LABOR AND DELIVERY
If you choose to deliver at North Arkansas Regional Medical Center (NARMC), you, your baby and family will be an integral part of our "Family-Centered Maternity Care." We foster this by focusing on the physical, social and emotional needs of your family. This means personal birth choices and an environment where bonding with your baby is easily facilitated. One way we accomplish this is through our eight LDRP rooms. Families are able to stay in one room until after the delivery.
We have an expert staff of registered nurses who are able to provide you with all the assistance you may need to safely delivery your baby. Our staff holds certification in NRP, S.T.A.B.L.E., ACLS, as well as the OB modifications for that certification. Most have taken the AWHONN fetal monitoring courses to assess and monitor you and your baby during labor. Several staff members also hold national certifications in specialties specific to the care of mothers and babies.
While you are in labor, our nurses will constantly interact with you and your family, providing education and support throughout the labor and delivery process. Walking and movement to help with pain management is encouraged. Pain medication and/or epidural anesthesia are available to you for use during labor and delivery.
Following the philosophy of the Baby Friendly Organization, your baby will be placed skin to skin immediately at the delivery. With warm blankets and a hat, the baby will remain skin to skin for one hour or until the first feed. This facilitates bonding as your baby transitions to life outside the womb. If you are breast-feeding, the baby will be placed to breast as soon as possible after the delivery. Should you require a cesarean section, you will be moved to our surgical delivery room. Your labor nurse and physician will be part of the surgical team accompanying you every step of the way. If you have spinal anesthesia, your labor coach will be able to attend your delivery. In the event of the need for general anesthesia, we will keep your coach and family informed of your progress while they wait in your room.
Visitors and Coaches
Our philosophy of family-centered care means you should be supported by those you choose to provide comfort and encouragement during labor and delivery. In order to protect the safety, privacy and security of all our patients, we ask that your visitors be respectful of this special moment and limit trips in an out of the unit. Our main doors lock at 10pm and open again at 6 am. We ask that during this time visitors are kept to a minimum to promote rest for you and your new baby.
Sibling Attendance at Delivery
With the birth of your baby his or her brother or sister may be present for a vaginal delivery. Another adult must be present at all times to care for each child’s needs. We strongly encourage preparing a young child for attendance at a delivery.
Baby Care After Delivery
After about an hour of skin-to-skin contact, the baby will be examined, weighed, foot printed and returned to you. The baby will not leave your room until you are ready to be discharged home. This commitment to great mother baby care is your promise that NARMC is committed to be your preferred health care provider going forward.
Support After Delivery
A courtesy follow up phone call will be made to you within a few days of your discharge. Another part of the ongoing support we offer you following birth is outpatient lactation consultations. Appointments can be made by calling 870-414-5324 Monday through Thursday. Weight and color checks for your baby may be offered following your discharge home.
Infant Safe Sleep
SIDS is considered to be the sudden death of an infant younger than one year of age that remains unexplained after a complete investigation.
At NARMC all personnel who deliver care to children less than one year of age are trained in current safe sleep guidelines. We closely follow AAP guidelines for safe sleep for all infants under 12 months of age who are admitted to our facility. We also strive to provide comprehensive education on safe sleep using the guidelines provided by the American Academy of Pediatrics (AAP).
AAP current policy on safe sleep includes the following recommendations:
1. Until their first birthday, babies should sleep on their backs for all sleep times - for naps and at night.
2. Use a firm sleep surface.
3. Only bring your baby into your bed to feed or comfort.
4. Bed-sharing is not recommended for any babies.
5. Room share - keep baby’s sleep area in the same room where you sleep for the first 6 months or, ideally, for the first year.
6. Keep soft objects, loose bedding, or any objects that could increase the risk of entrapment, suffocation, or strangulation out of the baby’s sleep area.
7. Do not let your child fall asleep on nursing pillows or pillow-like lounging pads.
8. Never place your baby to sleep on a couch, sofa, or armchair.
9. It is fine to swaddle your baby up to the shoulders, but discontinue swaddling once baby can roll over.
10. Offer pacifier at naptime and bedtime. For breastfeeding babies wait until breastfeeding is well established. (usually 3-4 weeks)
11. Do not smoke during pregnancy or after baby is born. If you smoke, change your clothes and wash your hands prior to holding your baby.
12. Do not use alcohol or illicit drugs during pregnancy or after the baby is born.
13. Breastfed babies have a lower risk of SIDS.
14. Schedule and go to all well-child visits.
15. Make sure your baby has tummy time while awake every day.
For more information on safe sleep practices contact your provider.