Dear Expectant Parents:

Congratulations on your pregnancy!

We have summarized the following information for you so that you may receive your prenatal care with a minimum of difficulties. Please refer to this as needed.

The Admitting Office

All pregnant women must stop at the Admitting Office by their third prenatal visit. Here you will be asked to sign some papers, and give information such as name, address, and insurance information. If you are unable to stop in person, please mail the pre-registration form to the Admitting Office.

Central Registration

All visits require the patient to stop at Central Registration to verify insurance. You may be requested to pay your co-pay if this visit is considered by your insurance carrier to be outside of the global period.

Insurance Forms and Co-payments

The patient is responsible for understanding and knowing their individual policy and plan, and to notify the Department of Women's Health if there is a change of insurance during pregnancy. Our insurance educators will contact you to review your insurance and plan of payment for your maternity services. Bassett Healthcare will submit your bill for payment. Some insurance carriers require pre-authorization for obstetrical services, and co-payment outside of the regularly "scheduled" visits.

Bassett Healthcare is a PCAP provider. You may be eligible for financial assistance and other services during your pregnancy. There are no co-payments or deductibles with PCAP and the infant will have insurance for the first year. Please contact Christy Cardinale 607-547-3303 or Nellie Marino 607-547-3091 for more information on our insurance.

Please contact our office immediately if you are confused by any of the terminology or have any questions.

Sincerely,

 

Noel Clinton
Department Manager - Women's Health

 

BASSETT TELEPHONE NUMBERS

Toll-Free Number 1-800-BASSETT

Birthing Center 607-547-3535

Ob/Gyn Nurses 607-547-3222/3226

Ob/Gyn Clinic (Monday-Friday, 8:30-5:00) (appointments) 607-547-3160

Certified Nurse Midwives

Patti Brown, CNM – Director of Midwifery Services

Kathy Breault, CNM

Susan Cataffo-Heiland, CNM

Dwynn Golden, CNM

Susan Graham, CNM

Martha Harvey, CNM

Laura O’Shea, CNM

Jeanne Westcott, CNM

Nurse Practitioners 607-547-6556

Elizabeth Perry, NP

Christine Weiss, RNC, WHCNP

Physician Assistants 607-547-3052

Patricia Reynolds, PA
Georgia Frevele, PA

Prenatal Care Assistance Program (PCAP) 607-547-3091

Nellie Marino, Outreach Worker

Physician Staff

John Dewey, MD – Obstetrician/Gynecologist-in-Chief 607-547-3170

Marc Heller, MD 607-547-3170

Dana Jock, MD 607-547-3052

Karen McShane, MD 607-547-3052

Balazs Selendy, MD 607-547-3052

Outreach Clinics Providing Ob/Gyn Care

Canajoharie Health Center 518-673-5555

Community Health Center 607-264-3036

Edmeston-Burlington Health Center 607-965-8900

Herkimer Health Center* 315-867-2710

Norwich Health Center 607-336-2718

Oneonta Health Center* 607-433-1790

Oneonta Specialty Services* 607-433-6300

Richfield Springs Health Center 315-858-0040

Butternut Valley Health Center 607-263-5111

O’Connor Women’s Health Center* 607-746-0525

Bassett Hospital of Schoharie County* 518-254-3307

*Staffed by Ob/Gyn Department Members

Other Numbers

Emergency Room 607-547-3981

Physical Therapy 607-547-3450

Dietitian 607-547-3460

Childbirth Class Scheduler 607-547-3170

Lactation Consultant 507-547-3535

Breast Pump Rental Station 607-547-3535

 

MATERNITY INFORMATION

Maternity Information Law

New York State's Maternity Information Law requires each hospital to provide the following information about its childbirth practices and procedures. This information can help you to better understand what you can expect, learn more about your childbirth choices, and plan for your baby's birth.

Most of the information is given in percentages of all the deliveries occurring in the hospital during a given year. For example, if 20 births out of 100 are by cesarean section, the cesarean rate will be 20%. If external fetal monitoring is used in 50 out of 100 births, or about one-half of all births, the rate will be 50%.

