Maternity Services A Guide to Our Comprehensive Care for You and Your Baby Expert Care for Mothers and Babies Holy Cross Health delivers what mothers and babies need most: sophisticated and compassionate care. Our team of specially trained maternity experts is focused on helping you every step of the way. Our comprehensive services begin at the start of your pregnancy with prenatal education, and continue through labor, birth and beyond. Each year, more than 8,500 babies are born at Holy Cross Hospital and Holy Cross Germantown Hospital. Holy Cross Hospital delivers more babies and cares for more newborns with complex medical issues than any other hospital in Maryland or the District of Columbia. That same quality of maternity services is found at Holy Cross Germantown Hospital, expanding access to the outstanding maternity commitment, skill and expertise for which Holy Cross Hospital is known. 2 Table of Contents 4 Preparing for Birth 6 Information for Your Stay 7 Safety and Security 8 Special Care for High-Risk Women and Newborns 10 Comprehensive Services Before and After Birth 11 Your Newborn Checklist 12 Childbirth and Parenting Education 13 Tips for Early Breast-feeding Success 14 Visitor Guidelines 15 Información en Español 16 Important Phone Numbers 3 Preparing for Birth What to Do During Pregnancy Preregister A few months in advance of your expected due date, you should preregister for your baby’s birth. You can preregister online for Holy Cross Hospital or Holy Cross Germantown Hospital at HolyCrossHealth.org, or by phone at 301-754-8300. Preregistering will save you precious time when you are in labor. To find a physician who is credentialed to deliver your baby at Holy Cross Hospital and/or Holy Cross Germantown Hospital, please visit HolyCrossHealth.org or call 301-754-8800. Find a Pediatrician Choose a pediatrician to care for your baby at least one month prior to your due date, and confirm that the pediatrician will care for newborns. Bring with you to the hospital the name and phone number of your pediatrician and he or she will be notified once your baby is born. To find a pediatrician, visit HolyCrossHealth.org or call 301-754-8800. If you do not select a pediatrician, one will be assigned to you. Plan for Your Labor Check with your physician to find out when and how you should notify your physician when labor begins. 4 What to Do When Labor Begins Contact Your Physician When your labor begins, notify your obstetrician. Come to the Hospital Lobby At both Holy Cross Hospital and Holy Cross Germantown Hospital, enter through the main lobby. Stop at the information desk to be directed from the lobby elevators to the third floor Labor and Delivery unit. If you are delivering at Holy Cross Germantown Hospital, during some hours you may be directed to enter the hospital through the Emergency Department. When you arrive in the unit, you will be greeted and taken into our triage area or directly to a labor and delivery room. Leave your suitcase in the trunk of your vehicle until you have delivered your baby and you and your baby have settled into a maternity suite. Pack a small separate bag for items you will need in labor, such as a camera and socks. Parking For current parking rates and instructions, visit HolyCrossHealth.org. At Holy Cross Hospital, patients and visitors who anticipate needing parking for an extended stay can purchase discounted parking passes from the cashier that are valid for seven days. What to Take to the Hospital Essentials • Robe • Slippers • Six to eight pairs of maternity or loose panties • Toiletries such as a toothbrush, toothpaste, soap, washcloth, shampoo, brush • Loose clothes for mom to wear home • Clothes and a receiving blanket for baby to wear home • Car seat — You are responsible for using a car seat that is appropriate for the age and size of your newborn to transport your baby home from the hospital. It is recommended that you have the car seat or base installed by a certified technician about one month prior to your due date. • The name of the pediatrician you have chosen to care for your baby. We will notify him or her once your baby is born. Optional • Nursing gowns • Nursing bras • Hairdryer (may be used in the maternity suites) • Long distance calling card (cell phones cannot be used in some patient care areas, including the Neonatal Intensive Care Unit at Holy Cross Hospital and the Special Care Nursery at Holy Cross Germantown Hospital) • Camera What the Hospital Provides • Nursing hospital gowns (to use while you are in the hospital) • Sanitary pads • Three pairs of quick-rinse fishnet panties • Towels • Diapers and wipes for the baby • Cap for the baby What to Leave at Home All valuables, including personal items (money, jewelry, documents or other articles of value). Free e-Newsletter: The Parent Review Sign up for Holy Cross Health’s free weekly email newsletter for information tailored to the week of your pregnancy or the age of your newborn. Our e-newsletter includes links to hospital classes and tours, announcements from our education staff and a variety of resources. Sign up at HolyCrossHealth.org/ParentReview. 