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Prenatal Classes and Services |
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Early in pregnancy all expectant mothers delivering at St. Jude Medical Center should be given an OB packet by their physician’s office. Important information regarding hospital admission and class registration forms are included in this packet. Please request this packet if you have not received one. 
Preparing for the birth of a new baby is an important time for families. St. Jude Medical Center offers a variety of educational programs. They are designed to make the childbirth experience more meaningful and positive, and help the family adjust after the baby is born. Pre-registration is required for all of our classes. The earlier you sign up for classes, the more options and flexibility you will have with dates, times and classes you desire. Registration by mailing the registration form given to you by your physician’s office or by telephone. For more information, call (714) 446-7110.
Maternity Open House
Hear about St. Jude Medical Center’s Childbirth Center and familiarize yourself with many of the programs and services available to expectant parents. Plan to come to the open house early in your pregnancy. This program is held once a month on a Wednesday evening. Be sure to call and register.
Tour of Maternity Unit
Tours of the Maternity Unit are included in all Prepared Childbirth Series taken at the hospital. For those who take the Prepared Childbirth Series at the Villa Yorba Center or not taking classes, tours of our unit are available. Tours are offered every Thursday evening at 5:45 p.m. and on the second and fourth Saturday of each month at 9:00 a.m. Call to register.
St. Jude Mother Baby Wellness Center and Boutique
The St. Jude Mother Baby Wellness Center is here to help new families grow healthy and happy. At the time of your discharge from the hospital, you’ll be given an appointment approximately four to five days after the birth of your baby. During the appointment, specially trained registered nurses will evaluate how you and your baby are progressing. There is no charge. The Mother Baby Wellness Center follow-up visit is a complimentary service provided as part of your delivery at St. Jude Medical Center.
Our special boutique, located at the Mother Baby Wellness Center, offers convenient, one-stop shopping. At the boutique you will find a wide array of breastfeeding and baby items, including: breastfeeding apparel, Medela breastpumps, nursing bras, breastfeeding pillows, and preemie, newborn, and infant and toddler clothing. The St. Jude Mother Baby Wellness Center is located at 1901 Sunnycrest Drive, Fullerton. Convenient parking is available. For any questions please call (714) 446-7226.
St. Jude Special Delivery Package
This package includes the Prepared Childbirth Series, Newborn Baby Care Series, Breastfeeding, Part I and For Men Only. Fee: $160 per couple. (No substitutions)
Prepared Childbirth Series – 3 or 4-week series available
These comprehensive childbirth classes cover all aspects of pregnancy, labor, birth and postpartum. Topics include: anatomy and physiology of pregnancy, the labor and birth process, signs and stages of labor, options for coping and pain management, common complications and promoting communication with your caregiver. We will prepare you for all aspects of birth from knowing when to leave for the hospital to taking care of yourself after birth. These classes provide information about natural coping methods such as relaxation, breathing and massage as well as information about pain medication and epidural anesthesia. We encourage participation by your partner or support person. These classes should be taken in the seventh or eighth month of pregnancy. Fee: $90 per couple.
Breastfeeding: Part I Getting Started
A must for expectant parents who are considering breastfeeding their baby. Topics include: Latching techniques, positioning and timing, establishing good milk supply, how to recognize and treat breastfeeding concerns. Parents leave this class feeling more confident in their ability to nourish their infants and make informed feeding choices. This one-time class is offered Monday evenings or Saturday mornings. Fee: $25 per couple.
Breastfeeding: Part II Pumping and Storage of Breastmilk
This class, taught by a lactation expert, will help breastfeeding mothers learn how to properly express and store breastmilk. This class is especially helpful to mothers returning to work and continuing to feed their babies breastmilk. This class may be taken before or after you have the baby. This one time class is offered on Saturday afternoon every other month. Fee: $25. If taken with Part I, Fee: $15.
