Maternal Mortality: MMPOY0104c_027

HOUSTON, Texas:The Center for Children and Women— opened in November 2014They can walk in, get seen, get signed up for chip. There’s a dental clinic, lab, pharmacy, behavioral health specialists, radiology, optometry, speech therapy   Procedures done in house. “One of the biggest problem women w diabetes has is it affects their vision” -Lisa Hollier MD, 53,— medical director (doc who gave us tour) (cell: 832-259-8330)High risk ultrasound, patients coming for routine prenatal care, well woman visits. Pavillion for Women is both in and out patient. High risk deliveries in Pavillion Low risk deliveries at CHI St Luke’s in sugar land “We wanted to do everything we could to make it easy for moms to get the best care” —dr Lisa “For Texas, this care model became a demonstration project for the state... what they found {after study} is we were able to get patients in earlier, lower cesarian delivery rate, Etc etc FIRST SCENE:Woman getting ultra sound with cute daughter:35 weeks pregnantBrenda Reyes, 40 cell: 832-820-5233 Br.reyes77@gmail.com — undocumented (ok to use full name)Has diabetes. Had 3 babies plus miscarriage Abigail Rocha, 8 (daughter)De Mexico - tampolias, has been in Texas since 2000. CHIP prenatal coverage. 10 year old son in addition 7 year old alsoLives right near the center Arrived by car Medicaid told her about the center. Ultrasound tech— Laura Fernandez (doing first ultrasound) (cell: 832-348-9058)SECOND SCENEPatient:Nyasha Oxley, 33,  23 weeks pregnant (cell: 832-746-2538)Originally from st Vincent (Caribbean). Has been in Texas since 2013. Has two children: girls ages 4 & 2. This will be third child. Both cesareans. Both high risk pregnancies. “It’s important for me to be in good hands. The doctor I saw before I came here told me to bring it up at 35 weeks. It kind of turned me off... so I came here.”30 min to get here by car. Husband is a pastor. When I first got pregnant in 2013 I was looking for places & they didn’t accept my insurance. So I told myself “if I get pregnant again I’ll get insurance so I can come here”First pregnancy was not a good experience: they sent me to UTMB all the way to gavelston. They sent me to pearland. The UTMB experience in pearland was mixed emotions. I had a high risk pregnancy. They wouldn’t tell me anything. They would say “everything is okay” when UTMB said it wasn’t. “The fact that they can be honest with me, is what I want. Even if it’s bad news.” (Here at the center)She has a scar on her uterus from previous cesareans. Is at risk from uterine rupture. “I feel good, except because I’m high risk, there’s always that fear that anything can happen... the first chance of any contraction I have to rush to the hospital... the fact they are showing that much concern is good.” “The dr told me w other hospitals might not tie your tubes, and I need that done”“We’d rather see you 400 times and tell you everything is great, than not see you that one time” —dr Lisa quote THIRD SCENE:Patient:Lucia Antonieta Batz batZ, 28, (yes, batz twice is correct) wearing blue knit top. De guatemala. Has been in Texas for 5 years. Has one other son— 2y/032 weeks pregnant 15 min in car— her husband brought her. doctor: Chinyere Ohakweh, 32FOURTH SCENE: (dark ultrasound room)(Same ultrasound tech as scene 1: Laura Fernandez)Patient with three kids (34 weeks pregnant):Has Cholestasis :Ivanna Capetillo, 20Cell: 281-662-2426Kids:Armando Chavez, 11– little brother of patient— boy wearing blue and gray striped shirt Shirley Capetillo, 12, little sister of patient — girl wearing cream colored top Angel Regil, 4, patient’s son— boy w iPad Notes:Born in Mexico, moved to Texas as a baby. Second pregnancy. First pregnancy had gestational diabetes. Her insurance told her about this center. Lives 20 min away, drove here today. Fifth scene: Releases and names TKTexas Children’s Pavilion for Women:Woman in surgery:5th child — 33 weeks pregnant Loren Mark Haubelt, 33 — dadLoren Denise Haubelt, 30 —Casey Otto Haubelt— newborn From Corpus Christy - mom found out about the hospital by doing research online. First two were natural birth. Third one— baby was big — or so they thought. She opted for a c section. Then 4th another c section. “The hardest part was the waiting and she didn’t have much bleeding, so it was ... “The doctor called and said we’re taking her today. “We never really had much concern (about the baby). Our biggest concern was just mother. But she did fine. “What scared us at first was doing it somewhere else because women die doing this kind of thing” -Loren (dad)

HOUSTON, Texas:

The Center for Children and Women— opened in November 2014

They can walk in, get seen, get signed up for chip. There’s a dental clinic, lab, pharmacy, behavioral health specialists, radiology, optometry, speech therapy

Procedures done in house.

