Care, and Pediatrics
Childbirth the Way it Should Be
it possibly be more important to "have it your way" than during the process of
At Cayuga Medical
Center, we understand that decisions about where and how to give birth to your
baby are among the most important considerations you face. We also understand
that as an expectant mother, you and your family need more than expert medical
care: you need support, compassion, information, and privacy. You need to be in
the driver's seat; to have choices. And you deserve to be cared for by
professionals who are knowledgeable and passionate about what they do, in a
setting that is warm and inviting.
more than 900 newborn babies a year at Cayuga Medical Center. Families return to us for subsequent births because they already
know from first-hand experience that the quality of care we provide to mothers
and newborns is exceptional. We know this is true because our patients tell us
so on their patient questionnaires.
equally positive feedback from surveys conducted by the Joint Commission on
Accreditation of Healthcare Organizations, NYS Perinatal
Data System and Regional Perinatal Center, NYS
Department of Health, and from our own internal quality assurance auditing
from our community, medical staff, and nursing team, we have developed a
comprehensive, family-centered approach to childbirth. We invite expectant parents
to take the tour of our Maternal-Child Health Unit and to include us as you
plan your childbirth.
information about birth and newborn care at Cayuga Medical Center and our
Pediatrics Unit, click on
the links below.
accommodations in our Maternal-Child Health Unit
your individualized birth plan
physicians and certified nurse midwives
● Family-centered care
● Pain-relief options and labor analgesia
of VBAC (vaginal birth after cesarean section)
Level II Nursery and Neonatal Intensive Care Unit
lactation specialists and our designation as a "best practices hospital" for
for families and parents: Siblings are Special, Breastfeeding: Plan for
Success, Infant Care Classes, Safety in the Early Years: Accident and Injury
Prevention, and Infant CPR
At Cayuga Medical
Center, we listen carefully to what mothers have to tell us and we deliver the
services that matter to them. Women tell us they want a high-quality,
full-service hospital that is both convenient and state-of-the-art. They want
care that is family-oriented and responsive to individual needs. They want the
support of skilled professionals who enjoy caring for and teaching their
The rooms in
our Maternal Child Health Unit reflect your input. They are appropriately
equipped and beautifully appointed for expectant mothers to labor, deliver,
recover, and receive postpartum care without being moved. We've also provided whirlpool tubs on the unit because many
laboring women find significant pain relief in a whirlpool.
Creating an Individualized Birth Plan
Drawing up a
birth plan, in advance, that reflects your own health-care, cultural, ethnic,
and spiritual preferences can be an extremely helpful process for families.
When a mother, her partner or support person, and her caregiver discuss the various
choices and decisions relating to labor, delivery, postpartum and newborn care,
the result can be a very individualized, satisfying childbirth experience. Your
local obstetrician or nurse midwife will give you a comprehensive notebook of
information from our Maternal Child Health Unit to help you create your birth
While it may
not be possible to anticipate and plan for every single contingency as you draw
up your individual birth plan, putting your preferences down in writing can
help you consider important choices ahead of time. As you prepare for the
arrival of your new family member, we encourage you to take a tour of our
Maternal Child Health Care Unit. You can schedule a tour by calling (607)
Board Certified Obstetricians and Certified Nurse Midwives
Medical Center, board-certified obstetricians and certified nurse midwives are
granted privileges to deliver babies.
experienced obstetrics staff
Lisa M. Baclawski, MD
Erianna Flores, CNM
Kathleen Gardner, MD
Steven A. Gelber, MD
Laura MacCarald, CNM
Emeline M. Mandeville, CM
Dvorah Milner, MD
Mahrie A. Moore, CNM
Kathryn A. Pierce, CNM
Phaelon Silva, MD
Jose A. Torrado, MD
At Cayuga Medical
Center, we believe in family-centered care. Our physicians and nurses encourage
mothers to be actively involved in all decision making about your own birth
experience and the care of your newborn. For example, most women in labor find
that having one or two support people with them works
well. Some mothers want the baby's siblings present during labor and birth.
you to ask our nurses about the availability of "mother-baby nursing" or
"couplet-care," in which your nurse cares for both you and your baby. This
approach to care enhances individualized, family-centered care.
family-centered philosophy also means that under typical circumstances, mothers
can have their partner or support person stay overnight with them. Babies room
in, as well. This provides a great chance for you to get acquainted with you
new son or daughter and to have the support of staff while learning to take
care of your newborn baby.
Pain Relief Options and Analgesia
birth experience is different for every woman, it is a good idea to explore in
advance with your doctor or nurse midwife the availability of analgesia for
labor. There are many different approaches to pain relief, ranging from
breathing and relaxation exercises and massage to intravenous medications and
regional blocks. For optimum safety, at Cayuga Medical Center anesthesia is
administered only by board-certified anesthesiologists.
