Women’s Services: Labor and Delivery
Family Centered Care
Childbirth is the beginning of a spectacular journey for a new baby and all the special people who will be involved in the baby’s life: mother, father, brothers, sisters, grandparents, and friends. The EASTAR Health Services staff in the Women’s Services Department recognizes the value and importance of each step of the new life experience for every member of the family; therefore, you, your family, and our health care professionals will not only be working together as a team, but will be educating, encouraging, and supporting you and your family, so that we together can make the best decisions for you and your baby.
EASTAR Health’s Labor and Delivery Department strives to provide a comfortable environment that accommodates a relaxed family-centered birthing experience. The department is supported by a highly-trained and experienced staff along with the latest technology available.
The birthing rooms offers you a warm, comfortable, and homelike atmosphere, helping you to feel more relaxed and secure in your private birthing room. The room is spacious and includes a comfortable chair for your significant other or support person. You will remain in the same room throughout your labor, delivery, and recovery, without the need to change beds or rooms. The birthing bed adjusts to a variety of positions, giving you the support that’s right for you at various times. Your private bathroom includes a whirlpool bathtub for the ultimate relaxation experience. Birthing balls are also available upon request.
With You Every Step of the Way
Here at EASTAR Health System, we offer a variety of services to better educated and accommodate you and your baby during your stay ranging from Prepared Child Care Classes, Pain Management Options, Advanced Level II Special Care Nursery, and International Board Certified Lactation Consultants/Lactation Room. In addition, our nursing staff is specially trained to care for both you and your baby and are ready to answer any questions that you and your family may have about caring for yourself or your newborn.
EASTAR Health Services Women’s Services offers Prepared Child Birth Classes which begin on the first Thursday of each month at 6 p.m. and will continue to meet the following three Thursdays. Meetings are held at EASTAR Health Services in conference rooms C & D. There will be a class fee of $10 per couple. Each week, we will have something new to learn. There will be games and prizes as well as healthy snacks for you and your support person. Tours of the department are also provided. We hope to see you there!
Week 1 – We will discuss the discomforts of pregnancy, what to do about them, and also learn the fundamental technique for labor pain management and progressive relaxation.
Week 2 – We will explore what happens when you go into labor, what to expect, and how your labor support team can help you get through the challenges. We will also learn and practice more techniques that can help you and your partner get through the labor process. You will learn about the options in pain management that are available to you too.
Week 3 – We will discuss breastfeeding, the first hour after delivery, infant safety, basic care of the newborn, and transitioning from expecting a baby to becoming a parent. We will also have a section for dads on what they can expect as they transition from being a support person to a father (from a guy prospective).
Week 4 – We will review what we have learned, talk about what happens if a cesarean section becomes necessary, and how to take care of you after the delivery. Time permitting we will go over any questions that you may have. If desired, there will be a tour of the Women’s and Children’s Services Department.
Pain Management Options for Labor and Birth
This means no medications for the labor and birth, if you need stitches afterwards, the practitioner will give you a shot of medicine to numb you where the stitches go. The labor pain is controlled with relaxation and focus. Most pregnant women who wish to have an un-medicated birth will attend Childbirth Classes to learn what to expect and how to manage the pain of labor without medication.
- No pain medication will go to the baby through the placenta
- You will still have freedom of movement if you are allowed to get up
- It is very intense
Your practitioner may order that you can have pain medication. This is usually a narcotic that is injected directly into your IV line or given as a shot. It will make you sleepy and dull the sensations, but not take them away completely. If you need another dose later, remember that you may be further along in your labor. As we can only give the amount ordered, later doses may not feel as if they work as well as the first dose. And as the medication will go to the baby too, we try not to give it too close to the delivery time as we do not want the baby to be born sleepy.
- You can get the dose of medication earlier than regional medication
- It may give you a little rest before things get intense
- The medication will go to the baby too. This may make the baby sleepy if it is born while the medication is still working
- It will not take all the pain away, and you can have only “so much” while you are in labor
This is a procedure that is done by an Anesthesiologist or a Certified Registered Nurse Anesthetists (CRNA). There are 3 kinds and the differences are listed below. However for all practical purposes they are done in a very similar way. The advantage to regional anesthesia is that you will have almost no pain. You may feel pressure however, especially when the birth gets close. Depending on the type that you get, it will last just long enough to get the birth done or can be made to last for quite a while. Your anesthesiologist or CRNA will go over all the risks and benefits and answer any questions before they do the regional anesthesia.
