“My OB basically told me that she would rather not even go to the grocery store,” says Sedler. “I always had mild anxiety, but surprisingly I was not anxious during the first half of my pregnancy. I try to keep this state of mind, but it seems impossible. Just last week, I was annoyed that I couldn’t book a pre-baby trip to Hawaii and now I can’t even go to Publix, ”she says.
The practice of prenatal care is also evolving – rapidly. Doctors’ offices and hospitals, especially in hard-hit areas, cancel[[[[medical appointments, surgical procedures and interventions deemed “non-essential”, “elective” or “routine”.. “We have revised our office policies: each patient receives a telephone screening before their visit, asking questions about the symptoms of SARS-CoV-2 / COVID-19. We have canceled all elective surgeries in accordance with the instructions of the general surgeon and the joint statement issued by [largeobstetrics/gynecologysocieties[majorob/gynsocieties[grandessociétésd’obstétrique/gynécologie[majorob/gynsocieties]Says Jaclyn Friedman, M.D., a gynecology practice doctor in Atlanta. This means they have canceled the vast majority of office visits and surgeries, she says, adding that doctors in the office are also reducing the number of hours they spend in the office.
“We want to minimize all contact – from patient to patient, from patient to staff, from patient to supplier – to reduce the risk of transmission of this virus,” says Dr. Friedman. Some hospitals are also cancellation of maternity visits, a rite of passage for many parents who choose where to give birth. However, in which category prenatal consultations and ultrasounds are taken into account can be inconsistent and confusing from one practice to another.
Harya Tarekegn, who is 17 weeks in New York, says her OB group has canceled all of her “routine” visits to minimize the risk of exposure. “The only reason my next appointment isn’t canceled is because it’s a full body scan, so it’s not considered routine,” she told SELF. . For offices continuing their meetings, the protocols have changed. Dr. Sedler said at his last appointment, “there were signs all over the office, including the front door, telling patients what to do if they had symptoms, and they were fixing the cash desk when I went [in]- a constant reminder that a health care office is actually the most vulnerable place for a pregnant woman. Gynecology / obstetrics offices also strictly limit who is allowed to enter. “In the past, we have encouraged grandmother to come and listen to our baby’s heart rate, as well as siblings and partners, but we are now trying to minimize the presence of others,” Mary Jane Minkin, MD, a clinical professor of obstetrics and gynecology at Yale University and founder of MadameOvary.com, tells SELF.
This change in visitor policy occurs most intensely in hospitals. Many hospitals have reduced their visit policy to the worker’s only partner, while New York’s entire private hospital system has banned all people in the delivery room with working people, including spouses, and other hospitals are starting to follow suit.
“I felt sick because of that”, Liza Maltz, a doula by birth and founder of BirthYourOwnWay doula services in New York, says SELF. “[To have] no one is horrible. “These changes, although clearly for public health, can be really difficult for working women:[[[[surveys have found that having support during work improves a woman’s perception of her experience.
“We understand that to deal with this public health crisis, hospitals had to implement an additional infection prevention control protocol, as well as other procedures to maximize patient care and safety” , Christopher Zahn, MD, vice president of practice activities at the American College of Obstetricians and Gynecologistssaid SELF in a statement. “We also recognize that these measures can have a significant impact on the support of a mother who works in the delivery room. Evidence suggests that in addition to regular nursing care, ongoing emotional support provided by a partner or support staff such as a doula is associated with better outcomes for women in labor. As hospitals make progress in implementing measures and policies in response to this crisis, ACOG urges them to consider innovative solutions and localized collaborative approaches that guarantee patients and patients the support and stability they need during this chaotic and stressful time, “he says.