This information alone does not tell you that one hospital is better than another for you. If a hospital has fewer than 200 births a year, the use of special procedures in just a few births could change its rates.

The types of births could affect the rates as well. Some hospitals offer specialized services to women who are expected to have complicated or high-risk births, or whose babies are not expected to develop normally. These hospitals can be expected to have higher rates of the special procedures than hospitals that do not offer these services. This information also does not tell you about your doctor's or nurse-midwife's practice. However, the information can be used when discussing your choices and wishes with your doctor or nurse-midwife and to find out if his or her use of special procedures is similar to or different from that of the hospital.

You should play an active role in making your childbirth the kind of experience you want. To do so, you need information. Take part in childbirth preparation classes, and read books about childbirth. Ask questions and discuss your wishes with your doctor or nurse-midwife. A free booklet, "Your Guide to a Healthy Baby," is available from the State Department of Health. For your copy, just write: Healthy Babies, Box 2000, Albany, NY 12220.

Rates of Selected Procedures in Childbirth – 1999 Data

619 Total births at The Mary Imogene Bassett Hospital's Birthing Center during 1999

15.2% of births were cesarean sections

9.0% of births were primary cesarean sections

6.1% of births were repeat cesarean sections

44.9% of vaginal births were vaginal births after previous cesarean sections (VBAC)

81.4% of births were deliveries by midwives

95.9% of births involved external fetal monitoring

28.1% of births involved internal fetal monitoring

0% of births involved low forceps delivery

0% of births involved mid forceps delivery

5.7% of births were breech births delivered vaginally

44.4% of births involved analgesia

0% of vaginal births included spinal anesthesia

02.3% of vaginal births included epidural anesthesia during labor or delivery

0% of vaginal births included paracervical anesthesia

9.6% of cesarean sections included general anesthesia

90.4% of cesarean sections included spinal anesthesia

2.1% of cesarean sections included epidural anesthesia

17.3% of births involved induction of labor

19% of births involved augmentation of labor

7% of vaginal births included episiotomy

The following are available in this facility:

?  Birthing rooms ?  Participant in the Baby-Friendly Hospital Initiative
?  Hydrotherapy for labor ?  24-hour-a day rooming-in

At Bassett Healthcare, prenatal care is provided by a team of certified nurse-midwives, nurse practitioners, and obstetricians. This team is committed to helping you have a healthy pregnancy and a healthy baby. We offer prenatal care in Cooperstown and at ten Bassett community health centers throughout the region (see list on back). Low-risk clients can schedule their prenatal visits at the site of their choice.

Prenatal care and delivery services are available to income-eligible women through the Prenatal Care Assistance Program (PCAP). For more information, or to make an appointment, call:

607-547-3091

TODAY’S CERTIFIED NURSE-MIDWIVES

What is a Certified Nurse-Midwife?

A certified nurse-midwife is educated in the two disciplines of nursing and midwifery and cares for women and their infants during the childbearing years. To become certified, the nurse-midwife must complete a course of study in an accredited educational program, and pass a rigorous examination administered for the American College of Nurse-Midwives by the ACNM Certification Council, Inc. State requirements for nurse-midwifery must also be met.

For centuries, women have looked to midwives to advise and assist them in childbirth. Today’s certified nurse-midwife carries on this tradition of personal, family-centered, understanding care. In addition, today’s nurse-midwife is also a highly-skilled health professional, able to draw on the vast resources of modern medicine to give patients the best care possible.

Although certified nurse-midwives independently manage the care of healthy women and newborns, each nurse-midwife is affiliated with a physician, who is available for consultation or referral if needed.

Personal, Ongoing Care for Women and Newborns

Before and after pregnancy, the nurse-midwife advises you about reproductive health, conception and personal care, and provides regular gynecological services such as yearly pelvic and breast exams and Pap smears. Healthy post-menopausal women also may use the services of a nurse-midwife.

