Listen to this article.
While so many businesses are shut down and people are staying at home, theres one thing that will keep happening no matter whatwomen are still having babies and need access to safe maternity care during the COVID-19 pandemic.
In this dangerous and uncertain time, we wanted to know whats going on in labor and delivery (L&D)at least from one nurses perspective.
Morgan Michalowski, CNM, WHNP-BC, IBCLC, RN, who works at a large urban, educational and research medical facility in Chicago, Illinois took time to answer our questions regarding the state of L&D.
What are hospitals currently doing (or should do) to keep their maternity/L&D patients safe right now?
Hospital-wide we have a visitor restriction in place, but in L&D we allow one support person to be with the mother. We are universally testing anyone admitted to the hospital for COVID and, in L&D specifically, utilize rapid point-of-care testing. It takes just a few minutes to determine if she is COVID positive.
Hospital workers in L&D wear N95s with a surgical mask over it when in contact with any patient, even if they are not COVID positive.
How are things different in the midst of COVID-19? Is someone still allowed to be with the mother during labor/delivery?
The first two months, March and April, were a whirlwind. From creating new policies to providing high-quality care to figuring out how to promote bonding when NICU restrictions limit parental access, it was a steep learning curve for all.
We do allow one support person with a mother during labor, delivery, and postpartum. That visitor has to stay at the hospital with the mother through discharge. This seems to be working fine for the moment. We have had patients express interest in leaving the hospital as soon as possible, so they can be home with the rest of their family. Our team has been accommodating those requests. One of the biggest hurdles was figuring out how to support mothers if theyre separated from their baby due to a NICU admission. Most NICUs dont allow any visitors, which is really tough on a lot of families. We coordinate video calls and check-ins so they feel connected to their baby, but its not the same.
What changes have occurred during COVID-19 that you think should be permanent either for the near future or forever?
One strategy in responding to COVID has been to expand the scope of practice for Nurse Practitioners and Midwives, which is having a positive and meaningful impact on care. I hope more states allow for this and continue this practice post-COVID.
Universal testing for COVID will become standard of care, in the same way that TB tests are required prior to starting school or a new job.
Whats happening with the newborns to keep them safe?
Healthy term newborns born to mothers without COVID room in with their mother until discharge. If mom and baby are low-risk, we try and discharge them within 24 hours. During that time, mom and her support person are required to wear masks.
If a mom is COVID positive, her baby goes to NICU until discharge.
Is everyone involvedmother, guest, childgetting tested?
We are currently only testing the mother, no one else. If mom is COVID positive, the NICU handles the care and testing of the baby.
Have the guidelines changed for when Mom and child are released?
No. While we try and discharge clients as quickly as possible, making sure theyre safe with adequate follow-up care is of the utmost importance. If a mom and baby are low-risk with a vaginal delivery, we discharge around 24 hours. If shes low-risk, but had a c-section, discharge is around 72 hours.
Regarding post-natal care: are moms/newborns getting home nurse visits if
necessary? Is any other treatment happening or have some things moved to
telehealth?
Most postpartum visits can be handled through telehealth. We do see them in person for the six-week postpartum visit. We do not send anyone to the house.
Is there any other information that is important for our readers to know?
I think its important for readers to know that hospital workers are doing their very best to keep you, your loved ones, and themselves safe. Some of the restrictionsand the implication those restrictions have on the laboring mothermight not make sense or feel supportive. Every woman deserves to give birth with support and care in a safe environment. We are doing our best to make sure she gets all three.
Michele Wojciechowski is an award-winning writer and author of the humor book Next Time I Move, Theyll Carry Me Out in a Box.
