mother and baby pathway

2
JOSEPH BRANT HOSPITAL VAGINAL DELIVERY MOTHER AND BABY PATHWAY Form# 60006 Rev 12/07 This pathway is a guideline only. Please review before your delivery. Add any questions or goals that you may have for your hospital stay. Please bring this pathway with you to the hospital - your nurse will be reviewing it with you. TEAM MEMBERS WHO WILL BE WORKING WITH YOU Your obstetrician and/or family doctor/midwife If necessary or requested, a pediatrician Nurses Pharmacist Lactation consultant (Breast feeding support) Social worker FOLLOW-UP APPOINTMENTS FOR MOM AND BABY Baby’s appointment should be within 2 - 3 days of discharge: Mom’s appointment should be approximately 6 weeks after delivery: Appointments may be made for breast feeding assistance with the breast feeeding clinic: Phone 681-4840 JOSEPH BRANT HOSPITAL WARM LINE FOR QUESTIONS re Mom and Baby care up to 6 weeks Post Partum 681-4831 NOTES: Keep track of your questions and conscerns. Please feel free to ask any member of the team. A Public Health Nurse will call you withiin 48 hours of discharge. You will also be offered a home visit by a Public Health Nurse. Healthy Babies Healthy Children (HBHC) is a voluntary program to help families with babies and young children (prenatal to age 6) get the information, support or services they need - when they need it. The goal of the program is to ensure that all children in Ontario get off to the best possible start in life. A postpartum assessment is completed on all families giving birth in Ontario. The purpose of this assessment is to identify families who might benefit from receiving community supports. There are questions about your baby’s health; your health and your family situation. You will be asked for written consent to share the information on the assessment with the Health Department. With your consent a Public Health Nurse will call you within 48 hours of your discharge from hospital. She will ask your questions about how you and your baby are doing. If you wish, a Public Health Nurse will make an appointment to visit. If you and your family have a lot of stresses, you will be encouraged to have a Family Assessment in your home to decide what community services would be most helpful to you. CALL 693-4242 and ask to speak to a Public Health Nurse about your baby’s health and development. She will provide information and suppot and may refer you to appropriate services. HEALTHY BABIES HEALTHY CHILDREN (HBHC) IN THE HOSPITAL: AFTER YOU LEAVE THE HOSPITAL: ANY TIME YOU HAVE QUESTIONS OR CONCERNS:

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Page 1: MOTHER AND BABY PATHWAY

20258377

JOSEPH

BRA

NT H

OSPIT

AL

VA

GIN

AL D

ELIV

ERY

MOTHER AND BABY PATHWAY

Form

# 6

0006 R

ev 1

2/0

7

This p

ath

way is a

gu

ide

line

on

ly.

Ple

ase

revie

w b

efo

re yo

ur d

elive

ry.

Ad

d a

ny q

ue

stion

s or g

oals th

at yo

u m

ay h

ave

for yo

ur h

osp

ital

stay.

Ple

ase

brin

g th

is path

way w

ith yo

u to

the

ho

spita

l - you

r nu

rse

will b

e re

view

ing it w

ith yo

u.

TE

AM

ME

MB

ER

S W

HO

WIL

L B

E W

OR

KIN

G W

ITH

YO

U

Yo

ur o

bste

tricia

n a

nd

/or fa

mily

do

cto

r/mid

wife

If ne

ce

ssary

or re

qu

este

d, a

pe

dia

tricia

n

Nurse

s

Pharm

acist

Lacta

tion

co

nsu

ltan

t (Bre

ast fe

ed

ing

sup

po

rt)

So

cia

l wo

rke

r

FO

LLO

W-U

P A

PP

OIN

TM

EN

TS

FO

R M

OM

AN

D

BA

BY

Bab

y’s

ap

po

intm

en

t sh

ou

ld b

e w

ithin

2 - 3

days

of d

isch

arg

e:

Mo

m’s

ap

po

intm

en

t sh

ou

ld b

e a

pp

roxim

ate

ly 6

we

eks

afte

r de

live

ry:

Ap

po

intm

en

ts m

ay b

e m

ad

e fo

r bre

ast fe

ed

ing

assis

tan

ce

with

the

bre

ast fe

ee

din

g c

linic

:

Ph

on

e 6

81

-48

40

JOSEPH

BR

AN

T H

OSPIT

AL W

AR

M L

INE F

OR

QU

ESTIO

NS re

Mo

m a

nd

Bab

y c

are

up

to 6

we

eks

Po

st P

artu

m

68

1-4

83

1

NO

TES:

Ke

ep

track o

f yo

ur q

ue

stio

ns a

nd

co

nsce

rns. P

lease

fee

l free

to a

sk a

ny m

em

be

r of th

e te

am

.

