FirstSteps Pregnancy Guide A service of Methodist Healthcare www.SAWomensHealth.com CONGRATULATIONS We look forward to sharing this joyous and memorable occasion with you. TABLE OF CONTENTS CONGRATULATIONS 3 JUST FOR YOU 5 WAITING FOR BABY Planning for Hospital Admission FirstSteps Educational Series Peek-a-Boo Tour You and Your Doctor Choosing Your Baby’s Doctor Delivery at a Methodist Healthcare Facility It’s Time to Go! Where to Go 2 Methodist Healthcare has developed this FirstSteps Pregnancy Guide to help you feel comfortable and confident throughout your pregnancy, delivery, and after returning home with your new baby. Refer to this guide for information and support you may need during this very special time. Feel free to call the Methodist Healthcare HealthLine at 210-575-0355 or 1-800-333-7333. We’re here to help you find the answers you need. 6 17 6 7-11 12 13 14 15 16 17 BABY’S ARRIVAL The Nursery The Hospital Stay 18 - 19 18 19 WELCOME HOME, BABY For Your Family Methodist Women’s Center Support Services Methodist Healthcare Services Additional Services 21 31 21 22 - 25 26 27 METHODIST HEALTHCARE DIRECTORY BABY TALK ADVICELINE 28 - 29 INSTRUCTIONS FOR PREADMISSION 30 PREADMISSION FORM 31 3 Pamper yourself during your pregnancy! Methodist Women’s Center offers massage, reflexology and infant massage. JUST FOR YOU Call 210-575-0261 for details. Over the next nine months things are going to change. Family life. Personal life. Home routine. And especially your body. Once you’ve seen your physician and your pregnancy has been confirmed, you may have lots of questions about these changes. We want to help make things a little easier. We encourage you to call the Methodist Healthcare HealthLine at 210-575-0355 or 1-800-333-7333 to register for the “Healthy Pregnancy” class. This is the beginning of our FirstSteps Educational Series. You will receive information on diet, exercise, general health, and ways to achieve relaxation and comfort during your pregnancy. Taking care of Mom. You should be an active participant in your pregnancy. Keep a list of concerns and questions to ask your doctor during your scheduled visits. Report any unusual symptoms, eat a well-balanced, nutritious diet, get regular exercise, and sufficient rest. Remember, if something’s bad for you – it’s bad for your baby, too. Avoid smoking, alcohol, drugs, and medications (unless prescribed by your physician). Be aware of your surroundings and stay away from known poisons and hazards like lead, excessive X-rays, insecticides, paint removers, etc. If you have concerns about being exposed to a product or chemical, ask your doctor. Taking care of Dad. Giving birth is an experience that can be shared with those we love. We encourage your baby’s father to accompany you on doctor visits, be there for sonograms, attend the hospital tour, assist you during your exercises, and help you get ready for the baby’s homecoming. Attending the FirstSteps classes with you is a way to help him feel confident in his role during the birth of his baby and his role as a parent. Remember to have dad enroll in Boot Camp for New Dads. This class is just for him. No females are allowed unless they are less than 2 feet tall! In this class, veteran dads and their babies show rookie dads “the ropes.” 4 5 WAITING FOR BABY Learn relaxation methods and develop techniques for a healthy and comfortable pregnancy. Planning for the Hospital Admission Things to remember: • Enroll in the FirstSteps Educational Series classes. (Learn how on page 7) • Pre-Register for Your Hospital Stay. It facilitates the admitting process and saves time. The Pre-Admission Form is provided in the back of this guide for your convenience. To register online, all you have to do is log on to www.SAHealth.com and click “Patient Information” then click on “Pre-Register.” From there, you’ll be asked to answer a few simple questions about your physician, procedure to be performed, employer and insurance carrier. After you’re done, you can submit your form via a confidential, secure server, ensuring that your private information stays private. Expectant mothers can pre-register for delivery at Methodist Hospital, Metropolitan Methodist Hospital or Methodist Stone Oak Hospital. When you arrive at the hospital, all you’ll need to do is identify yourself and check in. It’s that easy! • Financial Arrangements. Have questions about your insurance coverage? Our financial counselors are available to help you. If you do not have health insurance or maternity coverage, OB Prompt Pay may be an excellent option for you. OB Prompt Pay gives families the opportunity to pay a reduced fee for the birth of their baby and the hospital stay of both mom and baby. The entire amount must be paid at the time of discharge. It includes hospital services and medications only. Physician services are not included. (some restrictions may apply.) Please feel free to call the financial counselors for any questions and for more information about this and other services. For your convenience, a financial counselor is available within the Labor and Delivery Unit at Methodist Hospital for advice, OB Prompt Pay information, and payment on private or deluxe rooms, or suites. Family members may also visit this department at the time of discharge for discharge paperwork. If you are delivering at Methodist Hospital, the financial counselors can be reached at 210-575-4076. If you are delivering at Metropolitan Methodist Hospital, the financial counselors can be reached at 210-757-2087. If you are delivering at Methodist Stone Oak Hospital the financial counselors can be reached at 210-638-2128. 6 FirstSteps Educational Series We want you to cherish the memories of your child’s birth. And our FirstSteps Educational Series will help you prepare for the experience. It’s one of the many educational programs offered by Methodist Healthcare. When you attend FirstSteps classes, you’ll receive important information designed for your entire family. We have certified childbirth educators on staff who are delighted to be a part of this wonderful experience. Remember, registration is required for all classes. Be sure to call early since classes fill quickly. Classes vary as to length of time and are offered evenings and weekends. One of the many benefits of the WomanPlus® program is free childbirth education classes when delivering at Methodist Hospital, Metropolitan Methodist Hospital or Methodist Stone Oak Hospital. Please note that a small materials fee may apply for some classes. Call the Methodist Healthcare HealthLine at 210-575-0355 for registration information and a list of additional FirstSteps classes. *Some classes are available in Spanish upon request. Please call the HealthLine at 210-575-0355 for details. 