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MOMS Program, Tompkins County Health Department

The MOMS Program is guided by client participation.

Name(s) of Practitioner(s):

Karen Bishop, MSN, RN Supervisor Lori Sibley, BSN, RN, Intake Nurse Deb Axtell, BSN, RN Community Health Nurse Gail Birnbaum, BSN, RN Community Health Nurse

Contact Info.

Name of Practice:
Address: MOMS Program Tompkins County Health Department 55 Brown Road Ithaca, New York 14850
Phone: 607 274 6604
E-mail: gbirnbaum@tompkins-co.org
Website: http://www.tompkins-co.org/

Prenatal Care

How much time do you allot for prenatal visits?
60 minutes

What is your availability for questions between prenatal visits?
Nurses are always available for questions

What routine prenatal testing do you recommend to women?
Our program does not recommend testing, clients are directed to their health care providers.

What kind of nutritional counseling do you provide?
The MOMS Program provides extensive nutritional counseling coordinating with the WIC Program.

Do you have any unique protocols for women over 35?


Do you recommend routine ultrasounds?


During prenatal care, how you do approach screening for Down's Syndrome?
Referred to client's health care provider

During prenatal care, how do you approach screening for Gestational Diabetes?
Referred to client's health care provider

During prenatal care, how do you approach screening for Group Beta Strep?
Referred to client's health care provider

Do you discuss infant feeding with women prenatally? How do you approach this topic?
Yes, extensively, at each antepartum visit we discuss the advantages of breastfeeding to mother and infant.

Labor and Delivery

What is your approach to post-dates delivery? At what point do you recommend induction?
Referred to client's health care provider

What methods do you prefer for labor induction?
Referred to client's health care provider

Does your practice attend women planning a vaginal birth after cesarean (VBAC)?


Continuous EFM offered?
No

Intermittent EFM offered?
Yes

Doppler offered?
Yes

Fetoscope offered?
Yes

What comfort measures do you provide for women during labor?
During childbirth education classes we discuss alternative to medications for coping with labor.

Can women in your practice labor in water (shower or tub)?
Referred to client's health care provider

Does your practice support birthing in water?
Referred to client's health care provider

How long past rupturing of the membranes can women labor without augmentation?
Referred to client's health care provider

What methods of labor augmentation do you typically recommend when labor is slow or has stalled?
Referred to client's health care provider

Do you encourage women to eat and drink during labor?
Yes

Do you recommend the routine use of intravenous fluids?
No

Does your practice support women working with labor support doulas?
Yes

Do you support mobility and position changes during labor?
Yes

Are you familiar with the CIMS Mother-Friendly Childbirth Initiative?
Yes

If so, in what ways does your practice strive to be Mother Friendly?
We are a client-centered program.

Immediate Postpartum

Do you wait to cut the umbilical cord until after it has stopped pulsating?
Referred to client's health care provider

Do you routinely administer pitocin during third stage/immediately postpartum?
Referred to client's health care provider

What are the standard procedures in your practice for babies staying with or being apart from their mothers after birth?
Referred to client's health care provider

Postpartum Care

What is your schedule for postpartum care?
Upon discharge from CMC, we receive a discharge summary and visit our client's in their homes ASAP.

Do you provide breastfeeding support? Do you have a lactation consultant on staff?
Yes. The nurses in the MOMS Program are Certified Lactation Consultants.

Statistics


% C-section:
% Instrumental Delivery:
% Inductions:
% Pitocin:
% Epidural/Intrathecal:
% Other Pain Meds:
% No Pain Meds:
% Episiotomies:
% AROM:
% Initiate Breastfeeding: 76
% BF Six Weeks: 74
% Transfers:

Additional Comments:

For specific Tompkins County statistics, please contact the regional Mothers and Babies Perinatal Network.