Prenatal Care

One of the most important things you can do for yourself and your baby is to get proper prenatal care by scheduling regular visits with your physician or midwife. For most pregnancies, prenatal exams are scheduled every month for the first four months, every two weeks for the next two months and then weekly until delivery.

Early pregnancy is also a great time to learn as much as you can about the changes you’ll experience physically and emotionally. It’s a time to get ready to bring your newborn home. Overlake offers tours of the Childbirth Center and a wide selection of classes and services to help you and your family.

To register for a class or take a tour, contact Overlake at 425.688.5259 or search for a class and register online.

Register for Your Hospital Admission

While getting ready for baby, we help you take one more thing off your “to do” list. Register for your hospital admission early. You can:

  • Get the form from your healthcare provider.
  • Pick up a form from Admitting.
  • Or register online.

Then, when you come to the hospital to have your baby, you don’t need to go to the main Admitting desk. Come directly to the Childbirth Center on the sixth floor of the West Garage.

Trimester by Trimester To-Do List

First Trimester

Second Trimester

Third Trimester

Postpartum Care

Maternal Fetal Medicine

Overlake works with Eastside Maternal Fetal Medicine to provide high-risk obstetrical care and consultation services to the families and obstetrical providers in the greater Eastside area. They offer diagnostic ultrasound, genetic counseling, prenatal diagnosis, management of high-risk pregnancy, and programs for multiple births, expectant mothers with diabetes and prematurity prevention.

How to Know You Are in Labor

Your body knows what to do to deliver your baby, but it takes time. What is best for you and the baby is to let your body have the time it needs to prepare itself for birth.

Here is what your brain needs to think about while you let your body prepare: There is false labor and there is true labor. False labor does not mean you are not experiencing pain, but it is only the beginning of your body’s preparation for birth.

How to tell the difference? Contractions are longer, stronger and closer together. Time five contractions for how long they last and how far apart they are. Then wait an hour, and time five more. If they are longer stronger, and closer together in time, you may be starting true labor.

How to help your body prepare:
﹥ Take a walk
﹥ Watch a movie
﹥ Take a nap
﹥ Change positions–use pillows for comfort or try walking
﹥ Take a shower or bath
﹥ Listen to relaxing music, dim lights, peaceful surroundings
﹥ Touch, massage, counter pressure against lower back
﹥ Try slow, deep breathing
﹥ Drink water, juice or other clear liquids
﹥ Eat light, healthy snacks
﹥ Apply heat or cold to a painful area (lower back), cool cloth to wipe face

Call or come to the childbirth center if:
﹥ You have bright red bleeding like a period, you are passing blood clots or are concerned about spotting or bleeding
﹥ Your baby’s activity has decreased or has stopped
﹥ You have a sudden gush or continued leakage of fluid from the vagina
﹥ You feel increasingly strong pressure between your legs
﹥ You are having very uncomfortable contractions that are becoming longer, stronger and closer together, coming every 5 minutes, last about 60 seconds, and have been doing that for 1–2 hours [ the 5:1:1 rule]. 

Your healthcare provider will give you specific guidelines for when you should get ready to come to the hospital. We only want to admit you if you are in true labor or there are concerns for mother or baby well-being. 

If you do need an induction, we will use techniques and medicines to help your body prepare for delivery – or help your cervix become “ripe and ready.” These techniques may not work, and you may be sent home until your cervix has softened and is ready for birth.

The best birth is a vaginal birth. Induction and Cesareans should only be done when medically necessary, as they add risks to both mother and baby.

Listen to your provider. Your doctor or midwife might suggest starting labor using medical treatment (induction) or having a c-section. This is generally advised when either you or your baby has a health condition that could effect the health of either you or your baby. There are risks to these procedures as seen below. Talk with your doctor or midwife about risks and benefits.

Some of the risks of Induction are:
﹥ More labors started with induction end up with a cesarean section (“C-section”) than labors that start on their own. This is especially true if this is your first baby
﹥ Labors started by Induction are usually longer
﹥ Infection in the mother or baby
﹥ All medications have risks. For example, contractions may come too fast and affect the baby’s heart rate.

The risks decrease significantly if your cervix is “ripe and ready” for delivery. [Bishop Score of 9 or greater for first births and 6 or greater for subsequent births]

Some of the risks of a C-section or Cesarean birth are:
﹥ Infection
﹥ Blood loss
﹥ Blood clots in the legs, pelvic organs or lungs
﹥ Injury to the bowel or bladder
﹥ Reaction to medications and anesthesia used.
﹥ Your hospital stay will be longer after a cesarean birth.

The more cesarean births a woman has, the greater her risk for some medical problems and problems with future pregnancies. This may not be a good option for women who want to have more children.

Questions about Cost

If you have questions about the costs of your hospital stay, insurance coverage or payment, our financial counselors can help you. You may call 425.467.3518 or 425.688.5655 Monday through Friday, 6:30 a.m. to 3 p.m.