5 Information for Your Stay Holy Cross Germantown Hospital labor and delivery room Labor and Delivery A team of experienced childbirth professionals offers comprehensive care in our Labor and Delivery units. Your obstetrician, anesthesiologists, neonatologists, registered nurses and other health care professionals collaborate to provide the best possible care to you and your baby. Throughout labor and delivery, you will be in a private, homelike labor, delivery and recovery room (LDR) complete with cable television, a private bathroom, sleeper sofa and other amenities. We support labor choices including natural childbirth, vaginal birth after cesarean section (VBAC) and the participation of doulas. Our experienced nurses will work with you and your support person throughout labor and delivery to provide as much support and assistance as you want or need. We provide encouragement, the latest monitoring equipment and pain management to ensure a smooth delivery. Our state-of-the-art units are equipped for cesarean sections and high-risk births. Maternity Suites After your baby’s birth, you and your baby will be taken to a maternity suite to recover in a quiet and comfortable setting. 6 All suites offer comfortable furniture, muted colors and subdued lighting, as well as a private bathroom, cable television with on-demand entertainment and education, and a telephone. A registered nurse will care for you and your baby. Certified nursing assistants and certified lactation consultants also will be available. We will teach you about your after-delivery care, as well as breast-feeding, bottle-feeding and basic infant care and safety. We also perform a hearing screening and congenital congestive heart disease (CCHD) testing on all newborns. We encourage mothers to keep their babies with them in their rooms. “Rooming-in” with your baby provides a great opportunity to get to know your newborn. We will assist you in completing the birth certificate. If you have questions, you may call the birth registrar at 301-754-7185 at Holy Cross Hospital or 301-557-5984 at Holy Cross Germantown Hospital. Room Service At both hospitals, you can order meals to be delivered to your room by browsing a restaurant-style menu and calling extension 28NOW (2-8669) to place your order. Meals are available anytime between 7 a.m. and 7 p.m. Kosher and vegetarian options are available. Food for Your Visitors Cafeteria Holy Cross Hospital Holy Cross Germantown Hospital Location Second floor First floor Hours of Operation Breakfast: 6 to 11 a.m. (hot breakfast served from 6:30 to 9:30 a.m.) Breakfast: 6:30 to 9:30 a.m. Lunch: 11:30 a.m. to 2 p.m. (salad bar open until 7 p.m. and deli bar open until 8 p.m.) Lunch: 11:30 a.m. to 2 p.m. Dinner: 4:30 to 7 p.m. Grab-and-Go Takeout: 10 a.m. to 7 p.m. Vending Machines: Open 24 hours a day Café Mid-Morning Snacks: 9:30 to 11:30 a.m. Grab-and-Go Takeout: 11:30 a.m. to 7 p.m. Dinner: 4:30 to 7 p.m. Vending Machines: Open 24 hours a day Location First floor in main lobby First floor in main lobby Hours of Operation 6:30 a.m. on Monday to 8:30 p.m. on Saturday 6:30 a.m. to 4 p.m. Monday through Friday 6:30 a.m. to 8 p.m. on Sunday Online Nursery While you are staying in your maternity suite, you can ask your nurse to connect you with an on-site, professional photographer to take photos of your baby that are then posted in an online “nursery” for you to enjoy, share with loved ones and purchase. This safe, secure and private service is available upon request. Use of the Television, Internet and Cellular Phones Both hospitals offer free wireless Internet access. Patients and visitors are permitted to bring wireless-enabled laptops for communication needs. Cellular phones may be used within the maternity areas of the hospital except in the Neonatal Intensive Care Unit (NICU) at Holy Cross Hospital and the Special Care Nursery at Holy Cross Germantown Hospital. Safety and Security The safety and security of your baby is of the utmost importance. Please abide by the following guidelines: • W hen walking in the