How it Works: In all three types, you will be asked to either sit on the side of the bed or lay on your left side. In either position you will be asked to curl your back out like a Halloween Cat and your chin on your chest (if you are on your side, you will need to pull your knees up) and you have to hold still. Your support person can stay with you and help. Your lower back will be cleaned and a local anesthetic to numb the area will be injected. Then a special needle will be used to either give you the necessary medication or to place a small “catheter” in the correct spot so that medication to keep your pain away can be re-injected when needed. You will have to have an IV and be on continuous fetal monitoring and you will not be able to get up until it is completely worn off.
Intrathecal: When the special needle is put in, a medication is injected and the needle is taken out. The intrathecal will last around 2 hours, but as it wears off you will begin to feel more pressure and if the labor is still going on the pain will return. Depending on where you are at in your labor, you may or may not be able to have another one.
Epidural: When the special needle is put in, a small, flexible tube is put in with it and the needle is then removed. The tube stays in and is taped down. Medication to numb the area is either injected as needed or you may be hooked up to a pump to give you a small dose all the time or you can give yourself a dose by pushing a button. It will last until the pump is turned off or the medication wears off, whichever comes first.
Spinal: This one is done if you are going to have a cesarean section. The needle is placed and the medication is injected and the needle is taken out. The numb that a spinal gives is much stronger and will last throughout your surgery. You will start to regain the sensation when you are taken to the recovery room.
Our nurses offer tender care and support you and your newborn baby. Our philosophy is that your baby will be safest and most content at your side. For that reason we do not separate mothers and babies if at all possible. Studies have proved that moms and babies rest more and are better prepared to go home when they are not separated. At EASTAR Health Services it is our policy to keep you and your baby together as much as possible. However, if your infant requires more intensive care, our state of the art Level II Special Care Nursery can tend to your infant’s needs. The nursing staff is well trained and experienced in the care of newborns with special needs. If your infant needs even more intensive care, transportation to a Level III Neonatal ICU hospital in Tulsa is available.
At EASTAR Health Services Women’s Services, our goal is to help you get off to a good start by making sure you have breastfeeding help when you need it; therefore, we have an International Board Certified Lactation Consultant (IBCLC) available to help you during your stay in the hospital and if needed after you go home. Our IBCLC is also a Registered Nurse with experience in Labor and Delivery, Mother/baby care, and nursery; furthermore, our nursing staff has also been trained to help with most breastfeeding issues. If you need assistance, ask your nurse or call the Lactation Consultant at 918-684-2176.
What is a Lactation Consultant?
This is a group of specially trained individuals that can help you in all aspects of breastfeeding. An international board certified Lactation Consultant or IBCLC has passed an international certification test to insure that they are prepared to give professional breastfeeding support and services.
Ways an IBCLC Can Help
- You can meet with her while you are still pregnant to find out how breastfeeding works and to help you get prepared to breastfeed before the baby arrives.
- She can help teach you how to breastfeed your baby the very first time.
- If you have problems with breastfeeding, she can work with you and your baby while you are in the hospital to solve them before you go home.
- After you go home, she can provide you with telephone support or help you find additional lactation support that will meet your needs.
- She can help you recognize how to know if your baby is getting enough milk and what to do if you think your baby is not.
- If you are planning to go back to work or school, she can help you learn how to continue to breastfeed while you are away from the home.
- She can help you if you and your baby have special circumstances such as a premature infant or breastfeeding twins.
- She can teach you how to comfortably and safely pump and store your breast milk.
- If the need arises, you can meet with her on a one-to-one basis as an out-patient. These out-patient visits are covered by Sooner Care and some insurance. You can ask your doctor or pediatrician to refer you or you can just call and schedule an appointment without a referral.
EASTAR Health Services encourages all new moms to breastfeed. Sometimes it’s hard to breastfeed in public, that’s why EASTAR Health Services created a Lactation Room. It’s located on the second floor, just outside of the Labor and Delivery area. This private room allows mothers to nurse or pump in a quiet and calm environment. This room has been designated for use to guests, visitors, and staff that are breastfeeding their babies.