The health and safety of our patients and staff is our highest priority.

our safety protocols and updates for COVID-19

San Diego County Midwives

San Diego County Midwives

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COVID – 19

San Diego County Midwives, like you, have watched the Coronavirus crisis carefully. We share your concerns and want you to know that we take your health and wellness seriously as you gestate a healthy baby. In this rapidly changing time with new information and discoveries regarding COVID-19 we are closely monitoring the World Health Organization and the CDC guidelines frequently. We will continue to monitor this situation and adjust our care for you accordingly.

SDCM Protocols

In the meantime, please be assured that we are taking precautions to keep our environment clean and safe. We want to assure you we wash our hands and clean our equipment between each client. We sanitize surfaces daily and will honor social distancing.

We will practice no handshaking or hugging, but are open to elbow bumps or foot snaps. We have hand sanitizer readily available and encourage you to use it.

Protecting ourselves from Covid-19 is the responsibility of each of us. For that reason, please do not attend an appointment with us if you or a family member

  • Is experiencing cold or flu-like symptoms, fever, cough or shortness of breath
  • Have had recent contact with a person who has been exposed to COVID-19
  • You have a compromised immune system

CBS News 8 Interview with San Diego County Midwives

COVID-19 Questionnaire

If you are thinking about home or birth center birth, please complete our online questionnaire. This will help you and us assess if you are a candidate for Out of Hospital birth (OOH).
Complete Our Questionnaire

Consultations and Tours

For Everyone’s Safety, all of our Meet & Greet consults are Zoom virtual and all Birth Center tours are virtual.
Birth Center Virtual Tour

Appointments

All obstetric providers are currently reducing the number of in-person appointments both in pregnancy and postpartum.

This strategy is to reduce everyone’s exposure to the coronavirus. All person to person contacts are a risk factor for infection during a pandemic. These policies may change at a moment’s notice.

Your midwives are in contact with our local, national and international health agencies in an attempt to keep everyone as safe as possible.

All in-person visits will utilize personal protective equipment (PPE), temperature and SPO2 monitoring. They are still limited to the pregnant person only, however we encourage you to Zoom or FaceTime any other members of your family you care to have join you.

Please note that the SDCM midwives are continuing to “shelter in place” as much as possible and taking all precautions to make sure that we all will be safe.

Schedule

San Diego County Midwives has the regular OB schedule of seeing clients via Zoom every four weeks from 8 – 28 weeks, with In-person visits scheduled to coincide with labs and ultrasound appointments.

8 – 12 Weeks (Initial Visit)

Zoom “Initial Visit” appointment

Initial Visit may be later if transferring care

Labs will be drawn approximately 2 weeks after your Initial Visit unless you have already had them with your previous care provider. This will be an in-person visit to complete your history and physical exam.

28 Weeks

In person – Glucose & repeat CBC

Every 2 weeks: Alternating in-person and Zoom virtual appointments until

36 Weeks

In person – GBS & gen culture

Weekly from 36 – 41 weeks: Alternating in-person and Zoom

41 Weeks

In person, Non-Stress Test (NST)

41.3 Weeks

Biophysical profile test (BPP) followed by Zoom virtual

41.6 Weeks

In person, NST

Message From Your Midwives

How are you doing during this COVID-19 pandemic?

Your SDCM midwives wanted to reach out to clients and anyone visiting our website, and see how you are doing.  Feel free to reach out if you are feeling overly anxious or need help. These are trying times, and it is taking a toll on all of us in different ways.

We hope you are staying home, social distancing, taking care of your health, that of our community, while keeping your family close and as safe as possible. Please know that the time you take in caring for yourself will the enhance your immune system. Be good to yourself. Find ways to relax and release your muscles, your mind and your psyche.

In this time of “social distancing” it is very important to think about our mental health. What are we doing to keep our personal social structure together? Find ways to connect on a regular basis. An old-fashioned phone call, a FaceTime, Skype or Zoom allows you to stay together. Human connection is essential.

Think about your eating habits. In stressful times we may eat too much or too little. Please take the time to make real food. Nutritious foods include plenty of vegetables, healthy protien and a reasonable amount of fruits, and staying well hydrated.  Good nutrition is important for your baby’s development, and the prevention of premature labor.