7 FirstSteps Educational Series Classes: Healthy Pregnancy. Plan for a healthy start to your pregnancy by attending this class as early as possible. (This class is recommended during the first five months of pregnancy.) Learn relaxation methods and develop supportive techniques that will help you achieve a healthy and comfortable pregnancy. Getting Ready for Childbirth. Explore childbirth options and learn ways to help cope with labor and birth. This series is one day a week for four weeks and includes the “You and Your Baby” class. This series should be completed at least four to six weeks prior to your due date. Other class options include: Marathon, offered on a Saturday or Sunday or Marathon Split, two four-hour classes offered in the same week. Please note: “You and Your Baby” is not included in these two options. For expectant teens, a special series is also available. You and Your Baby. Learn ways of relating to and caring for your new baby during the first few weeks of his or her life. This class is included in a four-week childbirth series. It is also available as a one-time, three-hour class during the evening or on weekends. Beyond Your First Baby. If you have given birth within the past five years, this is an overall review and refresher course on labor and birth. Attend this one-time, four-hour class four to six weeks prior to your due date. 8 9 Breastfeeding Your Baby. Beyond Baby Blues. This one-time, three-hour class should be completed four to six weeks prior to your due date. Our instructors will help you prepare for your breastfeeding experience and help you and your baby get off to a good start. As with the other classes, your partner is encouraged to attend. We encourage every expectant couple to attend this class so that they may be better prepared to recognize the signs and symptoms of postpartum depression. Breastfeeding Multiples. A special class designed to help you prepare for breastfeeding twins, triplets or more. Plan to attend this class when you reach your sixth month of pregnancy. Breastfeeding Moments Support Group. Moms share their experiences and discuss the topic of the month. Babies are welcome to attend. Facilitated by a lactation consultant. We Wanna Latch Support Group. A special Newborn Intensive Care Unit breastfeeding support group designed for mothers to meet other breastfeeding mothers and talk with a lactation consultant. Heigh-Ho! Heigh-Ho! It’s Off to Work I Go! Designed for breastfeeding mothers who are planning to return back to work. Offered once a month by a certified lactation consultant. Feeding and pumping options are discussed, and support products are demonstrated. Babies are welcome. Buckle Up Baby. Learn correct car seat usage and installation. Hands-on instruction is provided by instructors who are certified child passenger safety technicians. We encourage early sign up for the Buckle up Baby classes as they fill up quickly! • Buckle Up Baby– How to Use It. Four out of five car seats are installed incorrectly, mostly due to problems with car seat selection or installation. In this class, you will learn how to correctly secure your child in the car seat and how to install it in your vehicle. Certified child passenger safety technicians will assist you with getting the proper fit, obtaining the correct angle and testing for a tight installation. Attend this class in the eighth month of pregnancy. • Buckle Up Baby– Repeater Clinic. For clients who have gone through the Buckle up Baby Classes and would like a certified child passenger safety technician to install a car seat in their vehicle or turn it around when baby is one year old or 30 pounds. Boot Camp for New Dads. This is a special class just for expectant fathers. It is taught by veteran dads who bring their own babies to class. New dads will have the opportunity to share common concerns with other dads and learn what it’s all about. 10 11 Newly expectant parents can get a first glance at what’s in store with our Peek-a-Boo Tour at Methodist Hospital, Metropolitan Methodist Hospital or Methodist Stone Oak Hospital. Important Note: Use the form included in the back of this guide to pre-register for your hospital admission or register online at www.SAHealth.com. Just click on the “Patient Information” box. You & Your Doctor - Physician Facts Methodist Healthcare delivers more babies than any other health care provider in San Antonio. Our experienced staff looks forward to welcoming your new baby. We know how important it is for you to have all the information you need to choose the right hospital and doctors* for you and your baby. Since you have this FirstSteps Pregnancy Guide, you’re probably already familiar with your obstetrician, and the fact that your doctor delivers at a Methodist Healthcare hospital. Remember, you’ll need to choose a pediatrician before your baby arrives. Please refer to page 14 for a detailed list of questions you may want to ask to help you select your baby’s doctor. Peek-a-Boo Tour When you’re ready to have your baby, it will be an emotional and exciting time for your entire family. The Peek-a-Boo Tour was developed to help you become familiar with the various areas of the hospital of your choice so you will feel more comfortable when it’s time for baby’s arrival. A tour at Methodist Hospital, Metropolitan Methodist Hospital and Methodist Stone Oak Hospital lasts about one hour. Call the Methodist Healthcare HealthLine at 210-575-0355 or 1-800-333-7333 for more information and to register for a tour. Please feel free to ask questions anytime throughout the tour. We want you to be comfortable during your stay, and these special tours have been developed to welcome and assure you. You can also take a virtual tour of the Women’s Pavilion at Metropolitan Methodist Hospital and the Women’s Pavilion at Methodist Hospital by logging onto www.SAWomensHealth.com and clicking on “Virtual Tours.” You can learn