Offering a 24-hour delivery service

Laborists — on-call doctors who aren't part of permanent hospital staff — are a new feature at Hoag Hospital.

June 08, 2013|By Jill Cowan
  • Dr. Michael White, a laborist at Hoag Hospital, talks with registered nurse Cori Beebout recently.
Dr. Michael White, a laborist at Hoag Hospital, talks… (SCOTT SMELTZER,…)

Kathleen Anne Breen — all 8 pounds, 11 ounces and 21 inches of her — lay on her mother's chest at Hoag Hospital in Newport Beach.

She had been born just hours before, and now, shielded by a blanket and tiny hat, she slept with the serenity only those recently introduced to the world can achieve.

That Kathleen's mom, Kristen Breen, 31, shared a sense of calm so soon after birthing a human being for the first time was a little more impressive.

"I feel like I couldn't have lucked out more," she said, beaming.

The obstetrician she'd come to know and trust over the course of her pregnancy was thousands of miles away in Europe. And Kristen had gone into labor about two weeks early.

But thanks to a new model of obstetric care that keeps a doctor around all the time to help deliver babies, she and husband Jim Breen, 33, said the delivery went off without a hitch.


"We thought there might've been issues with the umbilical cord," Jim said, but "everybody was open and knowledgeable."

The doctor who delivered Kathleen, Michael White, isn't on Hoag's obstetric staff — despite the fact that his portrait hung on the wall as May's nurse-chosen "Doctor of the Month."

In fact, the Breens said they'd only met White for the first time that day, when he came in for his 24-hour shift.

White, who also serves as the medical director of operations for Ob Hospitalist Group, is a laborist.

Sitting in what looked a bit like a small studio apartment with exercise equipment in place of a bed, White explained what that means.

"A true hospitalist program is dedicated [obstetricians] 24-seven," he said. The laborist, or hospitalist model, "is giving community docs a break."

Hoag's laborist program is one of more than 40 that Mauldin, South Carolina-based Ob Hospitalist Group operates throughout the country. The company was founded in 2006 and has delivered more than 32,000 babies. According to an article in Contemporary OB/GYN published earlier this year, more than 185 hospitals have laborists available.

White said a laborist delivery at Hoag likely wouldn't cost families any more than one performed by an on-staff doctor.

Under more conventional models of care, White said between peeks at a cell phone, when women go into labor, a nurse or other hospital staff member will call in her usual obstetrician.

When things go smoothly, that works just fine, he said.

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