A P

ub

lic H

ealth

Nu

rse

will c

all y

ou

with

iin 4

8 h

ou

rs o

f dis

ch

arg

e. Y

ou

will a

lso

be

offe

red

a h

om

e v

isit b

y

a P

ub

lic H

ealth

Nu

rse

.

He

alth

y

Bab

ies

He

alth

y

Ch

ildre

n

(HBH

C)

is a

vo

lun

tary

pro

gra

m

to

he

lp

fam

ilies

with

b

ab

ies

an

d

yo

un

g

ch

ildre

n

(pre

nata

l to

age

6

) ge

t th

e in

form

atio

n,

sup

po

rt o

r se

rvic

es

the

y n

ee

d - w

he

n th

ey n

ee

d it. T

he

go

al o

f the

pro

gra

m is to

en

sure

that a

ll ch

ildre

n in

On

tario

ge

t off to

the

be

st po

ssible

start in

life.

A p

ostp

artu

m asse

ssme

nt

is co

mp

lete

d o

n all

fam

ilies

giv

ing b

irth in

On

tario

. Th

e p

urp

ose

of th

is asse

ssme

nt is

to

ide

ntify

fa

milie

s w

ho

m

igh

t b

en

efit

from

re

ce

ivin

g

co

mm

un

ity su

pp

orts.

Th

ere

are

q

ue

stion

s ab

ou

t yo

ur

bab

y’s h

ealth

; yo

ur h

ealth

an

d y

ou

r fam

ily situ

atio

n.

Yo

u

will

be

ask

ed

fo

r w

ritten

co

nse

nt

to

share

th

e

info

rmatio

n

on

th

e

asse

ssme

nt

with

th

e

He

alth

De

partm

en

t.

With

yo

ur

co

nse

nt

a Pu

blic

H

ealth

N

urse

w

ill call

yo

u

with

in 4

8 h

ou

rs of y

ou

r disc

harg

e fro

m h

osp

ital. S

he

will

ask

yo

ur

qu

estio

ns

ab

ou

t h

ow

yo

u an

d yo

ur

bab

y are

do

ing.

If yo

u w

ish, a

Pu

blic

He

alth

Nu

rse w

ill make

an

ap

po

intm

en

t to v

isit.

If yo

u a

nd

yo

ur fa

mily

have

a lo

t of stre

sses, y

ou

will b

e

en

co

ura

ge

d to

have

a F

am

ily A

ssessm

en

t in y

ou

r ho

me

to

de

cid

e w

hat c

om

mu

nity

serv

ice

s wo

uld

be

mo

st he

lpfu

l

to y

ou

.

CA

LL

69

3-4

24

2an

d ask

to

sp

eak to

a Pu

blic

H

ealth

Nu

rse

ab

ou

t yo

ur

bab

y’s

he

alth

an

d

de

ve

lop

me

nt.

Sh

e

will

pro

vid

e

info

rmatio

n

an

d

sup

po

t an

d

may

refe

r yo

u

to

ap

pro

pria

te se

rvic

es.

HEA

LTH

Y B

AB

IES H

EA

LTH

Y C

HIL

DR

EN

(HB

HC

)

IN T

HE H

OSPIT

AL:

AFTER

YO

U L

EA

VE T

HE H

OSPIT

AL:

AN

Y T

IME Y

OU

HA

VE Q

UESTIO

NS O

R C

ON

CER

NS:

