I work in a metro area in Los Angeles county.
Our hospital is the "go-to" for high risk pts. We are Level II though. Any ultra-high risk babies (those that will require surgery) go to Children's Hospital of LA or OC.
We have separate PP units (with overflow and overflow's overflow) and antepartum units. However, when our census is like it is, we have to 'board' pp pt's on our unit too (like today). Our main problem is that when we fill up the way we are now, we don't have the staffing for the overflow from the overflow....so L&D gets backed up.
I believe our volume is a bit too heavy for LDRP to work here.
We also have a traditional nursery for pt's in our main pp area. They pick up baby post delivery, do all the nursery stuff and then take the baby to momma. If mom chooses, she may have baby with her or leave baby in nursery.
However, if mom is in overflow, then they have couplet care there.