Medical Center leaders say the new system will streamline care for patients from 20 weeks gestation through six weeks postpartum by combining emergency triage with around-the-clock obstetric expertise.

Kristin Salyards, MSN, RNC-OB. manager, Family Birthing Center at OSF Saint Joseph Medical Center says most pregnant women will still enter the hospital through traditional channels, including the emergency department, but staff will quickly determine whether they should be treated in the OB ED.

“They will receive education from their providers offices, but they can also just present to the hospital like they have before,” says Salyards. “When they present to the ER, then the ER and the OB teams will collaborate to determine the best location for treatment for those patients.”

Women referred by their obstetric provider for pregnancy-related concerns can be directed straight to the OB ED upon arrival.

Located within the Family Birthing Center on the second floor, the OB ED features private space dedicated to the evaluation and management of pregnancy-related concerns. This specialized setting ensures patients receive expert care tailored to their unique needs. It also provides quick access to labor and delivery rooms, operating rooms and the special care nursery if emergency intervention becomes necessary.

 Non-obstetric emergencies will continue to be treated in the main emergency department.

Reducing stress and delays

The main goal of the OB ED is reducing delays and stress for expectant mothers experiencing complications or urgent concerns.

Salyards explains, “It’s ensuring that our moms have access to care when they need it, as soon as they need it right here.”

A key change is the addition of an in-house obstetrics provider available 24 hours a day, seven days a week. Previously, nurses handled the initial obstetric triage process before contacting providers as needed.

“The provider being in house 24/7 allows that immediate triage by an OB trained provider and then also allows that provider to be in house to provide whatever treatment is necessary for those moms.”

Staff members throughout the obstetrics department are being cross trained to work in multiple areas of care, allowing the hospital to adjust staffing levels as patient needs fluctuate.

The introduction of the OB ED also enhances coordination across hospital departments. Diagnostic orders, imaging, and lab services for obstetric emergency patients will be associated with the OB ED location within the electronic medical record, supporting accurate routing and efficient care delivery while maintaining standard workflows for collection, transport, and reporting.

Officials say a broader refresh of the Family Birthing Center that will include the addition of the OB ED is intended to create a calmer, more welcoming environment for patients and families while improving access to specialized maternity care.

For more information about the Obstetric Emergency Department at OSF HealthCare St. Joseph Medical Center, please visit our website.

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When talking about the good and bad of pregnancy, you might have heard terms like postpartum depression or, more casually, baby blues.

It’s critical new mothers get help in this area, says Tiffany Waters, a birthing center charge nurse at OSF HealthCare. She says up to 80% of moms experience the so-called baby blues. But when talking about maternal mental health, experts prefer the umbrella term: perinatal mood, anxiety and depression (PMAD). Perinatal refers to the time between conception and one year after delivery.

PMAD basics

Waters says for two to three weeks after delivery, most women experience hormone changes, a lack of sleep and general stress related to the “new normal.” Having a traumatic birth, like an emergency caesarean section, can compound mental health impacts. Waters says around one-third of women fall into this category.

All these factors can lead to a variety of longer-lasting PMAD symptoms, including brain fog, weeping, sleep changes, anxiety, depression, obsessive or compulsive behavior and even suicidal thoughts.

“There’s no one single cause that leads to a person experiencing these issues. It’s a combination of psychological, societal and biological factors,” Waters says. “There’s nothing a mom has done to get or deserve this experience. The best we can do is help her work through it.”

Screening and treatment

Waters says health care providers should screen a woman for depression and other mental health issues during and after pregnancy.

“There are commonly used tools,” Waters says. “The woman answers 10 questions. It gives us a rating on how their emotional and mental well-being is.”

She’s referring to the Edinburgh Postnatal Depression Scale (EPDS). Each question is scored 0 to 3, with 3 being the response that most signals a possible mental health issue. That’s 30 total points, and a final tally of 10 or higher would warrant further evaluation.

Waters also says research is ongoing into whether certain biological markers in a woman are a sign of mental health issues to come.

“It can be difficult to admit or even recognize that a person is having depression or anxiety symptoms,” Waters says. “There are lots of reasons for that. There’s societal pressure to be a great mom. Moms might feel like if they admit how they’re feeling, their children might be taken away.”

