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Childbirth Centre

At Markham Stouffville Hospital (MSH), we regard childbirth as a natural process and a normal life event. Our emphasis is on family centred care. Our goal is for you to have a safe and satisfying experience and return to your family and home as soon after the birth of your baby as it is safe for you and your baby.

We offer a single room maternity model of care where it is possible to labour, birth and have your postpartum care in our specially equipped rooms for uncomplicated vaginal births. We are able to perform Caesarean births, if indicated, in our obstetrical operating rooms located on our birthing unit. We have obstetricians, midwives and family physicians who deliver babies at MSH.

MSH is a Level IIc facility which means we care for women and their infants from 30 weeks gestation to full term. We have a fully equipped Neonatal Intensive Care Unit (NICU) with neonatologist and paediatrician support. For high risk pregnancies, we work closely with Level III tertiary centers in the greater Toronto area to stabilize and transfer women prior to birth or as soon as safely possible after birth. Well infants greater than 30 weeks gestation are cared for at Markham Stouffville Hospital.

Care We Provide

Umbilical Cord Blood Retrieval Program
Obstetrical Triage Assessment Telephone Line
Registration and Triage

Care Providers

An interdisciplinary team is available to support you, including:

Obstetricians
Family Physicians
Midwives
Baby’s Health Care Provider
Paediatricians and Neonatologists
Anaesthesiologists
Registered Respiratory Therapists
Social Workers
Lactation Consultants
Nurses
Patient Care Managers

You and your nurse will use The Blue Book, Before, During & After Birth, Your Guide to The Stollery Family Centre for Childbirth & Children extensively as part of our teaching and patient education,. The cost for this book is $15. It can be purchased at Registration & Triage or the gift shop on Level 2 in Building A 

Care We Provide

Umbilical Cord Blood Retrieval Program
 
If you are planning to participate in an umbilical cord blood retrieval and storage program, a hospital administrative fee is charged. This fee is separate from the fees you will pay the private company coordinating the retrieval and storage of the cord blood. Upon admission you will be asked to pay this administrative fee. You can pay by credit card or debit card, but not cash. This charge is to cover the cost of supplies to retrieve the cord blood and process the contents while in hospital. These costs are not covered by your cord blood retrieval fee. You will be charged for this when you are admitted to the Centre for Childbirth & Children. Ask your physician or midwife for more information about umbilical cord blood banking.
 
Obstetrical Triage Assessment Telephone Line

Please call our Obstetrical Triage Assessment Telephone Line at 905-472-7366 any time after 20 weeks of pregnancy if you think you are in labour or have any obstetrical concerns. You will speak to an experienced obstetrical nurse who will review your current concern. If you are uncomfortable with the advice given by the nurse, please let this triage nurse know. If you are under the care of a midwife, please call her directly. Together you will decide whether it is time to come to the hospital.

Please call your doctor if you have non-pregnancy related concerns or are less than 20 weeks pregnant. For all emergencies, call 911 or go to the hospital Emergency Department.


Registration and Triage

If the nurse instructs you to come to the hospital for assessment after speaking to you on the Obstetrical Triage Assessment Telephone Line, you will be seen in Registration and Triage located inside the Centre for Childbirth & Children on Level 4 in Building B.

What is Triage?

The purpose of triage is to provide assessment of a woman in labour or a woman presenting with concerns related to the pregnancy after 20 weeks gestation. Initially you will be assessed by an experienced obstetrical nurse. The initial assessment done by the nurse will be reviewed with the on-call obstetrician or your family physician.

When should you come to Registration and Triage?

After you have contacted the hospital through the Obstetrical Triage Assessment Telephone Line, the nurse may instruct you to:

• Come in for assessment

• Call back based on specific instructions she will provide

• Remain at home after reassurance

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Care Providers

Obstetricians

An obstetrician is a physician who specializes in providing pregnancy and birth care to women with low or high risk pregnancies. A referral from a family doctor is needed to get an appointment with an obstetrician. Obstetricians do not provide newborn care. Please refer to the section on Baby’s Health Care Provider below for more information.

At Markham Stouffville Hospital an obstetrician is available on-call 24 hours a day, and is readily available for patient management in the hospital. During any 24 hour period, the obstetrician on-call will be responsible for the care of all women admitted to The Stollery Family Centre for Childbirth and Children at Markham Stouffville Hospital under the care of an obstetrician. Under this on-call schedule, your labour and birth care will be the responsibility of the obstetrician on-call on that day. This on-call practice is well established in numerous centers across Ontario and has proven to be both safe and effective.

