. performed. Your nurse will ask you to say your ⚫ A monitor will be placed to watch your baby’s name, date of birth and the procedure being heart rate. performed. “Time Out” will occur twice: before ⚫ We’ll place an identification band on your wrist your anesthesia and before your surgery. (this will be checked throughout your hospital ⚫ When you are numb, your nurse will place a stay by staff when performing procedures or urinary catheter. administering medications). You also will receive Your support person will be brought in and seated an allergy band and a latex allergy band (if ⚫ on a stool at the head of your bed. applicable). ⚫ Your nurse will complete a physical assessment Your baby’s here (listening to your heart, lungs, bowel sounds etc.) ⚫ Once your baby is delivered, he/she will be taken and check your vital signs (blood pressure, heart to the radiant warmer. rate, respiratory rate, and temperature). ⚫ He/she will be dried, given a brief assessment that ⚫ Your nurse will review your health history. includes a check of vital signs, and given bracelets. ⚫ An IV will be started and lab work drawn (you’ll ⚫ Your baby will be given to you to hold skin-to-skin. received a blood bank band at this time). ⚫ After delivery, you will be taken to the recovery ⚫ Your abdomen will be shaved around the incision room accompanied by your support person and site. your baby.

Journey Through Parenthood | Part One | 9 All of these bracelets have the same number. It is important that you do not remove these bracelets. ⚫ Bracelet numbers are verified by staff whenever your baby is brought back to you. These bands will be verified and removed by a nurse at discharge. ⚫ Identification band placed (this band is used throughout your baby’s hospital stay for staff to verify when performing procedures or administering medications). ⚫ After birth, and babies need uninterrupted time together for skin-to-skin contact, to learn each other’s cues, and to learn how to breastfeed. The optimal way for this learning to take place is 24-hour rooming. ⚫ A complete newborn assessment including weight and length will be performed in the room. ⚫ Routine newborn medications (Vitamin K injection and Erythromycin eye ointment) will be administered within the first hours following delivery. ⚫ After 12 to 24 hours, if your baby doing well, he or she will be bathed in your room then placed skin In the recovery room to skin to warm up. If there is a risk for infection, Mom your baby will be bathed sooner. ⚫ Your blood pressure will be taken frequently. Pain management after birth ⚫ Your nurse will massage your abdomen frequently (to assess vaginal bleeding and uterine tone). (vaginal or cesarean) During your recovery, you will experience some You will be given ice chips as tolerated. ⚫ pain and discomfort. While it is not always possible ⚫ Heart and respiratory monitors will be placed. to take away all of your pain, it is our goal to help ⚫ Breastfeeding will beinitiated. decrease the amount of discomfort you experience. It is important for you to communicate with our Recovery after vaginal birth healthcare team the effectiveness of treatment Mom measures being used to treat your pain. ⚫ Your blood pressure will be taken frequently. After delivery, your physician will order pain ⚫ Your nurse will massage your abdomen frequently medications for pain relief. Some medications may be (to assess vaginal bleeding and uterine tone). scheduled, but others are ordered to be given only as ⚫ You will be allowed to eat and drink, but we needed. recommend you start with something light. Although medications can be an effective treatment ⚫ Visitors are allowed if your pain is controlled and for pain relief, there are non-medication techniques vaginal bleeding is stable. you may use in combination with medication to ⚫ Approximately two hours after delivery, you enhance pain control. will be assisted to the bathroom and moved by wheelchair to your postpartum room. Recommendations for best results: ⚫ Ask for pain medications before your pain is Baby severe. ⚫ Baby will be placed skin-to-skin with mom. ⚫ Notify your nurse of any side effects you are ⚫ Two bracelets are placed (one on your baby’s wrist having with medications (a list of common and one on your baby’s ankle). The nurse also will medications used and the potential side effects place bracelets on mom and the support person. will be at your bedside at LMH Health).