Waters says journaling or talking to a trusted adult can help a mom document the issues she’s facing, opening the door for her to get help.

If a mom is diagnosed with PMAD, a provider will talk with her about resources like support groups, counseling, spiritual care and medication. Daily things like improved diet and exercise and exploring new hobbies can also help. And Waters says mothers should not be afraid to prioritize themselves. It’s OK to ask for a break from daily housework, for example.

Why it’s important

Waters says untreated PMAD can have consequences for the whole family and the people around the family. Substance abuse and domestic violence can increase. But if treated, it means a better life for everyone.

“It will improve the whole family dynamic,” Waters says. “It will lessen stress for everybody and lead to a happier unit.”

Learn more

Read more about pregnancy and birth and behavioral and mental health on the OSF HealthCare website. If you are in crisis, the Suicide and Crisis Lifeline is 9-8-8.

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As the stigma around mental health continues to improve, people are more likely to seek treatment. A woman who has just learned she’s pregnant may wonder: should I stop taking medicines like Zoloft or Prozac? Will they hurt my baby?

Sarah Shoemaker, a certified nurse midwife at OSF HealthCare, says first of all, you’re not alone. She says around one in five women experience a mental health concern during pregnancy, and many of those women are taking medication for things like anxiety, depression and bipolar disorder. Shoemaker says most of the time, you can and should stay on your medication. But it’s a conversation you should have with your health care team.

Shoemaker implores women to talk about medication with their provider early Ideally, it’s before they conceive. Shoemaker says don’t change or stop your medicine routine until you have that talk. You may have your child’s best interest in mind, but a change could compromise your or your child’s health.

“There are some women who take years to find the perfect combination of medications that keep them stable and healthy. We don’t want to mess with that. Very rarely do we have to completely disrupt somebody’s medication regimen,” Shoemaker says. “Nothing in our field is black and white. There’s no such thing as bad medication or strictly dangerous medication. We weigh the pros and cons and decide what’s best for each patient.

“If you look online, you’re going to find all kinds of information. You’re going to find conflicting sources, old studies and poorly written studies,” Shoemaker adds, referencing the temptation to rely solely on your own research.

Shoemaker says a provider may order one or more ultrasounds before making a decision on medication. If a provider advises that a change is needed, you could go on a supplement. For example, Shoemaker says a medicine like valproic acid (a seizure medicine sometimes used for bipolar disorder) may increase the risk of neural tube defects (NTDs) in your unborn child. Spina bifida, or the abnormal development of the spinal cord, is a common NTD. In this case, a provider may advise adding a folic acid supplement at a high dose. Shoemaker adds that for medications like valproic acid, drugmakers and doctors are vocal up front: don’t start taking it if you’re trying to get pregnant. That way, you don’t have to possibly make a change mid-pregnancy.

If you’re on a medication that’s new to the market, that’s also a definite “must talk about” with your provider. That’s because we don’t know a lot about how new medications impact pregnancy. Shoemaker points out that scientists typically don’t do intense studies on pregnant women so they don’t disrupt the pregnancy. Rather, the research is done after birth.

“We discuss what the woman is on, how we can counteract the risk and what the actual risk is for her specific situation. Then we can make a shared decision about what is best for her and her family,” Shoemaker says. She adds that the woman’s entire care team – their primary care provider, their mental health provider and their OB/GYN or midwife – should be working together.

Shoemaker admits all this can be a tough task. But there are tried-and-true ways to get to the root of a pregnant woman’s mental health concern. Providers also build extra time into appointments to talk about mental health. Shoemaker says she often uses humor to break the tension. She can also use personal experiences to relate to the mom-to-be. And she’s also not afraid to ask a lot of questions: are you sure there’s nothing else we can talk about? How are you doing emotionally?

“If you continue to ask in new and different ways, women eventually open up. They say ‘yeah, this is really bothering me. I wondered if it was normal. I was afraid to talk about it,’” Shoemaker says. “Once you make it clear that the provider is a safe person to talk to and mental health is really important, women will open up.

“More women need to talk about how difficult it can be to be pregnant, to be a mother and to be going through this huge life transition,” Shoemaker adds.