Page 2: MOTHER AND BABY PATHWAY

20258377

TH

IS I

S Y

OU

R G

UID

E F

RO

M D

ELI

VER

Y T

O D

ISC

HA

RG

E

FRO

M B

IRTH

TO

4 H

OU

RS

AFT

ER

DELI

VER

YY

OU

R G

UID

EFR

OM

4 H

OU

RS

TO

12 H

OU

RS

AFT

ER

DELI

VER

YFR

OM

12 H

OU

RS

TO

24

HO

URS

AFT

ER D

ELI

VER

YFR

OM

24 H

OU

RS

AFT

ER

DELI

VER

YTO

DIS

CH

AR

GE

AN

D Q

UESTIO

NS

YO

UR

GO

ALS

Tre

atm

en

ts

or

Pro

ce

du

res

Ge

ne

ral

Care

Me

dic

ati

on

s

Dri

nk

ing

an

d

Eati

ng

Te

ach

ing

Ge

ttin

g R

ead

y

To

Go

Ho

me

Yo

u m

ay

have

an

IV

Yo

u m

ay

have

a c

ath

ete

r

Yo

u m

ay

have

ice

packs

if n

ee

de

d

Yo

u

an

d

you

r p

art

ne

r an

d

you

r b

ab

y w

ill

have

ID

bra

ce

lets

ap

plie

d

Bab

y’s

ID

bo

okle

t w

ith

fo

otp

rin

ts

will

b

e

do

ne

Bab

y w

ill

be

weig

hed

and

exa

min

ed

inclu

din

g t

em

pe

ratu

re a

nd

he

art

rate

Yo

u w

ill b

e c

he

cke

d o

fte

n f

or:

tem

pe

ratu

re

blo

od

pre

ssu

re &

he

art

rate

vagin

al

blo

od

lo

ss

po

sitio

n o

f yo

ur

ute

rus

/ w

om

b

If a

ble

, yo

u m

ay

sho

we

r

Alw

ays

le

t th

e n

urs

e k

no

w i

f yo

u h

ave

a p

ain

.

Me

dic

atio

n w

ill b

e g

ive

n a

s o

rde

red

by

you

r

do

cto

r

Yo

u

may

be

giv

en

a

self-a

dm

inis

tratio

n

of

me

dic

atio

n p

ackage

wh

ich

will

be

exp

lain

ed

to y

ou

by

you

r n

urs

e

Yo

ur

bab

y w

ill re

ce

ive

o

intm

en

t to

it’s

e

yes

an

d

an

in

jectio

n

of

Vitam

in

K

for

blo

od

clo

ttin

g

Yo

ur

usu

al

die

t m

ay

co

ntin

ue

Me

nu

s giv

en

with

exp

lanatio

n

Yo

u

will

b

e

ass

iste

d

with

b

reast

fe

ed

ing,

po

sitio

nin

g,

latc

hin

g a

nd

bre

akin

g l

atc

h

Yo

u

will

b

e

orie

nta

ted

to

yo

ur

roo

ms,

tele

ph

on

e,

etc

.

Infa

nt

secu

rity

will

be

exp

lain

ed

Bo

ttle

fe

ed

ing a

ssis

tan

ce

will

be

giv

en

if ap

plic

ab

le

Yo

u

will

b

e

giv

en

a

wh

ite

fo

lde

r w

ith

go

vern

me

nt

form

s

Yo

ur

nu

rse

will

re

vie

w y

ou

r p

ath

way

with

yo

u

If

you

h

ave

an

IV

it

may

be

d

isco

ntin

ue

d

du

rin

g t

his

tim

e i

f o

rde

red

by

do

cto

r

Ice

packs

will

be

giv

en

if

ne

ed

ed

If y

ou

have

a c

ath

ete

r, i

t w

ill b

e d

isco

ntin

ue

d

if o

rde

red

Bab

y w

ill

be

checked

fo

r te

mp

era

ture

,

ap

pe

ara

nce

, e

tc.