halls or using the bathroom, place your baby in the rolling bassinet. • If your baby needs to leave the room for a procedure or test, a nurse will explain where your baby is going and why. Remember to ask your nurse any questions that you have, including when your baby will return. • D o not sleep while holding the baby in your bed or in a chair. • P lace your baby on his or her back in the bassinet to sleep. Do not place pillows, blankets, stuffed animals or toys in the bassinet. myStation is your in-room education and entertainment center, accessible via your television. The system allows you to watch TV, view on demand more than 20 educational videos related to pregnancy and women’s health, watch movies, play games, access the Internet, and learn more about the hospital. • T urn on a light when moving the baby to or from the bassinet. Discharge at 11 a.m. • S hut your door while you are sleeping or resting. Before you are discharged, your obstetrician will see you and your baby’s pediatrician will see your baby. Your physicians will write discharge orders for you and your baby, and your nurse will coordinate your discharge. It is helpful for you and your baby to be settled at home as early as possible on the day of your discharge. We ask that you make arrangements to depart the hospital by 11 a.m. Please do not hesitate to ask your nurse any questions you may have prior to going home. Financial Considerations If you have any financial concerns, including lack of insurance or inability to pay, please contact our financial counselors at 301-754-7195 at Holy Cross Hospital or 301-557-6195 at Holy Cross Germantown Hospital. Interpreter Services Sign language and foreign language interpretation is available. • K eep your baby in your sight at all times. Our hospitals use a state-of-the-art infant security system. You will receive information about the system when you are in the Labor and Delivery unit. All hospital staff wear photo identification badges. The badges of maternity staff include a yellow bar at Holy Cross Hospital and an orange bar at Holy Cross Germantown Hospital. 7 Special Care for High-Risk Women and Newborns Holy Cross Hospital Neonatal Intensive Care Unit Most women have normal pregnancies and deliver healthy babies. But some women have a higher risk of developing a problem during pregnancy or birth. You may require special care if you have a medical condition such as hypertension or diabetes, are expecting multiple births, or become pregnant after age 35. Our team helps expectant moms navigate their individual situation to connect with the most appropriate resources, which may be available at one or both hospitals. Holy Cross Health offers the most advanced programs and care available for pregnant women at risk for preeclampsia, premature birth, multiple births, gestational diabetes and other conditions. Under the direction of board-certified specialists in gynecology, obstetrics, perinatology, genetics and neonatology, our highly skilled team works with women every step of the way toward a healthy pregnancy and baby. 8 Perinatal Diagnostic Center at Holy Cross Hospital Women with high-risk pregnancies are referred to our Perinatal Diagnostic Center at Holy Cross Hospital for consultation, diagnostic testing and ongoing care in collaboration with their obstetricians. The center is operated under the direction of a board-certified perinatologist, who is a physician with specialized training in expectant mothers and their babies. Diagnostic services include biophysical profiles, amniocentesis, non-stress testing, obstetric ultrasound and genetic counseling. High-Risk Perinatal Center & Antepartum Unit Women who require hospitalization during pregnancy can stay in our specialized High-Risk Perinatal Center at Holy Cross Hospital or the Antepartum unit at Holy Cross Germantown Hospital, where they receive expert care, 24 hours a day. The units are supported by the expertise of board-certified obstetricians/gynecologists, perinatologists, a diabetes nurse specialist and registered nurses specially trained in fetal monitoring. Obstetricians are available 24 hours a day. Neonatal Intensive Care Unit (NICU) at Holy Cross Hospital Holy Cross Hospital’s Neonatal Intensive Care Unit (NICU) cares for more newborns with complex medical issues than any other hospital in Maryland. Our 46-bed, Level III NICU features state-ofthe-art technology to care for babies who are born early or have medical complications that require constant observation or care. Our highly specialized team works collaboratively to provide comprehensive infant