Your Health, Our Passion - for Life
Trillium Health Centre
Trillium Health Centre
About Us
Quality Safe Care
Transformation
Programs & Services
Community Programs
Patient & Visitor Information
Careers
Teaching
Health Information & Wellness Centre
Volunteer Opportunities
Foundation
For Physicians & Health Professionals
Newsroom
Events
Publications
Resources
Website Feedback

Donate Now

How to Use This SiteContact UsDonateSearch
Programs & Services | Women's and Children's Services | Women's Services | Birthing Services  
Programs & Services


Women's Services

Birthing Services
Having Your Baby (Labour & Delivery)

Birthing Services

Women's Services

Birthing Services

Childbirth Education Classes - Click here for more information

 
We want the experience of having your baby at Trillium to be as comfortable and memorable as possible, and that includes keeping you informed. The following is information you need to know about having your baby at Trillium:

  1. When should I come to Trillium to have my baby?
  2. Where do I park?
  3. Where should I go when I arrive at the hospital?
  4. How do I find my way to the Birthing Suites?
  5. What will happen when I arrive to the Birthing Suites?
  6. What do the rooms look like in the Birthing Suites?
  7. What do I do in an emergency?
  8. What is Induction of Labour? Do I need it?
  9. What does GBS Mean?
  10. What options are available to me for pain relief?
  11. Will my obstetrician be delivering my baby?
  12. What if I want to collect umbilical cord blood?
  13. What if I am having a vaginal birth?
  14. What if I am having a caesarean birth?
  15. What will happen right after I give birth?

horizontal line break

1. When should I come to Trillium to have my baby?

You should come to the hospital if you:

  • think your water has broken
  • are experiencing contractions that are strong and frequent
  • are bleeding from your vagina
  • are worried because you have not felt the baby moving

*If you are bleeding or your water has broken, please save any pads or underwear for the nurse to see.

Back to top

horizontal line break

2. Where do I park?

In the Emergency entrance, there are spaces for temporary parking if you need to be dropped-off immediately. Your driver may leave the car temporarily and escort you to the Birthing Suites or Emergency, however the car cannot be left in the space for an extended period of time. The car must be moved to the parking garage or security will ticket your car.

Click here for additional parking information.

Back to top

horizontal line break

3. Where should I go when I arrive at the hospital?

You should come to the hospital to be assessed if you are experiencing pregnancy related symptoms or are concerned for the well-being of yourself or your baby. If you are:

  • less than 20 weeks pregnant, go to the Emergency Department for assessment.
  • 20 weeks or more pregnant, go straight to Birthing Suites.

Click here for a directional map.

Back to top

horizontal line break

4. How do I find my way to the Birthing Suites?

The Birthing Suite is located at Trillium – Mississauga on the 3rd floor off of elevator D. The closest entrance is through the North Entrance off of Queensway (through the Emergency or Family Care Centre doors). You may use the Main Entrance during the hours of 7 a.m. and 8 p.m.  Following the yellow and blue sign to direct you.

Click here for a directional map.

Back to top

horizontal line break

5. What should happen when I arrive?

When you arrive to the Birthing Suite, you will be asked several questions by a Registered Nurse in order to best manage your care. Based on the registered nurse’s (RN) assessment, you will be placed in a room for further assessment. 

You will be admitted to Birthing Suite once you are in active labour (contractions every 4-5 minutes apart, lasting a minute long) and you are 4cm dilated.  If you are in early labour (contractions are not regular and are further than 4-5 minutes apart), you may be sent back home with instructions on how to cope at home in the early stages of labour and when to return.

If your water has broken (ruptured membranes) and you have been sent home, watch for the following and return to the hospital if you experience any of the following:

  • You have a fever
  • There is a change in the amniotic fluid to a greenish/blood tinged colour

How do I cope at home in early labour?

  • Eating and drinking is encouraged
  • Normal activity is encouraged – short walks
  • Rest/Sleep when you feel tired
  • Use breathing, relaxation and focusing
  • Find positions that are most comfortable for you
  • Use hot/cold packs, massage, music, rocking
  • You may shower or bathe

When do I return to the hospital?

Regardless of how much or how little time has passed since you have been sent home from hospital, please return to the hospital if you experience any one of the following:

  • Your contractions are getting closer and stronger or
  • Your contractions are every five minutes from the beginning of one contraction to the beginning of the next, lasting 50-60 seconds
  • If you feel sudden or constant pain in your abdomen
  • If your water is leaking
  • If you are worried about yourself or the baby
  • There is a change in how your baby is moving
  • If you have any bright red vaginal bleeding - Refer to “What do I do in an Emergency” below

Back to top

horizontal line break

6. What do the rooms look like in the Birthing Suites?

Birthing Suite Room
Above: Birthing Suite Room
(click for enlarged image)

The rooms in the Birthing Suite are standard with a delivery bed, baby bed, side table, guest chair and telephone. Mothers will stay in this room during their labour and delivery and for approximately 2 hours after they deliver. We encourage labouring mothers to have one support person with them at all times, including doulas, spouses or partners.  Other support people are welcome to be with you upon your request. They may be asked to leave the room if you or your baby(s) require immediate medical attention and the staff feel they are unable to properly care for you because there are too many people in the room. These rooms are not booked and are filled based on need.

Back to top

horizontal line break

7. What do I do in an emergency?

Call 911 if:

  • You have heavy bleeding from your vagina (soaking more than one pad)
  • You feel the baby coming and you feel like pushing
  • If you feel fullness or something “hanging” from your vagina
  • If it feels like the baby is coming - do not stand up, but get down on your hands and knees, and pant. Babies coming this quickly usually need very little assistance.

