A GUIDE FOR EXPECTANT PARENTS MARY HORRIGAN CONNORS CENTER FOR WOMEN S HEALTH

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1 A GUIDE FOR EXPECTANT PARENTS MARY HORRIGAN CONNORS CENTER FOR WOMEN S HEALTH

2 Welcome to Brigham and Women s Hospital and the Center for Women and Newborns at our Mary Horrigan Connors Center for Women s Health. Table of Contents: page Family-Focused Care 2 Preparing for the Birth of Your Baby 3 Your Hospital Stay 5 Hospital Discharge 13 Additional Information 14

3 Congratulations. You have joined thousands of families each year who choose to have their babies at Brigham and Women s Hospital. We believe that all of these people place their trust in us not only because of the national reputation of our staff, but also because of our commitment to personalized care. As a major teaching facility for Harvard Medical School, our hospital is widely considered among the best in the nation. Our medical staff have achieved extensive recognition for patient care and medical research in obstetrics and gynecology, and in other areas as well. What often impresses people even more, however, is the enthusiasm and compassion of our professional and support staff. We consider every birth, every newborn, and every family special. We believe that the most satisfied patients are those who are well-informed. This guide, therefore, provides you and your family with helpful information before coming to the hospital. You will find phone numbers if you wish to learn more on various topics, and I encourage you to call. Please know that we respect and appreciate the trust you have placed in Brigham and Women s Hospital. Let us know if you have any questions or concerns. We believe you have chosen the best, and we pledge to provide you with the best possible care. For 14 years in a row Brigham and Women s Hospital has been included on the U.S.News & World Report Honor Roll of America s Best Hospitals. Brigham and Women s Hospital consistently ranks in the top three in the nation in Gynecology. Gary Gottlieb, MD, MBA President 1

4 FAMILY- FOCUSED CARE Family-focused care at Brigham and Women s Hospital is a comprehensive approach to preparing and supporting each family. Fathers or partners (primary support persons) are welcome 24 hours-a-day throughout the hospital stay, including labor, birth and the postpartum stay. Nurses caring for you and your baby become familiar with your specific needs and provide information and education that will serve your family long after you go home. This approach is designed to be flexible, understanding that each family has individual needs and wants. The pleasures and demands of caring for a baby can be both extraordinarily rewarding and challenging for even the most experienced parent. Family-focused care begins preparing every family even before the arrival of their baby, with prenatal care, information and educational programs, programs for siblings and other services to ensure that they are well prepared for their new addition. Our 12-story Mary Horrigan Connors Center for Women s Health offers the most comprehensive continuum of obstetrical health care services in the country. It includes a full range of outpatient gynecological care, inpatient obstetrics facilities, nurseries and newborn intensive care. The Center was designed with careful attention to what patients told us they would like, including our Center for Women and Newborns with all-private postpartum rooms and baths as well as accommodations for partners. 2

5 PREPARING FOR THE BIRTH OF YOUR BABY Admission Forms Enclosed with this brochure is an obstetrical admitting packet containing a pink admitting form, pediatrician postcard and additional educational information. It is important for you to fill out the admission form and pediatrician postcard, and return them in a timely manner so that we may prepare for the birth of your baby. If you have not already selected a pediatric care provider, your obstetrician or midwife can help you select one. Also, some insurance plans will provide you with a list of pediatric care providers in your area if you have not yet chosen a doctor for your baby. You may also call the Brigham and Women s Hospital Physician Referral Service at BWH-9999 for assistance. If you choose a pediatric care provider who is on the medical staff of Brigham and Women s Hospital, that doctor can then see your baby while you are at the hospital. If you select a doctor who is not associated with Brigham and Women s Hospital, ask that physician or your obstetric care provider for a referral to a provider on our medical staff, and put his or her name on the postcard, so necessary care can be provided for your newborn while you are at the hospital. Note: Your baby must be examined by a pediatric care provider before being discharged from the hospital. Thus, we need you to return the pediatrician postcard promptly so we may prepare in advance for your baby s care in the hospital. Parent and Childbirth Education Classes The birth of your baby is an exciting experience, and we offer a number of options that allow you to participate fully and to be as prepared as possible. There will be many personal decisions for you to make: How can the partner be most helpful at the birth? How can you help your other children adapt to the new baby? In order to arrive at the best answers for you, there are various childbirth preparation programs and refresher courses, as well as breastfeeding, infant care and infant CPR classes offered by Isis Maternity, our approved parent and childbirth education provider. Isis Maternity is a prenatal and postpartum education center offering numerous classes for new and expectant parents, and is conveniently located in Brookline, Needham and Arlington. For a list of available classes at Isis Maternity, visit or call (781)