Original post:
Maternity Care in the Time of COVID-19 - DailyNurse
- Muscular Dystrophy - OrthoInfo - AAOS - December 25th, 2017 [December 25th, 2017]
- Adult Stem Cells - Therapies and Treatments - January 3rd, 2018 [January 3rd, 2018]
- Stem Cell Treatment for Cerebral Palsy Beike Biotechnology - January 22nd, 2018 [January 22nd, 2018]
- Crohns Disease and Ulcerative Colitis - February 6th, 2018 [February 6th, 2018]
- Ulcerative Colitis - Drugs.com - February 6th, 2018 [February 6th, 2018]
- Eczema Symptoms | Causes | Treatments | Types | Triggers - March 2nd, 2018 [March 2nd, 2018]
- Atopic Eczema - Patient - March 12th, 2018 [March 12th, 2018]
- Arnold Schwarzenegger undergoes heart surgery | Film | The ... - April 4th, 2018 [April 4th, 2018]
- Arnold Schwarzenegger Undergoes Emergency Heart Surgery - April 4th, 2018 [April 4th, 2018]
- Cardiac Surgery - University of California, San Francisco ... - April 4th, 2018 [April 4th, 2018]
- Cerebral Palsy Spasticity in Children - Causes, Effects ... - May 6th, 2018 [May 6th, 2018]
- Cardiac catheterization - Mayo Clinic - May 22nd, 2018 [May 22nd, 2018]
- Welcome to the ABG Tutorial - Welcome to Hansen Nursing - May 22nd, 2018 [May 22nd, 2018]
- UKNEQAS for Molecular Genetics - May 23rd, 2018 [May 23rd, 2018]
- Congenital Heart Defects, Simplified - May 23rd, 2018 [May 23rd, 2018]
- Interventional radiology - Wikipedia - May 27th, 2018 [May 27th, 2018]
- Heart Rhythm Abnormalities (Arrhythmias) - NYP.org - May 30th, 2018 [May 30th, 2018]
- Cardiac rhythm abnormalities - symptoms and treatment ... - May 30th, 2018 [May 30th, 2018]
- Pediatric Heart Institute | Children's Hospital Vanderbilt - June 2nd, 2018 [June 2nd, 2018]
- Concentric Remodeling - Cardioserv - June 5th, 2018 [June 5th, 2018]
- Aegean Conferences - June 7th, 2018 [June 7th, 2018]
- 2018 Cardiac Regulatory Mechanisms Conference GRC - June 7th, 2018 [June 7th, 2018]
- Fight Heart Disease - Victor Chang Cardiac Research Institute - June 7th, 2018 [June 7th, 2018]
- NHS Direct Wales - Encyclopaedia : Ulcerative colitis - June 11th, 2018 [June 11th, 2018]
- Cannabis Treatment for Parkinson's Disease Green Rush Daily - June 11th, 2018 [June 11th, 2018]
- Diuretics - Pharmacology - Merck Veterinary Manual - June 18th, 2018 [June 18th, 2018]
- 2018 Multiscale Plant Vascular Biology Conference GRC - June 23rd, 2018 [June 23rd, 2018]
- Cerebral Palsy Treatment | Birth Injury Guide - July 9th, 2018 [July 9th, 2018]
- Division of Pediatric Cardiology | University of Maryland ... - July 11th, 2018 [July 11th, 2018]
- Nuclear Medicine - Molecular Imaging - Nuclear Medicine ... - July 11th, 2018 [July 11th, 2018]
- Blood vessel - Wikipedia - July 12th, 2018 [July 12th, 2018]
- What is Atrial Fibrillation (AF)? - Heart Foundation NZ - July 15th, 2018 [July 15th, 2018]
- EBR Systems, Inc - July 17th, 2018 [July 17th, 2018]
- Coronary artery disease - Symptoms and causes - Mayo Clinic - July 29th, 2018 [July 29th, 2018]
- CV Physiology | Ventricular and Atrial Hypertrophy and ... - July 31st, 2018 [July 31st, 2018]
- Cardiac Surgery Advanced life Support - Home - August 2nd, 2018 [August 2nd, 2018]
- Cardiac Nursing Care: NCP - 5 Nursing Diagnosis for ... - August 2nd, 2018 [August 2nd, 2018]
- Welcome to Hansen Nursing - August 2nd, 2018 [August 2nd, 2018]
- TARA / Innovating predictive cardiac physiology - August 18th, 2018 [August 18th, 2018]
- Board of Directors Summary - Victor Chang Cardiac Research ... - August 18th, 2018 [August 18th, 2018]
