Exploring Your Choices
Exploring Many Ways to Give Birth at Roosevelt Hospital
When it comes to labor and delivery, our Obstetrics Service provides the widest range of choices to the pregnant woman and her family. Because of our unique combination of an in-hospital birthing center just a floor away from a state-of-the-art, complete labor and delivery facility, Roosevelt Hospital is able to offer choices that other hospitals can't come close to matching. With this range of facilities at your disposal, you can optimize perfectly between what you want and what you and your baby must have. Every intermediate step is available in choosing the best and safest alternative for your family.
Throughout your pregnancy, we will continuously evaluate your health, and recommend changes in the plans for your labor and delivery if necessary. |
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You may choose the birthing center or the labor and delivery suite, and with either choice, you may have an obstetrician or a midwife. In any of those situations, you will have a variety of anesthesia choices. If you prefer a birthing center experience and plan for it, you can be confident that if your situation changes, many of your plans can still be preserved. You can move at any time to our state-of-the-art labor and delivery suite, along with your chosen physician or midwife. For example, if a problem arises during your labor at the birthing center, an epidural block and labor induction drugs, or even an operating room, are just an elevator ride away.
In a typical birth in the labor and delivery suite, you would have a birthing room called an LDR room. This acronym stands for labor, delivery and recovery, which are the phases of the birthing process you would experience in this type of room. About an hour after the birth of your baby, you would move to a postpartum room.
Some other options:
LDRP:
LDRP, which stands for labor, delivery, recovery and postpartum, is an intermediate choice between the birthing center and the standard use of a labor room. As with all our options, you may choose a midwife or a physician. In this choice, you would give birth in the labor and delivery suite as in a typical birth, but you would not leave the birthing room after recovery. You would remain there throughout the postpartum period. The baby never leaves your side, and your postpartum stay is short. Epidural anesthesia and pitocin induction are available in this setting, making it very versatile. For some women, the LDRP option is the best of both worlds.
Special LDRP: approximation of the birthing center experience
Sometimes a family who had been planning to use the birthing center is faced with complications, such as postdated pregnancy, that make necessary the use of labor induction and/or epidural anesthesia. At a non-hospital-based birthing center, this family might have to give up their midwife for an obstetrician, and go to a standard labor and delivery experience. But at Roosevelt Hospital, there is continuity. We can make arrangements to allow you to have as close to a birthing center experience as possible in one of our LDRP rooms in the labor and delivery suite. On your request, with planning on our part, you can keep all your family members with you, including small children. You can have the support of a doula, and continue a relationship with your chosen midwife or obstetrician. You can keep your baby with you continuously. You would stay in the birthing room until you and your baby leave the hospital, keeping your postpartum stay down to 12 to 18 hours.
For more on your choices:
Contact Jo Leonard, RN, MA, FACCE, at (212) 523-6222 (Parent/Family Education), or discuss your options with your obstetrician or midwife.
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