more about Methodist Stone Oak Hospital women’s services by logging onto www. StoneOakHealth.com. Don’t forget to visit The MarketPlace at Methodist Hospital. It’s a great place where mom’s partner and family members can get a quick meal without having to leave the facility. It is conveniently located in the Methodist Hospital parking lot. 12 San Antonians consider the physicians practicing at Methodist Healthcare hospitals the best. We agree. Along with your doctor, we want to help you have a healthy and a safe pregnancy. You can ask your doctor about your diet and exercise, the plan for your baby’s birth, and any unusual symptoms you may have during your pregnancy. The more your doctor knows, the better he or she can help you. We also recommend you enroll in our FirstSteps Educational Series to help prepare you for your baby’s birth. * Physicians practicing at Methodist Healthcare facilities are independent practitioners and are not employees or agents of the System. 13 Don’t forget to choose a pediatrician before your baby’s arrival. Delivering at a Methodist Healthcare Facility Whether you have chosen to have your baby at the Women’s Pavilion at Methodist Hospital, the Women’s Pavilion at Metropolitan Methodist Hospital or Methodist Stone Oak Hospital–rest assured you have selected hospitals that are part of the most preferred health care system in San Antonio. Choosing Your Baby’s Doctor Your baby will need to be examined by either a pediatrician or family practice physician within the first 24 hours after birth and again, prior to discharge. Remember, your baby’s doctor will be very important as your baby quickly grows over the next few years. You’ll want a doctor you feel comfortable with when discussing your child’s health. So, don’t hesitate to ask questions! Here are some things to consider when choosing your baby’s doctor: • Does your current health plan include the physician of your choice? • Does your current health plan include all the Methodist Healthcare hospitals? • What is the doctor’s viewpoint on infant feeding? • Who takes the call when the doctor is not on duty? • When are “well baby” check-ups and immunizations scheduled? • What does the doctor consider a “sick baby?” • What is the procedure for an emergency? • Do the doctor and his staff make you feel comfortable? Today, it is important to make sure your pediatrician or family practice physician is a provider under your health care plan and at a Methodist Healthcare facility. Should you need physician profiles to help in selecting your baby’s doctor call the Methodist Healthcare HealthLine at 210-575-0355 or 1-800-333-7333 or log onto www.SAWomensHealth.com and click on “Find A Doc”. 14 The Women’s Pavilion at Metropolitan Methodist Hospital is conveniently located in downtown San Antonio, while the Women’s Pavilion at Methodist Hospital is located in the South Texas Medical Center. Methodist Stone Oak Hospital is our newest facility, conveniently located in north central San Antonio. All three facilities offer a full range of maternity services, including prenatal testing; Labor, Delivery, Recovery (LDR) rooms; Mother/Baby Unit; comprehensive nurseries; and fully staffed and equipped antepartum units. All private rooms in the special birthing areas have been designed to help you feel comfortable, relaxed, and at home. Antepartum units are for expectant mothers who have medical problems with their pregnancy or other health issues. Patients are carefully observed here and treated by our specially trained staff. We are committed to making the birth of your baby a joyful and memorable experience for you and your family. Please share with us any special needs or concerns you and your family have. Discuss with your physician and your nurse how you would like your family members included in your birth experience. Our philosophy and mission of service, combined with experienced, caring nurses, highly respected, affiliated independent physicians, and sophisticated medical technology, help provide you with the warm, loving, and high quality care that you want for you and your baby during this special time. 15 It’s Time To Go! Where To Go The average stay for a mom and baby is one to two nights for a vaginal birth and two to three nights for a cesarean birth. Use the following maps to find the easiest route to either Methodist Hospital, Methodist Stone Oak Hospital or Metropolitan Methodist Hospital. If you return your pre-admission form or submit it online, it will be available upon your arrival at the hospital. What do you do when you get to the hospital? Once you have spoken to your physician and you are told to go to the hospital, you’ll be directed to go to the Labor and Delivery Unit. Don’t forget to take advantage of complimentary valet parking at Methodist Stone Oak Hospital. Complete driving instructions from your home address to Methodist Hospital, Methodist Stone Oak Hospital or Metropolitan Methodist Hospital are available on SAHealth.com. Just click on “Methodist Facilities” at the top of the page. ZB AC H UR W G UR SB N ST MARY’S A AU O YM SE HM UR RY S ’S AS GU ST A T BR OA DW AY RIC MA LL E MARTIN N HA AG LL CA 410 Metropolitan Methodist Hospital & Women’s Pavilion Metropolitan Methodist Hospital 1310 McCullough Avenue 210-757-2200 Near downtown San Antonio, at the corner of McCullough and Brooklyn (2 blocks north of IH-35) 35 NT DA Y T NS 281 EN MD CA LA AT INC CY METHODIST HOSPITAL ICK YN KL OO YN KL OO BR GH VE OU EA LL OR E CU IM LT AV Mc BA ON GT VE XIN DA LE ON HOWARD ST RO MAPLE ST HEL T BE QU 81 IN QU R ER RD BR W POPLAR EU N HA ED CK E LAUREL CYPRESS ST METROPOLITAN METHODIST ST HOSPITAL ST RA MI LID EL UC EE UI T AS SP AG LL CA FR LO CO LEWIS ST UREL E PARK AVE 10 E DRIV B BA McCULLOUGH OGDEN ST MAIN AVE EVERGREEN PED * Remember, it is the law that all infants and children be appropriately secured in properly fitted car seats to be released to go home. K AVE DR METHODIST WOMEN'S CENTER L UR AL DIC ME IVE AL IC ED M DC OY FL 7700 Floyd Curl Drive 210-575-4000 In the Medical Center on Floyd Curl between Medical Drive and Louis Pasteur SAN Time to go. More than likely, your hospital stay will only be for a day or two. Make sure that you have made arrangements in advance for transportation home from the hospital. Plan to have someone pick up you and your baby at the