Newborn Baby Care Series
Bring your questions about your baby’s healthcare needs to discuss with a Registered Nurse. Included in this class is a discussion of baby care basics—bathing, bundling, burping and bottles—hands-on practice. Other topics include: safety, circumcision, how to take a temperature, immunizations and when to call the doctor. Our Car Seat Safety class is included in this series. This series of three classes is held on Tuesday evenings. Fee: $50 per couple
For Men Only
Concerned about the common problems and changes that arise after the birth of a child? Learn about the transitions a new baby brings, how to keep communication open, deal with the hormonal and physical changes new mothers experience and much more. This one-time class is offered on Wednesday evenings. Fee: $25 per person
Refresher Childbirth
This class is for parents who have previously taken a prepared childbirth class. Breathing, coaching techniques, interventions and comfort measures will be covered. Students will have the opportunity to update and review options available in the labor process. A tour of the maternity unit is included. This is a one time class held Saturday mornings every other month. Fee: $50 per couple
Baby Saver Class
Learn infant and child CPR in this four-hour class which also focuses on childhood safety. At the end of this class you will be eligible for a participation card through the American Heart Association in Infant/Child CPR. This class is held Tuesday evenings or Saturday mornings. Fee: $35 per person or $50 per couple
Car Seat Safety
Did you know that 4 out of 5 babies are incorrectly secured in their car seat? In this informative program you will learn everything you need to know before buying and installing a car seat. Learn about different harness systems and "Do's & Don’ts" in properly securing your baby. This one-time class is offered on Tuesday evenings. It is included in the three session Newborn Baby Care class. Fee: $15 per couple if not taken as part of the Newborn Baby Care class.
Grandparents in the Know
Confused about childbirth practices, breastfeeding vs. bottlefeeding, infant care in the new millennium? Come learn about the changes that have taken place in childbirth and infant care since your last baby was born. Tour the Childbirth Center and have all your questions answered. This one-time class is offered on Thursday evenings. Fee: $15 per person or $20 per couple
Sibling Class
Our sibling class is specially designed for the big brother or sister-to-be who is between 3 to 8 years of age. This class helps young children learn what to expect when the new baby arrives. An exciting program with your child in mind, this class includes a video presentation and tour of where mommy and baby will be. This one-time class is held on Saturday afternoons every other month. Fee: $25 per family with two children and $30 per family of three children or more.
Planned Cesarean Birth
This class is designed for those expectant parents who know they will be having a Planned Cesarean birth and have chosen not to attend a Prepared Childbirth series. Women who have medical reasons to schedule cesareans need information about the procedure, as well as reassurance that their birth can be a joyful, empowering experience. Parents will learn: the signs of labor, how to prepare themselves, what to expect during surgery and how to have a healthy recovery in the hospital and at home. A tour of the Maternity unit will be included. Parents will leave this class with information that will turn a medical necessity into a positive birth memory. Class may be attended between the 5th and 9th month of pregnancy. It is offered every other month. Fee: $25.00 per couple
New Parent Classes
Breastfeeding Workshop
Having difficulty getting breastfeeding off to a good start? Confused by what you’ve heard from others? The Breastfeeding Workshop is designed with you in mind. Taught by a nurse skilled in lactation, this class will help you through the early problems often associated with breastfeeding. Your lactation nurse will watch you nurse your baby and will address any problems or concerns. This is an excellent support group for breastfeeding mothers. Mother and baby only please. Workshops are held Mondays from 1 to 3 p.m. and Fridays, from 10 a.m. to noon. Fee: $20 for the first session and $5 each follow-up visit. For registration, call (714) 446-7226.
Infant Massage
In this three-class series, you will learn easy massage techniques to nurture the loving bond between parent and child. You will learn therapeutic massage routines for easing common ailments, including colic and teething pain. A must for every new family. Appropriate for infants up to 6 months of age. Fee: $45 per 3-week series. Call for class dates and times (714) 446-7110.
Musical Expressions
In these early months, newborns are learning to feel comfortable in the outside world. They are working on regulating their eating and sleeping cycles and other physical functions. These classes focus on developing your baby’s interest in the world through sensory exploration. Stimulating age-appropriate activities such as tummy time, flashlight play and infant massage help to build trust and security and emotional connections with others. Parent discussion time at the end of each class helps you to connect with other parents and learn more about your child’s development. Appropriate for infants up to 6 months. Fee: $35 per 3-week series. Call for class dates and times (714) 446-7110.
