At KVH Hospital, we believe each birth is a unique and personal experience. With a highly skilled team of physicians, nurses, and other health professionals, the Family Birthing Place provides a safe, comfortable, family-centered maternity care environment.
You should expect from your birth experience:
- Respect and dignity
- Individualized care
- Clear communication from staff
- Sharing of decision making
- Appropriate pain relief strategies
We look forward to caring for you and your family. Please don’t hesitate to contact us if you have any questions or concerns, 509-962-7328. A registered nurse is available 24 hours a day.
Childbirth & Family Preparation
KVH offers a range of classes including education for new and experienced parents, siblings and grandparents, and free prenatal lactation consultations. All classes are offered virtually. Click here to register.
Birth Plans or Preferences
Birth plans can be a great way to start a discussion about your preferences with your healthcare team. We suggest you start this discussion with your provider during office visits prior to your delivery. We have put together some tips for writing a birth plan. We hope this helps lay the groundwork for a satisfying birth experience!
Start with a paragraph introducing yourself and your partner to the staff. Share any important issues or concerns you have that may impact your delivery. For example, do you have any fears that would be helpful to address? Are there cultural or religious preferences, or family dynamics that you want us to be aware of? Maybe you had a healthy, happy pregnancy and you want to express how excited you are for labor and delivery!
Preferences for Labor & Birth
As you prepare this part of the birth plan, mention only the preferences that matter to you. You do not have to address everything. You may also summarize your preferences in a blanket statement such as, “I prefer to avoid routine interventions and procedures, and want to discuss any that are being considered” or address things more specifically like “I would like an epidural as soon as I reach active labor”.
At times things do not go according to plan. Think through this possibility. If something unexpected happens, what would be most important to you?
This is a good place to communicate your plan for feeding your baby, choice on circumcision, if you are planning to decline any routine medications, or other things that are important to your family.
Communicating About Your Care
Educating yourself about what is happening during childbirth will increase your confidence and sense of safety during labor.
Collaborate with your healthcare team and share in the decision-making process. Your voice and opinion matters to us. Ask questions and engage your nurses and providers in a dialogue about your care.
When a test, treatment, or intervention is recommended, learn how it works and then ask:
Benefits: What is the problem we are trying to prevent or fix? Will this fix the problem? If not, what would we do next?
Risks: What are the possible risks or side effects?
Alternatives: What are the possible alternatives? What would happen if we did nothing?
Timing: Is the situation urgent, or is it possible to wait?
It can be overwhelming to think of the right questions to ask in the moment when confronted with a healthcare issue. Download this wallet-sized card (PDF) to help you with informed consent.
Racial and Ethnic Disparities in Maternal Infant Health
Statistics show black and brown women are experiencing significantly higher pregnancy-related mortality and infant mortality across the nation. KVH is working to address this crisis by bringing awareness, educating our staff and engaging with patients to identify and reduce factors that contribute to maternal and infant mortality. Learn more about how we can work together to reduce black maternal mortality.
Irth helps black and brown women and birthing people have an empowered pregnancy and parenting experience by allowing you to see how other parents of color experienced care at a doctor’s office or hospital. Those collective experiences are turned into meaningful data to push for change within health systems.
Preeclampsia and the Blue Band Initiative
The Blue Band Initiative is a project to improve awareness, recognition and management of preeclampsia.
Postpartum preeclampsia is a serious condition that involves developing high blood pressure following childbirth. A woman is at risk of postpartum preeclampsia for up to 6 weeks after delivery.
Preeclampsia: a multi-system progressive disorder characterized by hypertension and evidence of organ injury.
Complications from postpartum preeclampsia include:
- Organ Damage
- What does it mean for the patient?
If a woman is given a blue wrist band or medical card before or after delivery, this means she is at higher risk for postpartum pre-eclampsia.
Symptoms of postpartum preeclampsia include:
- Stomach pain
- Nausea, vomiting
- Swelling of the hands and face
- Seeing spots before your eyes
- Shortness of breath
When would a patient wear the band?
Any time between 20 weeks and up to 6 weeks postpartum when identified.
How can someone prevent postpartum preeclampsia?
- Have a follow-up appointment with their doctor within 2-5 days of delivery for a blood pressure check.
- Keep all recommended follow-up appointments with your doctor.
- If they experience symptoms, they should call their doctor or go to the emergency room and report that they recently gave birth.
For more information please visit the Preeclampsia Foundation.
What to Bring to the Hospital
We want you to feel comfortable during your stay at the Family Birthing Place. Here are some ideas of things to bring with you:
- Items that will make you feel at home such as your favorite blanket, pictures, toiletries, or snack items.
- A comfortable change of clothes (you are welcome to wear your own clothes during your hospital stay)
- Going-home outfit and blanket for your baby
- Infant car seat, installed and ready to use
- Cell phone and charger
- Breast pump
Don’t worry if you forget to pack something. We have all the essentials here at KVH!