Sleep health is equally important. Some of the things you can do to increase sleep health is by avoiding caffeine after 3:00 pm, limiting screen time prior to sleep, going to bed at a regular time. If you find yourself awake for more than 20 minutes, get up and do something restful.

Exercise is very important for improving the immune system. While you may not be able to go to the gym, park or beach, find or make a regular routine of exercise. There are some great YouTube channels that host various types of exercises you can do in your own home.

Beyond the methods of self-care discussed here, some families are asking about how to boost the immune system. We normally suggest the following things during cold and flu season: Vitamin C with bioflavonoids – Ascorbic Acid, Vit A (betacarotene), Vit D, Zinc and melatonin at night.

Be kind to yourself and take care of your mental, social and physical health.

We welcome your partner and doula

Doulas are an important part of your birthing team.

Currently they are being restricted from many hospitals, and while their physical presence may not always be possible, they can truly help you and your partner prepare for, and work as a team, through labor.

Doulas serve as your expert birth support that can be there in person, or even virtually, at the time of birth. They are continuing to care for birthing families from even from afar, setting up extra prenatal visits, teaching you and your partner to work together and helping you navigate the best birth possible.

However, if during labor, you or your partner has an elevated temperature, your care will be transferred to a hospital provider. If your doula has a temperature, she cannot remain on the premises, whether for a home birth or birth center birth, but can offer support via Zoom if she chooses.

What’s new?

We are continuing to refine our PPE, practice protocols and our care for each of you.

We thank you for your patience and willingness to be a greater part of your care. We are finding many families like the extra involvement and the confidence they are gaining in the deeper understanding of the changes that occur during pregnancy.

We are currently asking our clients to purchase their own tape measure, blood pressure cuff, thermometer, doppler and baby scale so that you can help us monitor your baby by means of our Tele-Health visits. If this imposes a financial hardship, please let us know and we will try to arrange a loaner kit.

Home birth clients

Please continue to take all precautions because this pandemic is ever evolving.

We have very specific instructions for preparing your home for your birth and the arrival of your birth team. Please implement these directions to protect yourself, your family and baby, your birthing team and our community.

We appreciate your adherence to current health recommendations. It protects us all.

Meanwhile we recommend regularly sanitizing highly touched surfaces in your homes (doorknobs, light switches, any metal surfaces) and vehicles. Wash your hands frequently for at least 20 seconds using bar or liquid soap (not foam). Stay home. Avoid touching your nose, mouth or eyes with unwashed hands. And especially with the heat of summer upon us, take good care of yourself.

Please reach out if you have any questions.

At your service,

Your San Diego County Midwives Team


COVID-19 Resources

Center for Disease Control (CDC)

CDC: 10 Things You Can Do to Manage Your Health at Home

Centers for Disease Control (CDC)

CDC: Coronavirus (COVID-19) 

CDC: Pregnancy & Breastfeeding Information about Coronavirus (COVID-19)

World Health Organization (WHO)

WHO: Coronavirus disease (COVID-19) outbreak

WHO: Recommendations for rooming-in even if you’re infected

Additional Resources

California Department of Health: COVID-19 Updates

WebMD: Talking to Your Kids About Coronavirus

Aviva Romm MD: COVID-19: An Integrative MDs Commonsense Approach

RCOG: Recommends against routine separation of COVID-19-affected mothers and babies

MANA: Birth and the Illusion of Our Health Care System Amidst COVID-19

Evidence Based Birth

Parent and Birth Worker Advocacy

Birth Monopoly: COVID-19 and Doula Support: How to respond to changing hospital policies

AWHONN: Statement about doulas with patient during COVID-19

Peace of Me Birth Services: Provider Doula Support Template Letter

Consult Your Midwife


© 2020 San Diego County Midwives

San Diego County Midwives have either authored or reviewed and approved the content on this website.

Disclaimer of Medical Advice: All users of this website are responsible for their own medical care, treatment, and oversight. All of the content provided on the website is for informational purposes only and does not constitute the providing of medical advice. It is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment.

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