Yo

u w

ill b

e c

he

cke

d o

nce

If b

reast

fe

ed

ing,

a L

ATC

H a

sse

ssm

en

t w

ill b

e

do

ne

Yo

u m

ay

sho

we

r

Yo

u s

ho

uld

be

pass

ing u

rin

e w

ith

ou

t d

ifficu

lty

Yo

u m

ay

be

giv

en

a s

too

l-so

fte

ne

r if o

rde

red

Yo

ur

pain

sh

ou

ld

be

co

ntr

olle

d

with

p

ain

kill

ers

fr

om

th

e

nu

rse

o

r yo

ur

self-

ad

min

istr

atio

n o

f m

ed

icatio

n p

ackage

Yo

u c

on

tin

ue

with

yo

ur

usu

al

die

t

Yo

u w

ill b

e t

au

gh

t to

bath

yo

ur

bab

y, c

ord

care

an

d

ho

w

to

take

yo

ur

bab

y’s

tem

pe

ratu

re

Yo

u w

ill b

e s

ho

wn

ho

w t

o c

han

ge

yo

ur

bab

y

an

d r

eco

rd w

et

an

d d

irty

dia

pe

rs

Yo

u w

ill b

e g

ive

n b

reast

fe

ed

ing a

nd

bo

ttle

fee

din

g i

nst

ructio

ns

as

ap

plic

ab

le

Infa

nt

secu

rity

will

again

be

re

info

rce

d

Yo

ur

nu

rse

will

re

vie

w y

ou

r p

ath

way

with

yo

u

Yo

ur

dis

ch

arg

e t

ime

will

be

dis

cu

sse

d

Bab

y’s

HEA

LTH

card

fo

rm w

ill b

e giv

en

to

you

to

co

mp

lete

an

d h

an

d b

ack i

n t

o y

ou

r

nu

rse

Yo

u w

ill h

ave

blo

od

wo

rk d

on

e i

f o

rde

red

by

mo

nito

r to

se

e i

f b

ab

y is

jau

nd

ice

d

Bab

y w

ill

have

sk

in

ch

ecke

d

with

a

ligh

t

you

r d

octo

r

Bab

y w

ill b

e c

he

cke

d, th

is w

ill in

clu

de

a w

eig

ht

Bab

y’s

do

cto

r w

ill b

e i

n t

o e

xam

ine

bab

y

Yo

u w

ill b

e c

he

cke

d o

nce

Let

you

r n

urs

e

kn

ow

if

you

r b

reast

s o

r

nip

ple

s are

so

re

Yo

ur

pain

sh

ou

ld

be

co

ntr

olle

d

with

p

ain

kill

ers

if n

ece

ssary

Sto

ol

soft

en

ers

giv

en

as

ord

ere

d o

r in

clu

de

d

in se

lf-a

dm

inis

tratio

n o

f m

ed

icatio

n p

ackage

Yo

ur

usu

al d

iet

co

ntin

ue

s

Bre

ast

fe

ed

ing

info

rmatio

n

will

b

e

giv

en

Bo

ttle

fe

ed

ing i

nfo

rmatio

n w

ill b

e g

ive

n i

f

ap

plic

ab

le

Yo

u m

ay

be

o

bse

rve

d b

ath

ing yo

ur

bab

y if

you

wis

h

Yo

ur

path

way

will

be

re

vie

we

d

ab

ou

t e

ngo

rge

me

nt,

te

nd

er

nip

ple

s an

d

pu

mp

ing

Yo

u

will

go

o

ver

co

nte

nts

o

f yo

ur

wh

ite

fold

er w

ith

yo

ur n

urs

e

Yo

u w

ill h

ave

blo

od

wo

rk d

on

e i

f o

rde

red

by

you

r

do

cto

r

Yo

ur

bab

y w

ill b

e c

he

cke

d f

or

jau

nd

ice

be

do

ne

Bab

y’s

co

rd c

lam

p w

ill b

e r

em

ove

d

Bab

y w

ill b

e c

he

cke

d,

inclu

din

g a

we

igh

t d

aily

Yo

u w

ill b

e c

he

cke

d o

nce

pe

r 1

2 h

ou

r sh

ift

Yo

ur

tem

pe

ratu

re a

nd

pu

lse

will

be

ch

ecke

d t

wic

e d

aily

Yo

ur

pain

sh

ou

ld b

e c

on

tro

lled

with

pain

kill

ers

If

you

are

RH

-ve

an

d

you

re

qu

ire

a

Rh

ogam

inje

ctio

n,

it w

ill b

e g

ive

n b

efo

re d

isch

arg

e

Sto

ol

soft

en

ers

co

ntin

ue

as

ne

ed

ed

Yo

ur

usu

al d

iet

co

ntin

ue

s

Yo

u w

ill b

e a

ble

to

de

mo

nst

rate

ab

ility

to

care

fo

r

you

rse

lf a

nd

yo

ur b

ab

y

Yo

u w

ill b

e ta

ugh

t w

arn

ing si

gn

s fo

r yo

urs

elf an

d

bab

y

Yo

ur

path

way

will

be

re

vie

we

d

Yo

u

an

d

you

r b

ab

y n

ee

d

dis

ch

arg

e

ord

ers

fr

om

you

r d

octo

r

Yo

ur

bab

y’s

OH

IP

card

fo

rm

ne

ed

s to

b

e

co

mp

lete

d a

nd

han

de

d in

Yo

ur

bab

y’s

bra

ce

let

nu

mb

er

ne

ed

s to

be

ch

ecke

d

with

yo

urs

an

d s

ign

ed

fo

r

Bab

y’s

blo

od

wo

rk (

PK

U a

nd

th

yro

id s

cre

en

ing)

will