6 Hospital Tours Although Isis Maternity is providing parent and childbirth education classes, Brigham and Women s Hospital will continue offering hospital tours and sibling tours. We encourage all expectant parents to tour the hospital s obstetrical facilities before admission. We suggest that you plan to tour the hospital by at least the eighth month of your pregnancy. To register for a sibling class or a tour of the Mary Horrigan Connors Center for Women s Health at Brigham and Women s Hospital, call (781) or register at Financial Arrangements The pink admitting form enclosed with your obstetrical admitting packet also requests information about your insurance coverage. We ask that you please complete the form and return it as quickly as possible. Be aware that insurance plans differ regarding lengths of stay for obstetric care. Please check with your insurance provider for their policy on length of stay. Massachusetts State Law allows a hospital stay of up to 48 hours for a vaginal birth and 96 hours for a cesarean birth. The Hospital s pre-admission staff may contact you prior to admission to obtain additional insurance information (such as current subscriber name, certificate number, effective date of plan, policy number and company name) and to notify you of any estimated charges for which you are responsible. Participating insurance companies are billed on the patient s behalf, but ultimately you are responsible for payment of the hospital bill. Patients with no insurance will be asked for a deposit, equal to their estimated charges, before their admission. The hospital accepts Visa, MasterCard, American Express, and Diners Club charge cards. Please ask your insurance provider about health care coverage for your baby. Please know that no one is refused care at Brigham and Women s Hospital for lack of the ability to pay. If you have any questions about your admission or your ability to pay for your stay, call our pre-admission counselors at (617) They will offer financial counseling and help you investigate resources that may be available to you through government and private agencies. Health Care Proxy We often receive inquiries from patients and their families about health care proxies or living wills, which are legal documents that define an individual s feelings about the extent of care they wish to receive under extenuating circumstances. Enclosed is a brochure. For further information, call (617) or visit us online at Interpreter Services 4 Brigham and Women s Hospital offers interpreter services for non-english-speaking and hearingimpaired patients. We have staff interpreters in 30 different languages, including Spanish, Russian, In keeping with the practice throughout the country, Brigham and Women s Hospital has a volunteer blood bank. For that reason, it is helpful when someone you know donates a pint of blood to the hospital. They may call (617) for a donor appointment. If it is more convenient, donations may be made at a local Red Cross organization. Rh-negative donors are especially encouraged because that blood type is relatively rare. Portuguese, French Creole, Arabic, Mandarin, Japanese, Vietnamese, French and American Sign Language. You may also contact your nurse for help in obtaining interpreter services. For additional information, call (617)

7 YOUR HOSPITAL STAY Arriving at the Hospital Valet For both women in labor and obstetric patients being discharged, there is valet parking at the Main Entrance of the hospital at 75 Francis Street. For the occasional times when the valet attendant may be unavailable, please see the security officer at that entrance. For more information on parking and rates, visit or call (617) Brigham and Women s Hospital offers valet parking for patients. Rates are posted at each entrance. Obstetrical Admitting When you arrive at the hospital in labor, enter through the main lobby at 75 Francis Street. Check in at the Obstetrical Admitting office (next to the Gift Shop), and you will be escorted to the Center for Labor, Birth and Recovery in our Mary Horrigan Connors Center for Women s Health. You or the person with you may supply the admitting information. The obstetrical admitting staff are on duty 24 hours-a-day. The obstetrical admitting staff will make all the arrangements necessary for a swift and comfortable admission to the hospital. Planning for Your Stay What to Bring During your hospital stay, we will provide you with sanitary pads and panties, and diapers for your baby. Please bring only items that are essential, such as: maternity or nursing bra personal toiletry articles nightclothes, bathrobe, slippers eyeglasses list of current medications small amount of money for newspapers and expanded television service (see page 7) clothing for the baby to wear on the day of discharge (see "Going Home" on page 13) this brochure and the Pregnancy Planner brochure included in your obstetrical admitting packet the father or partner should bring personal items to stay overnight. 5

