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Clinical Views

Mount Sinai Roosevelt’s OB Suite

The Labor and Delivery Suite at Mount Sinai Roosevelt

The Mount Sinai Roosevelt labor and delivery suite is one of the most beautiful anywhere. All birthing rooms are single, and are attractively decorated in shades of pastel, with a television and telephone in every room. Each room boasts a panoramic view of midtown Manhattan or of the Hudson River. Our labor floor is continuously staffed by an obstetrics team of five physicians, who are there to assist your personal physician or midwife. In addition, at least one specialist in high-risk pregnancy is always available. Highly trained nurses and anesthesiologists also work with your personal physician, or your midwife, to provide exactly the care you need and want.

Our anesthesiologists are equipped to offer the best choice of pain relief for your needs. We offer the "walking epidural," which removes or reduces pain, but still allows you to participate fully in the labor process. The Roosevelt labor and delivery suite is equipped with state-of-the-art technology, including a central fetal monitoring unit allowing your providers to watch from anywhere on the floor. Three operating rooms are located on the floor, and behind them, the high-level neonatal intensive care unit, with services from neonatologists available 24 hours per day, seven days per week.

A birth experience on the labor floor

Typically, you would experience labor and delivery in a birthing room, accompanied by up to two people of your choosing, in addition to health care professionals.You would remain in the birthing room for approximately one hour following delivery, to initiate breastfeeding and to bond with your baby. You would then move, with your baby, to a postpartum room.

If your delivery is by cesarean section, our nurses will help you initiate breastfeeding during your time in the recovery room. After breastfeeding, your baby’s father or your significant other may go with the baby to the newborn nursery; approximately 2 hours later, you would all be reunited in a postpartum room.

Very little time needs to be spent by the baby in the nursery, unless you prefer otherwise. Following admission, your baby may remain with you continuously in the postpartum rooms, and breast-feeding is supported. In the postpartum rooms, you may choose to pay extra for a private room. If you decide to room alone, your baby's father or your significant other may spend the night and join you in bonding with the new baby. Neonatologists and pediatricians are available around the clock, as are obstetricians and maternal-fetal medicine specialists.

Obstetric Anesthesia

Every woman's labor is unique; the amount of pain varies from woman to woman. While some women don't experience much discomfort in labor, most will experience some pain, and it can be severe. For some, comfort can be achieved with breathing and relaxation exercises, but many women find these methods insufficient and request medications.

In the Labor and Delivery rooms at Mount Sinai Roosevelt, a full range of anesthesia options is provided around the clock. To get pain relief, all you need to do is ask your obstetrician or midwife

Removal of pain without drowsiness or muscle weakness

Over the past twenty years, there have been many advances in the field of obstetric anesthesia. There are now many options for providing pain relief in labor, and many of these are available at Mount Sinai Roosevelt. Most often, women in labor want analgesia, the removal of pain sensation without causing a change in consciousness and without causing weakness to your legs or abdomen. To reduce labor pain, we attempt to make you as comfortable as possible, without producing the motor block that might affect your ability to push the baby out.

The walking epidural

A typical epidural is begun after you are given a tiny shot of local anesthetic. Then, a small plastic tube is introduced into the epidural space, just outside of the spinal canal. Anesthetic is delivered continuously through the plastic tube. Pain from the uterus and birth canal is numbed, while you remain awake and alert.

An alternative way of doing an epidural, the walking epidural or "combined spinal-epidural analgesia"(CSE) technique, is offered at Mount Sinai Roosevelt.

This procedure produces pain relief without causing numbness or weakness to the legs and so it allows women to move about, and if desired, to get out of bed and walk during the early stages of labor.

Walking is not permitted in all patients. Many women, however, enjoy the benefits of the walking epidural even without strolling the halls. They are able to sit in a rocking chair next to the bed, for example. The largest advantage of the "walking" epidural is that your legs will move normally, and you should have no difficulty when the time arrives to push your baby out.

Our anesthesiologists

There are three full-time obstetric anesthesiologists working at Mount Sinai Roosevelt, and they are assisted by a staff of more than 30 board certified anesthesiologists who provide anesthesia and analgesia 24 hours a day, seven days a week.

Postpartum Units

The comfortable postpartum rooms are where women go after a delivery at Mount Sinai Roosevelt. During the period after you give birth and before you take your new baby home, a member of the caring and experienced postpartum nursing staff will monitor your physical progress. Specially trained in the care of mothers and babies, your nurse will also provide you with educational opportunities in baby care and self care. Amenities are available to make your stay in a postpartum room more homelike while you and your family bond.

At an extra charge, fine cuisine may be ordered from our chef's kitchen on the 14th Floor. Private rooms may be obtained on request, subject to availability, and at an additional cost. If you do have a private room, your baby's father or your significant other may sleep in. This can aid in education and bonding for the entire family. Your baby is a part of your family, who should be bonding and staying close to you. We strongly encourage babies to stay in their mothers' rooms. The choice is yours, though, and nursery care is available on request, either for your entire stay, or to provide a break when you can shower.

We provide a safe, secure environment for you and your baby. This includes a locked nursery and locked postpartum units with security cameras. In addition, all visitors must sign in and out of the postpartum units. This is to ensure the safety of our families.

The heart of the care you will receive in the postpartum program is in two areas, in monitoring your physical condition, and in education, so that you can look after your baby and yourself on returning home. Our postpartum nurses are caring, compassionate, and well educated. As your nurse examines you, she will pay attention to all the subtle changes your body will go through as it begins working its way back to a pre pregnant state.

Your nurse will spend most of her time teaching aspects of baby care, breast care, and self care to you and your family. Your questions and comments are encouraged; they will help her to fill in the area where you most need knowledge. Education in baby care includes bathing, cleaning of the belly button, diapering, and cleaning of the circumcision wound, if any.

A special emphasis is placed on breast feeding, for those who want education and training support. Most of our postpartum nurses and NICU nurses are nationally - or internationally-certified lactation consultants (CLC or IBCLC).

An understanding of your own body, as it regains its prepregnant state, will enable you to monitor your own recovery. We want to send you home feeling confident that you can effectively monitor and care for yourself and your new baby.

Newborn Nurseries and Neonatal Intensive Care Unit (NICU)

After delivery, you will usually have the choice of keeping your baby in your room or in our newborn nursery. But, when unexpected circumstances arise, such as an infant who is born prematurely or sick, our neonatal services are available 24 hours per day, seven days per week.

The finest care is available in our nurseries and our neonatal intensive care unit. In this modern, cheerful setting, state-of-the-art equipment is in use, including advanced electronic monitoring devices, mechanical ventilators, and incubators. The excellent medical team includes a very experienced nursing staff, social workers, respiratory therapists, and others.

The physician staff includes six full-time, experienced neonatologists, pediatricians who are sub-board certified as specialists in the care of very young infants. Neonatologists are available around the clock, and supervise the attending pediatricians on the unit, who are also available 24 hours per day.

We are very proud of our neonatal services; they are well known for providing excellent care to their little patients. Mount Sinai Roosevelt has one of the lowest rates of infant mortality in the country.

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