Revised 02/08
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General Rehabilitation |
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Neurological and Medical Rehabilitation
Our success at helping patients of all ages regain their independence and quality of life extends to a wide variety of medical and neurological conditions, including:
· Amputation
· Guillian Barre
· Post-surgical complications
· Post-polio syndrome
· Vestibular dysfunction
· Cancer
Our services cover the entire spectrum of care, from hospitalization to formal outpatient therapy to community reintegration programs. Whether it’s a communication recovery group or a job site evaluation to determine the skills needed to return to work, we offer one of the most comprehensive array of services available anywhere.
Through the combined expertise of numerous specialties – from speech pathologists and rehabilitation medicine physicians to neuropsychologists and recreation therapists – we successfully help hundreds of patients each year return to the joys of every day life.
Traditional therapies – such as speech, physical and occupational therapy – play a critical role in recovery, as do specialized services designed to rebuild each patient’s confidence and skills: driver training, alternative medicine approaches, peer support, communication recovery groups, community outings, and many others.
Families are an essential part of the rehabilitation process and are included in all aspects of care. For more information about our services, please call us at (714) 992-3000 ext. 3005. |
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Hand Therapy |
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The hand therapy program at St. Jude Medical Center offers comprehensive, high quality care to patients with hand and upper extremity conditions. Our highly trained therapists are experts in helping patients regain strength, range of motion and overall function in the hand, wrist, elbow and shoulder. 
After carefully evaluating a patient’s injury, our certified hand therapists will design a treatment program based on each individual’s specific needs. Our therapists look at how the injury impacts independence at home and at work and will develop therapies to help the patient return to normal activities without risk of further injury.
Who can benefit from hand therapy?
Hand therapy can help treat conditions affecting children, adults and the elderly, such as:
| Tendon/ligament injuries |
Carpal Tunnel Syndrome |
| Arthritis |
Trigger Finger |
| Nerve injuries |
Tendonitis/tendonopathies |
| Fractures |
Burns |
| Repetitive motion injuries |
Traumatic/crush injuries |
| Dupytren’s contracture |
Amputations |
What services are available?
Therapy is individualized to meet the specific needs of each patient and may include:
| Therapeutic exercise |
Adaptive equipment and devices |
| Ergonomic Intervention |
Edema management |
| Conditioning and stretching |
Sensory re-education |
| Splinting (dynamic and static) |
Desensitization |
| Workstation modifications |
Wound care |
| Scar management |
Activities of daily living (ADL) skills |
Located at the St. Jude Centers for Rehabilitation and Wellness, our hand therapists offer the experience, training and specialized skills necessary to help patients achieve their highest level of function. For more information about our hand therapy services, please call us at (714) 578-8720. |
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Our Anesthesiologists |
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| Stanley Abshier, M.D., Fullerton Anesthesia Associates |
| David E. Bergman, D.O., Fullerton Anesthesia Associates |
| Richard C. Bollin, Jr., M.D., Fullerton Anesthesia Associates |
| Jason Cheung, M.D., Fullerton Anesthesia Associates |
| Joseph E. Cochoit, M.D., Fullerton Anesthesia Associates |
| John R. Coleman, M.D. |
| Renato Del Carmen, M.D., Fullerton Anesthesia Associates |
| Philip J. Demman, M.D., Fullerton Anesthesia Associates |
| Timothy H. Downing, M.D., Fullerton Anesthesia Associates |
| Pamela Davis Edwards, M.D. |
| Donald J. Galligan, M.D., Fullerton Anesthesia Associates |
| Perla Gascon, M.D. |
| Marc V. Gianzero, M.D., Fullerton Anesthesia Associates |
| Carl A. Hess, M.D. |
| Sandra W. Kluwe, M.D |
| Leo W. Kwan, M.D. |
| Michael J. Lillie, M.D., Fullerton Anesthesia Associates |
| Louis C. Lim, M.D., Fullerton Anesthesia Associates |
| John B. MacCarthy, M.D., Fullerton Anesthesia Associates |
| Paul J. Padova, D.O., Fullerton Anesthesia Associates |
| Lynnus F. Peng, M.D., Fullerton Anesthesia Associates |
| P. Benson Vassantachart, M.D., Fullerton Anesthesia Associates |
| Kyle C. Wehner, M.D., Fullerton Anesthesia Associates |
| David Wu, M.D. |
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Anesthesia |
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A combination of experienced, board certified anesthesiologists and state-of-the-art technology allow us to offer surgical patients the highest level of safety, comfort and care.