10 | LMH Health Family Birthing Center ⚫ Notify your nurse of any new or worsening pain. Ten Steps to Successful ⚫ Document or keep track of the last time you received pain medication. Breastfeeding The Ten Steps to Successful Breastfeeding form Other non-medication the basis of the Baby-Friendly Hospital Initiative, recommendations: a worldwide breastfeeding quality improvement ⚫ Massage project created by the World Health Organization (WHO) and the United Nations Children’s Fund Relaxation ⚫ (UNICEF). Baby-Friendly hospitals and birth centers Cold and warm compresses ⚫ also uphold the International Code of Marketing of ⚫ Hold pressure over your incision site during Breast-milk Substitutes by offering parents support, activities such as coughing, sneezing, laughing or education and educational materials that promote changing positions (cesarean births) the use of milk rather than other infant food ⚫ Hydrotherapy (vaginal births) or drinks, and by refusing to accept or distribute free ⚫ Physical therapy with physician referral or subsidized supplies of breast-milk substitutes, nipples and other feeding devices. Infant safety at the hospital LMH Health upholds the World Health Organization/ ⚫ The safest place for your baby is with you. There UNICEF “Ten Steps to Successful Breastfeeding,” are several safety precautions recommended at published in a joint statement entitled, “Protecting, LMH Health to ensure your baby is protected. Promoting and Supporting Breastfeeding: The ⚫ Notify your nurse of any side effects you are Special Role of Maternity Services.” having with medications. A list of common 1. Have a written breastfeeding policy that is medications used and the potential side effects routinely communicated to all health care staff. will be at your bedside. 2. Train all health care staff in the skills necessary to Never leave your baby unattended. This includes ⚫ implement this policy. when you go to the bathroom. ⚫ Keep your baby’s crib on the side of the bed 3. Inform all pregnant women about the benefits farthest from your door. and management of breastfeeding. ⚫ Never carry your baby in the hallway. Your baby 4. Help mothers initiate breastfeeding within one should always be transported in the crib. hour of birth. ⚫ If your baby has to leave your room for a medical 5. Show mothers how to breastfeed and how to procedure, you or your partner should accompany maintain lactation even if they are separated from the baby. their . ⚫ Do not let anyone take your baby unless they have 6. Give infants no food or drink other than breast- properly verified hospital identification and have milk, unless medically indicated. a green stripe at the bottom of the badge. Do not 7. Practice rooming-in – allow mothers and infants hesitate to question anyone entering your room. to remain together 24 hours a day. ⚫ Be sure the nurse verifies the numbers on your bracelets with you and/or your partner and your 8. Encourage breastfeeding on demand. baby whenever your baby is brought to you. 9. Give no pacifiers or artificial nipples to ⚫ Restrict visits to your closest family and friends. breastfeeding infants. ⚫ Only give information about you or your baby to 10. Foster the establishment of breastfeeding people who you know well and trust. support groups and refer mothers to them on discharge from the hospital or birth center.