- Wound Care - KRMC - September 19th, 2018 [September 19th, 2018]
- Welcome to the ABG Tutorial - Welcome to Hansen - October 13th, 2018 [October 13th, 2018]
- Sudden Death in Dogs - Pet Health Network - October 15th, 2018 [October 15th, 2018]
- gmcheart.com - Cardiovascular Services at Gwinnett Medical ... - November 14th, 2018 [November 14th, 2018]
- Interventional Cardiology | WVU Heart and Vascular Institute - November 21st, 2018 [November 21st, 2018]
- Heart Attack (Myocardial Infarction) | Symptoms and Causes - November 22nd, 2018 [November 22nd, 2018]
- Cerebral Palsy | Boston Children's Hospital - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy | Cleveland Clinic - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy Diagnosis and Treatments | Gillette Children's ... - November 27th, 2018 [November 27th, 2018]
- Cerebral palsy | Genetic and Rare Diseases Information Center ... - November 27th, 2018 [November 27th, 2018]
- Spastic cerebral palsy - Wikipedia - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy - CHASA - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy Symptoms & Types - WebMD - November 27th, 2018 [November 27th, 2018]
- Cerebral palsy - NHS - November 27th, 2018 [November 27th, 2018]
- Ventricle (heart) - Wikipedia - December 4th, 2018 [December 4th, 2018]
- Cardiomyopathy - Wikipedia - December 5th, 2018 [December 5th, 2018]
- Cardiomyopathy - British Heart Foundation - December 5th, 2018 [December 5th, 2018]
- Cardiomyopathy | National Heart, Lung, and Blood Institute ... - December 5th, 2018 [December 5th, 2018]
- Community Mental Health Centers - MS Department of Mental ... - December 9th, 2018 [December 9th, 2018]
- Atopic dermatitis (eczema) - Symptoms and causes - Mayo Clinic - December 23rd, 2018 [December 23rd, 2018]
- Dermatitis - Wikipedia - December 23rd, 2018 [December 23rd, 2018]
- Eczema Symptoms & Causes | National Eczema Association - December 23rd, 2018 [December 23rd, 2018]
- Eating too much added sugar increases the risk of dying ... - December 25th, 2018 [December 25th, 2018]
- Heart Diseases & Disorders - December 25th, 2018 [December 25th, 2018]
- 5 Types of Heart Disease Symptoms, Risk Factors, Causes ... - December 25th, 2018 [December 25th, 2018]
- Different heart diseases - World Heart Federation - December 25th, 2018 [December 25th, 2018]
- Cardiovascular disease - Wikipedia - December 25th, 2018 [December 25th, 2018]
- Cardiac arrest - Wikipedia - December 27th, 2018 [December 27th, 2018]
- What Is Arrhythmia? Symptoms, Treatment, Causes & Types - December 27th, 2018 [December 27th, 2018]
- Heart arrhythmia - Wikipedia - December 27th, 2018 [December 27th, 2018]
- The Heart Truth - Lower Heart Disease Risk - December 30th, 2018 [December 30th, 2018]
- What are the different types of heart disease? | Heart ... - December 30th, 2018 [December 30th, 2018]
- Radiofrequency ablation - Wikipedia - January 14th, 2019 [January 14th, 2019]
- Singanitropin HGH 100 IU by Singani Pharma - pharmacomstore.ws - February 9th, 2019 [February 9th, 2019]
- Photosynthesis - Definition, Equation and Products ... - March 6th, 2019 [March 6th, 2019]
- Cardiology Conferences | Cardiology World Congress 2019 ... - March 18th, 2019 [March 18th, 2019]
- 2019 Tissue Repair and Regeneration Conference GRC - April 2nd, 2019 [April 2nd, 2019]
- The SHaRe Cardiomyopathy Registry - April 8th, 2019 [April 8th, 2019]
- Heart arrhythmia - Symptoms and causes - Mayo Clinic - April 20th, 2019 [April 20th, 2019]