8 You may bring any light refreshments you prefer (such as fruit juices, sport drinks, broth and ice pops) in a small cooler as well as a water bottle to use while walking in labor. Once labor is active or epidural anesthesia is administered, only clear liquids are given. The hospital cannot be responsible for personal property, so please leave large amounts of cash, jewelry, unnecessary charge cards, checkbooks and other valuables at home. If you need to bring valuables to the hospital, the admitting interviewer will assist you in depositing them for safekeeping in the cashier s office. If your obstetric care provider does not specifically instruct you to bring your medications to the hospital, please leave them at home. CD/MP3 players, hair dryers and laptop computers are allowed, however, all other personal electric equipment should not be used in the hospital, as appliances intended for home use do not comply with stringent hospital safety codes. Center for Labor, Birth and Recovery Labor and Birth Room After you have been admitted, you will be assessed for labor in the triage area and then admitted to a private labor and birth room which features special lighting and equipment, including a birthing bed, rocking chair and television allowing you to remain in this room for both labor and birth. You will be moved to an obstetrical operating room located on the labor floor only if you are having a cesarean birth or complicated birth. You will then be moved to a private postpartum room after the birth of your baby. Your baby will remain with you unless there is a complication. You may wear whatever comfortable clothing you prefer while in labor, or hospital clothing is available. Obstetric Anesthesia Services The Obstetric Anesthesia Service at Brigham and Women s Hospital staffs the Center for Labor, Birth and Recovery 24 hours-a-day, 7 days-a-week to provide specialized care for you. Because each woman s labor is unique and the amount of discomfort you may experience is dependent on many different factors, it is hard for us to predict how much discomfort you will have until you go into labor. There are many non-medical techniques that exist that can help you during labor (breathing and relaxation techniques, warm showers, massage, position changes, etc.), but for some women these measures may not be enough. Our obstetric anesthesiologists are available to discuss with you the different types of anesthesia that may be given during labor and birth, including intravenous or intramuscular medications and regional anesthetics such as epidural anesthesia or spinal anesthesia. If you have concerns or questions, you may call the Division of Obstetrical Anesthesia at (617) for a free consultation, or refer to the Obstetric Anesthesia Service brochure included in your admitting packet. 6

9 Nursing Staff A registered nurse will be assigned to your care, providing nursing and support. You may take photographs or a videotape of the birth please ask the staff before including them. Should your labor be premature, you will be initially assessed and may be transferred to our special antenatal unit for women with complicated pregnancies. There you will be assigned a nursing care coordinator who will coordinate your care with the medical and nursing staff. Telephones A bedside telephone is available for each patient in Labor, Birth and Recovery and in postpartum rooms. Telephone calls within Massachusetts are free excluding calls made to area code 413. To make telephone calls to area code 413 or to locations outside of Massachusetts you must dial to access an MCI/Verizon operator to charge long distance calls to your credit card or to make a collect call. If you would like to use a calling card you must dial 9 and then follow the instructions provided on your calling card. Your family and friends may obtain your bedside telephone number by calling Patient Information at (617) The hospital will not connect callers to you in the Center for Labor, Birth and Recovery. However, if you choose, you may call from your bedside and give out that direct number. When calling an extension within the hospital, only the last five digits of the hospital number are necessary. If you need to page a Brigham and Women s Hospital beeper, press and listen for instructions. People with hearing disabilities may request a volume control handle for their phone or a TTY by calling extension Hospital phones do not have access to local 411 telephone information, so bring phone numbers from home that you will need. Cellular phones and pagers are allowed in the Center for Labor, Birth and Recovery, and in postpartum rooms. They are not allowed in the Neonatal Intensive Care Unit (NICU) on CWN-6. Television Brigham and Women s Hospital offers free broadcast of television channels WBZ (CBS), WGBH (PBS), WABU (Independent), WUNI (Spanish) and patient education stations, such as the Newborn Channel, that cover a variety of topics. Expanded television services are offered at a cost of only $5 per day. These additional stations include WCVB (ABC), WHDH (NBC), Fox-25, WLVI-56 (CWN), and cable stations, including The Discovery Channel, BET, USA, TNT, The Learning Channel, ABC Family, The Cartoon Network, TBS, AMC, and CNN. (Stations are subject to change.) A full listing can be found when you turn on your television in your room. To order expanded television service call extension

