"No matter your age or stage in life, our obstetrics and gynecologic providers offer a full range of quality care with a holistic approach to your wellness." - GWU Obstetrics and Gynecology
"For women seeking natural, unmedicated childbirth, Midwifery Services at GW Hospital offer the best of both worlds—natural childbirth with a certified nurse midwife in a hospital environment." - GWU Midwifery Services
|Births per Month||300|
|Unmedicated Birth||Very common|
|Waterbirth||Labor—Midwives and OBs|
Neg Hep C test required
*This is the overall rate. The midwifery program has said their c-section rate is less than 10%.
**Depending on the circumstances, patients may be able to birth a breech baby vaginally. Midwifery patients will be supported by obstetricians with breech experience. It is very rare for the midwives or obstetricians to accept a breech transfer into their practice late in pregnancy.
|Acupuncture||Click to Add|
*Midwifery patients are occasionally encouraged by the midwives to use castor oil or nipple stimulation to induce or augment labor. They allow you to use a breast pump, either your own or the hospital's, while you are at the hospital.
|Local Anesthetic Injection||✓|
|Sterile Water Injections||✓|
Labor and Delivery Amenities
Visitation During Labor and Delivery
|Siblings allowed during labor||✓|
|Persons allowed in triage||Partner and doula|
|Persons allowed in LDR*||Doula plus 5|
|Persons allowed during epidural insertion**||No one|
|Persons allowed during c-section||Partner only|
*Additional support persons and siblings may not be allowed during flu season
**Partners, doulas, and other support persons must leave for 30 minutes during epidural insertion.
Nurses can accommodate most safe birthing practices. Some alternative birthing practices may need to be approved by your midwife or doctor.
|Time Limit after PROM||Generally allow 24 hours|
|Vaginal exams||Extremely Limited|
|Blood pressure cuff||Intermittent|
|Electronic Fetal Monitoring||Intermittent|
|Typical monitoring**||40 off - 20 on|
*Broth, juice, ice, crackers, jello are provided. Midwives allow mom to eat and drink whatever she is in the mood for, as long as she doesn't have the epidural. OB patients, and midwifery patients with an epidural, are asked to only drink clear liquids.
**OBs typically ask patients to be on continuous monitoring. Depending on the OB, they grant exceptions to this, especially for unmedicated moms. Depending on the midwife on-call, midwifery patients are asked to go on the monitor either 20 minutes out of every hour, or to simply listen through one contraction each 30 minutes. As long as baby looks good and mom is laboring without an epidural, narcotic, or pitocin, she can continue this monitoring schedule until delivery. During delivery, all patients must have continuous monitoring. However, most nurses will hold the monitor in place so mom can push in whatever position is right for her.
Your doctor has the most influence on which position you can deliver in. Though options are more limited with an epidural, you can still ask for an upright position.
GWU hospital supports mother-led pushing. As long as mom and baby are doing well, mom picks her position and the nurses and care providers support her.
|Laying down with stirrups||✓|
|Hands and knees||✓|
|Squat on bed||✓|
|Backward on bed||✓|
|Squat on floor||✓|
GWU Hospital provides all routine newborn procedures. However, you can opt-out of any procedures and screenings, except the newborn exam, by signing a waiver.
If you have a strong desire about any newborn procedure, be sure you mention it when you arrive, and remind them again just before delivery.
|Cord Clamping||Routinely Delayed|
|Encourage immediate skin-to-skin||✓|
|Encourage first feeding in LDR room||✓|
|Delay procedures while mom and baby bond||✓|
|Vitamin K shot||✓|
|Vitamin K oral drops||You must provide|
|Erythromycin eye ointment||✓|
|Metabolic screening test||✓|
|Hep B Vaccine||✓|
|Public cord blood collection||No|
|Private cord blood collection||✓|
*Moms can take their placenta home with them the day of delivery. You are encouraged to bring a cooler and have your doula or other support person take it home and process it within a few hours of your birth.
All visitors must be healthy. Everyone must bring an ID and check in on the third floor at the Women's Center Concierge Desk.
|Length of stay: Vaginal||2 nights|
|Length of stay: C-section||3 nights|
|Private postpartum recovery rooms||✓|
|Sleep-chair for partner||✓|
|Family Visitation||8:30 AM - 10:00 PM|
|Other vistors over 12 years old||8:30 AM - 10:00 PM|
Nurses can help you get started with breastfeeding. A lactation consultant is available during the day to offer guidance and support.
|Mom, baby, and partner have matching security bands||✓|
|In-hospital Newborn Photography||✓|
|Family Waiting Room||✓|