care. Our team includes neonatologists (physicians who specialize in newborn care), neonatal nurse practitioners, registered nurses, physical therapists, respiratory therapists, social workers, case managers, lactation consultants and other specialists. Our team communicates with you and your pediatrician to coordinate care and to make sure your baby has everything he or she needs to thrive. We encourage parents to visit their babies in the NICU frequently and participate in their care. When parents are away from their babies, our NICVIEW system provides secure video streaming over the internet to bring comfort to NICU families. We support and encourage breast-feeding and can help you begin. To ease the transition home, we offer a discharge class, CPR training and a support group. Special Care Nursery at Holy Cross Germantown Hospital Holy Cross Germantown Hospital’s Special Care Nursery is a fully-equipped Level II Neonatal unit— a newborn care center for babies born without complex medical problems, but who need initial help for breathing problems. If a newborn requires more intensive care after the first 24 hours following birth, parents have the option to have their baby transferred to the Holy Cross Hospital NICU in Silver Spring. Like all patient rooms at Holy Cross Germantown Hospital, the Special Care Nursery features all private rooms for babies and their visiting family. 9 Comprehensive Services Before and After Birth Clinics for Patients in Need Holy Cross Hospital’s OB/GYN Clinic and Holy Cross Germantown Hospital’s OB Clinic provide both routine obstetrical care (prenatal and postpartum) and specialized care for high-risk pregnancies to patients in need, regardless of their ability to pay. For more information, call 301-754-7630 at Holy Cross Hospital or 301-557-6630 at Holy Cross Germantown Hospital. Gestational Diabetes Education Program at Holy Cross Hospital Gestational diabetes is a type of diabetes that some women develop during pregnancy. It is one of the most common health problems of pregnancy. Holy Cross Health’s Gestational Diabetes Education Program at Holy Cross Hospital offers individualized one-on-one instruction to help you learn how to manage gestational diabetes. You can meet with a diabetes educator who is a registered nurse, and a dietitian, for education on why blood sugars may become abnormally high, how to maintain a healthy pregnancy, monitoring blood sugars, meal planning, adding insulin to the treatment plan and what to expect after your baby is born. Call 301-754-7449 to make an appointment. Breast-feeding Support 10 Breast-feeding is a natural process that provides many benefits to your newborn. While you are in the hospital, our nurses and certified lactation consultants can help you with latching on and positioning, encouraging fussy and reluctant babies, and meeting you and your baby’s special needs. Once you return home, if you have questions about breastfeeding you may call our warm line at 301-754-7745 at Holy Cross Hospital or 301-557-6097 at Holy Cross Germantown Hospital, a free service for our patients and community members. Questions are answered Monday through Friday from 9 a.m. to 4:30 p.m. Or, through a doctor’s order, Holy Cross Home Care offers lactation consults in your home with board-certified lactation consultants. For more information about this service, call 301-754-7754. Hospital-grade electric breast pumps are available for rental from our Lactation Service offices, located on the fourth floor of Holy Cross Hospital, and on the third floor of Holy Cross Germantown Hospital. For more information, to inquire about breast pump rental or to ask a breast-feeding question, call 301-754-7745 at Holy Cross Hospital or 301-557-6099 at Holy Cross Germantown Hospital. Maternal and Newborn Home Care Holy Cross Home Care, a member of Trinity Health Home Services, offers home care for new moms and their newborns through a doctor’s order. Babies who are discharged from the NICU or Special Care Nursery often have continuing medical needs and may require skilled nursing assistance after they Your Newborn Checklist During your first days at home with your baby, here is a checklist of important actions: • Birth certificate/Social security card: Contact the Maryland Division of Vital Records at 410-764-3038 or visit www.vsa.state.md.us. For Social Security Card information, call the Social Security office at 800-772-1213. For a copy of a Proof of Birth letter or for any other questions or concerns, call the Birth Registrar at 301-754-7185 at Holy Cross Hospital or 301-557-5984 at Holy Cross Germantown