Maternal Child Infant Nursing
Triage - 450-3003
Labor and Delivery - 450-4280
Mother Baby Unit - 450-4245
Newborn Care Clinic - 450-4449
The Labor and Delivery Unit consists of 5 triage beds, 10 birthing suites, and two operating rooms.
In the triage rooms, women 20 weeks gestation or greater are evaluated for their concerns and given the appropriate care as needed. Depending on your individual situation, you may be admitted to the hospital, reevaluated, or sent home/back to duty.
Our large birthing suites were newly renovated in 2006, and offer seating for visitors, a fold out chair for an overnight guest, and private showers. There is also additional seating in our nearby waiting room.
What to Expect
Your plan of care will be discussed with you by your nurse and midwife or doctor. If you have a birth plan, please be sure to give a copy to your nurse.
Upon admission to the unit, blood work is drawn and IV access is established. Two monitors will be placed on your abdomen: one to monitor contractions, the other to monitor the baby’s heart rate. Potentially, every mother is at risk for an emergency C-Section. We ask that you remove all jewelry once you are admitted to the unit. During surgery the physician may use electricity to stop bleeding. Metal jewelry places you at risk for additional injury.
Recommended Items to Bring to Labor and Delivery
- Lotion or talcum powder so your coach can give you a massage
- Tennis balls for back rubs
- Lip balm or lipstick
- Music: bring a portable tape/CD/MP3 player with a good variety of music selections
- Items to help pass the time: books, cards, movies
- Focal point
- Hair ties, barrettes
- Information for Red Cross message if father of the baby is deployed
- Phone card
- Snack bag: snack foods for coach
- Change for the vending machines
- Change of clothes for support person
- Camera, video recorder-don’t forget film, memory cards, and batteries
- Baby book
- Pillow and blankets for the support person
Mother Baby Unit
After delivery mom and baby will be transported to the Mother Baby unit on the third floor. This unit consists of 14 private rooms. On occasion when our delivery numbers exceed expectations we have had to place two mothers in one room. We try to avoid this at all cost. This happens very rarely.
Mothers receive instructions on how to care for themselves and the baby. Your stay is typically 36-48 hours. Please keep in mind that these times are estimates and may vary depending on time and type of delivery.
Babies will have their hearing screened, along with their Newborn screening and bilirubin test while on the unit. The hearing test is performed sometime after eight hours of life while baby is asleep or quiet (Infant Hearing Handout). The Newborn screening tests for 54 metabolic conditions that if are not detected could result in mental retardation or death. Bilirubin is tested to check for jaundice.
Circumcision is also performed prior to discharge at parent's request. If you wish your baby to be circumcised, or if you have any questions about the procedure, please speak to your baby's doctor. Circumcision Handout
The Mother Baby Unit has two fulltime lactation consultants on staff offering lactation services and breastfeeding classes.
Visitors and Overnight Guests
There are currently no set visiting hours for Mother Baby Unit. We do ask that you limit the number of guests to provide adequate rest time and to not disturb other parents. Children must be under the supervision of an adult other than you, the patient. Children who are sick or have been exposed to a communicable disease in the past two weeks should not come to visit. Every room is furnished with a pull out bed to allow fathers to spend the night with you and baby. Significant others are not permitted to sleep in the same bed with the patient. If father is deployed, or otherwise unable to stay, a friend or family member may stay with you.
Immediately after delivery your baby will be given two identity bands, one on the wrist and one on the ankle. You and the baby’s father will also be given identity bands with numbers that correspond to the baby’s bands. If the father is not in attendance you may choose someone to wear the second band
Naval Hospital Camp Lejeune uses the HUGS Security System to prevent infant abduction. Your baby will be fitted with an electronic bracelet around his/her ankle that will set off alarms if anyone tries to leave the floor with your baby without informing the staff. This bracelet also triggers exit doors to lock. Click on the links to read more about infant security.
Prior to discharge from the hospital, mothers and fathers are required to attend a Discharge Class. In the class you will view two videos. One video provides care instructions for mom and baby, the other addresses shaken baby prevention. The class is mandatory, regardless if you have viewed the videos in a prenatal class or during previous postpartum stays.
Prescribed medications for home use will be available at the pharmacy prior to leaving. A spouse or family member may take your identification card to retrieve your medications for you.
Babies will need to be in their car seat before leaving the hospital. You may want to carry the directions for the car seat with you in the event that you, the parent, need to make adjustments to the car seat. A nurse will check to ensure baby is properly secure prior to leaving the unit.
You will also need to stop at admissions to check-out of the hospital. For active duty mothers, this is where you initiate your convalescent leave and pick-up your leave papers.
For a variety of reasons, sometimes the baby isn’t ready to go home as soon as the mother. Depending on the extended length of stay for the baby, we may have the mother room in with the baby. Usually, it is just an additional 24 hours that the baby has to stay. Some babies have to be on antibiotics for a week or 10 days. In these cases the mother would go home and visit the baby daily. Parents room in for the last 24 hours of the baby’s hospitalization. If the baby only has to stay an extra day, then the mother is changed to a rooming–in status. The mother is no longer a patient. This has implications for the mom. Meals, medication, and nursing care are no longer provided by the hospital nursing staff to the mother. The mother can elect to purchase meals in advance from the galley (cash only) or someone can bring her food. The mother is responsible for taking her own medication that is prescribed and dispensed to her at the time of discharge.
What if you don’t want to be discharged? Discuss your options with your OB provider, but realize that your length of stay in the hospital is in part determined by insurance companies. Yes, military hospitals follow these guidelines – we are under Tricare Management Activity
If the mother is active duty military her convalescent leave begins the day she is discharged from the hospital. Leave paperwork is available for pick-up in the Admissions Office located across from the Pharmacy.
For the Fathers
Fathers are highly encouraged to stay with mother and baby as much as possible. For first time fathers the stay is an opportune time to learn about baby care along side the mother. The staff is here to answer questions and will gladly re-demonstrate any care techniques you may need to see again.
For active duty fathers, you may be granted Permissive TAD. Approval of Permissive TAD, along with the length of time, is at the discretion of your command. When applying for Permissive TAD you should bring the Mother’s copy of the birth certificate.
A representative will come to your hospital room to give you a birth certificate worksheet. Complete this as soon as possible. The forms will be collected and a typed copy will be given to you to sign prior to discharge (Click here for a Birth Certificate Handout).
DEERS registry is a separate step and is required before enrolling in TRICARE. Proper registration in DEERS is the key to receiving timely and effective TRICARE benefits. DEERS is a worldwide, computerized database of uniformed service members (sponsors), their family members, and others who are eligible for military benefits, including TRICARE. All sponsors (active duty, retired, National Guard, or Reserve) are automatically registered in DEERS. However the sponsor must register eligible family members. After family members and sponsors are registered, they can update personal information such as addresses and phone numbers online. If both parents are active duty service members, then either parent may be the sponsor (you must choose one) in DEERS.
Newborn Care Clinic
The Newborn Care Clinic (NCC) appointment is the baby's first follow-up. Infants are at risk for feeding difficulties and jaundice during the early days of life, so this appointment is 1-3 days after discharge depending on when your baby was discharged. Our pediatricians follow the American Academy of Pediatrics guidelines. During your visit a registered nurse will evaluate the baby. She also assists with emotional adjustments to parenthood. The nurse will answer any questions you have about yourself or the baby.
The appointment is an hour long and is scheduled before you go home. The clinic is located on the 2nd deck of the hospital. Check in at the nurse's station and then please wait in the 2nd floor waiting area. Please arrive 15 minutes prior to your appointment time.