10 Meals If you request a special diet, or if your obstetric care provider recommends one for you, a dietitian will help you select the appropriate foods, and will be happy to comply with special requests such as kosher or vegetarian meals. Each floor has two nutrition stations where you may help yourself to light refreshments. In addition, a room service menu is available by calling extension , from 11 a.m-11 p.m. Refrigerators are provided in each postpartum room. No-smoking Policy In keeping with our mission of providing the highest quality health care services, Brigham and Women s Hospital is a non-smoking institution. We ask your cooperation in maintaining a consistently healthful environment throughout the hospital. Postpartum Care After a brief recovery period in the birthing room, mom, baby and partner will be brought directly to a private postpartum room in the Center for Women and Newborns you will not need to be separated from your baby at any time under normal circumstances. Having your baby nearby will help you become familiar with your baby s individual characteristics, observe their sleep and wake cycles and meet their feeding needs. We encourage you to keep your baby in your room at all times. However, a nursery is available for medical observation or, if you request, to care for your baby for a short period. Family-focused care for the postpartum stay provides many opportunities for first-time parents to learn new skills, and a review for parents who have already learned basic care and safety. Your nurse will respond to your learning needs as you define them from bathing and feeding your baby, to caring for yourself. You may attend daily classes in breastfeeding taught by certified lactation consultants who are on staff for consultation, if necessary. You will also find the materials and booklets we provide helpful. Your partner may stay overnight and participate in the care of your newborn. If you have other children, they may visit during visiting hours, 1-8 p.m. Visiting children must be healthy no fever, or exposure to chicken pox and other illnesses. In order to protect the newborn, children other than the baby s brothers and sisters cannot visit in any of the obstetrical areas. 8

11 Additional Services for You Care Coordinator/Social Work Department Social workers are licensed professional counselors on the hospital staff. They help with personal and family problems related to illness, housing, health benefits and income. Social workers are available to all hospital patients and their families for counseling, evaluation and referral to a community agency. The Care Coordinator meets with all patients to review the discharge process, discuss home care options, and assist with any discharge planning. Counseling that focuses on concerns such as having an infant in the Neonatal Intensive Care Unit (NICU) or having a stillborn infant is conducted by social workers. Call (617) or (617) between 8:30 a.m.-5 p.m., Monday through Friday. Contact your nurse or obstetric care provider to reach a social worker who is on call for emergencies. Patient/Family Relations Patient/Family Relations staff will help you communicate concerns, complaints, suggestions and compliments regarding your hospital stay. Please let them help in responding to your needs or in providing information on hospital policies, procedures and services. Call (617) , and they will gladly visit you or help in any way possible. Lactation Support/Breast Pump Rental Your nurse in the hospital will assist you with breastfeeding. In addition, certified lactation consultants are available for inpatient bedside consultations for diagnosis and treatment of problems and special situations related to breastfeeding. Call (617) for information or to discuss any special concerns. Additional supplies, such as nursing bras and breastfeeding support equipment are also available. Please ask your nurse for any of these items. Baby Photos Growing Family/First Foto is the company that offers baby photo services at Brigham and Women s Hospital. A photographer is available in the mornings to photograph your new baby. The photographer will give you a catalogue with various rate and package options if you choose to purchase any of your baby s photos. There will be information in your postpartum room about making an appointment, or you may ask your nurse. Your baby s photo, with your written permission, can be posted free of charge on our web nursery at after you are discharged. For more information on this service, visit Services for Your Baby Newborn Tests and Vaccinations Screening tests and vaccinations will be based on requirements of the Massachusetts Department of Public Health and your pediatric health care provider. Hearing Screening As part of our routine care, babies born at Brigham and Women s Hospital will receive a hearing screening test before being discharged from the hospital. Please let your nurse know if you do not want your baby screened. Please read the Newborn Screening brochure in your obstetrical admitting packet for additional information. 9