Journey Through Parenthood | Part One | 11 Birth certificate and Newborn screenings Social Security card Hearing screening Birth certificate One out of every 250 babies has significant hearing loss at birth. Hearing loss is easy to overlook, because It is our goal at the Family Birthing Center to most of these babies are otherwise healthy. More submit an accurate birth certificate to the Office of than half the babies diagnosed with hearing loss have Vital Statistics. It is important that the information no family history. A hearing test, (called the Auditory you provide on the birth certificate worksheet is Brain Response, or ABR) will be performed on your correct. The Kansas Registrar’s office requires that baby in your room. This test is simple and takes only a certificate of birth be filed by the hospital. Steps a few minutes to complete. Most babies will sleep include: through the entire screening process. ⚫ Birth certificate worksheets are available from the maternity navigator (785-505-6397) before labor The ABR screening uses miniature earphones and if desired or upon arrival to the labor and delivery sensors placed on the head, neck and shoulders unit. It will be completed during your hospital stay that measure the brainwaves to determine if sounds after delivery. are heard normally. Passing the hearing screening ⚫ Our birth clerk will provide you with a birth only indicates that your baby does not need any confirmation letter (this is not your certified additional testing at this time. Some children may certificate – only a temporary document) along need additional testing later in childhood due to with paperwork to apply for a certified copy of the reasons such as family history of hearing loss, birth certificate. recurrent ear infections, or a serious illness. There are several reasons that your baby may not pass the There is a $4 birth registration fee that will be ⚫ hearing screen. Your baby may be too awake, too collected at this time (this is a required fee by the active or have fluid or debris from delivery in the ear state to register the birth certificate). Please have canal. If your baby does not pass the hearing screen, cash or check payable to LMH Health. he or she will need additional testing. Our staff will ⚫ The hospital will provide you with a footprint give you information on how to follow up once the certificate of birth. This is a souvenir and is not a hearing screening is completed. legal copy of the birth certificate. ⚫ If you have questions about the birth certificate Kansas newborn after you leave the hospital, contact the Office of screening blood test Vital Statistics, 785-296-1429, or visit their website, Most newborns look healthy at birth; however, there KDHEKS.gov/vital. are some diseases that might be present that are Paternity acknowledgement not visible. If these diseases are not identified and treated early, they can cause severe illness, mental If you are not married, information will be given retardation or even death. The way these diseases are to you by our birth clerk on how to acknowledge diagnosed is by a heel prick. Our staff will prick your paternity for your baby. The father of the baby baby’s heel and collect five drops of blood. Once this must be willing and present to sign the consent. blood is collected, LMH Health sends it to the state This paperwork is acknowledging that two people public health laboratory for screening. Your baby are legally designated and responsible to provide may need to be re-tested if the results are abnormal. support. If for some reason the father is unavailable There are several reasons your baby might need to be for completion of the paternity consent before re-tested, including a problem with the blood sample, discharge, you and the father will need to go to if your baby leaves the hospital before 24 hours, or if the Office of Vital Statistics in Topeka to have this the first test showed a possible health problem. The process completed. test results are reported to your baby’s physician. Social Security card Your baby’s physician or the Kansas Newborn We will file for your baby’s Social Security card when Screening program will notify you of abnormal test we submit your baby’s birth certificate to the state. results and give you instructions outlining what to do next. It is important that LMH Health and your baby’s physician have your contact information (including address and telephone number). The cost of this testing is paid for by the state of Kansas.

12 | LMH Health Family Birthing Center Pulse oximetry screening A pulse oximetry screening looks for low levels of oxygen in blood that may indicate a problem with the heart or lungs. Critical congenital heart disease occurs when a baby’s heart does not develop normally. Pulse oximetry is fast, simple and accurate. It can be used on babies soon after they are born. Hospital staff will do the screening when the baby is at least 24 hours old. A small sensor is placed on the baby’s right hand and a foot allowing a connected device to measure the baby’s oxygen levels. Jaundice Jaundice, which is a yellowing of your baby’s skin and whites of his or her eyes, is caused by too much bilirubin in the blood. Bilirubin is a yellow substance released during the normal breakdown of red blood commonly called Tdap, the immunization series is not cells. Although the liver in the newborn is fully started until your baby is two months of age. Your developed, it is not fully efficient. Extra bilirubin is baby is probably not protected until they have had transferred to the blood and stored in the skin until at least three doses. Even if you were vaccinated for the liver breaks it down. There are some babies who pertussis when you were younger, your protection are more likely to get jaundice. These babies include: may have worn off. ⚫ Premature babies When you protect yourself, you are protecting your Babies with bruising to their head or body during ⚫ baby. You should receive this vaccination between birth 26 and 28 weeks in your physician’s office. Family ⚫ Babies whose blood is very different than their members should talk with their health care providers mother’s blood about also receiving the Tdap vaccine. ⚫ Babies with liver or other health problems ⚫ Babies who are not getting enough fluids Rest for moms ⚫ Breastfeeding babies There are many reasons women experience extreme fatigue following birth. Typically, women do not Bilirubin levels are checked by a non-invasive skin sleep well late in pregnancy and labor is physically test. The nurse will perform this test when your baby demanding on their bodies. After delivery, women is over 24 hours old unless your baby is showing are further challenged by their physical discomforts, signs of jaundice sooner. If your baby’s results are hospital routines, visitors and the baby’s need high, a blood test will be performed by a small prick for care. It is not uncommon for women to feel in your baby’s heel. exhausted and frustrated at this time. Here are a few Pertussis immunization for mom suggestions to assist you with managing postpartum fatigue. Pertussis, more commonly known as whooping Limit visitors. cough, is a highly contagious bacterial disease that ⚫ can lead to serious complications and even death in ⚫ Sleep/nap when your baby sleeps. infants. Pertussis can be spread simply by a sneeze or ⚫ Ask family/friends to help with shopping and a cough. A startling statistic reveals that most babies preparing meals. diagnosed with pertussis contracted the disease from ⚫ Plan simple meals and have flexible meal times. a parent, family member or caregiver when a source ⚫ Allow family/friends to care for older children. is identified. Pertussis often goes undiagnosed in ⚫ Ask family/friends to assist with household duties adults, because the symptoms resemble those of the (such as laundry, dishes or light cleaning). common cold. While most infants are given routine Slowly increase daily activity. diphtheria, tetanus and pertussis , ⚫