Meals and Snacks
Hospital meals are provided for patients only. During your stay with us, we want you to feel at home. That includes having choices about what you eat:
- KVH Hospital offers a variety of meals and snacks for patients
- A nurse will assist you with placing orders
- Friends and family are welcome to bring food for you to enjoy, from home or area restaurants
- Food can be ordered for delivery to the hospital
- We have a patient nourishment room with juice and light snacks for patients
Your support person is welcome to visit the Café, where they can buy food and bring their meal back to your room. When admitted for labor, a mother’s support person will be provided with three meal vouchers to purchase food in the Café. Near the Café entrance, vending machines offer drinks, snacks and entrées.
Scheduling an Induction of Labor
If an induction of labor is necessary, your provider’s office will schedule a tentative appointment for you at the Family Birthing Place. We’ll call you 24-48 hours before the scheduled date to discuss your appointment and answer any questions.
If your induction is postponed, we will contact you to discuss details and next steps.
A cesarean birth, whether planned or unexpected, offers unique challenges. These are some of the steps we have taken at the Family Birthing Place to help make your cesarean birth a positive, family-centered experience.
- One support person may be present at the head of the bed during surgery
- You may listen to music (headphones or speaker)
- We have clear drapes available to view the birth if desired
- After being assessed by the newborn provider your baby will be brought to you
- A nurse can assist you with initiating skin to skin contact or breastfeeding in the operating room
Infant Feeding Support
KVH is designated Breastfeeding Friendly by the Washington State Department of Health. We are proud to provide lactation support free of charge as a public health service to the families in our community. Our goal is that every mother has the information and support she needs to feel confident feeding her new baby. To schedule a prenatal consultation contact Lactation Services at 509-962-7388.
The WHO recommends giving only breastmilk to your baby for the first 6 months and continuing to breastfeed for 2 years or beyond.
Obstetric nurses have specialized training to help you initiate breastfeeding as soon as possible after birth and to help troubleshoot common breastfeeding issues. You will have on-going access to an International Board Certified Lactation Consultant (IBCLC) to provide guidance in the clinical management of breastfeeding.
Breastfed infants are only offered supplementation when medically necessary, and only after a mother has been helped to learn how to remove her own milk. Options include pasteurized human donor milk (English / Spanish) or infant formula.
To support moms who need or choose to formula feed their babies, we supply infant formula in ready-to-feed bottles. We will provide guidance on paced bottle feeding techniques and safe preparation of infant formula.
24 Hour Rooming-In
Mothers and babies belong together. We will support you in caring for your infant in your room to increase your confidence with newborn care. Keeping your baby in close proximity during your entire postpartum hospital stay is recommended by leading organizations including the American Congress of Obstetricians and Gynecologists (ACOG), the American Academy of Pediatrics (AAP), and the World Health Organization (WHO).
These medications are routinely administered after birth. Please ask your healthcare provider if you have any questions or concerns.
- Vitamin K administered through an injection in the thigh, will help your baby’s liver make clotting proteins
- Erythromycin eye ointment applied to both eyes can prevent infection that could cause blindness
- Hepatitis B Vaccine is recommended at birth and infants will usually complete the vaccine series at 6 months of age
We support your right to make choices about your newborn’s care. You will be asked to sign an informed consent form if you would like to decline one of these medications.
Several newborn screening tests will be done prior to discharge. If these conditions are detected early in a baby’s life, many or all of their complications can be prevented. Tests include:
- An oxygen test that screens for congenital heart defects
- A bilirubin test to check if your baby is at risk for developing jaundice
- A state mandated newborn screening that uses a small sample of blood to detect a wide variety of genetic anomalies, such as cystic fibrosis, thyroid and metabolic disorders
- A screening to detect hearing loss as soon as possible so that families and providers can give them the best possible support for developing language and communication skills
A registered nurse is always just a phone call away. We are available 24-hours a day to answer questions and set your mind at ease after your return home with your baby. Please don’t hesitate to contact us if you have any concerns, 509-962-7328.
Postpartum Support International provides non-judgmental support, information, and connection with others. Online groups are available for mothers, fathers, and families for a wide range of postpartum experiences, including postpartum depression, NICU Parents, and more. You are not alone.
Healing from a Perineal Injury
If you are experiencing any degree of pelvic floor dysfunction be sure to communicate with your care provider. Physical therapy may be an option for you to regain strength in your pelvic floor following pregnancy and childbirth.
Important Information about 3rd or 4th Degree Perineal Injury
After a 3rd or 4th degree perineal injury there are ways to facilitate healing and some things to watch for to report to your care provider. Please review this information with your support persons. As always, do not hesitate to ask your care provider about concerns you have about your health and healing process.
Right after birth:
- Keeping ice packs on your perineum can help to ease pain and reduce swelling. It is recommended that you do this for at least the first 24-48 hours after birth.