Learn more about how you can a successful pregnancy and birth on the OSF HealthCare website.

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“I found a lump.”

It’s the unsettling phrase providers sometimes hear from women when they are performing their monthly breast self-check for cancer signs.

But lumps are not the only thing to watch for, says Heather Thompson, an OSF HealthCare breast health navigator who is herself a breast cancer survivor.

Signs to know

Each month, keep these in mind.

• Lumps, the most talked about sign.

“A lot of women, especially younger women, have very dense breasts. Sometimes it feels like a bag of rice with little bumps. That’s just the tissue,” Thompson says. “When you feel a hard nodule, fixed in place or sometimes mobile, you definitely want to get that reviewed.”

• Skin changes. This could be an orange peel skin appearance, flaky skin, irritation or a new dimple.
   
• Unexpected release of fluid or blood from the nipple. For example, if you are not breastfeeding, a nipple discharge would be unexpected.
   
• Unexpected inversion of a nipple.
   
• One breast larger than the other, or generally, any unexpected change to breast size.
   
• Any new pain in breast area.
   
• Tenderness, swelling, pain or lumps under your armpit. This is one some women may overlook since it doesn’t deal with the breasts.

“Your lymphatic system drains to armpits,” Thompson explains. “So, if there’s anything going on in the breast, it’s going to show up in your armpit eventually.”

When and how

Thompson recommends women pick a date each month for a self-check and stick with it. The first of each month, for example. This way, you can put it on your calendar, and it’s easy to remember. And, she says the feel of your breasts will change as days go by. But, choosing the same time each month gives you a baseline feel and helps avoid false positives. Thompson also advises making your chosen date a week after your menstrual cycle ends.

Thompson says many women find it convenient to examine themselves in the shower. Regardless of where, she says a good technique is to move your fingertips in a circle from the outside to the center of the breast, pressing down and feeling for abnormalities. Then, do the same under each armpit. And also, glance in the mirror for a good look at visual signs, such as one breast larger than the other.

Some women have a trusted adult, like a spouse, also feel their breast for a second opinion. Others may take photos during their self-check to show their provider. Both ideas are acceptable, Thompson says.

“When you go to the doctor, they can look at the picture. If the abnormality has changed or gone back to normal, then we know it’s nothing to really worry about. But if the issue has increased in size or looks worse, it’s something to be concerned about,” she says.

What happens next

If you find something concerning in a self-check, call your primary care provider or OB/GYN right away and explain what you found. Thompson says the provider will likely order a diagnostic mammogram, an outpatient procedure at a doctor’s office. The radiologist should read the results on the spot. If a closer look is needed, you may undergo an ultrasound, another way to image the breast, or a biopsy, which takes a tissue sample for testing.

It's important not to panic, Thompson stresses. If you have severe pain or an abscess, you should go to the emergency department. But for abnormal findings on a self-check, that’s not necessary.

“If you go to the emergency department with a lump, they’re going to send you home, and you’re going to have to go through the process of calling your provider.

“Breast cancer is not going to change that drastically in three to four weeks,” Thompson adds. “It’s not going to make that big of a difference. However, you want to get yourself scheduled and be proactive. Don’t say ‘Oh let me watch it for a few months and see if it changes.’”

But do keep track of any changes between when you make the appointment and appointment day.

Why it’s important

Thompson says a monthly self-check goes hand-in-hand with regularly scheduled mammograms as the most important ways to prevent breast cancer. You should talk to your primary care provider or OB/GYN about what mammogram schedule is right for you.

“Typically, we do a mammogram every year to get the breast image,” Thompson says. “But during the year, things can develop that you don’t notice. Some things can develop very quickly.

“By doing a monthly exam, you learn your body. You know how it feels,” she adds. “Each month you may say ‘Well I didn’t remember that there last month.’ So you can address it right away.”

Early detection is key for a better outcome. Conversely, unchecked breast cancer is a major killer in the United States. The American Cancer Society estimates about 43,700 women will lose their life to the disease in 2023.

Learn more

Read more about breast health and breast cancer on the OSF HealthCare website.

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The Mason family includes multiple generations of doctors and has been involved in philanthropy and community service in Danville and across Illinois. In 2004, the healing garden in front of OSF Sacred Heart (then called Provena United Samaritans Medical Center) was named in Mason Jr.’s honor.

