Midwifery During COVID-19


In alignment with CDC guidelines and larger health systems navigating care changes for supporting social distancing, I will be making the following changes to my prenatal and postpartum care.

Going forward I request our clients to abstain from bringing friends, extended family, and children to appointments at this time to minimize exposure.  At your birth I ask that you limit attendance to 1 additional support person aside from partner (doula, mom, ect) and that all attendees can answer no to all of the COVID-19 screening questions.

Not only is it my responsibility to help reduce the transmission of the virus, but I absolutely need to continue to working through this period to serve families in the midwifery community in this time. Please help keep me available for my clients! 

CARE IN MY OFFICE

Prenatal care is essential, necessary, and saves lives. Some prenatal care will happen in my office on an augmented schedule for now, and these are the additional protective measures in addition to hand washing I'm taking for care provided in my office:

  • Wiping down all surfaces and equipment in my office and the restroom with medical grade sani-wipes before and after each appointment.
  • Ending appointments 5 minutes early to prevent any waiting time or contact between clients
  • Sanitizing couch cushions between appointments.
  • Removing all toys from my office.
  • Clients will be seen at 12, 17, 28, 33, 36, 38, 39, 40 in the office for 15 minutes for urinalysis, blood pressure, weight check, fetal heart tones, fundal height measurement and position check.  All other information will be obtained BEFORE the appointment via phone, FaceTime or ZOOM.  At 20 weeks you will be seen by SeeBaby for an anatomy ultrasound and again at 41 weeks for a non-stress test and biophysical profile.  At the 28 week office visit, I will check hemoglobin and glucose in addition to the other hands-on checks.  
  • I will be wearing gloves and most likely a mask.


SCREENING FOR SYMPTOMS

Screening for symptoms: If you are planning on coming in for an appointment and answer yes to any of these questions, please stay home and call me to set up an online appointment:

  • Have you had a cough, fever, body aches, or a sore throat in the last 14 days
  • Has anyone in your household had the above symptoms
  • Have you been in direct contact with someone who has tested positive for COVID-19 or a person whose test is pending?
  • Do you currently have a temperature?


Postpartum Care after Birth

  • The first postpartum home visit is usually scheduled between 24-48 hours after the birth, depending on my availability and the time of day.  Those will continue.  At this visit, I can check baby’s weight, vital signs, do a cardiac screen (CCHD), screen for jaundice, temperature, and tweak any breastfeeding issues with the latch.  Mothers vital signs will also be checked and make sure she is resting, bleeding is stable and she is well supported.  Even though sometimes you need help, make sure you do not allow outside visitors with the exception of a family member who is there specifically to help and is not ill and has not been exposed to the virus. 
  • There will be another home visit around 8 days.  I’ll make sure you are recovering well and baby’s weight has turned the corner and is gaining and breastfeeding is going well.  
  • All other visits for now will be via phone calls/FaceTime/ZOOM. The six week checkup is now being considered non-essential. 
  • Please make arrangements to visit the pediatrician of your choice sometime that first week in order to get the state mandated metabolic screen and hearing screen conducted.  Make sure your pediatrician has policies in place to separate well children from sick children.
  • Feel free to reach out to me during the postpartum period if complications arise.


Transfer of Care to Home Birth

Since the COVID-19 pandemic, there has been a significant increase in pregnant people reaching out to home birth midwives like myself to transfer to planned home birth care. Community midwives are in a unique position of providing a model of care that works well in pandemics because our clients have less exposure to waiting rooms, hospitals, and only see one provider during visits and two providers during your birth. Our midwifery community is doing everything we can to increase our capacity to absorb the volume of new clients, and tailor our care to support folks who are now choosing to birth at home.

At this time, I am only taking mothers who have had at least one vaginal birth and are no further along than 36 weeks and live within my travel radius from Lawrenceville, GA.  You must have had a normal course of pregnancy, are negative for gestational diabetes and have no other health concerns.  You must have your records in hand including labs, ultrasound reports and prenatal appointment information.

I have availability for one client in April and one in May.  June and July are full.  

At home, please routinely clean surfaces that get touched a lot:  doorknobs, counters, faucets and handles, light switches and keyboards, remote controls.  

© Brenda Parrish 2020