Overview of the Labor & Delivery Policies and Procedures of Hawaii's Hospitals

	Kapiolani	Queens Medical	Kaiser Moanalua	Castle Medical Center	Maui Memorial	Hilo	Kauai Veterans Hospital	Kona Community Hospital	Wilcox	North Hawaii Community Hospital	Waimea Women's Center
On site NICU?	Yes	No	Yes	No	No	No	No	No	No	No	No
If no, where will baby be transferred?		Kapiolani Medical Center		Kapiolani Medical Center	Kapiolni Medical Center, Kaiser Moanalua, Tertiary Center	Kapiolani Medical Center	Kapiolani Medical Center	Kapiolani Medical Center	Kapiolani Medical Center	Kapiolani Medical Center	Kapiolani Medical Center
Is there a lactation consultant on staff?	Yes, all mothers consulted. All nurses are trained to help.	No, but the nurses are trained to help	Yes. Available 7 days a week, but not 24 hours. Nurses trained to help	Yes, available 4 hours daily. All nurses are trained to help	No, but there are 6 certified nurses on staff	No, but the nurses are trained to help	Yes, but not available 24 hours a day. Nurses are trained to help	Yes, but not available 24 hours a day. Nurses are trained to help	Yes, but not available 24 hours a day. Nurses are trained to help	No, but all nurses are trained to help. Hotline number available if needed	No, but the nurses are trained to help
Are doula services permitted?	Yes	Yes. One certified midwife available	Yes	Yes	Yes	Yes	Yes, but must not interfere with medical procedures	Yes	Yes	Yes	Yes
How long is the typical stay for a vaginal delivery?	2 days	2 days	24 hours	24 hours	24 hours	24 hours	24 hours	24 hours	24 hours	24 hours	24-48 hours
How long is the typical stay for a c-section?	3 days	3 days	72 hours	2 days	48-72 hours	48 hours	72 hours	48-72 hours	2-3 days	48 hours	3 days
Is baby separated from you at any point? If so, when?	Hospital promotes no separation between mother and baby, if mother needs a break, she can request that baby be taken to the nursery.	After delivery and bonding time baby will be transferred to the nursery for the admissions process. Your support person can go with baby to the nursery. Here the baby will be assessed and bathed and then return back to your room.	Yes, during circumcision and hearing screening. Otherwise baby in room at all times, even during bathing	No, parents may accompany for all tests, including circumcisions	Able to request no separation. Can deny bath for baby. Baby will go to nursery for shots, etc.	Yes, for circumcision, hearing screening, or under emergency circumstances	Yes, for evaluation, circumcision, and hearing screening	All services are done in room with mom except circumcision, which will usually take baby a way for a short time.	No, parents can accompany baby to all services	No, parents can accompany baby to all services	No, parents can accompany baby to all services
Are labor & delivery rooms shared or private?	Private	Private	Private	Private	Private	Private, but with shared bathroom	Private	Private	Private	Private	Private
Postpartum rooms shared or private?	Every room is private until full, then they start to share	Private	Private	Private	Every room is private until full, then they start to share	Semi-private. Private available depending on availability. Cannot request beforehand	Private	Private If all rooms are full, hospital will try to find an empty medical staff room to use until a room becomes available.	Private	Private	Private
Can S/O sleep overnight in my room?	One adult over 18 can spend the night. Pull out or reclining chair is provided	Yes, must be at least 18 years old. Chair or sofa bed available	Yes, cot provided	Yes, "daddy bed" provided	Yes, as long as no other mother is in the room. A chair is available	Yes, if in a private room If semi-private, S/O cannot stay	Yes, fold out chair provided	Yes, couch provided that opens to a twin size bed	Yes. In L&D rooms, the couch turns into sofa bed. In the postpartum rooms, the chair fully reclines.	Yes, "dad beds" provided	Yes, "dad bed" provided
Are there any situations that may take me away from my birth partner?	In the case that the mother requires anesthesia, S/O will be separate, but can accompany baby to nursery to bond.	Only in emergency situation will birth partner be removed. Once settled in OR partner can come in, no video in OR	Only in case of emergency where mother needs anesthesia	No, partner can accompany mom at all times, even in surgery	In an emergency c-section, S/O will need to wait outside until things are settled	In the case of an emergency c-section and mom is under anesthesia partner will be asked to wait outside.	In the case of emergency or mother is under anesthesia, or if mother requests S/O to leave	In an emergency C-section where the mother is under anesthesia.	Only if mother is getting an emergency c-section and is under anesthesia	No	Only if mother is getting an emergency c-section and is under anesthesia
What labor and birthing equipment do you provide?	Birthing balls Peanut balls Squat bars No tubs or showers are available during labor & delivery	Birthing balls Peanut balls Rocking chairs	Birthing balls Peanut balls Squat equipment Jacuzzi	Yoga balls Peanut balls Squat bar Mobile monitor	None	Yoga balls Peanut balls Standing bar Grippers on sides of labor bed	Birthing ball	Birthing balls Oeanut balls Jacuzzi (in one room only)	Yoga ball Squat bar	Yoga balls Bar over bed Squat bar Labor tub	Yoga balls Peanut balls Squat bar Labor tub (one only) Shower
