Mountainside Medical Group

 

Labor and Delivery & Postpartum Care

Labor and Delivery

We want to make your labor and delivery experience a safe one. When you are in labor, contact your physician's office and head to Mountainside Medical Center for evaluation.

Am I in Labor?
Your body will give you several clues that indicate that you are in labor, however, it is important to remember that every women's labor onset is different. If you are unsure, call your physician for guidance.
Some common signs of labor are:

  • Contractions occurring every three to five minutes for over one hour with increasing in intensity and duration; contractions of true labor usually last more than 30 seconds each and are not relieved with rest, position change, or over the counter pain medicines
  • Rupture of membranes, which is when your "water breaks." This will cause a slow or periodic leaking of fluid from the vagina or large gush of fluid; note the color of the fluid and tell your provider
  • Bloody Show – Blood-tinged mucous appearing discharge that may indicate the onset of cervical thinning and dilation

Pregnancy Warning Signs:
Be sure to call your physician right away if you experience any of the following:

  • Your water breaks or you suspect that you're leaking amniotic fluid
  • You have vaginal bleeding (unless it's just a small spot of blood, which is common after a recent cervical check or vaginal exam in the office)
  • You are having contractions every 3-5 minutes for one hour
  • You have severe or persistent headaches that cannot be relieved with over the counter medicines, vision changes, intense pain in your upper abdomen, or abnormal swelling
  • You notice a decrease in your baby's movement. If decreased movement of your baby is noted after 28 weeks, drink 2 glasses of cold water and lie down on your left side. Remain lying down for one hour, and count the times you feel your baby moves. If you feel no movement, call your doctor right away.
  • You are experiencing sharp pains or severe cramps in your stomach

Induction of Labor: Some medical and pregnancy related conditions may make it necessary for you to deliver prior to your estimated due date. If this is the case, you and your doctor will discuss your induction plan and you will receive instructions

Vaginal Delivery: Whenever possible, our goal is always a safe, natural vaginal delivery for you and your baby. If you believe you are in labor, call your physician's office and head to the Labor & Delivery Unit at Mountainside Medical Center. You will be assessed by the hospital staff, and if you are in labor, will be admitted into the unit.

Operative Vaginal Delivery: Maternal fatigue, fetal heart rate issues, or other concerns may require an operative vaginal delivery. If this is necessary, your physician will counsel you appropriately. 

Cesarean Section: Our doctors are skilled in recognizing when a caesarian section should be scheduled or performed. We are trained to perform routine and emergent low-transverse and classical cesarean sections.

Vaginal Birth after Cesarean Section: Some women may be eligible to attempt a vaginal birth after ONE low-transverse caesarean section. If you would like to consider this option, you and your physician should have a thorough discussion and counseling sessions. We will be happy to speak to you about goals, risks and plan of action.

Postpartum Period
Women who deliver vaginally typically stay two night sin the hospital. Those who have a cesarean section will stay three to four nights. You will be closely monitored, and if necessary, will receive pain control. Certified lactation consultants will provide you with breastfeeding counseling, and you will be tested for early signs of postpartum depression.

When you are cleared for discharge, you will receive instructions about follow-up. Please be sure to follow those directions closely. At your first postpartum visit, your physician will give you an examination. This visit will provide you and your physician the opportunity to discuss any symptoms you may be feeling, contraception, other necessary follow-up, and any other concerns you may have.

Postpartum Depression
If you feel like you are having any signs of postpartum depression, please do not hesitate to contact your physician immediately. We are here to provide you with support, and if necessary, can refer you to support groups and provide you with the resources you need to help you through this difficult time. Remember, what you are feeling is nothing to be ashamed of.

Counseling is available for Postpartum Depression:
NJ Mental Health Cares: 1-800-202-HELP (4357)

Support groups are available for Postpartum Depression:
http://www.postpartumprogress.com

Circumcision
Circumcision is an elective procedure in which the foreskin of the penis is trimmed, providing hygiene related benefits. This is a low risk procedure, though on the rare occasion, some side effects may include, but are not to, bleeding, infection, or damage to the penile gland. A circumcision is typically performe don the 2nd or 3rd day of life, after the pediatrician has cleared your baby for the procedure.

If you wish for your son to be circumcised, please discuss the procedure with your pediatrician. It is important to follow all the post-procedure instructions provided to you by the pediatrician.

 
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