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  Obstetrical Emergency Department (O ...
# OBED
## Obstetrical Emergency Department
Norman Regional Hospital has an Obstetrical Emergency Department (OBED)
to elevate the standard of care in its Labor and Delivery triage area.
During the course of a pregnancy, a woman (20 weeks gestation or above)
may be referred to or seek care at the OBED for evaluation and/or treatment
of potential urgent medical conditions. This elevated level of care allows
for a patient and her unborn child to be evaluated by a physician who
is a board-certified, OB hospitalist 24 hours a day, seven days a week.
The OB hospitalist will work closely with a patient’s primary physician
and the nursing staff to assess her condition, discuss her care options
and provide appropriate treatment.
All unscheduled labor and delivery patients should use the Emergency Entrance
located at the east side of Norman Regional Hospital.
Please note that insurance carriers will process any visits to the OBED
as an emergency room visit, subject to any co-pays, co-insurance or other
applicable fees under a patient’s policy.
### Postpartum Concerns
The OBED also treats postpartum patients up to six weeks postpartum with
specific conditions.
#### Post-Birth Warning Signs
There are multiple post-birth warning signs. Some require calling 911 while
some may just require a call to your healthcare provider.
##### Call 911 if you’re experiencing:
* Chest pain
* Obstructed breathing or shortness of breath
* Seizures
* Thoughts of hurting yourself or your baby
##### Call your healthcare provider if:
* You’re bleeding, soaking through one pad/hour, or blood clots the
  size of an egg or bigger
* Have an incision that is not healing
* Have a red or swollen leg that is painful or warm to the touch
* Have a temperature of 100.4 degrees or higher
* Have a headache that does not get better after taking medicine, or a bad
  headache with vision changes
If you cannot reach your healthcare provider, go to urgent care, the emergency
department, or call 911.
When calling, be specific. Tell the 911 dispatcher or your healthcare provider
“I had a baby on [this date] and I am having [these specific warning
signs].”
## The Blue Band Program
The Blue Band Program is a program where labor and delivery patients who
are diagnosed during their hospital stay with high blood pressure issues
such as preeclampsia, gestational hypertension or chronic hypertension
are given a blue wristband they are instructed to wear up to six weeks
postpartum.
The labor and delivery staff has worked closely with the emergency department
to ensure all staff are familiar with these programs and any patients
presenting with post-birth warning signs symptoms or who are wearing a
blue band are evaluated promptly.
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405-515-2222
  Awards and Recognition
# **Awards/Recognition**
Norman Regional Health System celebrates Gold National Safe Sleep Hospital
Certification through Cribs for Kids. The National Safe Sleep Hospital
Certification Program was created by Cribs for Kids®, a national infant
safe sleep organization. Headquartered in Pittsburgh, PA, Cribs for Kids
is dedicated to preventing infant sleep-related injuries and deaths due
to SUID and accidental suffocation. As a Nationally Certified Safe Sleep
Hospital, Norman Regional is recognized for following the safe sleep guidelines
recommended by the American Academy of Pediatrics (AAP) and providing
training programs for healthcare team members, and safe sleep education
to family and caregivers.
“Sleep-Related Death (SRD) results in the loss of more than 3,500
infants every year in the U.S.,” said Michael H. Goodstein, M.D.,
neonatologist and medical director of research at Cribs for Kids®.
“We know that modeling safe infant sleep in the hospital and providing
education to families has a significant effect on infant mortality. Cribs
for Kids Hospital Certification Program is designed to recognize those
hospitals that are taking an active role in reducing these preventable
injuries and deaths.”
GOLD Requirements:
* Implement hospital or hospital system-wide Infant Safe Sleep Policy.
* Promote safe sleep education on the hospital website
* Promote hospital-wide infant safe sleep imagery
* Provide safe sleep training to staff caring for infants < 1 year
* Provide safe sleep education to family/caregivers of infant < 1 year
* Identify families needing a safe sleep space and provide resources
* Implement Quality Improvement measures based on compliance audits
* Use AND/OR gift wearable blankets
  **OR** Assign Cribs for Kids Hospital-wide Training Module to every hospital employee
* Identify at-risk family/caregivers in need of infant safe sleep spaces
  and distribute safe sleep spaces before discharge.
* Engage in a minimum of 2 community outreach initiatives to educate the
  community on infant safe sleep.