Journey Through Parenthood | Part One | 13 Preparing to leave the hospital Rubella vaccine, if needed Car seat If you are not already protected from rubella (German measles), your doctor will encourage you to obtain You must have your infant’s car seat with you the day this vaccine. This information is obtained in your of discharge. It is ideal to have your car seat installed prenatal lab work. by a certified car seat specialist. Please call LMH Health Connect Care, 785-505-5800, or go online to Rhogam, if indicated www.lmh.org/childbirth to schedule a car seat check If your blood type is Rh-negative, you may need a several weeks before your baby’s due date. You will Rhogam injection after delivery. The appropriate lab be responsible for securing your infant safely in the testing will be ordered after delivery to screen if you car seat and into your car for the ride home. will need this injection before you leave LMH Health. Physician visit A word about sleeping Your doctor and your baby’s doctor (or one of the The American Academy of Pediatrics recommends physicians in the practice) will see you the day you that normal, healthy infants be positioned on their leave LMH Health. They will give you instructions backs to sleep. Some babies may have medical about when you and your baby need to follow up in indications which require different sleep positions. your doctor’s office. Always check with your baby’s doctor to determine Your questions the best sleep position for your baby. During your hospital stay after your baby’s birth, you will watch a Your postpartum nurse will answer questions and video, “Safe Sleep for Babies,” which will provide you review instructions on how to care for yourself with important information on safe sleep practices and your baby during the first few weeks at home. for your baby. Discharge medications will also be reviewed. Your nurse will give you a survey to fill out on completion of the video. Use this opportunity to ask any questions you have.

14 | LMH Health Family Birthing Center Additional resources for you and your family