- Keep your perineal area clean by using your perineal squirt bottle filled with only warm water to squirt front to back with every void or bowel movement. In addition, after cleaning, pat your perineum with toilet paper (not wipe) and change your perineal pads every 4 to 6 hours (and/or with every void or bowel movement).
- You may find pain medication helpful and may need it for several days after birth. If the pain medication prescribed does not take care of the pain, alert your care provider.
- You will be given a topical numbing spray that you can apply every time you care for your perineum. You will also be given witch hazel pads to place against your perineum that will help to soothe and reduce inflammation.
- Prior to going home your care provider will give you a referral for a pelvic floor physical therapy consult. It is important to schedule you’re an appointment for at least 3 weeks after your birth.
Notify your care provider if you notice:
- Unusual swelling (after the first 2 days)
- Pain or redness
- Discharge other than lochia (normal after birth period-like bleeding)
- Unpleasant odor
- Any problems passing bowel movements
- Any trouble/pain with urinating
In the first week(s) after birth:
- If the anal area was involved in the laceration, a low fiber diet is recommended for the first few days to prevent a large bowel movement which could strain stitches and be uncomfortable.
- You will be prescribed a stool softener and should take them as recommended and drink at least 8 glasses of water per day. – After the first few days, a high fiber diet will be suggested to help you pass soft, easily expelled stools. If you are ordinarily prone to constipation, talk with your care provider. They may suggest the use of stool softeners for a longer period.
- When having a bowel movement, sit on the toilet with knees up higher than your hips (by supporting them with pointed toes) and leaning forward a bit, resting elbows on knees. You might find it helpful to rest your feet on a small step stool.
- Your care provider might prescribe antibiotics to reduce the risk of infection. It is important to take the full course of antibiotic treatment. Notify your care provider if you notice any signs of possible infection such as: redness and swelling after the first 48 hours, unusual odor or discharge and persistent or increasing pain in the perineal area.
- You might take a 10 minute sitz-bath in warm water a few times a day. You can obtain a portable sitz-bath or you can fill just the bottom third of your clean bathtub with very warm water and sit soaking your perineum that way. Some people add Epsom salts to the water.
- Take it easy. Rest as often as you can. Choose positions that are most comfortable to you. Try sleeping/resting/ breastfeeding on your side as much as possible and avoid standing for long periods or sitting directly on your bottom. You may find using a “donut” pillow to be most comfortable.
- Do not insert anything into your rectum or vagina until after a follow up visit with your care provider. This includes tampons, fingers and suppositories.
- Get in and out of bed by rolling to your side first as this reduces strain on your perineum.
- Do not use a hair dryer to keep your perineum dry as it may cause burning and could delay healing.
- Avoid applying any creams, powders or ointments unless prescribed by your care provider.
- Schedule your pelvic floor physical therapy appointment for at least 3 weeks after birth when your stitches should be healed.
- Approximately 2 weeks after discharge you will meet with your care provider to have your perineum assessed for healing.
Emotional & Informational Support:
- Some women and their support persons find it helpful for their healing to participate in emotional counseling and/or support groups. One source for finding a counselor in your community is psychologytoday.com.
- There are a variety of social media support groups for women recovering from this type of perineal injury.
- Support persons and partners may be uncertain how to best support their loved one healing from a perineal injury. Voices for PFD has some tips that may be helpful in starting a dialogue as well as up-to-date information about pelvic floor dysfunction.
KVH has 24-hour on site security.
The Family Birthing Place is a locked unit. After delivery your infant will remain in the room with you and wear a security bracelet on their ankle.
Like most hospitals in Washington State, we limit audio and video recording in the hospital. You are welcome to record your labor in the privacy of your own hospital room. Video recording is not permitted during procedures or delivery. You may begin recording again after delivery, with your provider’s permission.
To support the privacy of other patients and families, recording is not allowed outside of your private room, including the operating room or family waiting area.
Please discuss your desire to record your labor with your healthcare team when you are admitted to the hospital. Other restrictions on recording may apply.
Local & Online Resources
- Ellensburg Public Library: Children’s Section
- Friends in Service to Humanity (FISH food bank)
- Kittitas County Breastfeeding Coalition Resource Guide (English / Spanish)
- Nurturing Naturally (Facebook) (PDF)
- Women, Infants and Children (WIC)
- First Steps (PDF)
- Phone Listings for Additional Services in Kittitas County (PDF)
- New Parents Guide to Buying an Infant Car Seat (PDF)
- Safe Kids Worldwide: Get a Car Seat Checked
- cdc.gov/vaccines Recommendations for babies and family members
- healthychildren.org Child health and parenting (American Academy of Pediatrics)
- parenthelp123.org Washington State programs and resources
- 800bucklup.org Washington State child restraint laws
- womenshealth.gov DSHS women’s health site
How do we rate?
About a month after your inpatient stay, you’ll be called by an outside company for a survey, “Hospital Consumer Assessment of Healthcare Providers and Systems.” Your anonymous answers will help improve the quality of our healthcare system. View our survey results from Medicare’s HospitalCompare.