Back to top

horizontal line break

8. What is Induction of Labour? Do I need it?

Induction of Labour is a medical procedure that helps soften your cervix and starts your labour contractions. Your doctor or midwife will talk to you about whether or not Induction of Labour is something you require. The decision to induce your labour is made when the benefits of having your baby sooner outweigh waiting for your labour to occur naturally. The entire process can take 1-2 days (occasionally longer) - babies are not always born on the same day as your induction.

Your doctor or midwife may discuss induction with you if any of the following are present:

  • High blood pressure
  • Ruptured membranes (water broken) without signs of labour
  • Medical condition such as Type 1 diabetes
  • Baby’s growth is less than expected
  • 8 days past due date
  • You are having twins
  • You have had a previous stillbirth

When your Induction date is booked by your doctor or midwife, you will get a phone call the night before to confirm your appointment time for the next day. Induction may be delayed if the unit is extremely busy. When you arrive, you will be seen by the induction nurse. A Non-Stress Test (NST) will be done and some blood will be drawn from you. The doctor will assess you and decide either to use a medication or to break your water.  After the procedure we will monitor the baby’s heart rate for 1-2 hours and then you may be sent home depending on your condition. Sometimes the procedure needs to be repeated if your labour does not start with the first attempt. You may be brought back the same day for more medication or in 24-hours depending on the type of medication used.

Back to top

horizontal line break

9. What does GBS Mean?

GBS means Group B Streptococcus. You should be aware of your GBS status. If it is positive, you will receive some antibiotics to decrease the risk of infection to the baby during the birth. You doctor or midwife will discuss GBS with you during your pregnancy.

Back to top

horizontal line break

10. What options are available to me for pain relief?

Pain medication is given upon your request once you are in labour. We offer the use of a jacuzzi tub, birthing ball, massage chair, epidural (way to give medication to block pain of labour and birth), or medication given by needle. If you wish to receive an epidural, the anesthesiologist (doctor  who specializes in anesthesiology) will be paged and arrive at the earliest possible time, but during certain times, he or she may be delayed with an emergency. Everyone copes with pain in different ways – you are welcome to practice your own way of pain relief.

Back to top

horizontal line break

11. Will my obstetrician be delivering my baby?

Once you have been referred to an obstetrician (a doctor who specializes in pregnancy, delivering babies, and the care of women after childbirth), there is no guarantee your obstetrician, who cared for you during your pregnancy, will deliver your baby. Trillium’s obstetricians operate on a rotating schedule - one obstetrician is on call 24-hours a day. We have both male and female doctors, but cannot guarantee a female or male doctor if one is not scheduled on the day you arrive in labour.

Back to top

horizontal line break

12. What if I want to collect umbilical cord blood?

Some parents choose to have their baby’s umbilical cord blood collected at the time if birth to be stored for future use. You will need to pre-register with a company that collects cord blood ahead of time. If you decide at the last minute to have this procedure done, extra packages are available. *This procedure is not covered by OHIP. Trillium charges an additional fee of $100.00 for preparation and collection.

Back to top

horizontal line break

13. What do I need to know if I am having a vaginal birth?

Every effort is made to allow mothers to deliver their babies vaginally, unless you and your doctor or midwife have chosen otherwise. During a low risk delivery without complications, you may or may not require an IV, depending on if you choose to have an epidural for pain relief. Our obstetricians do not routinely perform episiotomies (A cut made into the tissues behind the entrance to the vagina (perineum) to assist the birth of the baby if it is required).

Trillium supports women who have a vaginal birth after caesarean section (VBAC). If you have previously given birth by caesarean section and would like to try giving birth vaginally, we encourage you to consider a trial of labour with your current pregnancy. We offer VBAC prenatal classes in the Family Care Centre. Discuss this option with your doctor or midwife if you are interested.

There are cases where you may require a caesarean section even if you have planned to deliver vaginally. You will be asked to give your written consent.

Back to top

horizontal line break

14. What do I need to know if I am having a caesarean birth?

If you are having a planned caesarean birth, your doctor will pre-book your surgery date. You will be admitted to the hospital on the day of your scheduled caesarean section. *It is important that you do not eat or drink anything after midnight the night before, as this may delay your surgery.

During the procedure, you may have one support person in the room. When the baby is delivered, he or she will be taken to a warmer, have identification bands put on, and will be given to your support person. You will then be moved to a recovery room and given a chance to hold and breastfeed your baby at that time.

Back to top

horizontal line break

15. What will happen right after I give birth?

Soon after you give birth, you will be given your baby to hold and breastfeed. The baby will then be weighed, and identification bands will be attached to his or her wrist and ankle. An antibiotic ointment is normally placed on your baby’s eyes within the first hour of life, and an injection of vitamin K will be given in the baby’s leg. You will remain in the Birthing Suite for 1-2 hours after your baby is born and then moved to Obstetrics. If you have a midwife, and had a vaginal birth, you may be discharged home after 4 hours as long as there are no health concerns. Otherwise you and your baby will be transferred to the Obstetrics Unit.

Babies who are premature or who have other health concerns may be cared for in the Intensive Care Nursery. Parents are welcome to visit any time and are encouraged to spend time with their newborn and participate in his or her care.  Identification bands must be worn to enter the Intensive Care Nursery.
 

Related Links
 

 
 
Copyright ©2004. Trillium Health Centre. All Rights Reserved.   |  Disclaimer and Copyright