Thankfully, our practice has returned more or less to normal! We are continuing to request that families call to discuss whether rescheduling or additional precautions might be needed any time they are ill.

CHANGES FOR LABOR AND BIRTH
At this time, Gig Harbor Midwifery does not have a specific limitation on persons in attendance at your delivery, except they must be healthy.  For deliveries at The Birthing Inn, only support people who are physically in the room will be allowed (no family allowed to wait in the waiting room). The decision regarding who to invite to your birth is ultimately your own. In the event of a transfer your support people may be limited by hospital policies.

 

Our birth team will continue to consist of 2-3 members, as I believe that this is the fewest safe number of trained attendants at a birth. 

CHANGES FOR PRENATAL CARE

We're working hard to reduce exposure in prenatal clinic by spacing out in person visits and offering some telemedicine and home visits.  Please help us out by arriving to clinic on time and planning on a 45 minute or less visit to give us time after your visit to completely clean the clinic space and remove any toys or items your kids may have touched (these will be sanitized before being returned to the clinic space). As always we will wash, sanitize, or glove our hands immediately prior to any physical contact with our clients.

Your children are welcome to come with you to visits with some precautions.  Healthy kids are not particularly susceptible to complications of Covid-19, but they make great asymptomatic carriers, and most kids are not the best at washing their hands, not touching their faces, or avoiding spreading germs in general.  If they do come, please help us out by NOT putting away toys - we'll pick them up and clean them when your family leaves.

VIRTUAL VISITS

I'm now offering virtual visits on a HIPAA compliant video conferencing platform, which clients can access using a phone or computer with internet access and video/audio capability. Eligible visits include consultations, mid-pregnancy visits that do not involve labwork, some types of straightforward problem visits, and uncomplicated lactation visits.

 

The following appointments still need to be held in person: initial visits, most visits at 36 weeks and beyond, and any appointment with lab work. When we do virtual visits we can miss important information that we may have obtained through abdominal palpation, blood pressure checks, or other hands-on clinical activities that are routinely done during an in-person visit. The excellent outcomes that midwifery care can achieve are in large part attributable to the personal connections we have with our clients and our careful attention to what you tell us, but we also rely on the skill of our hands and our evaluations based on the numbers and measurements we collect.

 

POSTPARTUM CARE

Postpartum care will mostly proceed as usual, with a planned 24-48hr home visit and 3-5 day home visit.  1-2 week visits will be in the office in most cases, as well as 6 week final visits.

INTRAPARTUM TRANSFERS

If you begin labor in Gig Harbor Midwifery care but a hospital transfer is needed, we will continue to accompany clients to the hospital but cannot guarantee that we will be allowed to remain with you. Area hospitals are restricting support people and generally will ALSO allow a midwife or a doula, but this is not uniform. We will make sure your receiving providers understand what is happening and have your records even if we cannot continue to stay with you.

RESOURCES

Let me know if you need confirmation of pregnancy or birth for an employer or to qualify for leave or aid.

If you or your household has experienced a decrease in income (and absolutely if you have lost insurance coverage), please apply for Washington Pregnancy Medical here: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage/pregnant-women

If you have questions about unemployment: https://esd.wa.gov/newsroom/covid-19

For resources if you're having difficulty paying bills/mortgage/rent: https://dfi.wa.gov/coronavirus/financial-resources

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STAY SAFE AND HEALTHY EVERYONE!!