Availability of VBAC (vaginal birth after cesarean section)
Although VBAC is now
considered to be a safe childbirth choice for many mothers, not all hospitals
offer expectant mothers this service. Providing a stand-by OR team and
anesthesiologist is an added expense that many hospitals are not willing to
incur. At Cayuga Medical Center, our obstetricians work closely with our
anesthesiologists and the operating room staff to coordinate care. This makes
it possible for OR team members to come into the hospital whenever a patient is
planning a VBAC. Our caregivers are committed to offering a variety of birthing
options to the community we serve and we have done everything we can to
accommodate this need.
Certified Level 2 Nursery and Neonatal Intensive Care Unit
We know that
mothers delivering twins or premature babies want local high-tech services available
to support the special needs of newborns at risk, and they want answers to
important questions right away. We also know
that mothers who are over age 35 have increased risks for complications. In our
Maternal Child Health Care Unit, we provide both routine and high-risk care for
mothers and babies.
Level 2 Special Care Nursery and Neonatal Intensive Care Unit (NICU) are
staffed by two topnotch board-certified neonatologists Click
here for Srisatish Devapatla,
MD's or Ramesh Vidavalur, MD's bio.and experienced registered nurses and respiratory therapists who
have completed advanced training in the care of premature and high-risk
infants. Currently, our Special Care Nursery is caring for babies born up to
eight weeks premature, or at a minimum weight of 1,500 grams (the equivalent of
3 pounds, 5 ounces). In consultation with pediatric
cardiologists at Crouse and University hospitals in Syracuse, we also provide tele-echocardiograms. This service facilitates immediate
cardiac evaluations without transferring newborns to out-of-town centers.
Babies weighing less than 1,500 grams or who need surgery are
transferred to a regional medical center with Level 3 Nursery designation.
breastfeeding is an important aspect of newborn health, our nurses in Maternal
Child Care are experienced lactation counselors. Most mothers and babies need
to learn how to breastfeed, even though it's perfectly natural, and coaching
from an experienced lactation specialist can make a world of difference. We have one of the highest success rates of breastfeeding in the
state and are considered a "best-practice hospital" for breastfeeding.
Breastfeeding Your Baby in the Neonatal Intensive Care Unit (NICU)
During your baby's stay in the NICU, a team of CMC staff will work closely with your baby and you; the most important member of the healthcare team!
Most premature babies are unable to breast feed right away because they are not yet able to coordinate sucking and swallowing. Our board lactation consultants (healthcare professionals trained to help mothers with breast feeding issues) offer special help to new moms who want to provide breast milk for their NICU babies. New moms who are already dealing with the stress and anxiety of having a baby in the NICU may find it helpful to talk with our consultants about breastfeeding and for emotional support.
Classes for parents and families
We offer monthly workshops to the public on a variety of
● Expectant Parent Workshop
● Siblings are Special, for children ages three to eight years who are
about to become big brothers and sisters
● Breastfeeding Plan for Success, for new and experienced moms and their
● Infant Care and Safety, on the basic s of care, feeding, and safety of
your baby in the first few weeks.
For more information call (607) 274-4408.
hospitals, Cayuga Medical Center has a dedicated Maternal-Child Care Unit with
a discrete Pediatrics Unit.
On this unit
our pediatricians, experienced registered nurses, and respiratory therapists
patients (from the age of one month and older)
● Children with
acute illness, congenital anomalies, chronic illness, seizure disorders, and
Among our board-certified pediatricians, we have subspecialists
in pediatric infectious disease, pediatric gastroenterology, neonatology, and
asthma and allergy.
Jessica Lynn Casey, DO
Audrey DeSilva, MD
Melissa Dhundale, MD
Yonit Estrin, MD
Craig Guerin, MD
Timothy C. Harris, MD
John Lambert, MD
Amit Shrivastava, MD
Jeffrey Snedeker, MD
Lindsay Tamborelle, MD
Andrea Torrado, MD
Marguerite Uphoff, MD
Physicians specializing in ear, nose, and throat routinely perform pediatric
surgery and provide emergency pediatric airway management.
Our Ear, Nose, Throat Specialists
Jonathan E. Cryer, MD
Ashu H. Ruparelia, MD
Robert Strominger, MD
Kids Care is an after-hours outpatient pediatric and adolescent care treating minor injuries and illnesses, (infant through 17 years old) in a specialized care setting on the 3rd floor of CMC. Kids Care is staffed by our local pediatricians from Buttermilk Falls Pediatrics and Northeast Pediatrics and Adolescent Medicine, and by registered nurses who are experienced in the care of sick babies and children. Click here for more information about Kids Care.
Kids Care Hours:
Mon - Fri 5:00 p.m. to 9:00 p.m.
Sat Noon to 6:00 p.m.
Sun 10:00 a.m. to 6:00 p.m.