hospital so that you will be able to leave shortly after you and your baby are discharged by your doctors. WU RZ BA CH L SEL AL Methodist Hospital Women’s Pavilion It’s time! Your baby is ready to make the big entrance. You feel confident. You’ve taken the Peek-a-Boo Tour at the Methodist hospital of your choice, attended FirstSteps classes, and you know exactly where to go and what to do. Your suitcase is packed. You’re excited and anxious, all at the same time. Your doctor has instructed you to meet at the hospital, and you’re on your way to having your baby! H DATAPO INT URG EW ING 37 Women’s Pavilion 1410 McCullough Avenue at Laurel 210-757-2200 Methodist Stone Oak Hospital 1139 E. Sonterra Blvd. 210-638-2000 West of Highway 281, north of Loop 1604 16 17 BABY’S ARRIVAL In the moments following your baby’s birth, we encourage you to get acquainted with each other. The Hospital Stay Visitation. During your hospital stay we want your family to feel welcome and part of this wonderful celebration of new life. Your baby’s dad or another person you designate may stay with you overnight in our private rooms, deluxe rooms, or suites. Big brothers and big sisters of the baby are also encouraged to visit mom and baby! Methodist Healthcare supports and participates in the Mother/Baby Care program, which helps mother and baby get close to each other. Our post partum rooms are specially designed for this purpose: to give both mother and baby plenty of “getting-to-know-you” time. Remember, your baby has a unique personality. Babies are like a puzzle: the more time you spend getting to know them, the easier the pieces fall into place. And a large portion of successful parenting is simply having the confidence to take care of your baby. Mother/Baby Care. In order for a mom and dad to learn about their newborn baby’s behavior and care, the baby needs to be with them. Mother/Baby Care helps you and your baby get off to a great beginning by getting to know each other from the start. Birth Certificates. The birth certificate registrar will obtain information needed for the completion of the birth certificate from appropriate sources. Sources include the mother or biological father of the child, or the information may be obtained from the immediate family under special circumstances. The birth certificate department has valuable information regarding the following: • Adoptions • Acknowledgement of Paternity (unmarried couples) • Texas Immunization Registry Please call at 210-575-4133, for further information and/or brochures. Mother/Baby visiting hours – Metropolitan Methodist Hospital: 9 am – 9 pm* For more information about visiting hours call 210-757-2200. Mother/Baby visiting hours – Methodist Stone Oak Hospital: Visiting hours are flexible depending on mother’s condition. Going Home. It’s finally time to take your new baby home. When you and your baby are ready to be discharged, the following details need to be taken care of before you leave. • The baby’s doctor and your doctor need to write discharge orders. • Discharge papers are completed at the nurse’s station and can be obtained from your nurse. The Nursery • Mom will need to sign baby’s identification form. Remember you must choose a pediatrician before your baby’s arrival. Your baby’s physician will be notified of your baby’s birth and provide instructions for your baby’s care while you’re in the hospital. After delivery, you and your baby will go to the Mother/Baby Unit. • Notify your nurse when you are ready to get your baby dressed to go home. Newborn Nursery. The Newborn Nursery may seem somewhat empty at our hospitals. This is because we encourage moms to get acquainted with their babies by spending this important time together. It’s a good time for you to ask questions and learn from your nurses. Occasionally, it may be necessary for your baby to be returned to the nursery. • Notify the nurse’s station when you and baby are dressed and ready to leave the hospital. Newborn Intensive Care Unit (NICU). If your baby needs special care or treatment, our Newborn Intensive Care Unit - Level III Nurseries at Methodist Hospital, Metropolitan Methodist Hospital and at Methodist Stone Oak Hospital are staffed and equipped to meet those needs. We have neonatologists or neonatal nurse practitioners in the hospital 24 hours a day and you are encouraged to be actively involved in your baby’s care. 18 Mother/Baby visiting hours – Methodist Hospital: 9 am – 9 pm* For more information about visiting hours call 210- 575-4000. • Either your nurse or an escort will take you to your car. You will be taken out by wheelchair, with your baby in your arms. • A cart will be provided to carry your personal items. • You must have an infant car seat securely placed in your vehicle. *Dad or a guest can stay overnight if mom is in a private room. 19 Delivering babies is a very important part of what we do. But it’s only the beginning. WELCOME HOME, BABY For Your Family We offer health care services for your entire family as well as classes and programs that will benefit you and your family as your family grows. You’ll be glad to know Methodist Healthcare offers more educational programs than any other health care system in the city. From prenatal care to birth, through childhood into adulthood and mature adulthood, it is our mission to continuously improve the health and wellness of our community. 20 21 Methodist Women’s Center Support Services Breastfeeding Support. Beyond Baby Blues. The Lactation Center at Methodist Women’s Center. International Board Certified Lactation Consultants provide technical assistance and emotional support to breastfeeding families. We encourage every expectant couple to attend this class so that they may be better prepared to recognize the signs and symptoms of postpartum depression. Free inpatient consultations for women delivering at Methodist Hospital, Metropolitan Methodist Hospital and Methodist Stone Oak Hospital. CPR and Basic First Aid for Family and Friends. This is a non-certifying course designed for parents, grandparents or older siblings of infants and toddlers that covers infant and child CPR, pediatric basic life support and basic first aid. Free outpatient consultations (by appointment only) for all women in the community, regardless of where they gave birth. The Women’sLife® Resource Center (a benefit of WomanPlus®). For more information, questions, or to schedule an appointment, call the Methodist Women’s Center at 210-575-0261. Located at Methodist Women’s Center, is a specialty resource library where you can checkout informative books concerning health and wellness. This resource center offers: A Caring Touch. Relax and enjoy a massage at the Methodist Women’s Center or in the comfort of your hospital room during your stay at one of the Methodist Healthcare facilities. • Specialty books and videos about childbirth, premature delivery, breastfeeding, parenting, and women’s health • Books and videos for big brothers and big sisters Inpatient at Methodist Hospital and Methodist Stone Oak Hospital. Complimentary 15 minute massage available for postpartum mothers. Outpatient. Massage therapy, reflexology and infant massage. E RIC FRED KSB HAMILTON WOLFE WU RZ BA CH ING DATAPO INT URG EW E RIV LD A DIC 10 ME METHODIST WOMEN'S CENTER L UR W UR ZB AC H IVE L DR ICA S PA TE UR G UR SB ICK ER ED LO UIS C METHODIST HOSPITAL AN GH LA L A FR 8109 Fredericksburg Road 210-575-0261 In the Medical Center at the intersection of Fredericksburg and Datapoint. DC OY FL Methodist Women’s Center CK CO B BA RD 22 K REE A common question breastfeeding mothers often ask is “how do I know my baby is getting enough milk?” One of the best ways to answer that question is to watch your baby’s pattern of growth and weight gain. At The Lactation Center at Methodist Women’s Center, you and other parents may walk in, (Monday – Friday from 8:30 a.m. – 5:00 p.m., closed from 12 – 1 p.m.) and weigh your baby at our free baby weighing station. Lactation consultants are available to answer questions. C N Weigh to Grow! AMO • Available to women and men • Schedule during your pregnancy or after your baby’s birth (seek our doctor’s advice) • Discounts available to WomanPlus® and 55PLUS® members • Gift certificates available Infant Massage. Research shows there are many benefits to infant massage. Learn how to massage your infant with a licensed massage therapist. N HA AG LL A C 410 23 Stork’s Nest Hours: Open Monday - Friday, 8:30 a.m. – 5 p.m. (closed from 12 – 1 p.m.) Stork’s Nest. At the Stork’s Nest, located at Methodist Women’s Center, you will find something for everyone in your family. Here are just a few of the things the Stork’s Nest has to offer you. Drop in for a visit! For Mom • Prenatal bras and underwear • Supportive maternity belts • Breast pumps for sale or rent • Breastmilk storage bags • Nursing bras, pads, and creams • Nursing camisoles • Nursing foot stools and pillows designed for holding and feeding baby • Books on breastfeeding and parenting For Parents and Grandparents • Informative books for parents and grandparents • “Over the Shoulder Baby Holder” • Music to soothe baby (CDs and cassettes) For Baby • Specialty feeding items • Bath seats • Bobux® shoes For Big Brothers and Sisters • “Big Brother/Big Sister” T-shirts Buckle Up Baby. Learn correct car seat usage and installation. Hands-on instruction is provided by instructors who are certified child passenger safety technicians. *We encourage early sign up for the Buckle Up Baby classes by calling 210-575-0355. They fill up quickly! 24 25 Methodist Healthcare Services Additional Services There are multiple services available at Methodist Healthcare to meet your family’s needs. For your Family Other Services Methodist Healthcare gives your family choices of facilities close to where you live and work — all around our community. A large number of physicians and health care professionals work with us on an independent basis to provide you and your family with quality health care. Also, we offer a wealth of educational and preventive health care programs throughout the year and at multiple locations — all designed to help keep you and your family healthier. You or someone you know may be interested in learning more about one of the following programs or services Methodist Healthcare offers: Pediatric Services With your new baby coming, you’ll be glad to know that Methodist Healthcare also offers newborn and pediatric services. Be sure your baby’s doctor belongs to a health plan that includes Methodist Children’s Hospital — the only hospital in San Antonio designed and built especially for children. NatalDoc An online health care magazine in Spanish with personalized information for women who are currently or considering becoming pregnant. Offered exclusively by Methodist Healthcare and NatalDoc. For a high quality health care education in Spanish, particularly in the area of preventive medicine, visit www.nataldoc.com/methodist. WomanPlus® Over 240,000 people are members of this individual and family health and wellness program. As a member, you’ll receive benefits like discounted hospital parking with ticket validation at Metropolitan Methodist and Methodist hospitals, free health screenings, FirstSteps classes, and so much more. To become a WomanPlus® member, all you have to do is log on to www.SAHealth.com, go to the bottom of the page and click “WomanPlus®” then click “Sign Up Online.” And your membership allows your children (through age 10) to receive automatic enrollment in the Young Heroes’ Club®. Call the Methodist HealthLine at 210-575-0355 for details. Young Heroes’ Club® The Young Heroes’ Club® is a membership program created just for children (10 years and under) and offered by Methodist Healthcare. Your kids will enjoy this really cool club, with fun ways to learn healthy habits while they’re growing up. It’s exciting for parents, too – watching the kids participate in a program that’s educational and entertaining. In addition to an official membership card, each child will receive an activity workbook, a coloring book, stickers, and lots more. All are free! So, enroll your children today by calling the Methodist Healthcare HealthLine at 210-575-0355! It’s never too early to get children started on the road to healthy habits! 