## Gold Level Spotlight Hospital in Perinatal Care
The Oklahoma Perinatal Quality Improvement Collaborative (OPQIC) seeks
to recognize hospitals that are creating a culture of excellence in perinatal
care for Oklahoma mothers and newborns. Oklahoma birthing hospitals meeting
criteria were recently recognized as bronze, silver and gold level “Spotlight
Hospitals”. Criteria includes:
* Early Elective Delivery rates
* Breastfeeding practices
* Safe Sleep Certification
* Oklahoma Mothers and Newborns affected by Opioids (OMNO) participation
* TeamBirth participation
* Joint Commission Perinatal Care Certification
* Newborn Screening-Transit Times
* Newborn Screening - Unsatisfactory rates
Norman Regional is honored to be selected as one of this year’s gold-level
hospitals and proud of the dedication of our entire perinatal care team
that made this possible.
## Women's Choice Award Best Hospital in Obstetrics
The Women’s Choice Award® identifies America’s Best Hospitals
& healthcare facilities across our nation based on robust criteria
that includes relevant clinical performance, patient satisfaction and
appropriate accreditations to help women make smart healthcare choices.
Being treated with the proper level of care impacts your health, well-being
and healing, so our goal is to simplify your choice by identifying those
hospitals that have demonstrated the highest level of quality care to
their patients, with a special focus on the female experience.
3500 Healthplex PKWY |
OK
  Bereavement
# Bereavement
## Parents Responding to Infant Death Experience
### About
Parents Responding to Infant Death Experience, known as P.R.I.D.E., is
an intervention team of nurses, chaplains, and social workers who are
available to answer any questions you might have about your experience
with miscarriage, ectopic pregnancy, stillbirth or neonatal death and
support you through the grief processes. PRIDE’s goal is to reach
grieving families at all stages in their grief, whether it is at the time
of loss or in the years following.
### Contact Us
If you have any questions or concerns, please leave a message on the PRIDE
services voicemail at
405-515-3520. Voicemails will be checked weekly on Wednesdays.
Pastoral Care:
405-307-1023
## PRIDE Events
### Walk To Remember
This walk is in honor of pregnancy and infant loss awareness month. The
walk will be hosted on the first Sunday in October at 2 p.m. Participants
will meet at the Hospital on the lower level at the south end of the cafeteria.
Anyone is welcome.
## Bereavement Resources
## Other Support Groups/Counseling
* Crossings Community Church offers support groups. They offer a grief share
  support group and a miscarriage and infant loss support group that will
  begin meeting again for a fall session in August. For more information call
  405-755-2227.
* Alison J. Squire, M.S., LPC Counseling Services for expecting, new, and
  overwhelmed moms.
  405-250-7448,
* Oklahoma Family Network 800 N.E. 15th St., Suite 516 Oklahoma City, OK 73104,
  405-271-5072 or
  877-871-5072,
* .
## Lactation
* Kellymom.com has resources for lactation after pregnancy loss
* Information on donating pumped milk can be found on the Oklahoma Mothers
  Milk Bank
## Disclaimer
Norman Regional Health System is not in a business relationship and does
not endorse these vendors. This list is offered only as a reference of
resources for PRIDE parents/families.
## Thank You
Thank you to the following for donating to our PRIDE closet.
* Norman Regional Foundation
* Asha's Angels
* Minutes of Gold Layettes
* Bridget's Cradles
  Build a Brain Program
# Build a Brain Program: Empowering Parents, Building Brighter Futures
At Norman Regional Hospital, we believe that early childhood development
starts at birth. That’s why we’re excited to introduce the
**Build a Brain, Build a Life, Build a Community®** program—an innovative initiative designed to equip parents and caregivers
with essential tools and resources to maximize their baby’s brain
development during the first three years of life.
### Why Early Brain Development Matters
Research shows that 85% of a baby’s brain is built in the first three
years of life. During this time, simple interactions like talking, reading,
singing and playing create the foundation for lifelong learning and healthy
brain development. Recognizing this, Norman Regional has made it a priority
to empower parents as their child’s first teachers.
**“Parents are baby’s first teachers,”** said Ariel Anglin, Health Promotions Specialist at Norman Regional.
**“We want to equip parents and caregivers from the very beginning
so they can feel confident and play an active role right away.”**
### How the Program Works
The
**Build a Brain** program provides parents with complimentary resources to support their
baby’s early development, including:
* **Informational Video**: A short, engaging video highlights the importance of interaction and
  communication with your baby, even during routine activities.