12 Circumcision Circumcision is the surgical removal of part of the foreskin of the penis. The decision regarding circumcising a son is a personal one, and parents are encouraged to discuss this decision with their obstetric and pediatric health care providers. Written information about circumcision is available from the hospital by calling the Parent and Childbirth Education Department at (617) Your obstetric care provider will ask you to sign a consent form for circumcision before the procedure. If you are interested in a ritual circumcision, our staff will be happy to help you arrange the type of service you prefer. Please plan the service as early as possible so that a convenient time may be arranged for the hospital and your family. If you wish, your own rabbi may be invited to say the prayers while a member of our staff performs the circumcision. Birth Certificate After the baby is born, a birth certificate registrar will call you regarding your newborn s birth certificate. You will be asked for personal information about yourself and your child. Following the interview, the birth certificate will be brought for your signature and then forwarded to the Registry of Births in Boston. If you must leave the hospital before signing the birth certificate, contact the Birth Certificate Department at (617) within five days of the birth to make arrangements for verification and signature. It is difficult and costly to you to make corrections or changes after a birth certificate has been completed, therefore, accuracy of information given is very important. You may obtain a copy of the birth certificate from the Registry of Births, Boston City Hall, by calling (617) You may obtain, at no charge, a Social Security card for your baby by calling Infant Safety When you walk in the halls, remember to push the baby in a crib. The hospital believes it is always wise to take safety precautions. Do not leave the baby unattended and make sure that anyone handling your baby has a pink hospital identification badge. It is also important that anyone handling your newborn, including visitors, wash their hands prior to holding the baby to reduce the risk of infection. 10

13 Neonatal Intensive Care Unit (NICU) It is reassuring to know that if your baby needs intensive care, the Brigham and Women s Hospital Neonatal Intensive Care Unit is one of the most progressive facilities of its kind in the country and serves as a referral nursery with specialized care for newborns throughout New England. Premature infants and other newborns with various health difficulties stay in the NICU for expert care and observation. Family-focused care and developmentally supportive nursing care are practiced in the NICU, and parents are encouraged to touch, hold, feed and care for their babies to the extent allowed by the baby s health. The unit has family rooms located adjacent to the NICU where families can spend time with their babies. A number of supportive programs for families are provided including Kangaroo Care an innovative approach to encourage newborns to thrive through skinto-skin contact with their parents. Infants whose conditions are stable, but require a continued intermediate level of care prior to going home, may be transferred to an appropriate community hospital closer to home when they are medically ready. Information for Your Visitors Parking Visitors may use the nearby parking garages during the day. After 5 p.m., visitors are encouraged to park in the attached Ambulatory Services Building II Garage, which is located underground at the 45 Francis Street entrance. For more information on parking, visit or call (617)

14 Visitor Policy for Center for Labor, Birth and Recovery Brigham and Women s Hospital is committed to providing a safe and supportive birthing experience for expectant mothers in a family-focused care setting. We understand that, for some patients, sharing the birthing experience with family and friends provides additional special support. We encourage participation of the partner, and an additional support person, if you wish. For a cesarean birth, only one person is allowed in the operating room and recovery room. Family and visitors who are not participating in the birthing event are not permitted on the unit. There are limited waiting areas in the Mary Horrigan Connors Center for Women s Health lobby and the Robert and Ronnie Bretholtz Center for Patients and Families, but patients are encouraged to ask other family members and friends to wait at home for notification of the birth. There are phones in the labor and birth rooms for you and your support person to notify friends and relatives of the baby s birth, or you may use your cell phone. Brothers and sisters of the baby are permitted to visit in the postpartum rooms. Through special prior arrangements coordinated on an individual basis with your obstetric care provider, siblings are permitted to visit during labor, birth and recovery. When siblings do visit during labor, they must be fully supervised by an adult support person, other than the patient. By following this policy, patients can help ensure the hospital s primary goal of providing a safe, secure and comfortable environment for all expectant patients and their loved ones while enjoying the celebration of birth. Gift Shop The Gift Shop is located in the main lobby and operated by the hospital s Friends of BWH. Profits are donated to the hospital to provide hospital equipment and services that otherwise would not be possible. The Gift Shop is convenient for both you and your visitors. A variety of items can be purchased including flowers, mylar balloons (latex balloons are not permitted in the hospital), infant clothing (including premature baby sizes), greeting cards, stamps, toiletries, candy, magazines, toys, camera film and batteries. The Gift Shop is open Monday-Thursday, 10 a.m.-7 p.m.; Friday 9:30 a.m.-7 p.m.; Saturday and Sunday, 11 a.m.-5 p.m.; closed on holidays. For additional information, please call the Gift Shop at (617)

