At Va Ob/Gyn we strive to provide an experience that includes a safe pregnancy, a healthy baby, and a rewarding birth experience. We realize that what constitutes a positive birth experience is different for different couples. Our practice will make every attempt to provide you with the birth experience that you desire. Dr Ayoub and our staff will work with you prior to your delivery to give you information about certain options and choices you will have throughout your delivery process. As no two birth experiences are alike you will be empowered to be involved in the decision making process throughout. Dr Ayoub strives for a low cesarean rate by using his clinical skills to intervene only when necessary for mom and baby’s health. Dr Ayoub does not use routine episiotomies and uses techniques to help avoid vaginal lacerations allowing for an easier and more comfortable recovery postpartum.
Dr Ayoub feels very comfortable with a patient’s decision to use an epidural for pain management . He feels that for many couples an epidural will provide a birth experience with less stress and a more restful labor allowing for enjoyment of the birthing process and good bonding after the delivery. He will work with you to decide when it is the appropriate time to place the epidural and the qualified and experienced staff at the hospital will assist you with placement of the epidural. Dr Ayoub believes that even with an epidural in place your delivery is still your birth experience and will work with you to empower you to be involved in the decision making and delivery process.
Dr Ayoub will respect a patient’s decision to not have an epidural placed and has extensive experience working with patient using various methods of natural childbirth. If you do not have an epidural in place and your labor is progressing without problems, you are generally free to move around and encouraged to use a birthing ball and other varying positions, including walking, as the labor and delivery unit utilizes wireless monitoring. The environment is generally kept as quiet as possible and the lights may be kept low if you desire. Dr Ayoub encourages, but does not require an IV to be placed, unless it is required for GBS antibiotic prophylaxis, fluid administration, or emergency needs. He rarely used fetal scalp electrodes and sparingly uses pitocin and/ or amniotomy. Dr Ayoub will make every attempt to involve you in the decision making process.
Most patients deliver in the lithotomy position (semi-upright lying position with thigh and knees flexed). Alternate positioning is supported if epidural is not present. Mirrors are available so that you may view your progress while pushing if you desire. Your partner and nurse will help support your legs if necessary. Your newborn will be placed on your abdomen as long as routine delivery has occurred and there is no reason to evaluate the baby in more detail by neonatology and/or pediatricians. Requests for cord blood pulsation to stop before cutting the cord may be accommodated. Pediatrics and/or Neonatology personnel will be present depending on the doctors concerns regarding your infants well-being.
Should a cesarean delivery be necessary, you will be fully informed and involved in the decision-making process. The surgery occurs in the operating rooms at the Labor and Delivery unit. One person will be allowed into the surgical room if general anesthesia is not used. We encourage parents to be able to be with infant soon after cesarean delivery. In the case of cesarean delivery the operative site is sterile so the birth support person will not be able to cut the umbilical cord.
The birth partner or patient may cut the cord and assist in delivery if the labor and newborn's circumstances allow. As long as the newborn is well, he or she will be evaluated after direct bonding on mom's abdomen. Breastfeeding may occur immediately after normal birth. You may view the placenta if you desire (just ask Dr. Ayoub to show it to you). When the infant is taken to the nursery, the birth partner may accompany the infant and participate in his or her care. Specific preferences regarding nonstandard infant care (administration of medications or immunizations) should be discussed with your chosen pediatricians.
Private rooms are assigned for all patients. You may have the baby in the room with you if you desire with the exception of times where the infant will be in the nursery for evaluation and testing. If you prefer, the infant can be kept in the nursery and brought to you upon request. Nursing and lactation advisors will be available to assist you.
Circumcision of male infants is elective. If desired, it is performed before discharge from the hospital. Local anesthetic is used to help alleviate pain. Parents may be present in the nursery during circumcision, but need to be a certain distance away since space is limited and it is a sterile procedure.
If you desire to use cord blood banking, we encourage use of a reputable company. Dr. Ayoub will be happy to provide the cord blood collection service. Be advised that it is your responsibility to bring the materials to the hospital and arrange for transport after collection according to the guidelines provided by the company you choose.