mount sinai hospital labour and delivery tour (updated 2017)


This video series was created for
families who are considering having their baby at Mount Sinai Hospital, and
for those who have made that decision and are now preparing for their birth.
The hospital is located at 600 University Avenue in downtown Toronto between St. Patrick and Queens Park subway stations It is across from the
Hospital for Sick Children and flanked by Toronto Rehab to the south and
Princess Margaret Hospital to the north When entering the hospital from
University Avenue through the large revolving doors, you will find some of
our corporate partner services such as Second Cup, Rexall and Indigo. However,
when in labour, most expectant families enter the hospital from Murray Street
after parking in one of the parking garages available at the rear of the
hospital. These parking garages are operated by independent contractors. It
is possible to drop the labouring person off in the semicircle on Murray Street
but you are not able to leave your car there unattended. Once through the
revolving doors you will find our Food Hall to your left,
security services to your right, and the Admitting and Patient Registration area
just ahead of you to the left. All labour rooms are private and OHIP
will cover the cost for that room. When you’re in the postpartum area, OHIP will
cover a room that has four people in it and if you would like to upgrade to a
semi-private or a private room, then you may be able to do that through your
private insurance company or a group insurance company. Insurance companies may cover only part of the cost of a private or a semi-private room so you’ll
be best to check with your own insurance company to find out what they will cover.
You will likely have to submit a form so that you can get reimbursed for it
but you may be asked to pay for it up front. Your postpartum room will not be
assigned until after you have given birth. If your preferred room type is not
available at that time you will be given an alternate room type and placed on a
waiting list for your preferred room type. If you think you’re in labour your water
has broken or you have any other concerns please contact your health care
provider. You can also call the triage line and the number for that is 416-586-4800 extension 3210, and a labour and delivery nurse will be able to answer your questions. Most women will come to the hospital when they are in active labor with regular
contractions every five minutes or closer for at least two hours, or when
their water breaks. To find out more about how you will know if it’s time to
go to the hospital or when you’re in labour, talk to your health care provider.
Our prenatal classes also provide this information. Once you arrive at the
hospital you will likely be entering from the Murray Street revolving doors after you have parked your car. In order to register as an inpatient you will
need to have your OHIP card, your Mount Sinai Hospital card and a credit card
imprint for charges that are not covered by OHIP or your private insurance plan Your registration will be managed during
your assessment in triage. Do not go to the emergency department unless the
pregnancy is less than 18 weeks along. To get to the University elevators walk
past the registration area just before reaching the Second Cup, and turn left The registration area on the 15th floor
is found directly off the elevator lobby. You’ll be asked to come back to this
area once you’ve been assessed in triage. To get to triage, turn into the hallway
to the right of the registration area and enter the first set of doors to your
right. When you get to triage, the triage nurse will take you into one of their
examining rooms. She’ll likely ask you some questions about your labour, a little
bit of history about your pregnancy, and then she will listen to the baby’s heart
rate, check out what your contractions are doing, and take your vital signs.
While in triage a resident or medical student will do a quick history and
physical to determine whether you are ready for admission to the labour floor.
You will be transferred to a labour birthing room once you are in
established active labour. Iif you are in early labour you may be asked to go home for a time. If you live far away from the hospital you may be able to stay in the
early labour lounge on the 15th floor. The labour lounge is located directly across
from the triage area. It has comfortable seating and offers you some privacy. To
the right of the labour lounge you will find a kitchenette with a kettle and a
microwave for your use. To the left of the labour lounge you will find the
family waiting area. This is a good place to have family wait while you’re being
assessed. Your primary support person will of course be able to be with you
while you are in triage. The labour and delivery unit is a locked
unit, so if you are not accompanied by staff you will need to use the telephone
to be let in. The labour reception area is found across from where you will enter
the unit. Once you are admitted to the labour and delivery unit, your partner
or primary support person will receive a bracelet to identify them as a
designated permanent support person. In labour and delivery we encourage people
to have just two visitors at a time, but your support person is course able to
stay for 24 hours There are 19 rooms on the unit where
families will be during the labour, birth, and immediate recovery period after
the birth. All the rooms have showers in the bathrooms and four of the rooms have immersion tubs available to use during labour. Showers have adjustable functions and a fold down seat that can be used for the labouring person’s comfort.
Bathtubs do not have jets but there is a handheld showerhead that can be used to
provide massage-like pressure. Each room is equipped with an adjustable bed, a
lounge chair, a birth ball, a TV, monitoring systems for mother and baby, a baby warmer that can also be used to weigh the baby, a bedside table, and all
the things nursing and medical staff will need to care for the labouring person and
the baby. There is a storage area available for personal belongings. There
is a kitchenette available for families to store labeled personal food items
that require refrigeration. There is also a kettle and a microwave available. All
cesarean births are done on the 15th floor in our own operating rooms. A
resuscitation room is centrally located within this area, staffed by members of
our neonatal intensive care unit team Once the surgery is completed recovery
occurs in our own post-anaesthetic care unit located next to the reception area
of labour and delivery. The baby will remain with you unless admission to the
NICU is required Once you have given birth and both you
and baby are stable you will be transferred to the postpartum unit by
your nurse. The room could be on the 15th or 16th floor. You will stay on the
postpartum unit for approximately 26 hours after your birth. If you’ve had a
cesarean birth it may be up to 48 hours If you are with a midwife you may be
discharged earlier. Discharge classes run by a registered nurse and
breastfeeding classes run by lactation consultants are offered daily to our
inpatients. The unit has increased security, therefore visitors are required to use the phone by the entry doors to be
buzzed into and out of the area. Visiting hours are from 11:00 a.m. to 8:00 p.m.
but your primary support person can stay overnight. The communication station is
located centrally in the unit with decentralized charting areas for the
nursing staff closer to the individual rooms. All rooms come with storage space for personal belongings, an adjustable bed, privacy curtains, a cot for the baby
with storage space, a lounge chair that opens up to be used as a bed, TV, phone
and internet services, and bathroom and shower facilities. A separate bathroom
with a shower is available for support persons staying overnight. If you are not
in a private room you may want to take advantage of the family lounge when
visitors arrive. The kitchenette is also available for your use to store your own
labeled food that requires refrigeration or to make yourself some tea. The
postnatal ambulatory clinic and the NICU or neonatal intensive care unit are both
located on the 17th floor off the university elevators. The postnatal
ambulatory clinic serves as an interim support for the postpartum and neonatal
period for both you and your baby after discharge from the hospital, if you do
not have access to a primary health care provider. Walk-ins cannot be accommodated, but you can arrange an appointment before you go home with your nurse or
you can call to make an appointment. Services provided here include
breastfeeding support, newborn screening follow-up, wound care and other follow-up
assessments. It is open 7 days a week. We hope that this video has given you a
sense of what giving birth at Mount Sinai Hospital will be like. All of the
information in this video is also available in the PDF file on the
website if you have further questions. Please speak with your health care
provider or consider taking one of our prenatal classes.

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