15 HOSPITAL DISCHARGE Going Home Your obstetric and pediatric care providers must complete discharge exams and write discharge orders before you and your baby can leave the hospital. Discharge time is 10 a.m. When you are ready to leave, you may dress your baby in the clothes you brought from home. Baby clothes should be washed in a mild detergent first and should include an undershirt, stretch suit, booties, sweater, hat, two small receiving blankets (for support in the car seat) and a heavier blanket, depending on the outside temperature. Your nurse will check and remove one of the baby s identification tags for the medical record. You will be escorted in a wheelchair to your waiting transportation by a member of the patient care staff. Child Car Seats Protection in an automobile is an important part of caring for your baby. Massachusetts law mandates the use of child passenger restraints in private automobiles for infants and children up to age 12. Even the smallest newborn traveling home from the hospital in a car cannot be held securely in the arms of an adult if there were an accident. Infants should always be placed in a rear-facing, infant car safety seat, and placed in the center of the back seat, away from airbags. It is best to familiarize yourself with the car seat in advance and have the base secured in the car before discharge. For more information about safety seats, please contact the Massachusetts State Police Department for certified car seat safety training. Your local fire or police department may be another resource. Postpartum and Infant Checkup Home Care You should visit your obstetric care provider for a postpartum check-up four to six weeks after delivery. Your baby should be examined by the pediatric care provider or at a neighborhood health center when he or she is four to seven days old so that weight and health can be evaluated and a schedule of immunizations outlined. If you have special needs and would like support at home, please call your health insurer, your obstetric care provider or care coordinator about a referral to a visiting nurse association, a public health agency, or a private agency for a home visit. 13

16 ADDITIONAL INFORMATION Your Rights as a Patient Federal and state laws provide for specific patient rights. At Brigham and Women's Hospital, we recognize our responsibility to respect these rights as well as to inform you of them. The following summarizes both federal law and the Massachusetts Patients Bill of Rights. 14 You have the right to obtain the name and specialty of the doctor or other person responsible for your care. You have a right to confidentiality of all records and communications concerning your medical history and treatment to the extent provided by law. You have a right to a prompt response to all reasonable requests. You have a right to request and receive an explanation as to the relationship, if any, of this hospital and your doctor to any other health care facility or educational institution, insofar as any such relationship relates to your care. You have a right to request and receive information about financial assistance and free health care. You have a right to obtain a copy of any rules or regulations of this hospital which may apply to your conduct as a patient. You have a right upon request to inspect your medical records, request an amendment to, or receive an accounting of disclosures regarding personal health information, and for a reasonable fee, receive a copy of your record. You have a right to receive a copy of your medical record free if you show that your request is to support a claim or appeal under any provisions of the Social Security Act in any federal or state financial needs-based benefit program. You have a right to refuse to be observed, examined or treated by students or any other staff without jeopardizing your access to care. You have a right to refuse to participate as a research subject. You have a right to personal dignity, to the extent reasonably possible, to privacy during medical treatment and other care. You have the right to have your cultural, psychosocial, spiritual, and personal values, beliefs, and preferences respected. You have the right to request pastoral and other spiritual services. You have a right to prompt life-saving treatment without discrimination due to economic status or source of payment. You have the right, if you are a female rape victim of childbearing age, to receive medically and factually written information prepared by the commissioner of public health about emergency contraception; to be promptly offered emergency contraception; and to be provided with emergency contraception upon request. You have a right, if refused treatment for economic status or lack of a source of payment, to prompt and safe transfer to a facility that agrees to provide treatment. You have a right to informed consent to the extent provided by law. You have a right, if suffering from any form of breast cancer, to complete information on all alternative treatments that are medically viable. You have a right, if you are a maternity patient, to receive information about the hospital s rate of cesarean sections and related statistics.