* **Brain Bag**: A resource kit that includes the
  *Baby Steps* booklet, which tracks developmental milestones from birth to kindergarten.
* **Email Updates**: Families can sign up to receive guidance on key developmental milestones
  in areas like social/emotional, cognitive, language/communication, and
  physical development.
### A Family-Centered Approach
This program isn’t just about education—it’s about fostering
strong family bonds. Jamie Barnes-Polski, nurse manager for the Women’s
and Children’s Unit, emphasized the importance of personalized support:
**“Moms and babies are learning together. Things are always changing
in healthcare and with best practices, so we want families to have everything
they need to feel equipped to care for their babies,”** Barnes-Polski said.
**“This program is right in line with our mission to provide personalized
healthcare with compassion and excellence. It doesn’t get more personal
than this.”**
### A Success Story: The Hopkins Family
**!**
The first family to experience Build a Brain was the Hopkins family. Parents
Kylie and Shane Hopkins welcomed their second son at Norman Regional and
appreciated the program’s focus on brain development.
**“I think it’s great the hospital is trying to get that information
out there,”** said Shane Hopkins.
**“I think it’s going to be very helpful those first few years,
stuff we’ve tried to do with Krew already… talking to him
a lot, reading books to him every night.”**
### **Learn More About Build a Brain**
Ready to help your baby thrive? Visit
 to explore the resources, sign up for milestone updates, and start building
a strong foundation for your child’s future.
**Build a Brain, Build a Life, Build a Community®**—because every baby deserves the best start in life.
  Centers of Excellence
# Centers of Excellence
Our organization recognizes the value of certifications and accreditation
and the impact of process improvement upon the perinatal patients. We
uphold a high level of staff competence and a commitment to excellence
in the care of every family we serve.
Norman Regional Health System is the first program in the state of Oklahoma to be
**certified in Advanced Perinatal Care** by
**The Joint Commission**. This certification exemplifies our commitment to quality improvement
and best practice implementation. Most importantly, it shows our dedication
to the health and wellness of
every growing family in our community.
Norman Regional Health System is the
**1st** OB Emergency Department in the United States to achieve
**certification in Emergency Services – Obstetrics** by
**The Center for Improvement in Healthcare Quality**. This certification demonstrates our awareness of maternal and neonatal
complications that require the highest level of expertise to manage and
treat when seconds count. We provide care for OB related emergencies to
expectant women from 14 weeks gestation through 6 weeks post-partum.
## Results:
* Early Elective Delivery - Numerous studies show early elective deliveries
  are associated with increased maternal and neonatal complications for
  both mothers and newborns, compared to deliveries occurring beyond 39
  weeks and women who go into labor on their own. Below is the most recent
  national data - 2022.
* + National rate = 2%
  + Oklahoma rate = 3%
  + **NRHS 2023 rate = <1%**
  + **NRHS current rate = 0**
* Cesarean Delivery NTSV (Nulliparous, 1st baby, Term, greater than 37 weeks gestation, single baby delivered in
  the vertex position). Below is the most recent national data - 2021.
* + The Joint Commission Target Rate = <30%
  + Healthy People 2030 Target rate = 23.6%
  + National rate = 25.7%
  + Oklahoma’s rate = 25%
  + **NRHS 2023 rate = 23.9%**
  + **NRHS current rate = 22.2%**
* Exclusive Human Milk Feeding – The American Academy of Pediatrics,
  World Health Organization, Department of Health and Human Services and
  the American College of Obstetrics and Gynecologists continue to emphasize
  their positions on the impact of exclusive human milk feeding for the
  first 6 months of neonatal life. Below is the most recent national data - 2021.
  + Goal from World Health Organization = 42.4
  + National rate = 49%
  + Oklahoma rate = 47%
  + **NRHS 2023 rate = 71%**
  + **NRHS current rate = 70%**
* Patient Satisfaction - NRC (National Resource Corporation). Below is the
  most recent data from 2023.
  + NRC Inpatient care benchmark = 64.1%
  + **NRHS Inpatient - Maternal Child Services from 339 patient surveys = 78.5%**
* + NRC Emergency care benchmark = 48.5%
  + **NRHS OB Emergency from 293 surveys = 70.3%**
*Please contact our Perinatal Centers of Excellence Program Administrator
for more information about these and other perinatal quality metrics at
405.307.3047 or* *tfaires@nrh-ok.com**.*