“One of the biggest problem women w diabetes has is it affects their vision”

-Lisa Hollier MD, 53,— medical director (doc who gave us tour) (cell: 832-259-8330)

High risk ultrasound, patients coming for routine prenatal care, well woman visits.

Pavillion for Women is both in and out patient. High risk deliveries in Pavillion

Low risk deliveries at CHI St Luke’s in sugar land

“We wanted to do everything we could to make it easy for moms to get the best care” —dr Lisa

“For Texas, this care model became a demonstration project for the state... what they found {after study} is we were able to get patients in earlier, lower cesarian delivery rate, Etc etc

FIRST SCENE:

Woman getting ultra sound with cute daughter:

35 weeks pregnant

Brenda Reyes, 40 cell: 832-820-5233

Br.reyes77@gmail.com — undocumented (ok to use full name)

Has diabetes. Had 3 babies plus miscarriage

Abigail Rocha, 8 (daughter)

De Mexico - tampolias, has been in Texas since 2000. CHIP prenatal coverage.

10 year old son in addition

7 year old also

Lives right near the center

Arrived by car

Medicaid told her about the center.

Ultrasound tech— Laura Fernandez (doing first ultrasound) (cell: 832-348-9058)

SECOND SCENE

Patient:

Nyasha Oxley, 33, 23 weeks pregnant (cell: 832-746-2538)

Originally from st Vincent (Caribbean). Has been in Texas since 2013.

Has two children: girls ages 4 & 2. This will be third child. Both cesareans. Both high risk pregnancies. “It’s important for me to be in good hands. The doctor I saw before I came here told me to bring it up at 35 weeks. It kind of turned me off... so I came here.”

30 min to get here by car.

Husband is a pastor.

When I first got pregnant in 2013 I was looking for places & they didn’t accept my insurance. So I told myself “if I get pregnant again I’ll get insurance so I can come here”

First pregnancy was not a good experience: they sent me to UTMB all the way to gavelston. They sent me to pearland. The UTMB experience in pearland was mixed emotions. I had a high risk pregnancy. They wouldn’t tell me anything. They would say “everything is okay” when UTMB said it wasn’t.

“The fact that they can be honest with me, is what I want. Even if it’s bad news.” (Here at the center)

She has a scar on her uterus from previous cesareans. Is at risk from uterine rupture.

“I feel good, except because I’m high risk, there’s always that fear that anything can happen... the first chance of any contraction I have to rush to the hospital... the fact they are showing that much concern is good.” “The dr told me w other hospitals might not tie your tubes, and I need that done”

“We’d rather see you 400 times and tell you everything is great, than not see you that one time” —dr Lisa quote

THIRD SCENE:

Patient:

Lucia Antonieta Batz batZ, 28, (yes, batz twice is correct) wearing blue knit top.

De guatemala. Has been in Texas for 5 years. Has one other son— 2y/0

32 weeks pregnant

15 min in car— her husband brought her.

doctor: Chinyere Ohakweh, 32

FOURTH SCENE: (dark ultrasound room)

(Same ultrasound tech as scene 1: Laura Fernandez)

Patient with three kids (34 weeks pregnant):

Has Cholestasis :

Ivanna Capetillo, 20

Cell: 281-662-2426

Kids:

Armando Chavez, 11– little brother of patient— boy wearing blue and gray striped shirt

Shirley Capetillo, 12, little sister of patient — girl wearing cream colored top

Angel Regil, 4, patient’s son— boy w iPad

Notes:

Born in Mexico, moved to Texas as a baby. Second pregnancy. First pregnancy had gestational diabetes. Her insurance told her about this center. Lives 20 min away, drove here today.

Fifth scene:

Releases and names TK

Texas Children’s Pavilion for Women:

Woman in surgery:

5th child — 33 weeks pregnant

Loren Mark Haubelt, 33 — dad

Loren Denise Haubelt, 30 —

Casey Otto Haubelt— newborn

From Corpus Christy - mom found out about the hospital by doing research online.

First two were natural birth. Third one— baby was big — or so they thought. She opted for a c section.

Then 4th another c section.

“The hardest part was the waiting and she didn’t have much bleeding, so it was ... “

The doctor called and said we’re taking her today.

“We never really had much concern (about the baby).

Our biggest concern was just mother. But she did fine.

“What scared us at first was doing it somewhere else because women die doing this kind of thing” -Loren (dad)