17 Patient Responsibilities By taking an active role in your own health care, you can help your caregivers best meet your needs. That is why we ask you and your family to share with us certain responsibilities. They include: Letting us know your expectations about hospitalization and treatment. Asking questions and making sure you understand any instructions given to you so that you can safely care for yourself when you leave the hospital or doctor s office. Being open and honest with us about your health history, including all medications you are taking and any legal or illegal addictive substances you use. Telling us about any situation at home or work that may affect your ability to care for yourself, so that we can direct you to resources that can help. Letting us know if you feel you cannot follow a plan of care that has been prescribed or telling us when things do not seem to be going well so that, together, we can develop the right plan of care for you. Appointing a health care proxy and completing an advance care directive, so that we can know what kind of care you wish to have should you become unable to tell us. Expressing concerns to your caregivers in a respectful manner. If you need additional assistance or are angry or upset about your care, a Brigham and Women s Hospital Patient/Family Relations or Ethics Committee representative can help you. (See phone numbers, page 16.) Being honest with us about your financial needs so that we may connect you to resources that can help cover your medical expenses. Letting us know if you have objections to students or researchers participating in your care. As a teaching affiliate of Harvard Medical School, Brigham and Women s Hospital trains health care professionals and medical investigators from all disciplines, and your wishes always determine the extent to which they are involved in your care. 15

18 Important Telephone Numbers Main Number (617) Bedside Phone Numbers (617) Neonatal Intensive Care Unit (NICU) (617) Patient Condition Update (617) Hospital Services* Obstetrical Admitting Office (617) Birth Certificate Information (617) Blood Donor Services (617) Care Coordination/Social Work Services (617) or Cashier s Office (617) Chaplaincy Services (617) Interpreter Services (617) Maternity Tours (781) Nutrition Consultation Services (617) Parent/Childbirth Education Questions (617) Parking (617) Patient Billing (617) Patient/Family Relations (617) Physician Referral Service (800) BWH-9999 Pre-admission Counselors (617) TTD/TTY (617) * If you are calling from within the hospital, dial the last five digits of the phone number. Other Services Registry of Births (Boston City Hall) (617) Isis Maternity (Parent and Childbirth Education) (781) Need a World-class Physician? If you, a family member or friend needs a primary care physician or specialist located at Brigham and Women s Hospital or one of its convenient neighborhood sites, call our Physician Referral Service at BWH-9999, Monday through Friday, 8:30 a.m. to 5 p.m. 16

19 Map and Directions to Brigham and Women s Hospital Brigham and Women s Hospital is located at 75 Francis Street between Huntington and Brookline Avenues. From the North: Head south on Route 93, then head west on Storrow Drive. Take the Fenway outbound 1-S exit (on the left). At lights, bear right onto Boylston Street. At third set of lights bear left onto Brookline Avenue. At fifth set of lights, turn left onto Francis Street. From the West: Head east on the Massachusetts Turnpike. Take Route 128 South for approximately one mile. Take Route 9 East for six miles. Bear left onto Brookline Avenue (Brook House apartments will be on right). At third set of lights, turn right onto Francis Street. Or Continue east on Massachusetts Turnpike. Take Huntington Avenue/Copley Square/Prudential Center exit. Take Huntington Avenue west for three miles, take right onto Francis Street at Brigham Circle. From the South: Head north on Route 3 (Southeast Expressway), take the Mass Ave-Roxbury exit. At the end of the ramp, cross Massachusetts Avenue onto Melnea Cass Boulevard. Take a left onto Tremont Street. Take first right onto Ruggles Street. Turn left onto Huntington Avenue at intersection of Ruggles Street and Huntington Avenue. At second set of lights (Brigham Circle), turn right onto Francis Street. For information on traffic conditions, visit and click on travel services. 17

20 75 Francis Street Boston, MA (617) (7/06-30K)

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