26 • 55PLUS®, our free health and wellness educational program for people age 55 and older • DoctorSource®, our free physician referral service • Whatever health care questions or needs you have, you can call the Methodist Healthcare HealthLine at 210-575-0355 or 1-800-333-7333 • www.SAHealth.com – self care help– go to the bottom of home page and click on Call-A-Nurse for assistance when your child is ill • Call-A-Nurse for Children, 22-NURSE (210-226-8773) or 1-877-647-7440, a health advice service that allows you to speak to a specially trained pediatric nurse when your child gets sick. • Visit www.SAWomensHealth.com for helpful information on a number of topics concerning women, heart disease, health issues for women of all ages and prevention and wellness news. • Methodist Women’s Services Healthy News and Children’s Health News are free personalized e-health newsletters that bring you the latest health information sourced from hundreds of medically-reviewed publications and journals on the health topics that matter to you. Sign up by logging onto www.SAWomensHealth.com. Your Baby’s Health Immunizations. When your baby is born, antibodies received from you will provide protection from some infections. However, there are a number of childhood illnesses that a baby may develop. There are several that may even be life threatening. It is extremely important to have your baby vaccinated against major childhood illnesses. Remember to follow the guidelines of your baby’s pediatrician. Call-A-Nurse for Children, 22-NURSE (210-226-8773) or 1-877-647-7440, is just a phone call away when you need a quick answer about a scratch or a scrape, a fever, or a tummy ache. Call-A-Nurse for Children is a special telephone service from the Methodist Children’s Hospital. Staffed by specially trained pediatric nurses, this free service is available when your doctor’s office is closed: Monday – Thursday 5 p.m. – 8 a.m.; Fridays 5 p.m. through Monday at 8 a.m.; and major holidays. For medical emergencies always call 911 or your physician. For a free refrigerator magnet so you’ll always have the number handy, call 22-NURSE (210-226-8773), the Methodist Healthcare HealthLine at 210-575-0355 or, toll-free outside San Antonio, 1-800-333-7333. You may also go to SAHealth.com and click on the “Call-A-Nurse” icon. Women’s AdviceLine. Free pre-recorded information on a wide range of topics for women’s health and wellness is only a phone call away. If you’d like to hear a specific topic regarding pregnancy – just pick up the phone and call the Women’s AdviceLine at 210-377-2647 or 1-888-883-HEAL. This service is available to you 24 hours a day, seven days a week. 27 Methodist Healthcare Directory - Baby Talk AdviceLine OPTION 1 English OPTION 3 to Access the Automated Health Information Library Baby Talk Advice Line Allergies 8324 Asthma: How to Use Inhalers 8325 Asthma Treatment 8326 Eye Allergies 8327 Food Allergies 8328 Hay Fever 8329 Hives 8330 Preventing Allergies Bone, Joint, & Muscle 8430 Growing Pains 8431 Leg Cramps Brain & Nervous System Problems 8440 Migraine Headaches 8441 Tension Headaches Digestive Problems 8400 Anal Fissure 8401 Constipation in Children 8402 Constipation in Infants 8403 Diarrhea Treatment For Bottlefed Infants 8404 Diarrhea Treatment For Breastfed Infants 8405 Diarrhea Treatment For Children Over 1 Year of Age 8406 Excessive Gas 8407 Stomachaches From Worrying 8408 Vomiting: Treatment For Bottlefed Infants 8409 Vomiting: Treatment For Breastfed Infants 8410 Vomiting: Treatment For Children Over 1 Year of Age Ear Problems 8350 Ear Congestion 8351 Ear Infections: How to Tell 8352 Ear Infections: Prevention 8353 Ear Infections: Treatment 8354 Ear Tubes: Who Needs Them 8355 Ear Tubes: Swimming & Bathing 8356 Ear Wax Problems 8357 Pierced Ear Infections 8358 Pulling at Ears 8359 Swimmer’s Ear Eye Problems 8340 Dark Circles Under the Eyes 8341 Red or Pink Eyes 8342 Something in The Eye Fever 8450 Fever: Definition 8451 Fever: Phobia And Fever Myths 8452 Fever: Infants And Toddlers 8453 Fever: Treatment First Aid For Emergencies 8500 Burns 8501 Choking: The Heimlich 8502 Seizures With Fever 8503 Seizures Without Fever (Epilepsy) 28 Home Care Tips For Illnesses 8465 Bed Rest 8466 Calling Your Child’s Healthcare Provider 8467 Getting Your Sick Child Back to Sleep 8468 How Infections Are Spread 8469 Humidifiers 8470 Judging The Severity of Your Infant’s Illness 8471 Preventing Infections 8472 Subtle Emergencies Not to Miss 8473 Symptoms That Last Too Long 8474 When to Keep Your Child Home From School or Day Care 8475 When to Send Your Child Back to School or Day Care Injuries 8489 Bone And Muscle Injuries 8490 Cuts And Scrapes 8491 Finger Injuries 8492 Head Injuries 8493 Mouth Injuries 8494 Puncture Wound Medicines 8480 Acetaminophen Dosage 8481 Allergies: Benadryl Dosage 8482 Ibuprofen Dosage 8483 Medicines: Helping Children Swallow Pills 8484 Medicines That Taste Bad: What to Do 8486 Overuse of Medicines 8487 Safe Use of Medicines 8488 When Antibiotics Are Not the Answer Mouth & Throat Problems 8380 Canker Sores (Mouth Ulcers) 8382 Sore Throats 8383 Strep Throat 8384 Toothache Nose Problems 8370 Blocked up Nose: Infants 8371 Colds: One Cold After Another 8372 Colds: The Facts 8373 Colds: Treatment 8374 Colds: When to Worry 8375 Nosebleeds 8376 Sinus Congestion 8377 Sinus Infections Other Problems 8460 Altitude or Mountain Sickness 8461 Fatigue 8462 Menstrual Cramps 8463 Motion Sickness Respiratory & Breathing Problems 8390 Breath Holding Spells 8391 Coughs 8392 Croup 8393 Influenza 8304 Noisy Breathing: Why? Skin Problems 8300 Acne 8301 Athlete’s Foot 8302 Bee Stings 8303 Bug Bites 8304 Chicken Pox 8305 Dandruff 8306 Fifth Disease 8307 Frostbite 8308 Hand, Foot, And Mouth Disease 8309 Lice 8310 Lyme Disease 8311 Poison Ivy or Oak 8312 Ringworm 83 13 Small, Localized Rash 83 14 Spider Bites 83 15 Sunburn: Treatment 83 16 Ticks: How to Remove Them 8317 Warts 8318 Wound Infections: Prevention Urinary Problems 8420 Frequent Urination 8421 Urinary Tract Infections: Prevention 8422 Urinary Tract Infections: Treatment Eating: Older Children 8700 Appetite Slump in Toddlers 8560 Cow’s Milk: The Facts 8703 Fast Food Myths 8704 Finicky Eaters 8702 Foods That Cause Choking 8705 Healthy Diet 8706 Junk Food Myth 8707 Keeping Mealtime Pleasant 8708 Low Cholesterol Diet 8710 Overweight Preschoolers 8709 Overweight Preteens 8711 Overweight Teens 8712 Playing with Food 8713 Six Health Problems Relating to Diet 8714 Slow Eaters and Fast Eaters 8715 Snacks 8701 The Candy Myth 8716 The Vitamin Supplement Myth Accident Prevention 8565 Animal Bites: Prevention 8566 Drowning Prevention 8567 Electrical Shock Prevention 8568 Falls And Head Injury Prevention 8569 Hot Weather Illness Prevention 8570 Poisoning Prevention 8730 Swimming For Toddlers 8731 Walkers: A Major Health Hazard 210-377-2647 Feeding 8650 Breastfeeding and Medications 8651 Breastfeeding: How to Improve Milk Supply 8652 Breastfeeding: Is Your Baby Getting Enough? 