What is COVID-19? (updated 8/16/20)
— It is the disease caused by a novel/new coronavirus that has been named SARs-CoV-2
— There have been a wide range of symptoms reported. They include fever, cough, and trouble breathing along, fatigue, muscle aches, headache, new loss of sense of smell or taste, sore throat, congestion or runny nose, nausea, vomiting, or diarrhea.
— Symptoms generally appear 2-14 days after exposure to the virus
— However, many cases are asymptomatic.
COVID-19 and Pregnancy
— From the information we have so far: (Which is limited as this is a new disease!)
— Initially data did not show that pregnant women were at increased risk of developing the disease or of having more severe symptoms. However a new study reports increased risk of pregnant women requiring ICU admission and mechanical ventilation but did not show increased mortality.
— If you have underlying diseases such as chronic lung disease, diabetes, or serious heart conditions this does put you at increased risk
— Although there are cases of reported transmission from mom to fetus, the data are reassuring that this appears to be uncommon.
COVID-19 and Labor
— There are policies at the hospital that have been put in place to both keep you healthy and keep your healthcare providers healthy
— Currently all the hospitals in the metro area are following the similar policies
— You are allowed to have 1 support person/visitor during your stay. That person will be screened on arrival to the hospital and if fails screening cannot come to labor and delivery with you. Obstetric patients may have a doula/experience labor coach present in addition to their one visitor.
— Due to concern for spread of disease nitrous oxide is not an option for pain management at this time however there are other options available
— Getting an epidural earlier in labor than normal is recommended. The reason for this is that we want to avoid stat cesarean deliveries where, if you don’t have a epidural, you would have to be intubated (breathing tube placed) and put to sleep. Intubation has a very high risk of spreading disease
— You will be tested for COVID-19 either prior to or when you present in labor. Ask your doctor for more information.
Keeping you healthy and safe
— When you need to come to our office know that we have created an environment to decrease exposure. Our waiting room is set up to allow social distancing and we have created a one way flow throughout the office.
— Frequently touched surfaces are cleaned hourly and, as always, the exam rooms are cleaned between patients
— We will look different when you come it. All staff and providers with patient interactions will be wearing masks and eye protection.
— We continue to ask our patient to wear face coverings while in our offices. Wearing a face covering protects you and our staff.
Virtual visits with Zoom
— We have a low risk schedule for prenatal care that includes virtual visits, ask your doctor if you qualify as low risk
— Some gynecologic concerns are well suited for telemedicine and you can schedule a virtual visit.
— For virtual visits you will receive instructions via email or text the day of your appointment