Will I be able to labor at my own pace or will I be put on a time limit?	Laboring at your own pace is permitted. Having a birth plan ahead of time recommended. Staff will only intervene in the case of emergency or when baby's health is at stake	Yes	No rushing, hands off policy, encourage natural labor and delivery	Yes, as long as no stress to baby	Yes	Yes, as long as health is normal	Yes, as long as health of mother and baby are progressing normally	Yes, unless there are signs of distress for either mom or baby	Yes, unless there are signs of distress for either mom or baby	Yes, provided mom and baby are healthy	Yes. As long as the water bag is intact and there are no signs of fetal intolerance, natural labor is encouraged
Are mothers allowed to labor in different positions? Can the mother push in more ways than just on my back?	Yes different positions are allowed. It's recommend to discuss your birth plan with your doctor and nursing staff	Any position is allowed. Bring a birth plan	Yes, but keep in mind, no water birth available	Yes, may labor and deliver in any safe position	Yes	Yes, as long as health is normal	Yes, as long as it's safe	Yes all positions are acceptable. Stirrups are rarely used anymore.	Yes, all positions acceptable as long as safe. No water deliveries	All positions are acceptable as long as safe	Yes different positions are allowed. It's recommend to discuss your birth plan with your doctor to communicate what you'd like.
Will this hospital allow me to take my placenta home (if you choose to do placenta encapsulation)?	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance from the Department of Health has been granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted. If blood work is not completed beforehand, they will hold placenta for up to a week until results are in.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.	Yes, provided all bloodwork and forms have been completed and clearance granted.
Am I allowed to do skin-to-skin?	Yes, depending on the condition of mother and baby. If mother is under anesthesia, the S/O can accompany baby to nursery for bonding.	Skin to skin is encouraged	Yes, provided mother is not under anesthesia, in which case baby will be given to partner for bonding	Skin to skin is encouraged, even after surgery	Yes	If the mother is awake, she and her pediatrician can discuss skin to skin. If the mother is under anesthesia, baby will be separated from the mother.	Depends on the doctor and pediatrician. Usually, baby is taken to the nursery while mom recovers. But if mom is awake and the doctor and pediatrician agree, skin to skin can occur.	Yes, however if the mother is under anesthesia, baby will be taken to the labor room where the S/O can bond.	If the mother is awake, skin to skin is encouraged.	Skin to skin is encouraged as long as the mother is able.	Skin to skin is encouraged as long as the mother is able.
Do you provide a hospital grade breast pump?	If requested by the patient, a doctor can prescribe a breastpump, which will be provided to mother. She can take home all of the attachments, but not the pump itself unless insurance covers full expenses. The mother can also bring her own breast pump.	Yes	Yes. Depending on insurance, the mother may be able to take it home.	Yes	No	Yes	A prescription from a doctor is required for a breast pump. You can usually ask for this before delivery. Insurance coverage will vary.	Yes	Yes	Yes, for use while in the hospital	Yes, breast pumps are available
What happens in the event that I require an emergency C-section?	The mother will be taken to the OR. S/O must wait outside, but will be allowed to bond with baby in the nursery.	In the event of an emergency c-section, you will be prepped for surgery and then go immediately to the OR	Everything is done in house within 5 minutes. S/O can accompany the mother unless the mother is under anestheisa.	The mother wil be moved to the OR on the same floor as L&D.	You will be taken to the OR	The mother will be moved to the OR on the same floor within 20 minutes.	The mother will need to go to the OR in a different unit.	The mother will be taken to the OR, which is just one door away from L&D. Depending on the situation, the S/O can join the mother in the OR or wait in labor room.	The OR is on the the same floor as L&D. If spinal anesthesia, the S/O can stay with the mother. If the mother is under anesthesia, the S/O must wait outside.	The mother will go to the OR unit on the same floor. S/O is able to accompany the mother.	If it’s an emergency, the mother will go to the OR just down the hall. The S/O is not allowed to accompany her.
Other notes	If the mother needs or requests time alone, the hospital provides two hours in the evening, from 9 to 11, for the S/O to bond alone with baby.	If baby has to stay in the hospital for whatever reason, Mom can be discharged but room in with baby at no fee	Two rooms with jacuzzi tubbs available