Classes LMH Health Connect Care 785-505-5800 lmh.org/wellness/events ⚫ Childbirth classes ⚫ Mother and baby care classes ⚫ Boot Camp for New Dads ⚫ Car seat safety inspections and education ⚫ Infant/child safety and CPR classes ⚫ Breastfeeding classes ⚫ Tike Hike (for siblings/parents) Breastfeeding LMH Health Infant Nutrition Center/The Perfect Fit 785-505-6398 ⚫ Breastfeeding Consultations ⚫ meets 10 a.m. to 11:30 a.m. Bra Fittings LMH Health Therapy ⚫ Thursdays on the lower level Breastfeeding supplies and Wellness ⚫ of the hospital. For more LMH Health Breastfeeding and LMH Health Therapy and Wellness has physical therapists who information, call 785-505-5800 New Parent Support Group specialize in pre- and post-partum or visit buildyourvillagekansas. Bring your baby and your ⚫ physical therapy as well as pelvic wordpress.com or facebook. concerns, meet other moms floor physical therapy. If you have com/buildyourvillagekansas. and have your baby’s weight any issues with pain, diastasis Bert Nash Community Mental checked. Free. No RSVP needed. ⚫ recti (abdominal wall separation), Health Center ⚫ The support group meets 10 a.m. leakage of urine or bowel, or 200 Maine Street to 11:30 a.m. Mondays on the other musculoskeletal concerns Lawrence, KS 66044 lower level of the hospital. please contact your physician for 785-843-9192 ⚫ For more information, call a referral. For more information, ⚫ The Pregnancy and Postpartum 785-505-5800. call 785-505-2712 or visit Resource Center www.lmh.org/therapy. Breastfeeding Coalition of 913-677-1300 Douglas County ⚫ Postpartum Support This group continually ⚫ ⚫ Build your Village, LMH Health’s International updates the list of Perinatal Mood Support Group, 800-944-4773 resources on its website: is a peer support group for Your family physician also can breastfeedingcoalitiondgco. ⚫ (but not limited to) women be a resource for you if you have wordpress.com. experiencing symptoms of postpartum depression. Please perinatal mood disorders, be sure to seek help. including postpartum depression and anxiety. Free. No RSVP needed. The support group

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Journey Through Parenthood | Part One | 15 Additional resources for you and your family

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Parenting Other resources ⚫ Lawrence-Douglas County ⚫ Christian Psychological Services, ⚫ Dads of Douglas County Health Department parenting 785-843-2429 facebook.com/dadsof program: Healthy Families ⚫ Insight Women’s Center Earn douglascounty ldchealth.org, 785-856-5335 While You Learn program ⚫ Healthy Dads Program ⚫ Parents as Teachers in Lawrence: 785-842-6499 (Lawrence-Douglas County usd497.org/parentsasteachers ⚫ Parent Information Line Health Department) East Heights Community (Headquarters Counseling 785-856-5338 or Connections Center Center), 785-841-2345 785-393-3802 1430 Haskell Avenue Lawrence Babywearing ⚫ Success by 6 – ⚫ Lawrence KS, 66044 Find meeting times on 785-832-5680 or 785-330-1651 Parenting & Support 785-842-8719, Facebook or email ⚫ In Eudora: [email protected] lawrencebabywearing@gmail. eudoraschools.org, then click com. Daycare referrals on Early Childhood Programs ⚫ Native Health Services and 913-669-8818 and advice Information at ⚫ In Baldwin City: ⚫ Child Care Aware Haskell Health Center Baldwin STAR of Eastern Kansas 2415 Massachusetts Street usd348.com 877-678-2548 or Lawrence, Kansas 66046 785-594-7050 785-357-5171 785-843-3750 or 785-832-4840 east.ks.childcareaware.org ⚫ Bert Nash Community Mental ⚫ Willow Domestic Violence Health Services Developmental screenings Center 785-843-3333 or bertnash.org ⚫ Tiny-k Early Development 800-770-3030 785-843-9192 785-330-2323 willowdvcenter.org usd497.org/tiny-k ⚫ Catholic Charities of Northeast ⚫ Women, Infants and Children Kansas, 785-856-2694 ⚫ Lawrence-Douglas County Food and Nutrition (WIC) Health Department Lawrence-Douglas County 785-843-0721 Health Department ldchealth.org 785-856-5350

16 | LMH Health Family Birthing Center Notes

Journey Through Parenthood | Part One | 17 Notes

18 | LMH Health Family Birthing Center Notes

Journey Through Parenthood | Part One | 19 ©2020 The Lawrence Memorial Hospital DBA LMH Health. All rights reserved. LMH Health provides care that is sensitive to cultural, racial, religious and other differences and does not discriminate on the basis of race, religion, age, ethnicity, culture, language, socio-economic status, sex, sexual orientation, gender identity or expression, national origin, physical or mental disability, or source of payment, nor in relation to employment practices. 8/2020

20 | LMH Health Family Birthing Center