High Risk Pregnancy
Antepartum Unit and Women's Surgical Services
The new specialty antepartum unit on the fourth floor is a 14-bed haven
for high-risk obstetric patients who require inpatient services. These
special patients, previously mixed in with laboring and delivering moms
on the 5th floor, are now cared for on a dedicated unit with new equipment
and specially trained nurses.The specialized approach to care in the antepartum
unit includes daily rounds by a clinical pharmacist, a gestational diabetes
educator and a perinatologist in addition to the patient’s private
Comfortable and quiet, this unit has immediate access to operating rooms
in the event of an emergency. The 36 additional beds on this floor are
used for gynecologic oncology and surgical patients.
Labor, Delivery, Recovery (LDR)
OB Triage and "NEW" Obstetric Emergency Department (OB ED)
Hoag's 18 private LDR (labor, deliver, recovery) suites are found on
the fifth floor. These lovely suites provide comfort during labor and
quickly transform into fully equipped delivery rooms for childbirth. The
LDR unit has three C-section rooms and is staffed round-the-clock with
Adjacent to the LDR unit is a dedicated 3-bed OB triage area and 4-room
OB ED servicing pregnant patients 16 weeks or over who came in through
the emergency department or through physician referrals.
OB Triage patients, who are full-term labor patients presenting with signs
and symptoms of labor, will be evaluated by an LDR nurse. OB ED patients
will be evaluated by their own obstetrician or by one of the 24/7 board-certified
OB Hospitalists and treated according to standardized protocols.
OB Hospitalists, also known as Laborists, are skilled in a variety of different
delivery techniques which may help spare a patient an unnecessary C-section.
OB Hospitalists are expertly trained in difficult deliveries including
twin deliveries, pre-term deliveries, face presentations and breech deliveries.
The three key advantages to having an
OB Hospitalist are:
- Availability: The OB Hospitalist is immediately available throughout the
day and night to examine patients, evaluate the progress of the labor,
react to laboratory abnormalities, and provide a safe delivery. If an
emergency occurs, the OB Hospitalist is already on the scene, ready to
respond with lifesaving intervention. The presence of a doctor full-time
in Labor and Delivery improves patient safety.
- Highly Skilled: OB Hospitalists provide medical expertise and optimal patient
care. A skilled hospital-based Obstetrician is skilled in a variety of
different delivery techniques which may help spare a patient a unnecessary
- Communication: The OB Hositalist will be familiar with all of the keyplayers
in the hospital including medical and surgical consultants, discharge
planners, social workers, clergy, and others. They can expedite car for patients.
- Patient Satisfaction: Patient surveys have shown high levels of satisfaction
for OB Hospitalist care. Patients are willing to trade familiarity for
availability and expertise. The OB Hospitalist will make sure that a complete
report comes to your doctor about everything that has happened in the hospital.
OB Hosptialists and nurse educators run twice monthly neonatal emergency
drills using "pregnant Noelle and newborn Hal" - fully functional
patient simulators that mimic a real patient's physiological responses.
Click the image to download Hoag's patient guide to Antepartum Testing