Tuesday, June 18, 2013

Are You Going to be Safe During Delivery?

4 Questions to Ask your Provider
F.Ralph Dauterive, Jr.  
Section Head 
Baton Rouge,
Obstetrics and Gynecology

Even though we’d like to think that all hospitals and doctors have the same safety scores, unfortunately that is just not the case. When you are considering where to have your baby, comparing safety scores should be at the top of your list of to-dos, before picking out strollers or car seats.

What to ask your provider:
1. Am I allowed labor to try a vaginal birth even if I have had a C-section in the past? (What is your Vaginal Birth After C-Section or VBAC rate)
2. How often is labor induced here? (Are physicians scheduling labor for the sake of convenience?)
3. Do the providers in the hospital still use forceps? (Real warning sign of antiquated practices)
4. Am I allowed to walk-around during labor? (Find out if continuous wireless monitoring is available…not just intermittent. You want to be able to walk around or labor in a tub without being rewired every time you change your labor strategy.)

At Ochsner’s Family Birthing Center in Baton Rouge, we make sure that our quality scores are openly available. We are proud of our quality figures and believe we have the best quality scores in the region. Our figures are posted here for anyone to review. Please feel free to post questions or comments on the blog, or email us at BRInfo@ochsner.org with questions.

V-BAC
Almost 9 out of every 10 Ochsner patients who want to deliver vaginally after having a C-section, commonly called a V-BAC, are successful and avoid another surgery.

Elective labor induction
Since opening in 2010, the physicians and staff members of the Ochsner Family Birthing Center have adhered to the patient safety goal of a 0% elective induction rate prior to 39 1/2 weeks.

The American Congress of Obstetricians and Gynecologists (ACOG) publications have consistently advised against non-medically indicated elective deliveries prior to 39 ½ weeks gestation. Research findings indicate that early elective delivery with a medical indication is linked to infant deaths, and does not bring any benefit to mother or infant.

(Tita ATN, Landon MB, Spong CY, Lai Y, Leveno KJ, Varner MW, et al. Timing of elective cesarean delivery at term and neonatal outcomes. The New England Journal of Medicine 2009 January; 360;111-20.)

Forceps and episiotomies
Labor and delivery practices at Ochsner's Family Birthing Center create the best outcomes for moms and babies. Forceps have never been used to deliver a baby at Ochsner Medical Center - Baton Rouge and no mom has ever experienced a 4th degree episiotomy tear.

Patient Satisfaction

Ochsner Family Birthing Center patients rate their birthing experience in the 90th percentile as compared to all other similar sized hospitals in the country.

Just a few examples why our patients are satisfied with their experiences:
  • Previous C-Section patients are allowed the choice to attempt a vaginal birth if they so choose
  • Laboring moms have continuous wireless monitoring so that they are never confined to the bed, if they so choose
  • At the patients’ requests, we do more water births than any other hospital in the region

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