Mason Jr.’s children recently toured OSF Sacred Heart to see quality patient care firsthand. The hospital’s family birthing center reopened in September to meet a critical need in the Vermilion County area.

“Every patient care area in the hospital is on our list to upgrade so our guests have a comfortable experience,” said Ned Hill, president of OSF Sacred Heart. “This contribution from the Mason family will go a long way toward that goal in our birthing center, a busy area of the hospital where our caregivers help mothers during their life-changing experience. We’re grateful for the Mason family’s commitment to OSF Sacred Heart and to Danville.”

Families interested in a tour of the family birthing center at OSF Sacred Heart can call (217) 443-5214. Those interested in supporting OSF Sacred Heart’s mission of serving with the greatest care and love can learn more here.

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At OSF HealthCare Heart of Mary Medical Center in Urbana, a team of OB/GYNs and certified nurse midwives from Advanced Women’s Healthcare will see patients for well-woman, prenatal and postpartum care at the medical office building on the OSF Heart of Mary campus (1405 W. Park St.). This is in addition to the existing team at the clinic, including nurse midwife Kelli Daugherty, APRN, who sees patients in Urbana and Danville.

Dele Ogunleye, MD, obstetrician and gynecologist, and Brittany King, APRN, will see patients initially, with three other certified nurse midwives (Lindsay Bustle, CNM, Laura Muehling, CNM, and Lilly Ott, CNM) joining the team in the coming weeks.

Clinics with Advanced Women’s Healthcare providers and OSF Mission Partners (employees) will also serve patients in Forsyth (845 US Route 51), with an expected opening in February, and in Lincoln (602 Woodlawn Road), with an expected opening in April.

“This new select service offering is in alignment with OSF’s long-standing tradition of helping women access high-quality, compassionate clinical care where they need it,” said Jennifer Ulrich, interim president of OSF HealthCare St. Joseph Medical Center in Bloomington. “Our relationship and all services offered in our hospitals and clinics align with our OSF Mission, Values and our ethical commitments as a Catholic health care ministry and ensure holistic and caring obstetrics care for all women in the area communities.”

Services at OSF Medical Group – Obstetrics & Gynecology will include typical care offerings at OSF HealthCare locations, such as well-woman visits, prenatal and postpartum care, pelvic floor disorder treatments and general gynecologic care.

“We continue to see a shortage of obstetricians and gynecologists across the nation. This model of midwife care is an answer, allowing for a superior patient experience with more time for each woman,” said Dr. Ogunleye. “We are pleased to collaborate with OSF to expand this service.”

The expanded clinic serving the Champaign-Urbana area is expected to begin February 12. Hours will be Monday through Friday 8 a.m. to 4:30 p.m.

“OSF HealthCare remains committed to women’s health,” said J.T. Barnhart, president of OSF Heart of Mary. “We know mothers want quick answers about their care, and this new collaboration allows well-educated midwives to form trusted relationships with the women they serve.”

People interested in an appointment can call:

Urbana: 217-337-2010
Forsyth: 217-443-5697
Lincoln: 217-828-6111

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For OSF HealthCare, the example set by our founding Sisters nearly 146 years ago enables us to confront change head on. Leading transformation has been and continues to be part of who we are.

Many hospitals and health care systems, especially in rural areas, are struggling to care for expectant mothers right now. This is due to several factors, including physician shortages, staffing challenges, regulatory requirements and financial hardships.

“Within the OSF HealthCare system, we are blessed to have excellent providers and clinical teams who care deeply for the patients and families who depend on us – including those who are expanding their families,” said Liz Davidson, RN, interim president at OSF HealthCare Saint James-John W. Albrecht Medical Center.

OSF HealthCare is evaluating where to provide birthing, labor and delivery units, as well as general obstetrics and gynecological services such as prenatal visits or well-woman visits.

The number of babies born at OSF Saint James has declined in recent years, which aligns with the aging population of Livingston County. Currently, Pontiac is birthing 10-15 babies per month on average, which is a sharp decline from the 500+ babies born annually at OSF Saint James in years past.