Although serious complications or side effects from anesthesia are very rare, we offer a personalized anesthesia risk assessment to help you and your doctor identify issues that can impact your risk. The assessment takes about five minutes to complete and will provide you with a detailed printout identifying any issues that increase your risk as well as recommendations to reduce those risks. Discuss the results of this assessment with your doctor or anesthesiologist.
The assessment does not ask for your name, nor do we keep any information that you provide – this tool is strictly to help you and your doctor accurately assess and minimize any potential risks.
Risk Assessment
Frequently Asked Questions
Our Anesthesiologists
Types of Anesthesia
Frequently Asked Questions
What are the risks of anesthesia?
Although all types of anesthesia involve some risk, serious complications and side effects are rare. In general, the risks associated with anesthesia and surgery increase in older people and those with serious medical conditions, such as heart or nervous system disorders. Even among these higher risk groups, new techniques and technology are allowing our anesthesiologists to create the highest possible standards of safety.
How will my anesthesiologist know if there is a problem?
During surgery you will be monitored very closely. In addition to the anesthesiologist’s own expertise and judgment, state-of-the-art equipment will continuously monitor your breathing, heart rhythms, blood pressure, and brain and kidney function.
Could I wake up during surgery?
In a typical elective surgery, waking up or what doctors call “awareness” under general anesthesia, is very rare. Advances in technology and techniques allow our anesthesiologists to monitor the consciousness level of patients on a second-by-second basis. By measuring the depth of anesthesia with remarkable precision, our anesthesiologists are able to make adjustments in dosage quickly and appropriately. It is important to note, that certain surgeries and procedures require the patient to be hear and respond to commands given during surgery.
Why can’t I eat or drink before surgery?
Patients undergoing procedures with any type of anesthesia are usually required to arrive for surgery with an empty stomach – for their own safety. Anesthesia can depress your body’s cough or gag reflex and allow regurgitated food from your stomach to enter the lungs, causing a dangerous condition known as “aspiration pneumonia.”
As a general rule, you should not eat or drink anything for at least 8 hours before surgery, but follow your doctor’s specific instructions . Your anesthesiologist may also tell you to take certain medications with a little water. It is very important that you follow any instructions about medications or about when to stop eating or drinking prior to your surgery. You do not, however, improve your safety by going longer than suggested without food or water.
Will I have a sore throat after the surgery?
Since general anesthesia can impair normal breathing, a breathing tube is often placed through the mouth into the windpipe after you are asleep. This is removed as you begin waking up and most patients do not even remember having a tube in place. Unfortunately, a common side effect is a mild sore throat that lasts one or two days. Gargling with warm water and salt may provide relief. If your sore throat continues for 72 hours, contact your surgeon.
Will I experience nausea and vomiting after the surgery?
Certain surgical procedures are more likely to create nausea and vomiting than others, including procedures involving laparoscopic and gynecology. Also some individuals are more susceptible to this problem, such as those who suffer from motion sickness.
If nausea and vomiting occurs, a variety of medicines are available to alleviate the problem. If you’ve had a problem with nausea and vomiting after a previous surgery, let your anesthesiologist know. However, just because you've had problems in the past doesn't mean you'll have problems in the future. New classes of anesthesia make having surgery much more than comfortable than in the past.
Should I take my usual medications?
Some medications, such as: cardiac, hypertension and statins, should be taken and others should not. It is important to discuss any medications you’re taking with your doctor. Do not interrupt medications unless your doctor or surgeon recommends it.
Do I need to list any herbal medicines?
