Market Overview

Midwifery Suites Open at The Birth Center at Mission Hospital

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Mission Hospital announced today that it has opened three midwifery
birthing suites within The Birth Center at Mission Hospital. Mission
Hospital is the second hospital in the State of California to offer an
in-hospital birth center to its patients. The private Midwifery Suites
have queen size beds, spacious laboring tubs and are staffed by midwives
and nurses who have been educated on physiologic birth. The Birth Center
at Mission Hospital offers aromatherapy, spa-like amenities including
massage, LED candles as well as sound bars in all of the suites.

"We are pleased to provide our community with The Birth Center at
Mission Hospital, giving families the option to deliver in a
comfortable, home-like environment, while still being supported by the
advanced services of a specialty hospital as well as south Orange
County's only Level III Neonatal Intensive Care Unit (NICU), in
partnership with CHOC Children's at Mission Hospital," said Tarek
Salaway, chief executive of Mission Hospital.

"Birth is not a medical procedure but a natural, physiological process.
We whole-heartedly support empowering women to create their ultimate
birth experience," says Kenneth James, MD, medical director of the
midwifery program at Mission Hospital and at Laguna Beach OB/GYN. "Our
thriving midwifery practice is centered around a woman's desire for the
best possible birthing experience. We are thrilled to be able to provide
this experience in partnership with Mission Hospital, with its
reputation for high quality, patient-centered care."

Mission Hospital supports women in having a safe, empowering birth
experience by offering a full continuum of birthing options, including
natural birth. Patients and their families are able to stay in
comfortable suites from the time they arrive at the hospital in active
labor through discharge.

Mission Hospital partners with OB/GYN specialists to provide midwifery
services. Mission Hospital's Midwifery team includes Allison Molinski,
CNM; Nancy Pol, MSN, RN, CNM; Elaine Kopinga, MSN, CNM, WHNP; and, B.J.
Snell, PhD, CNM, FACNM. Kenneth James, MD, is the Medical Director of
Midwifery Services at Mission Hospital and is also the Medical Director
for Laguna Beach OB/GYN.

The Role of Doulas in Pregnancy and Childbirth

Doulas can also play an important role in the birth experience. The
wisdom and emotional support provided by a doula during the time of
birth is an ancient tradition. This tradition has continued through the
centuries, and is now carried on by doulas in support of a mother who is
expecting, experiencing labor or has recently given birth.

A doula can help expecting mothers with walking during labor, breathing
techniques, positioning assistance, specific massage techniques, verbal
reassurance and spouse or partner guidance. Women who deliver at The
Birth Center at Mission Hospital, have the option of working with a
certified doula who are for hire through DONA International, the leader
in evidence-based doula training, certification and continuing
education. Women can partner with a doula regardless of the type of
birth they choose to have at Mission Hospital. Doulas are welcome with
OB/GYN doctors as well as midwives.

Certified Baby Friendly™ Hospital

As a certified Baby Friendly™ Hospital, Mission Hospital is a member of
a global program sponsored by the World Health Organization (WHO) and
the United Nations Children's Fund (UNICEF) which encourages and
recognizes hospitals that offer an optimum level of care for lactation.
This designation is quite an honor, as only 243 U.S. hospitals and
birthing centers in 46 states and the District of Columbia hold the Baby
Friendly designation.

Women's Choice Award

Mission Hospital has received the 2018 Women's Choice Award® as one of
America's best hospitals for Obstetrics. The methodology for America's
Best Hospital for Obstetrics Award is unique in that it combines
national accreditations, Hospital Consumer Assessment of Healthcare
Providers and Systems (HCAHPS) survey results and hospital outcome
scores with primary research about women's healthcare preferences. It is
the only award recognizing excellence in obstetric services based on
robust criteria that consider patient satisfaction and clinical
excellence.

5-Star Quality Rating

Mission Hospital has received the prestigious 5-Star rating award—the
highest possible score—for Quality of Care by the Centers for Medicare &
Medicaid Services (CMS), according to the December 2017 report by
Medicare.gov on the Hospital Compare site. Mission Hospital is one of
only two hospitals in Orange County to receive a 5-star rating. The
ratings published by CMS are designed to help consumers make more
informed decisions by comparing hospitals evaluating safety, clinical
quality and patient experiences at more than 4,000 hospitals nationwide.
Mission Hospital was one of only 337 hospitals in the United States, and
one of only two hospitals in Orange County, to receive the Five-Star
rating for 2017. The national average for hospitals is three out of five
stars.

To learn more about Laguna Beach OB/GYN or to find a midwife, visit
LagunaBeachObGyn.com. To learn more about The Birth Center at Mission
Hospital visit Mission4Health.com/Baby.

About Mission Hospital

Mission Hospital is a state-of-the art, 523-bed acute care regional
medical center in Mission Viejo, California. As one of the busiest
designated adult and pediatric Level II Trauma Centers in the state of
California, Mission Hospital provides a full range of reputable
specialty health care services with highly skilled teams treating a
multitude of complex conditions. Services include a full range of
expertise in cardiovascular, neuroscience and spine, orthopedics, cancer
care, women's services, mental health and wellness, head and neck, and a
variety of other specialty services. Mission Hospital in Laguna Beach
(MHLB) provides South Orange County coastal communities with 24-hour
emergency and intensive care as well as medical-surgical/telemetry
services, orthopedics, general and GI surgery. CHOC Children's at
Mission Hospital is a 54-bed facility that is the area's only dedicated
pediatric hospital.

Fully accredited by The Joint Commission and designated as a Magnet
hospital by the American Nurses Credentialing Center for nursing
excellence, Mission Hospital is highly recognized for its high quality
of care, evidenced through a multitude of healthcare quality benchmarks.
Mission Hospital is part of St. Joseph Health, a not-for-profit provider
of integrated health care. Together, we work to improve the quality of
life in the communities it serves in the tradition of the Sisters of St.
Joseph of Orange. For more information, visit www.mission4health.com.

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