As the OB Hospitalist, you manage labor and delivery, postpartum rounding, triage, and inpatient obstetric consults during your shift. Most patients receive their prenatal care at Care for Women's Medical Group, so they arrive with records and a care plan in place. A group physician is on backup call for every shift and comes in for C-section assists, simultaneous deliveries, or any case where you want a second physician.
| Item | Detail |
|---|---|
| Delivery Volume | 120 to 150 deliveries per month |
| Daily Average | 3 to 5 deliveries |
| C-Section Rate | 20% |
| Gestational Age | 24 weeks and above |
| Patient Risk Level | Primarily low risk |
| Anesthesia | In-house anesthesiologists, 24/7 epidural coverage |
| NICU | Level II |
| EMR | Cerner |
| APPs in Hospital | None |
Most patients are established as prenatal patients of Care for Women's Medical Group.
The group refers pregnancies with significant risk factors to other facilities during prenatal care, so the inpatient population is primarily low risk.
A smaller number of unreferred patients arrive through the emergency department.
Patients know the group works as a rotating team, so they expect to be delivered by the physician on shift.
| Activity | Typical Volume |
|---|---|
| Deliveries | 3 to 5 on average; busy shifts can reach 9 or 10 |
| Scheduled C-sections | 1 to 3, usually in the morning |
| Rounding | 8 to 10 patients |
| Consults | 2 to 4; about half need an in-person visit |
| Emergency department visits | About 20 to 22 per month across the service |
Other parts of the shift include:
You are the in-house physician for your shift, and there is no separate call schedule. Backup coverage works as follows:
| Time | Backup and Surgical Assist |
|---|---|
| Weekdays before 5 p.m. | Full-time surgical assistant and rotating residents are available for C-section assists. A group physician is on backup call. |
| Weekdays after 5 p.m. | Group physician on backup call |
| Weekends | Group physician on backup call |
Every physician in the group lives within 15 minutes of the hospital.
When two C-sections are needed at the same time, the backup physician performs the second one in the main OR.
A separate laborist covers unreferred emergency department patients on weekends and some Wednesdays. When that laborist is in-house, they serve as your backup.
The NST area is located on the unit, with non-stress tests scheduled daily.
A new maternity unit with two dedicated OB operating rooms has been approved. Construction is expected to begin in January 2027 and be completed by the end of 2027.
Anesthesiology: About 10 anesthesiologists focus on obstetric anesthesia. They are part of a large regional anesthesia group and provide epidural coverage 24/7.
Maternal-Fetal Medicine: An MFM group is available by phone 365 days a year and comes in for consults when needed.
Neonatal care: Neonatologists staff the Level II NICU. Respiratory therapists attend routine deliveries.
Specialty support: Gynecologic oncology, general surgery, and urology respond when you call for help.
Nursing: Labor and delivery nurses are the team you work with most during a shift.
San Antonio Regional Hospital's residents rotate through labor and delivery for 3 to 4 months each year. During those rotations, residents help with postpartum rounds, notes, consults, and C-section assists on weekdays.