8653 Breastfeeding: Painful Breasts or Sore Nipples 8654 Breastfeeding: Supplemental Formula or Water 8655 Breastfeeding: Vitamins & Minerals 8656 Finger Foods 8657 Formulas: Choosing the Right One 8658 Formula Preparation and Feeding 8659 Nighttime Feedings: Newborns 8660 Overweight Babies: Prevention 8661 Solid Foods: What and When 8662 Spoon-feeding Problems 8663 Weaning from the Bottle 8664 Weaning from the Breast 8665 Weaning Problems: Prevention Health Promotion: Staying Well 8750 Baby Bottle: Tooth Decay Prevention 8751 Baths: Too Much Soap 8575 Chicken Pox Vaccine 8752 Doctor Visits: Making Them Go Better 8576 Immunization Reactions 8577 Immunizations: 10 Recommended Ones 8578 Lead Poisoning: Prevention 8753 Second Hand Smoke 8754 Shoes 8755 Skin Cancer: Prevention 8756 Stimulating Your Infant’s Development 8757 Sunglasses: Preventing Cataracts 8758 Tooth Decay: Prevention (Toddlers & Preschoolers) Infant Care 8550 Crib Death: Prevention 8551 Diaper Rash 8552 Spitting up 8553 Tear Duct, Blocked 8554 Teething Myths 8555 Thrush 8556 Umbilical Hernia Newborn Care 8601 Colic: Home Treatment 8602 Colic: Myths about 8603 Crying: What it Means 8604 Face Rashes 8605 Foreskin: Normal Care 8540 Jaundiced Newborn 8606 New Parent Exhaustion: Prevention 8607 New Parents: Common Worries 8541 Newborn Appearance 8542 Newborns: Normal Behavior & Reflexes 8543 Normal Skin Care 8608 Postpartum Blues 8609 Sibling Rivalry with Newborn 8544 Sleep Position 8600 The Circumcision Decision 8545 Umbilical Cord Problems Discipline Problems Other Behavior 8800 Biting 8801 Demands Constant Entertainment 8803 Guidelines for Consequences 8804 Guidelines for Setting Rules 8805 Hitting and Fighting 8806 “I Hate You” 8807 Interrupting You on the Telephone 8808 Interrupts Guests 8809 Lying 8802 “Mine!” Won’t Share Toys 8810 Misbehavior at the Supermarket 8811 Refusing to Get Dressed on Time 8812 Runs Away from You 8813 Saying “No” to Kids 8814 Screaming 8815 Siblings Who Argue and Fight 8816 Spanking 8817 Spoiled Kids: Preschoolers 8819 Spoiled Kids: Toddlers 8820 Stealing 8821 Stubborn Kids: Preschoolers 8822 Stubborn Kids: Toddlers 8823 Swearing 8824 Temper Tantrums: Toddler & Preschooler 8825 Terrible Twos 8826 Time Out: The Best Response for Aggressive Behavior 8827 Time Out: How to Give One 8828 Time Out Refusal: School Age Children 8829 Time Out Refusal: Toddlers & Preschoolers 8830 Time Out: When it Doesn’t Work 8831 Unfastens the Seat Belt 8832 Whining 8920 Masturbation: Toddlers & Preschoolers 8921 Nudity and Your Child 8922 Sex Education: Preschoolers 8923 Sexual Play: What’s Normal 8924 Shyness 8925 Speech: Hard to Understand Speech 8926 Thumbsucking: Toddlers 8881 Tics and Facial Twitches School Issues & Problems 8585 ADD: Educational Treatment 8855 ADD: Home Treatment 8586 ADD: How to Recognize 8587 ADD: Imitators 8588 ADD: Ritalin Treatment 8850 Hyperactivity and Sugar 8851 School Phobia 8852 School Underachiever: Preteen 8853 School Underachiever: Teenagers 8854 Schoolwork: Teaching Responsibility 8856 Short Attention Span: Prevention in Preschoolers 8857 TV Dependency Prevention 8858 Video Game Craze Family Issues & Problems 8890 Christmas Time 8891 Divorce: Helping Children Cope 8892 Fears of Natural Disasters: Home Treatment 8893 Fears of Natural Disasters: Prevention 8894 Grandparents and Grandchildren 8895 Halloween 8590 Hanukkah Time 8896 Quality Family Time 8897 Santa Claus 8898 Thanksgiving Sleep Problems 8770 Bedtime Refusal 8771 Early Morning Riser 8772 Night Terrors 8773 Nightmares 8774 Nightmares and Violent Movies 8775 Nighttime Awakening: Infants 8776 Nighttime Awakening: Toddlers 8580 Pacifiers 8777 Sleep Problems: Prevention 8778 Sleeping with the Parents: Infants 8779 Sleeping with the Parents: Toddlers and Preschoolers Teenagers 8875 Teenagers: House Rules 8876 Teenagers: No Win Issues 8877 Teenagers: Talking Back 8878 Teenagers: Teaching Responsibility 8879 Teenagers: What’s Abnormal 8880 Teenagers: What’s Normal Bedwetting/Toilet Training 8790 Bedwetting: Preschoolers 8791 Bedwetting: Preteen 8792 Bedwetting: Teenagers 8793 Toilet Training Made Easy 8794 Toilet Training Readiness 8795 Toilet Training Refusal 29 INSTRUCTIONS FOR COMPLETING WOMEN’S SERVICES PRE-ADMISSION INFORMATION SHEET Please fill out the enclosed form completely. This information will be held in the strictest confidence, but will be used to pre-admit you into our hospital information system. SECTION 1: Please note your expected due date and confirm who your admitting physician will be. SECTION 2: This is information specific to the patient who is to be admitted. Expectant mothers please note: when your baby is born, he/she will be registered using your last name as when you registered. Soon afterward the birth registrar from Medical Records Department will contact you to fill out the birth certificate information sheet. Medical Records will then type up the birth certificate and submit this to the Bureau of Vital Statistics. If the child’s last name is different than the mother’s last name, Medical Records will then update the hospital information system to reflect the baby’s legal name. After you are hospitalized, an attempt will be made to notify your local church/synagogue/temple unless you specify otherwise. You are also encouraged to notify your religious institution in advance of entering the hospital. SECTION 3: The guarantor is the person who assumes financial responsibility for the hospital bill. If you have insurance, this person will be responsible to pay the charges not paid by your insurance company. This section must be completed. SECTION 4: Please list the name, address and phone numbers of two persons you wish to be notified in case of an emergency. Hospital: :hMethodist Hospital :hMetropolitan Methodist Hospital :hMethodist Stone Oak Hospital PRE-ADMISSION INFORMATION FOR WOMEN’S SERVICES 1. GENERAL INFORMATION Pregnancy Due Date: Date of Admission: Date of last Menstrual Period: Name of Admitting Physician: Have you ever been a patient at a Methodist Hospital? :hNo :hYes 2. PATIENT