Hospital. • A dd newborn to insurance: Contact your insurance company and/or employer to add your newborn to your insurance plan. Please do so within a week of discharge to avoid delays in obtaining insurance coverage for your baby. If you do not have insurance or need financial assistance, please contact our Financial Counseling office at 301-754-7195 at Holy Cross Hospital or 301-557-6195 at Holy Cross Germantown Hospital. • Enroll in patient portal: MyHolyCrossHealth is an online tool that allows you to manage your personal health care information at any time, view and pay your hospital bills, check test results and more. You can enroll while in the hospital or by calling 301-754-7680. • Follow-up appointment with your pediatrician: Schedule this appointment within a week of your baby’s birth, or as suggested by your pediatrician. come home from the hospital. The Home Care program also provides post-delivery home check-ups to the newborns of moms who receive their prenatal and postnatal care through Holy Cross Health’s OB Clinics. And, board-certified lactation consultants are available for home consults after birth. Call 301-754-7754 for more information. Mother/Baby Aides Often women who are recovering from childbirth discover that they cannot do everything for themselves like they used to. Holy Cross Private Home Services, Corp., a licensed residential service agency (RSA), offers mother/baby aides to assist with hands-on baby care and household tasks including laundry, feedings, light housework and short-term care. You can schedule these services 24 hours a day, seven days a week. We recommend that you make a reservation prior to your delivery. For more information, program fees or to schedule a mother/ baby aide, call 301-754-7780. • If you have questions about breastfeeding after returning home, call our free warm line at 301-754-7745 at Holy Cross Hospital or 301-557-6097 at Holy Cross Germantown Hospital. Questions are answered Monday through Friday from 9 a.m. to 4:30 p.m. • T o learn about our parenting classes, call 301-754-8800, visit us at HolyCrossHealth.org or see page 12 of this brochure. Car Seat Rental Program Appropriately using a child safety seat is the best protection you can provide to your child during transportation. Holy Cross Health offers a KISS (Kids in Safety Seats) car seat rental program. If you would like to rent a car seat, please call the Holy Cross Health Perinatal Education office at 301-754-7158 one month prior to your delivery date to make arrangements. Reservations must be made in advance. For information on child passenger safety, including car seat selection, installation and inspection, please contact the following organizations: • ational Highway Traffic Safety Administration N (NHTSA) 888-327-4236 www.nhtsa.gov • aryland Kids in Safety Seats (KISS) M 800-370-SEAT (7328) MDkiss.org [email protected] • Montgomery County 240-777-2222 • rince George’s County P 301-583-1964 Pediatric Care Holy Cross Hospital and Holy Cross Germantown Hospital both offer pediatric emergency care. If children need to be admitted for additional care, Holy Cross Hospital’s Pediatric Center serves inpatients, ambulatory surgical patients and short-stay patients with a wide range of medical conditions. • Follow-up appointment with your obstetrician: Schedule this appointment within six weeks of your delivery, or as directed by your obstetrician. 11 Childbirth and Parenting Education Expectant moms participate in Holy Cross Health’s prenatal yoga class. Becoming a new parent is a joyful experience. Still, there is a lot to learn. That is why Holy Cross Health offers classes to teach you and your family members what to expect during pregnancy, labor and delivery, as well as how to care for your newborn. Our class instructors are trained in childbirth education. Classes: Before Baby Prenatal Tour of Holy Cross Hospital or Holy Cross Germantown Hospital We encourage expectant parents to take this complimentary tour about four to six weeks before the baby’s due date. Please register. Childbirth Preparation This prepared childbirth course focuses on labor and delivery, medical routines, comfort measures and techniques, the role of the partner and more. Childbirth — Just the Facts Designed for those who want a refresher course or can’t fit in a full series, this class covers the signs and process of labor, medical interventions, medications and pain management. 