Obstetrician

Address

Telephone

Fax

Dr. George  Arnold

379 Church Street, Ste. 406
Markham, L6B 0T1

905-472-4553

905-472-1877

Dr. Neil Chang

377 Church Street, Ste. 210
Markham, L6B 1A1

905-471-3699

905-471-5259

Dr. Renee Chouinard

6633 Highway #7 East, Ste. 314
Markham, L3P 7P2

905-201-9972

905-201-9932

Dr. Meivys Garcia-Erdeljan

379 Church Street, 5th Floor
Markham, L6B 0T1

905-472-4484

905-472-3219

Dr. Jeff Gilmour

96 Cornell Park Ave., Unit 3
Markham, L6B 1B6

905-294-1934

905-294-7843

Dr. Robert Hall

6633 Highway #7 East, Ste. 305
Markham, L3P 7P2

905-294-4405

905-294-2334

Dr. Felice Lackman

106 Cornell Park Ave., Unit 3
Markham, L6B 1B6

905-471-1945

905-471-6315

Dr. Edith Linkenheil

377 Church Street, Ste. 208
Markham, L6B 1A1

905-294-8505

905-294-8523

Dr. Christyne Peters

377 Church Street, Ste. 301
Markham, L6B 1A1

905-472-7129

905-472-1416

Dr. Colette Pyselman*

377 Church Street, Ste. 305
Markham, L6B 1A1

905-472-7130

905-472-4130

Dr. Kersti Ranken

379 Church Street, 5th Floor
Markham, L6B 0T1

905-201-3416

905-472-9797

Dr. Gita Singh

106 Cornell Park Ave., Unit 3
Markham, L6B 1B6

905-471-8222

905-471-8222

Dr. Michael Virro

379 Church Street, 5th Floor
Markham, L6B 1A1

905-472-7128

905-472-4994

 

Family Physicians

Trained family physicians provide low risk obstetrical care. If your care will be provided by a family physician, the physician will explain their on-call coverage to you. Family physicians have access to consult an obstetrician at any time in your pregnancy, labour and birth.

The following is a list of Family Physicians who have obstetrical privileges at Markham Stouffville Hospital.

Physician

Practice

Address

Telephone

Fax

Dana Abenstein

Markham Family Health Team

379 Church Street Ste. 202
Markham L6B 0T1

905-472-2200

905-472-5662

Dr. Tomas Filosa

Markham Family Health Team

377 Church Street Ste. 101
Markham L6B 1A1

905-471-9999

905-471-3627

Dr. Michelle Homer

Health for All Family Health Team

379 Church Street Ste. 202
Markham L6B 0T1

905-472-2200

905-472-5662

Dr. Dalal Kazandji

 

6633 Highway 7 Ste. 210
Markham L3P 7P2

905-294-3170

905-294-3379

Dr. Jeff Weissberger

Markham Family Health Team

377 Church Street Ste. 101
Markham L6B 1A1

905-471-9999

905-471-3627

Dr. Amanda West

Health for All Family Health Team

379 Church Street Ste. 202 Markham L6B 0T1

905-472-2200

905-472-5662

Sheila Yuen

Health for All Family Health Team

379 Church Street Ste. 202 Markham L6B 0T1

905-472-2200

905-472-5662

 

Midwives

Midwives are registered health-care professionals who provide primary care in low risk pregnancies. Midwives provide complete care and advice for low risk women throughout pregnancy, labour, birth, and postpartum as well as provide home visits for mothers and their newborn infants. Midwives do not require a doctor’s referral. The cost of midwifery care is covered by the Ministry of Health and Long-Term Care. Midwives have access to consult an obstetrician at any time in your pregnancy, labour and birth. Women who have chosen a midwife to be their primary care provider choose between a hospital and a home birth. If complications arise, the midwife may consult an obstetrician or paediatrician regarding your care or your baby’s care. Many midwifery patients choose to be discharged home 3 to 4 hours after a vaginal birth. Care is continued at home by the midwife for the mother and baby for six weeks following the birth.

For more information about midwives visit the midwives section.
 
Baby’s Health Care Provider

Be sure to arrange a doctor for your baby’s care during your pregnancy (prior to delivery). This may be a family physician or a paediatrician. Talk to your doctor or midwife about the option that is right for you. If you are under the care of a midwife, the midwife will normally care for your baby after delivery until six weeks of age. If your paediatrician or family physician does not have admitting privileges at the hospital, a Markham Stouffville Hospital paediatrician will assess your baby in the hospital and provide you with a report to take to your baby’s doctor after discharge.

Markham Stouffville Hospital has a large group of family physicians who provide newborn care. The family physician will be responsible for the care of your newborn during the baby’s hospital stay. Please ensure you speak to your family physician ahead of time to find out whether they have hospital privileges. If they do not, a paediatrician will assess your newborn while in hospital.