INFORMATION Are you a WomanPlus® Member? :hYes :hNo Name Used: Patient Name: Social Security Number: Date of Birth: Home Address: Home Phone: ( ) :hSingle :hMarried Apt: City/State/Zip Code: Work Phone: ( :hDivorced :hWidowed :hRetirement Date: ) Employer Name: Occupation/Title: Employer Address: :hFull Time :hPart Time :hUnemployed :hStudent Your Faith, Tradition or Religious Denomination Your Parish/Church/Synagogue/Temple 3. RESPONSIBLE PARTY (List the person responsible for the Hospital bill and/or payment for services) Guarantor’s Name: Home Phone: ( Guarantor’s Address: ) Work Phone: ( ) City/State/Zip Code: Relationship to Patient: Social Security Number: Date of Birth: Employer Name: Occupation/Title: Employer Address: :hFull Time :hPart Time :hRetirement Date: 4. EMERGENCY CONTACT INFORMATION Please list the name, address, and phone number of two persons you wish to be notified in case of emergency. Address: City/State/Zip Code: Home Phone: ( Work Phone: ( ) ) 5. INSURANCE COVERAGE INFORMATION SECTION 5: Please list the information as it on your insurance card(s). If you do not have insurance, or your insurance coverage is limited, a deposit of $3,500 for medical services, $5,000 for surgical services, or $1,150-$2,900 for expectant mothers is required when you enter the hospital. Expectant mothers are required to pay the fee by the seventh (7th) month of pregnancy. The amount will depend on your planned length of stay. If you owe more at the end of your hospitalization then the amount deposited, you will need to pay the remaining amount prior to discharge to remain qualified for the Flat Rate Program Additionally, if you have co-insurance, co-payments or deductible amounts outlined in your insurance benefit plan, you will be asked to pay these at the time of your admission. You may contact a Financial Counselor at 210-575-4076 if you have questions about your coverage or to make payment arrangements. Please notify your insurance company for pre-certification prior to being admitted. Failure to contact your insurance company may result in a payment reduction penalty. Name of Primary Insurance Company: SECTION 6: This section to be completed by Medicare and/or Medicaid recipients only. Even if you have a Medicare replacement policy, this information is critical. 6. MEDICARE AND/OR MEDICAID PATIENTS ONLY SECTION 7: It is very important to make sure your pediatrician/family practice physician is a member of your medical plan. You must contact your selected pediatrician or family practice physician before your hospital admission to make sure he/she is currently accepting new patients. Expectant mothers must notify the hospital with your selected pediatrician or family care physician. * Please refer to page six for detailed instructions on how to pre-register for your hospital stay online. 30 Address of Insurance Company: Phone Number for Benefits: ( ) Phone Number for Pre-Certification: ( Employer’s Name (Group): Address: Name of Insured: Relationship to Patient: Policy/Certificate/Identification Number: Social Security Number: Group Number: Effective Date or Eligibility Date: ) Name of Secondary Insurance Company: Address of Insurance Company: Phone Number for Benefits: ( ) Phone Number for Pre-Certification: ( Employer’s Name (Group): Address: Name of Insured: Relationship to Patient: Policy/Certificate/Identification Number: Social Security Number: Group Number: Effective Date of Eligibility Date: Have you been admitted to any other hospital or Nursing Home within the last 60 days? :hNO Date of Admission: Date of Discharge: Medicare Claim Number: Medicare Recipient Number: Part A Effective Date: Part B Effective Date: :hYES ) - If Yes: Name of Facility: Medicaid Effective Date: 7. NEWBORN PHYSICIAN INFORMATION – YOU MUST CHOOSE A DOCTOR FOR YOUR BABY BEFORE HOSPITAL ADMISSION. It is very important to make sure your pediatrician/family practice physician is a member of a medical plan that allows him or her to practice at a Methodist Hospital. To find out if your baby’s doctor is part of a health plan that offers Methodist Healthcare as a choice, call your doctor’s office. Please contact your medical plan to make sure your pediatrician or family practice physician is currently a member of your medical plan. Please contact your selected pediatrician/family practice physician before your hospital admission to make sure that he or she is currently accepting new patients. Please notify Methodist Healthcare with the name of the pediatrician or family practice physician you have selected. Physician’s Name: Phone Number: Date you notified your selected physician: . Please notify your insurance company for pre-certification requirements. Failure to Pre-Certify may result in a payment reduction penalty. Please notify your insurance company or your impending admission. WHEN COMPLETED, PLEASE FAX THIS DATA SHEET TO 210-581-4906 OR MAIL IT BACK TO THE METHODIST FACILITY OF YOUR CHOICE. PLEASE CALL FOR QUESTIONS. WE’RE HERE TO HELP YOU FIND THE ANSWERS YOU NEED. THANK YOU. Patients delivering at Methodist Hospital-Questions: 210-575-4141 Patients delivering at Metropolitan Methodist Hospital-Questions: 210-757-2200 Patients delivering at Methodist Stone Oak Hospital-Questions: 210-638-2128. 31 METHODIST CHILDREN’S HOSPITAL* 7700 Floyd Curl Drive 210-575-7000 METHODIST HOSPITAL 7700 Floyd Curl Drive 210-575-4000 METROPOLITAN METHODIST HOSPITAL WOMEN’S PAVILION* 1410 McCullough Avenue 210-757-2200 METHODIST FAMILY HEALTH CENTER AUSTIN HIGHWAY METHODIST WOMEN’S CENTER The Lactation Center Women’sLife® Resource Center Stork’s Nest 8109 Fredericksburg Road 210-575-0261 1533 Austin Hwy. 210-679-2622 DOCTORSOURCE METHODIST STONE OAK HOSPITAL 210-575-0355 or 1-800-333-7333 1139 E. Sonterra Blvd. 210-638-2000 METHODIST HEALTHCARE HEALTHLINE METHODIST FAMILY HEALTH CENTER SW MILITARY WOMEN’S ADVICELINE 210-575-0355 or 1-800-333-7333 137 Southwest Military Drive (at South Flores) 210-924-8800 210-377-2647 or 1-888-883-HEAL METHODIST FAMILY HEALTH CENTER LAS PALMAS 22-NURSE (226-8773) CALLANURSE FOR CHILDREN Las Palmas Shopping Center 803 Castroville Road, Suite 131 210-435-4400 METHODIST FAMILY HEALTH CENTER E. SOUTHCROSS 2338 East Southcross 210-582-2000 www.SAWomensHealth.com www.SAHealth.com *A Methodist Hospital facility
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