12 Comfort Measures for Labor Focuses on non-medical methods to cope with labor including relaxation, positioning, breathing techniques and massage. This class can be combined with Just the Facts, used as a supplement to a full prepared childbirth class, or used as a refresher class. Online Childbirth Education Class An alternative for parents who cannot attend a traditional childbirth preparation class. Cesarean Birth Provides an overview of the reasons and procedures of cesarean birth, the role of your partner, recovery and postpartum considerations. Baby Care — Instructions for the First Weeks This course provides survival tips for baby’s first weeks, including bathing, feeding and more. Getting Started with Breast-feeding This class will help expectant moms get off to a good start with breast-feeding. Prenatal Exercise Designed for the expectant mother at any stage of pregnancy. Includes stretching, muscle toning and strength training, while incorporating cardiovascular work throughout. 10 Tips for Early Breast-feeding Success Plan ahead: Look for sources of support and gather information from 1 trusted websites, books, articles, videos, other moms, or take a breast-feeding class (see page 12). 2 Set up a space for nursing at home. Find ways to save time and energy as you adjust to your new life in the early weeks. Start thinking about how you will manage breast-feeding/pumping if you are returning to work or school. In the hospital: 3 abies are most alert in the first hour of birth. Start breastB feeding as soon as possible, then keep the baby with you during your hospital stay. 4 Hold your baby skin to skin as much as possible, which has benefits for mom and baby. 5 Early breast milk, called colostrum, comes in small amounts. This “liquid gold” is all your baby needs for the first few days. 6 Remember that breast-feeding is learned by mom and baby through practice and patience. 7 A good latch and comfortable positioning are important; don’t hesitate to ask a nurse or lactation consultant for assistance. 8 Feeding the baby every two to three hours and around the clock will increase your milk supply. Night feedings are very important. 9 To know that baby is getting enough, keep track of feedings and diaper changes. Baby should have no food or drink other than mother’s milk unless medically indicated. 10 In general, it is best to avoid giving a pacifier until breastfeeding is well established. Pacifiers may be used briefly to comfort babies during procedures. Pumping is also not recommended in the first three to four weeks unless medically indicated. When you’re home: While you’re in the hospital, your baby’s weight and diapers will be monitored. When breast-feeding at home, continue to monitor your baby’s wet diapers and bowel movements to ensure he or she is getting enough milk. If there are concerns, call your doctor. And, be sure to have a follow-up visit scheduled with your baby’s pediatrician. Classes: After Baby Prenatal Yoga This multi-session course teaches breathing and relaxation techniques as well as postures for toning of muscles used during labor and delivery. Postnatal Yoga/Pilates for Moms and Babies A multi-session course designed for mothers and babies (6 weeks to 9 months). Includes postures, stretching, massage, relaxation and more. Becoming a Father This one-session course is for dads only. Hands-on baby care tips and the role of the father are covered. Moms on the Move A Yoga/Pilates class designed for moms who want to say “bye-bye” to the baby weight. Grandparents-to-Be: Discussion Group and Tour A tour and lively discussion to help you support your children with their new baby. Infant CPR (Birth to 1 year) Learn how to keep your baby safe, perform CPR and choking rescue techniques. Sibling Class and Tour A class to help siblings become big brothers and sisters. T-shirts are provided for participants. Designed for children 2 to 10 years of age. Child CPR (age 1 to 8 years) This three-hour class will teach you safety tips, CPR and choking rescue techniques for children ages 1 to 8 years. For a current schedule of classes and fees or to register, visit HolyCrossHealth.org or call 301-754-8800. Mother-to-Mother Connection A discussion group for moms with babies up to six months. Breast-feeding Support Group Postpartum Depression Support Group 13 Visitor Guidelines Patients benefit greatly from the support of visitors. That’s why Holy Cross Hospital and Holy Cross Germantown Hospital embrace open visiting hours, 24 hours a day, seven days a week. To best meet the patient’s needs, the medical and nursing staff makes exceptions for visiting based on the patient’s condition and any seasonal or public health restrictions in place at the time. Visit HolyCrossHealth.org for current visitor