During pregnancy, the nurse-midwife monitors your health and that of your baby. Your nurse-midwife will also answer any questions you have and provide education on nutrition, exercise, childbirth methods, infant health, and what to expect as a parent.

During labor, the nurse-midwife evaluates the progress of labor and offers you ongoing support. You can expect your nurse-midwife to make every effort to facilitate the natural processes of labor and to involve your family in the delivery process as you wish.

Should the course of labor deviate from the normal, the nurse-midwife will consult with the back-up physician.

At birth, the nurse-midwife assists you throughout delivery, examines your newborn, and helps you and your family in welcoming your new baby.

After delivery, the nurse-midwife provides you with follow-up care and offers advice on self-care, breast or bottle feeding, and infant care.

Choosing a Nurse-Midwife

More and more women are finding that nurse-midwifery services are a safe, sensitive and personal form of health care. Any woman who is in generally good health can take advantage of the services of a nurse-midwife throughout and beyond her childbearing years.

A Choice of Settings

Nurse-midwives typically work in hospitals, birthing centers, health maintenance organizations, public health departments, private practices and clinics. Usually, nurse-midwives deliver babies in hospitals or birthing centers. Some nurse-midwives deliver babies in the home, if certain safety criteria are met.

Reimbursement

Nurse-midwifery services are covered by most private medical insurance carriers. Services are also covered under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), Medicaid and Medicare.

A Sixty-year Tradition

Nurse-midwifery had its beginnings in the United States in Eastern Kentucky in the 1920s. For the first time, women in rural, mountainous areas could obtain the services of a specially trained registered nurse sent in by the Frontier Nursing Service.

Over the next fifty years, nurse-midwives built their tradition of professional, affordable maternal and infant care. Then in the early 1970s, interest in natural childbirth began to grow and childbearing families began to seek the personalized care of nurse-midwives. Some nurse-midwives began setting up birthing centers that combined the safety of hospital care with the comfort of a home-like setting.

Today, over 4000 certified nurse-midwives practice in all 50 states and in many other communities around the world.

An Outstanding Record

Over the years, nurse-midwives have maintained a superb record of safety and client satisfaction. They have also made a significant contribution to healthier births. A report by the Institute of Medicine points out that nurse-midwives are particularly effective in managing the care of pregnant women, and that such care results in fewer premature and underweight babies.

For more information

To find out more about nurse-midwifery services available in your area, or for a listing of accredited university-affiliated nurse-midwifery education programs, contact:

The American College of Nurse-Midwives
1522 K Street NW
Suite 1000
Washington, DC 20005
202-289-0171

Bassett Healthcare

ADMITTING OFFICE
PRE-REGISTRATION FORM

Chart #: _____________________________

Name: ___________________________________________________________________________________
Last First Middle Maiden, if married

Address: ______________________________________________ County: _______________________________________

______________________________________________ Township: _____________________________________

______________________________________________ Phone #: _____________________________________

Marital Status: __________________________________________ Birth Date: ____________________________________

Religion: ______________________________________________ Soc. Sec. #: __________________________________

Your Place of Employment: _____________________________ Position: _____________________________________

Your Parents’ Names:

Father: _________________________________________________ Living or Deceased

Mother: _________________________________________________ Living or Deceased

Person to Notify:

Address: ____________________________________________________________________________________________

Phone: ___________________________

Closest Living Relative: ______________________________________________

Person Responsible for Payment: ________________________________________________

Address, if different from yours: _________________________________________________________________________

Place of Employment: ____________________________________ Position: ___________________________________

Were you referred to Bassett Hospital? _________________________________

If so, by whom? ______________________________________________________________________________________

Do you have a physician not associated with Bassett Hospital? ________________________________________________________

If so, who? __________________________________________________________________________________________

Do you have insurance? Enter the information below:

Name Contract Number Plan Group Area Subscriber  

Medicaid Number: ______________________________ Newborn Medicaid Number: __________________________