As your due date approaches, many expectant mothers feel a mix of excitement and anxiety. First-time moms, in particular, may be unsure of the hospital admission process and what to expect during labor and delivery. Understanding the steps involved can help you feel more prepared, so you can be less anxious when it’s time to head to the hospital.
When Should You Go to the Hospital?
In the U.S., most women go to the hospital once they experience regular contractions (every 5-10 minutes), or their water breaks. If you notice any concerning symptoms, like heavy bleeding or reduced fetal movement, it’s important to go to the hospital immediately. For women with high-risk pregnancies or complications (e.g., gestational diabetes, preeclampsia, or multiple pregnancies), your doctor may advise you to come in earlier.
Generally, unless you’ve been told to come in for a scheduled induction or C-section, you should head to the hospital once you’re in active labor. Be sure to ask your doctor when exactly to go, based on your personal situation.
What Should You Bring to the Hospital?
When preparing for your hospital stay, there are three main categories of items to pack: documents, payment methods, and personal items for both you and your baby.
Documents & Information
Make sure to bring:
- Photo ID (driver’s license or passport)
- Health insurance card
- Pregnancy care handbook and prenatal records
- Any medical records or test results from your healthcare provider
Payment Methods
Many U.S. hospitals accept credit cards, debit cards, and mobile payment apps like Apple Pay or Google Pay. It’s important to bring a payment method for your hospital bill, as many hospitals will ask for a payment or deposit upon admission.
Supplies for Mom and Baby
Pack these essential items for both yourself and your baby:
- Baby Essentials: Diapers, wipes, baby clothes, receiving blankets, and baby towels.
- Mother’s Essentials: Nursing bras, maternity pads, comfortable clothes, toiletries (toothbrush, toothpaste, etc.).
- Personal Items: Hair ties, water bottle, snacks (for your partner or support person), and a pillow or blanket if desired.
Some hospitals in the U.S. may provide certain baby supplies like diapers and blankets, but it’s best to double-check with your hospital before packing everything.
How to Check In at the Hospital
In the U.S., the hospital admission process can vary slightly depending on your location, but here’s what you can expect:
- Check-In at the Admissions Desk: Upon arriving, head to the admissions desk or emergency room (if you’re in labor), where you’ll provide your personal and insurance information. You may also be asked to sign a consent form.
- Room Assignment: After checking in, you will be directed to your labor and delivery room. If you’re in active labor, you’ll likely be taken directly to your room where your nurse will assist you.
- Initial Evaluation: A nurse will take your vital signs (blood pressure, temperature) and monitor fetal heart rate. You’ll also be asked about your labor symptoms and any health concerns.
Admission Check-Up
Once in the labor room, your doctor or midwife will assess your health and your baby’s condition. Expect to undergo a series of routine checks, including:
- Blood Tests: Blood type, hemoglobin, and other screenings.
- Urine Tests: To check for protein or signs of infection.
- Electrocardiogram (EKG): If necessary.
- Fetal Heart Rate Monitoring: Continuous or periodic monitoring of your baby’s heart rate.
The doctor will also discuss your birth plan and make recommendations based on your situation. If your pregnancy is high-risk, additional tests or monitoring may be required.
Choosing Your Delivery Method
In the U.S., once the admission process and check-ups are completed, the doctor will discuss the best delivery method based on your health and the baby’s condition.
Vaginal Birth
If you’re healthy and there are no complications, your doctor will plan for a vaginal delivery. If you’re past your due date or need medical intervention (such as if your water breaks and contractions don’t start), your doctor might recommend labor induction. Many hospitals in the U.S. offer an epidural or other forms of pain relief, so it’s important to discuss these options with your healthcare provider beforehand.
Once you’re in active labor and your cervix has dilated sufficiently, you’ll be moved to the delivery room to push. After the baby is born, you'll be monitored for 1-2 hours in the recovery room before returning to your room.
C-Section
If your doctor determines that a C-section is needed—such as for breech presentation, placenta previa, or multiple pregnancies—a cesarean will be scheduled.
Pre-Surgery Prep: Before a C-section, the surgeon will explain the procedure and its risks. You’ll sign a consent form and may undergo additional tests. You will be prepped with an IV, shaved in the abdominal area, and a catheter will be inserted.
Post-Surgery Care: Recovery from a C-section requires special care. You’ll stay in the hospital for about 3-4 days while the medical team monitors your incision site, vital signs, and any complications. You'll also be encouraged to move and start eating as soon as it's safe.
Postpartum Care and Discharge
After delivery, you’ll be monitored for several hours (in case of complications), and once stable, you’ll return to your room. If you have a vaginal delivery, you can typically go home within 24-48 hours, depending on your recovery. If you have a C-section, you will usually stay in the hospital for 2-4 days to ensure proper healing.
Before you leave, your doctor will discuss postpartum care, including any medications, follow-up appointments, and birth control options. Your baby will also be examined and given any necessary vaccinations or screenings before discharge.