guidelines or ask your nurse. Visiting parents and all other visitors must check in at the information desk in the main lobby. Remind your visitors to wash their hands before touching the baby. Triage Holy Cross Hospital has a triage area, where you may have one visitor. Children under 12 years of age are not permitted into the patient care area of triage. Visitors may wait in the Labor and Delivery waiting area on the third floor. Labor, Delivery and Recovery (LDR) Rooms When you are admitted to an LDR, you may choose to have up to three people (12 years and older) with you for your labor and delivery. If you would like to have children under age 12 present at delivery, contact the nurse manager to make prior arrangements. After birth, your support person may bring family and friends into the LDR. We recommend 10-minute visits to allow mother and baby privacy and rest. Cesarean Birth Expectant mothers may designate one adult support person to be with them for the cesarean birth and in the Post Anesthesia Care Unit after the cesarean birth. Maternity Suites One adult support person who is at least 18 years old may stay overnight with the mother in the maternity suite using our sleep sofa or sleep chair. Your newborn’s siblings and 14 other family and friends may visit. Siblings and visiting children must be accompanied by an adult, other than the recovering mother, at all times. Siblings, regardless of age, are not permitted to spend the night. High-Risk Perinatal Center & Antepartum Unit At the High-Risk Perinatal Center at Holy Cross Hospital and the Antepartum unit at Holy Cross Germantown Hospital, one adult support person who is at least 18 years old may stay overnight using our sleep sofa or sleep chair. Family and friends may visit. Visiting children under age 18 must be accompanied by an adult, other than the patient, at all times. Children, regardless of age, are not permitted to spend the night. Neonatal Intensive Care Unit (NICU) & Special Care Nursery At the NICU at Holy Cross Hospital and the Special Care Nursery at Holy Cross Germantown Hospital, parents are welcome to visit anytime, except from 6:30 to 7:30 a.m. and 6:30 to 7:30 p.m. during the change in nursing shifts. Three visitors are permitted at a time and at least one must have the matching infant identification band. Siblings over age 4 may visit with a parent or banded person. Siblings under age 4 may visit by special arrangement only. Guía para el cuidado de maternidad Educación en español acerca de la preparación para el parto y la crianza de los niños • Cursos prenatales (signos de parto, el proceso de parto, intervenciones médicas, medicamentos y el alivio del dolor para el trabajo de parto, técnicas de respiración y relajación, y lactancia). • Visita guiada a Holy Cross Hospital o a Holy Cross Germantown Hospital. Para obtener mayor información sobre el horario de las clases o para inscribirse, sírvase llamar al 301-754-8800 o visite HolyCrossHealth.org. Inscripción por adelantado Inscríbase por adelantado unos meses antes de la fecha que se espera que nazca su bebé. Puede inscribirse por adelantado en línea para Holy Cross Hospital o Holy Cross Germantown Hospital, ingresando a HolyCrossHealth.org o llamando al 301-754-8300. Lo que debe traer para su permanencia en el hospital Cuando esté en trabajo de parto deje su maleta en la cajuela de su auto hasta después de haber dado a luz y haya sido trasladada a la Unidad de Maternidad. Empaque en un bolso pequeño artículos que pueda necesitar durante el parto, como una cámara y medias. Deje sus objetos de valor en casa. Lo que debe hacer cuando comience el trabajo de parto Cuando comience el trabajo de parto, asegúrese de notificar a su médico y luego diríjase hacia el hospital. Ingrese al hospital por la puerta del vestíbulo principal y el mesón de informaciones la dirigirá a la unidad de trabajo de parto y alumbramiento en el tercer piso. Visite HolyCrossHealth.org para ver las tarifas actuales de estacionamiento. Pautas para las visitas Durante el trabajo de parto y alumbramiento usted podrá elegir que le acompañen hasta 3 personas las cuales deben tener 12 años de edad como mínimo. Mientras se encuentre en la unidad de maternidad, una persona de apoyo adulta de Lo que debe traer al hospital Artículos necesarios • Bata • Pantuflas • 6 a 8 pares de ropa interior suelta o de maternidad (conocida también como calzones, bragas, bombachas o pantaletas) • Artículos de higiene personal tales como cepillo de dientes, pasta dental, jabón, toalla, champú y cepillo para el cabello. • Ropa cómoda que vestirá cuando le den