Some herbal medicines–especially Ginko, Ginseng, Garlic and St. John's Wort–may interact with certain anesthetics, so it’s important to tell your doctor about all herbal medications you’re taking.
May I request what type of anesthesia I will receive?
Yes, in certain situations there may be options available to you. Your doctor or anesthesiologist will discuss your options with you so the most effective anesthesia plan can be created.
How long will it take to recover from the anesthesia?
Several factors will affect how quickly the effects of the anesthesia are gone, including: age (younger people usually recover more quickly); general health (certain medical conditions make it difficult for the body to clear the anesthesia); length of surgery, and what type of anesthesia you received.
As you begin to wake up from general anesthesia, you may experience some confusion or difficulty thinking clearly. Your muscle control and coordination may also termporarily be affected. This is normal. It may take some time until the anesthesia’s effects are completely gone.
After surgery, you will be cared for in our post-operative area, often called the recovery room. Our highly skilled nurses will help ensure your quick and successful recovery.
Types of Anesthesia
There are several ways that anesthesia can be given.
· With monitored anesthesia care (MAC), which is sometimes referred to as local anesthesia, an injection into the surgical site numbs just that area. It is used only for minor procedures on a small area, for example, on the hand or foot. You may choose to remain awake or to sleep lightly. If you wish to sleep, the anesthesiologist will give you medication to relax through an IV line.
· With regional anesthesia, a numbing medication is injected near a cluster of nerves or near your spine to block pain from a larger, but still limited, part of the body. Nerve blocks and epidurals are two common types of regional anesthesia. Regional anesthesia can be given alone or with sedating medications, allowing you to be as sleepy or awake as you wish.
· With general anesthesia, medications are given through an IV or breathing mask ensuring you remain in a state of deep sleep. After you have fallen asleep, your airway will be maintained with a device, allowing you to continue to receive inhaled anesthetic medications. Once the surgery is completed, the anesthesiologist will taper off the medications and your breathing tube will be removed, allowing you to wake up comfortably in the recovery room.
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St. Jude Driving Program |
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As part of our commitment to providing the most comprehensive range of rehabilitative services, we offer driver assessment. For most people, driving is one of the most important activities of daily life. By assessing the driving skills of those recovering from a severe illness or disability, our Driving Program offers a vital service to individuals, families and the community.
Who the program can help:
The licensed driver who has been disabled due to stroke, head trauma, spinal cord injury, dementia or other condition – and may have lost the skills needed for safe driving
The disabled individual who has not previously driven but would like to become a licensed driver
What the program does:
Assesses the individual’s basic skills for safe driving
Assesses the need for any adaptive equipment
Allows for early retraining, particularly in the use of hand controls or other adaptive equipment
Provides recommendations to the individual’s physician and the DMV
Refers individuals to driver or vision training programs when appropriate
The evaluation takes about 3 hours and includes visual and perceptual screening, testing of reaction times in a simulator, and a 60-minute on-the-road experience in a dual-control vehicle. The individual’s need for adaptive equipment as well as his or her ability to use it successfully is assessed.
Written recommendations are provided to the patient. If the patient chooses, we will submit the appropriate paperwork to the DMV who will make the final decision about licensing the individual to drive.
What’s required to enroll:
A physician’s order, which includes patient’s age, diagnosis and date of onset and
A valid driver’s license or eligibility for a driver’s permit
Insurance does not usually cover the fee for this program – please check with your insurance plan. You may, however, request a 45% discount if fees are paid in full within 30 days. For pricing information or to schedule an evaluation, please call (714) 578-8706, ext. 2318.
Resources
DMV Disabled Customer Information
DMV Disabled Parking Placard
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St. Jude Centers for Rehabilitation |
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 The nationally recognized St. Jude Centers for Rehabilitation offer one of Southern California's most comprehensive array of programs, from highly specialized inpatient care to a wide range of innovative outpatient services.
Our multidisciplinary team of specialists gives patients the best opportunity available to rebuild their lives and regain their independence. In fact, our exceptional outcomes place us among the top rehabilitation programs in the state.
We are accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and The Joint Commission. For more information about any of our services, please call us at (714) 992-3000 ext. 3005. |
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