OSF Saint James will shift its services to focus on the future growth of services outside of the delivery of babies, and will streamline its labor and delivery services to other hospitals within OSF HealthCare to ensure the long-term viability of all of our hospitals.

OSF Saint James will continue its commitment to women’s health through a variety of services including, but not limited to, gynecological surgical procedures, lactation counseling, natural family planning via the Creighton Model Fertility Care System, and overall women’s health, such as 3D mammography, bone density, and wellness screenings.

In addition, OSF HealthCare will offer a hybrid model of in-person visits and digital tools for women who prefer to take advantage of some virtual offerings – whether to help busy patients with scheduling conflicts or transportation concerns. For example, we could offer a virtual visit for every other visit throughout a healthy pregnancy.

This care model is used in other OSF HealthCare markets similar to Pontiac and works well, to provide the right combination of digital tools with in-person, compassionate care.

“We want to be where our patients need us, and OSF HealthCare is committed to offering digital services to supplement our in-person care,” Davidson said. “We can offer virtual visits for most healthy pregnancies throughout prenatal care, or our remote patient monitoring program for prenatal and postpartum care is available to complement your visits to a doctor’s office, with on-demand learning based on where a woman is in her pregnancy.”

In addition, OSF lactation experts offer virtual lactation assistance to any woman, regardless of geographic location.

Patients with questions about their ongoing care, OSF Medical Group teams are available: 815-842-3567.

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“Our team is pleased to announce this return to the community,” said Ned Hill, president, OSF Sacred Heart. “We are committed to providing exceptional patient care and know the challenges our young families have experienced throughout the last few months. We are so appreciative of their patience with us.”

While the birthing unit at OSF Sacred Heart will reopen in September, outpatient prenatal care, post-partum care, general women’s health and pediatric services will continue at OSF Sacred Heart and OSF Medical Group in Danville.

“Similar to the rest of the country, staffing has been our biggest challenge. Until we were able to ensure each mother, child and family who needed us was able to have our undivided attention and a care plan that is customized to their precise wishes, we needed to transfer care to Urbana,” said Hill. “Now that we have new providers and a plan to care for our youngest patients and their parents, we are ready to resume services for obstetrics and newborn care in Danville.” 

In addition, more digital tools will now be used in Danville supplement in-person care.

OSF HealthCare will offer a hybrid model of in-person visits and digital tools for women who prefer to take advantage of some virtual offerings, whether to help busy patients with scheduling conflicts or transportation concerns. For example, OSF could offer a virtual visit for every other visit throughout a healthy pregnancy.

“We want to be where our patients need us, and OSF HealthCare is committed to offering digital services to supplement our in-person care,” Hill said. “Our remote patient monitoring program for prenatal and postpartum care is available to complement your visits to a doctor’s office, with on-demand learning based on where a woman is in her pregnancy.”

In addition, OSF lactation experts offer virtual lactation assistance to any woman, regardless of geographic location.

As a part of this reopening at OSF Sacred Heart, OSF HealthCare Heart of Mary Medical Center in Urbana, Illinois, will soon submit applications with the appropriate state and regulatory approvals to discontinue obstetrical care.

This decision was based on a number of factors, including access to care, travel time to hospitals and vulnerable populations. These factors combined with staffing challenges and the ability to recruit led to this decision.

The Blessed Beginnings Birthing Center at OSF Heart of Mary will transition all labor and delivery care to either OSF Sacred Heart in Danville or OSF HealthCare St. Joseph Medical Center in Bloomington, Illinois. This transition will also take place in September, although the exact timing is yet to be determined.

After September 2023, patients who are currently patients of OSF Medical Group – Obstetrics and Gynecology in Urbana will be referred to OSF Medical Group - Primary Care in Champaign, Illinois, or our Danville OB/GYN location.

OSF HealthCare will continue its commitment to overall women’s health through a variety of services including, but not limited to, regular well-woman annual visits, mammograms and general gynecology services, as well as bone density and wellness screenings at OSF Medical Group – Primary Care offices in the Champaign area.

For more information on the birthing center at OSF Sacred Heart, please call 217-443-5000. If patients have other questions, OSF Medical Group teams are available: 217-337-2010 (Champaign-Urbana) or 217-477-4718 (Danville).

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