FAQs for Our Patients about the APD and DHMC Integrated Obstetrical Service

1. Will my provider be a part of the integrated service?
We anticipate that most of the APD providers (obstetricians and midwives) will choose to be part of this integrated service. Providers will have conversations with each of their patients to share their specific plans with the integrated service.

2. Will APD nurses be a part of this new service?
Over the coming months, we will be working closely to identify opportunities for APD nurses to work within the integrated service.

3. Aside from delivering my child at the Birthing Pavilion (for deliveries after July 14, 2018), is there anything else that will change in my care as a result of this service integration?
We are working to make the transition as smooth as possible for all APD patients. Each patient will have a conversation with her provider to discuss the transition.

4How will the doctors work with the midwives in prenatal care and delivery after the services are integrated?
Today, the APD and Dartmouth-Hitchcock providers follow the same protocols regarding physician involvement in midwifery births from the American College of Obstetricians and Gynecologists. We do not expect patients to experience any difference in how their midwife and obstetrician will work together to safely deliver their child following the service integration.

5. Will I still be able to access prenatal care at APD?
Our intention is continue to offer prenatal care at APD, even after July 14, 2018, the date that all deliveries will transition to Dartmouth-Hitchcock.

6. Will the birth experience be the same on the DHMC Birthing Pavilion as it is today on the APD Birthing Center for low-risk, low-intervention patients?
APD is widely known for its low-tech, high-touch birthing experience for low-risk patients who are medically appropriate for a low-intervention birthing experience. D-H has a midwifery service that has provided a low-intervention birthing experience to medically appropriate patients for many years. Our integrated obstetrics service will continue to focus on delivering personalized care to our patients.

7. Can patients be seen for prenatal care at both locations?
Yes, starting July 15, 2018, patients will be able to schedule appointments for prenatal and postnatal care at either APD or DHMC.

8. Can an APD obstetrical patient transfer their care to a hospital other than DHMC?
Yes, the choice of obstetrical provider is always the patient’s choice to make.There are a number of other hospitals in Vermont and New Hampshire that provide obstetrical services. If you wish to consider another provider, we encourage you to talk with your provider about which options may be best for you.

9. Where can I Iearn more about the birthing experience at DHMC?
We encourage you to visit the Dartmouth-Hitchcock website and experience a video tour of the DHMC Birthing Pavilion below.  

10. How was this decision reached?
Please view this joint message joint message from our President and CEO, Dr. Mooney, and the President and CEO of Dartmouth-Hitchcock, Dr. Conroy, explaining the difficult decision to integrate obstetrical care.