de alta. 18 años de edad como mínimo podrá pasar la noche y usar un sofá o silla para dormir. Tenga presente que los hermanos o hermanas del bebé y cualquier otro niño que esté de visita deben estar acompañados en todo momento por un adulto que no sea la paciente. Programa de alquiler de asientos de seguridad para niños Holy Cross Health ofrece un programa de alquiler de asientos de seguridad para niños, denominado K.I.S.S. (Kids in Safety Seats, por sus siglas en inglés). Si le interesa alquilar un asiento de seguridad de niños llame al 301-754-7158 aproximadamente un mes antes de la fecha programada para el nacimiento de su bebé. Se requiere hacer los arreglos de antemano. Asuntos financieros Si tiene preocupaciones de carácter financiero entre los que se pueden mencionar, falta de seguro médico o incapacidad de pago, póngase en contacto con nuestros asesores financieros de Holy Cross Hospital al 301-754-7195 o de Holy Cross Germantown Hospital al 301-557-6195. Servicios de interpretación Contamos con intérpretes de lenguaje de señas y de idiomas. Clínicas de salud disponibles para mujeres necesitadas Las clínica de Obstetricia y Ginecología de Holy Cross Hospital y la Clínica de Obstetricia de Holy Cross Germantown Hospital le proporcionan, a mujeres necesitadas, tanto cuidados típicos de la obstetricia (atención prenatal y de posparto), como cuidados especializados relacionados con los embarazos de alto riesgo. La atención se brinda independientemente de la capacidad de pago de la persona. Para obtener más información, llame al 301-754-7630 en Holy Cross Hospital o 301-557-6630 en Holy Cross Germantown Hospital. • Ropa y frazada pequeña para envolver al bebé cuando esté en casa. • Asiento de seguridad para el auto o “porta bebé”: usted es responsable de usar el asiento de seguridad apropiado a la edad y tamaño del recién nacido para transportarlo del hospital a su hogar. Es recomendable que un técnico certificado instale el asiento de seguridad o su base, aproximadamente un mes antes de la fecha programada para el nacimiento de su bebé. • El nombre del pediatra que eligió para hacerse cargo de su bebé. Se le notificará al pediatra una vez que nazca su bebé. Artículos opcionales • Una bata diseñada para amamantar. • Sostenes diseñados para amamantar. • Secadora de pelo (se puede usar dentro de la Unidad de maternidad). • Tarjeta prepagada para hacer llamadas de larga distancia (no se permite el uso de teléfonos celulares dentro de ciertas unidades de atención al paciente). 15 Important Phone Numbers Listing En Español Holy Cross Hospital Holy Cross Germantown Hospital Holy Cross Health Main Hospital Number/Patient Information Línea Principal del Hospital 301-754-7000 301-557-6000 TTY Teléfono para sordomudos 301-754-7406 301-557-7406 Childbirth and Parenting Classes and Tours Clases y Giras Prenatales 301-754-8800 Physician Referral Servicio de Remisión a Médicos 301-754-8800 Preregistration for Birth Admisión e Inscripción por Adelantado 301-754-8300 Financial Counseling Asistencia Financiera 301-754-7195 301-557-6195 Emergency Center/Department El Centro de Urgencias 301-754-7500 301-557-6500 OB Clinic La Clinica de Obstetricia 301-754-7630 (OB-GYN Clinic) 301-557-6630 High-Risk Perinatal Center/ Antepartum Unit Unidad de Anteparto para Embarazos de Alto Riesgo 301-754-7580 301-557-6041 Labor and Delivery Unit Unidad de Parto y Alumbramiento 301-754-7591 301-557-6041 Maternity Suites Habitaciones Privadas de Maternidad 301-754-7570 (East) 301-754-7620 (West) 301-557-6041 Pediatric Center Centro de Pediatría 301-754-7610 Neonatal Intensive Care Unit (NICU) / Special Care Nursery Unidad de Cuidados Intensivos para Recién Nacidos 301-754-7600 Perinatal Diagnostic Center Centro de Diagnóstico Perinatal 301-754-7625 Car Seat Rental Program Programa de Alquiler de Asientos de Seguridad para Bebés Gestational Diabetes Education Program La Diabetes Gestacional Programa de Educación 301-754-7449 Lactation Services (Breast-feeding Support) Servicios de Lactancia (apoyo para el amamantamiento) 301-754-7745 Home Care Cuidado en Casa 301-754-7754 Private Home Services Servicios de Atención Particular en el Hogar 301-754-7780 Birth Certificates/Registration Partidas de Nacimiento (Inscripción de Nacimientos) Maryland Division of Vital Records Unidad de Régistros Demográficos de Maryland 301-557-6600 301-754-7158 301-754-7185 1500 Forest Glen Road Silver Spring, MD 20910 301-754-7000 HolyCrossHealth.org 301-557-6099 301-557-5984 410-764-3038 19801 Observation Drive Germantown, MD 20876 301-557-6000
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