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The Mountaineer Online



OB/GYN offers new primary care mission, family-centered approach


Kate Agresti

MEDDAC Public Affairs Specialist

The U.S. Army Medical Department Activity officials have announced that the Obstetrics / Gynecology Clinic (OB/GYN) has implemented a new primary care manager mission that promotes enhanced patient and provider relationships, continuity of care and personalized attention. This mirrors the MEDDAC commander’s vision, and it is consistent with Army Medical Department family centered care initiatives.
As a result, several steps have been taken to improve primary care within OB/GYN, and incorporate a family centered care approach. The following list offers specific information about each:

Primary Care
* All obstetric patients will have an identified obstetrical provider (either one of OB/GYN’s three obstetricians or three nurse midwives) who will see them for their OB visits and any health problems they may have during their pregnancy.

* The Guthrie OB/GYN clinic now offers “pregnancy sick call” for OB- and non-OB-related health concerns Monday through Friday from 7:15 to 9:15 a.m., except the first Wednesday of the month when it is held from 9:15 to 11:15 a.m. to accommodate staff training.

* A registered nurse phone triage service is available from 7 a.m. to 4 p.m. Monday through Friday at 772-9868 to answer patients’ pregnancy or postpartum questions.

* Emergency phone triage is available after hours and on weekends by calling 785-4050 to page the on-call provider.

“We assign patients an OB primary care manager at the onset of prenatal care and encourage them to see that person for the majority of prenatal visits,” said Lt. Col. Vickie L. Reiff, OB/GYN Clinic chief. “This fosters a reciprocal and trusting relationship. However, if they feel their personality is not matched well with their assigned provider, they may be reassigned.”

Family-Centered Care Approach
* The Guthrie OB/GYN clinic staff provides labor and delivery services at Samaritan Medical Center (SMC), with private labor and delivery and postpartum rooms available. A wide range of pain relief options for labor, including intrathecals and epidurals, are available for OB patients. Tours of SMC’s labor and delivery area are available to expectant parents and families by calling 785-4050.

* Patients whose spouses are deployed are reminded that two-hour drop-off care is available at the Memorial Drive Child Development Center. (Children must be registered and the annual registration fee must be paid for the year.)

* In addition, a certified, specially trained labor support person (a doula) is available through Operation Special Delivery. To take advantage of this free prenatal, labor, and postpartum service, call 315-455-6MOM.

* Second trimester anatomical ultrasounds are routine for all patients.

* Childbirth, breastfeeding and infant care classes, as well as lactation support resources during and after hospitalization, are available from Community Health Nursing (772-6404) and SMC’s nursing staff (785-4050).

* Guthrie Clinic provides maternity parking spaces for patients who fall between 36 and 42 weeks of pregnancy.

* The OB/GYN staff welcomes patients’ family and support people – including children – to come to routine obstetrical appointments. However, if OB patients are scheduled to have a physical exam it is best if they make other child care arrangements or bring someone along to help supervise their children.

“The OB/GYN Family Centered Care staff feels privileged to participate at one of the most important events in the lives of our military families – the births of their children,” Reiff said. “We recognize the special importance of the first minutes, hours, and days of a baby’s life in fostering parenting and positive, long-term parent / child relationships."

Questions on the OB/GYN Clinic primary care manager mission or Family-Centered Care Initiatives may be directed to 772-9868.






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