[Music playing] Speaker 1: On the day of your arrival, please park in the Safe Auto garage, and enter the hospital through the 10th Avenue main hospital entrance. Then take the elevator to the Maternity Center check-in on the sixth floor. If arriving between 5 p.m. and 6 a.m., or if labor is progressing very quickly, please go to the emergency department. You may also use the intercom at any hospital entrance after-hours when entrances are locked. If you are unsure where to go, just ask any staff person to assist you. [Animation: Example of a hospital badge. Text on screen: The Ohio State University Wexner Medical Center BRUTUS Buckeye Mascot] Anyone with a badge will be happy to help you. If you are scheduled for a C-section or induction, please call labor and delivery ahead of time [Text on screen: 614-293-8497] so that we are prepared for your arrival. For patients arriving who are not scheduled, you'll be taken to the Obstetrics Emergency Department for assessment. You'll be placed on a monitor, and we'll listen to Baby's heartbeat and we'll assess you to determine the best course of action. If your provider thinks it's time to have the baby, you'll be admitted to a delivery room or prepped for a C-section, depending on what's needed. Our labor and delivery rooms are private birthing suites, providing a combination of comfort and state-of-the-art technology, all while putting your and your baby's needs first. They are equipped with a large bathroom and walk-in shower, with specialized amenities to help with labor. You may also bring your own comforts from home, such as music, aromatherapy, and massage tools. During labor, we invite you to have two visitors, plus your labor support person. Only one visitor is permitted with the patient in the pre-surgery and triage areas. Children younger than 12 are not permitted within labor and delivery unless they are a child of the patient. Amber: Hi, I'm Amber, and I'm one of the labor and delivery nurses here at Ohio State. I'm just going to show you a little bit about what our rooms have to offer here for your birthing experience. When you first come in for either an induction or labor, we'll have you go into the restroom and change into a gown, or you can use one of your own gowns if you've brought one of those. After that, we have you usually get into the bed, and we'll go ahead and place your baby on the monitor. We have two different options for monitoring of baby available. One of them is just our basic monitoring, when you're in the bed or anywhere in the vicinity of the bed. [Music ends] We also have another option called telemetry monitoring, which allows you to move around freely around the room and around the unit as well. Once we have you placed on the monitor, we're going to place an IV. When we place that IV, we also get some lab work as well, we send that on every patient. After that, we just have that IV in place in case we need it for any emergency, depending on what your plan is. Once we have everything in place there, we'll usually have you hang out there while we ask you a bunch of questions. We'll talk about all of our different options for pain management. We have everything available from completely natural, where you have options to use things such as the birthing ball, again, just different positioning changes with our different monitoring options. Our telemetry monitors are actually waterproof as well if you have any desire to get into the shower during that time as well. In addition to that, if your plan is to have any kind of pain management, we do have anesthesia available 24 hours a day, and you can get an epidural at any point that you desire. Once you have an epidural in place, you are limited to the bed a little bit more, but we keep you moving in the bed, we change your positions often. When it comes time for pushing, we have a couple of options. This squat bar can actually be used for different positionings during labor, and it can also be used for the delivery during pushing, and it helps you squat up on it and helps with delivery. We do have a mirror available as well if that's something you desire. Some patients think that it's nice to be able to see their progress when they're pushing, but it's completely optional. Once your baby is delivered, we're going to place the baby right on your chest, and we're going to do skin-to-skin for at least that first golden hour, as long as your baby doesn't need any additional support. During that time, we try to initiate breastfeeding within the first hour if that is your plan. After the baby has been on your chest and you've initiated breastfeeding, we usually will take the baby over to the warmer, where we're going to do a few things. We'll do a quick assessment on the baby, and we'll go ahead and get the baby's weight, and we administer two medications, if you're okay with those. Those two medications are erythromycin, and that's an ointment that goes into their eyes, and then also another medication that's called vitamin K, and that's an injection that we give to the baby to help prevent any kind of bleeding and helps their blood clot. We'll weigh the baby, and then after we've weighed the baby, we're going to place identification bands onto the infant. There will be one for you and one for your support person, and then two that go onto the baby. One will go onto the wrist, and the other one will go onto the ankle. In addition to that, we also have this little device called a Hugs Tag. This goes onto the baby's ankle, and is a security device that doesn't allow the baby to go near any doors or exits or elevators without alarming. Speaker 1: If you are delivering by C-section, there are three operating rooms and three recovery rooms on the same floor as the labor and delivery rooms. We do provide the opportunity to have skin-to-skin contact with your baby in the OR, once an assessment has been completed by the pediatric team and everyone is stable. Should extra care be needed, the Nationwide Children's Level III Neonatal Intensive Care Unit, or NICU, is available on the same floor. Kara, RN: Hi, welcome to our postpartum floor. This is where you'll come after you have your baby, and you'll stay here in one of our rooms until you discharge home with baby. Our vaginal deliveries stay with us one to two days, C-sections two to three. While you're here, this tablet will allow you to use MyChart Bedside. It shows you your most recent set of vitals, all of your labs, who your care team is, and allows you to pick all of your meals and order them on here. This ticket home is our to-do list for your stay while you're with us. Mom, the big question for a lot of us is breastfeeding. Our lactation consultants will come in and see you, but your bedside nurse is going to be your go-to for all of that troubleshooting. If you do need your flu vaccine or Tdap, those are available during your stay. For baby, we do want the car seat to come up with you so that we can send your little one home already strapped in. We have Bella Baby that comes and takes pictures, a representative from their company will come in and talk to you about what kind of a package you want to do, if you want to do it. At 24 hours, we do a newborn screen, a hepatitis B vaccine, and a cardiac screening. This crib is where baby's going to sleep while you're here, alone on its back and only what it's swaddled in. We provide everything you're going to need to care for baby while you're with us, so diapers, wipes, and some little booties. We will do baby's first bath during the first day of life, if that's what you desire. [Music playing] We'll get all of their measurements and do a set of footprints that will go home with you as a keepsake. This other drawer has all of our baby linens. You'll be provided with a sleep sack while you're here. There's also swaddling blankets, t-shirts, towels, and washcloths. So really, the only thing you need when you come in is to bring an outfit to take baby home and your car seat. Speaker 1: You will also be provided with all the paperwork to complete your baby's birth certificate, and request a social security number without even having to leave your room. During your stay on the postpartum floor, visitation is permitted at all times. After-hours, only one visitor is permitted, and no children may stay overnight. The postpartum unit observes quiet hours to give you dedicated time to rest and bond with your baby. [Text on screen: 1 - 3pm 2 - 4am] Our staff try very hard to not interrupt you during this time, unless medically necessary or if you request assistance. Please know, we do have a nursery that is used for medical procedures or if your baby needs a little extra help. And no visit would be complete without a special gift from all of us at the Maternity Center. Here, every baby is born a Buckeye. When it's time for you to be discharged, a member of our staff will take you and your baby down to the front of the hospital in a wheelchair, where your support person will pick you up. Be sure your support person has properly installed the car seat, and you know how to safely place baby in the car seat. Thanks again for choosing The Ohio State Wexner Medical Center. We look forward to seeing you soon. [Text on screen: The Ohio State University Wexner Medical Center] [Music fades]