Post # 1
I am trying to choose a hosiptal to deliver at so I can choose a GYN and schedule my 12 week ultrasound (already had my 8-week at my family practice).
Me and Fiance went on a tour of one hospital this weekend, and the nurse said they deliver 3,000 babies a year, as compared to the other hospital we’re contemplating which delivers 7,000 a year. On one hand, if we go to the hospital that delivers less a year, we’ll (presumably) get more personal care. However if the other hospital delivers more, I have to assume that they’re better at it. Not necessarily, but that’s my logic.
There are obviously other factors that come into play, like distance, NICU (both are Level III), and c-section rate. But I think number of babies delivered is a good starting point.
What do you bees think and what would (did) you do?
Post # 3
3,000 and 7,000 are comparable figures in my mind.
If you said one delivers 300 and one delivers 7,000 then I would probably go to the larger one. Sounds like both know what they are doing!
I would make a decision on other factors.
Post # 4
@canarydiamond: Just to add a bit more info:
- They’re both about the same distance away
- They both have a Level III NICU
- They both have comparable c-section rates
The one that delivers 7,000 a year does not gurantee you a private postpardum room (the other does).
What other factors should I be looking at?
Post # 5
@Reign14: Do you know if either or both have are considered “baby friendly”?
We didn’t have a choice about where I could deliver, but I’m happy that my hospital is considered baby friendly.
Post # 6
Since they both deliver a large number of babies, have the same level NICU and other comparables I would go with the smaller hospital that I’d have a private room and hopefully more personalized care.
I know I wouldn’t want to share a room after birth and not have that family bonding time alone.
Post # 7
@Reign14: I work at a hospital that does 3,000 deliveries a year and choose not to work at a bigger hospital that does more because I want to have more personal time with my patients. The number of deliveries is no where as important as NICU, level III status, 24/7 doctor in house, etc. And trust me, you will want a private postpartum room.
Do you honestly want to share a bathroom with another bleeding postpartum mom? No. Plus, when you share rooms, you have to deal with the other patient’s family visiting.
You are more likely to get more 1 on 1 time with the smaller hospital.
Post # 8
@Reign14: A guaranteed private post-partum room would be a huge benefit in my mind. I want to have peace to recover physically and emotionally and for establishing breast-feeding. I’d also want to be able to keep my baby in my room at all times, is this an option if you don’t have a private room?
Post # 9
I would start by choosing your provider and then figuring out the hospital based on where s/he delivers. Finding the right provider is the critically important piece of the puzzle, in my opinion.
Post # 10
@Reign14: See, that would be a huge factor for me… having a private postpartum room. I really value privacy.
Post # 11
@girlygirl885: I don’t know if there’s a doctor in-house 24/7 for either. Is that not standard to all hospitals? I’ll have to find out.
@kenziemt: Good question…the one that delivers 3,000 definitely keeps the baby in the room. Not sure about the other one with the shared rooms.
I read online (ETA: on a message board) that the hospital with 3,000 beds does not have a doctor on-site for NICU all the time, but has a sister hospital close-by that some babies get transferred to for special care. ETA: The part about the sister hospital was told to me by the nurse that gave us the tour.
Post # 12
@Reign14: I think to be level III they must have a doctor in house, so you should be okay.
Post # 13
@girlygirl885: That’s good to know. It’s weird b/c they’re level III but there is a hospital with a better Level III (more equipment, I guess) where some bebies get transferred to for special care. Need to research that more.
ETA: Apparently there are different levels within Level III…
“Level III NICUs care for the sickest babies and offer the greatest variety of support.”
- Level IIIA: These nurseries care for babies born greater than 28 weeks. They offer mechanical ventilation and minor surgical procedures such as central line placement.
- Level IIIB: Level IIIB NICUs can offer different types of mechanical ventilation, have access to a wide range of pediatric specialists, can use imaging capabilities beyond x-ray, and may provide some surgeries requiring anesthesia.
- Level IIIC: The most acute care is provided in level IIIC NICUs, sometimes called level IV NICUs. These nurseries can provide advanced ventilation, including ECMO, and can provide advanced surgeries including “open-heart” surgeries to correct heart defects.
Post # 14
@KCKnd2: Well the only GYN referrals I’ve received are at hospitals I know I don’t want to deliver at. So I am choosing to narrow it down to hospital first, then find a GYN. Obviously I won’t know if I like them until we meet.
Post # 15
@Reign14: Meh. I’d say once you’re talking 1000+ babies per year, the difference doesn’t mean anything. It’s not like the staff themselves are more experienced… you can only do so much in a day. There’s just more staff. and I don’t think you will get more personal care. Nurse to patient ratios are more important than anything else in terms of personal care. Everything is relative. If you can, visit both and check out their statistics.
Post # 16
I would pick the private post partum room. Hospital rooms aren’t that big and do you really want a stranger amd their family all in your room right after you give birth? Since everything is just about the same that would be my decision point. A level 3 nicu is still a level 3 nicu and there will ALWAYS be a doctor on call, even if they aren’t actually in the building and there will always be an ER doc and most likely a hospitalist or resident in the actual hospital 24/7. It isn’t like there won’t be someone around if something happens.