The Canadian Paediatric Society (CPS) recommends that a health-care provider see your baby within 48 hours of discharge.

Paediatricians and Neonatologists

Paediatricians are doctors who specialize in newborn and child care. There is a paediatrician on-call 24 hours a day, 7 days a week. Some paediatricians may have a community-based practice. Neonatologists are specialized paediatricians who further train to take care of premature and high risk newborns.

Paediatricians at Markham Stouffville Hospital:

Dr. Deepa Grewal, Chief, Paediatrics

Dr. Hosanna Au

Dr. Sundeep Bola

Dr. Abhinav Garg.................................................... 905-471-7787

Dr. Sonia Menard

Dr. Sonali Mohile..................................................... 905-852-1009

Dr. Larry Pancer....................................................... 905-471-7787

Dr. Sureka Paramagura

Dr. Munesh Singh

Dr. Padmini Turlapati................................................905-471-8074

Neonatologists at Markham Stouffville Hospital:

Dr. Taslim Dawood

Dr. Navneet Sharma 

Anaesthesiologists

An anaesthesiologist is a specialized physician who is skilled in pain management during labour and delivery by providing spinals and epidurals. At Markham Stouffville Hospital, an anaesthesiologist is available 24 hours a day, seven days a week to provide you with pain management options during labour and birth.

Registered Respiratory Therapists

Registered Respiratory Therapists (RT) provide 24 hours a day, 7 days a week coverage for both laboring mothers and newborn infants as part of the Maternal Child Services interdisciplinary team. They are specially trained, knowledgeable and skilled health care professionals that work in labour and delivery, and the Neonatal Intensive Care Unit to provide cardio-respiratory care. They are trained in advanced neonatal resuscitation and are a part of the neonatal team. Registered Respiratory Therapists also serve as a resource and maintain anaesthetic and newborn equipment.

Being in the birthing room allows the Registered Respiratory Therapist to provide assistance, if required, as soon as the baby is born. A Respiratory Therapist will be in attendance at all Caesarean sections to support the anaesthesiologist and the mother prior to the birth of the baby. Once the baby is born, the RT will assess the newborn baby and provide assistance if required. Respiratory Therapists play a large role in prevention, maintenance and improvement of quality of life in patients.

Lactation Consultants

International Board Certified Lactation Consultants are specialists who promote and support breastfeeding. They have expertise in the establishment of breastfeeding and the management of lactation-related issues. Lactation Consultations work collaboratively with the health care team to ensure each individual family's goals are met.

Social Workers
Social workers are part of the Maternal Child Services clinical team. Social workers can help you and your child with personal, social or financial problems you may be experiencing during your pregnancy or following your delivery. They can be contacted at 905-472-7373, Ext. 6544. You may ask your physician or midwife to refer you to the social work team prior to your birth based upon your specific needs.
 
Nurses

Nurses are here to facilitate a positive birth experience for you and your family.  Clinical nurses have specialized expertise in various aspects of your care including labour and birth, postpartum, Neonatal Intensive Care Unit (NICU) and paediatrics. The majority of clinical nurses have been trained in two of these clinical areas to maximize the continuity in patient care assignments and assist in meeting the changing clinical demands of the unit.

The patient care assignment for each nurse will vary during your hospital stay. When you are in the active phase of labour, we plan to provide a 1:1 nurse to patient ratio. This will continue through the birth and the immediate recovery phase. The nurse will attempt to be with you 80 to 90 per cent of the time. She may be caring for another patient or assisting other nurses for short periods of time. Your nurse will always let you know how to contact her when she is not in your room. After your baby is born, the nurse’s assignment changes and she is generally caring for four to five mothers and babies. In the NICU, depending on the clinical needs of the babies, the nurse will care for more than one baby. The nurses work collaboratively with other members of the interprofessional team such as physicians and Registered Respiratory Therapists.

Your nurse will introduce herself to you and work with you to develop the most appropriate plan of care that meets your individual care and learning needs. Because we want you to receive excellent care, your nurse or a member of the interprofessional team will come to your room about every one to two hours. During this time the nurse will ask about your pain, if you need to use the washroom and if your personal needs have been met. The nurse will also make sure everything you need is within reach. The nurse won’t wake you if you are sleeping, unless it is required as part of your plan of care.

The nurse will support and prepare you and your partner so that you can safely care for yourself and your new baby.

Patient Care Managers

The Patient Care Manager is a clinical leader for the interprofessional team. Patient Care Managers provide support to all care providers as well as patients and families in Maternal Child Services.

 

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