Updated March 23, 2020

Dear Birth Center Families,
 

We would like to update you on new Birth Center policy changes based on the most current recommendations.  Office visitor policy: If at all possible, consider coming to your office visit alone.  We understand if this is not possible, in which case one other person is allowed (as long as that person is healthy and 16 or older).
Sick policy: Please continue to let us know ahead of time if you are sick or think you are getting sick.
Use the hand sanitizer upon arrival at the front desk.
Labor visitor policy: we are changing the policy to allow one adult support person (not 2) in addition to a doula.
Office GYN visits:  We are rescheduling all well woman (routine) GYN visits to no earlier than June.  If there is a problem or a concern, we will schedule an appointment to see you, either in person or virtual depending on the nature of the problem.  
Pregnancy visits: Your prenatal visits will be a combination of in person visits and virtual visits (telemed) via Zoom.  (If additional visits are needed due to a concern, they can still be arranged)  

  • New OB visit- first visits will occur at 10 weeks. Prior to this, there will be a screening visit if you are new to the practice.
  • If new to the practice your next encounter will be a telemed visit with an RN.
  • Visit at 15 weeks. (telemed)
  • Visit at 20 weeks (in person)
  • Visit at 24 weeks (telemed)
  • Visits at 28, 30, 32, 34, 36, 37, 38, 39, 40 weeks, and thereafter (in person)

The home visit will be on Postpartum Day 2 on the labor side of The Birth Center (instead of in your home), per the American Association of Birth Centers. No more than one adult person will be allowed at this visit. It is imperative that you check in on days 1, 2, and 3 with your postpartum check-ins. Please make sure you have a thermometer on hand.

The one week postpartum visit will be done via telemed, unless there is a concern.

The six week postpartum visit will be done via telemed, unless there is a concern.

Lactation visits will be done by telemed.

All of our core Birth Center classes (Childbirth Full Series, Mother Infant Assessment, Breastfeeding Basics, etc.) and support groups are now being offered virtually. Please don’t forget to sign up for classes here. A link to join the appropriate class will be emailed to you 24 hours prior. 

Thank you for your continued support as we work to keep our Birth Center families and staff safe. We are here for you and we will get through this together!

March 16, 2020

Dear Birth Center Families,

As you all are aware, the coronavirus has changed quickly from being a concern at the international level to having a significant impact in our local community.  We here at The Birth Center are taking this virus very seriously as well as the recommendations for practicing social distancing to keep our mothers and babies safe.  To this end, we have come up with the following policies that will take effect immediately and will stay in effect until experts declare that the risk is mitigated. These policies may change as the situation
evolves.

IF YOU ARE SICK (OR IF YOU THINK YOU ARE GETTING SICK)  OR YOU HAVE TRAVELED TO OR FROM A HIGH RISK AREA IN THE LAST 14 DAYS: You need to cancel your appointment until further notice.  If you have a fever > or = 100.4 degrees F. along with a cough/ shortness of breath or body aches you may not come into The Birth Center at all, and will be referred to your PCP and the Division of Public Health.  Those with mild symptoms of a cold or flu-like illness are requested to stay at home for 14 days but at this time are not being tested. In the event that you cannot come to The Birth Center, please communicate directly with a midwife in order to discuss your situation and put a plan of care in place.

APPOINTMENTS: For any appointment (prenatal, postpartum, lactation, or gynecology), if you or anyone in your household is experiencing symptoms of concern (see above) please call our office to determine a plan for care.  When you come for an appointment, please make other arrangements for your children if at all possible in order for us to lessen the risk for exposure of all concerned at The Birth Center. Anyone accompanying you to your appointment must also be symptom free and also cannot have traveled within the last 14 days to or from a high risk area.

LABORING WOMEN: The Birth Center is open as usual for clients in labor with screening to be done during the initial labor call.  We have needed to change our policy to allow only 2 adult support persons, who will also be screened, in addition to a doula if you have arranged for one. 

HOME VISITS: We ask that you minimize the risk to our staff by not having any visitors present when the nurse comes.  If anyone in the household is symptomatic, please notify us ahead of time.  We strongly encourage that you limit your household visitors to the people attending your birth and siblings for the first 2 weeks and stay home, observing the practice of social distancing whenever possible.

ONE WEEK AND SIX WEEK POSTPARTUM VISITS: The one week and six week postpartum follow-up visits will be at The Birth Center as usual with the above precautions in place.

CLASSES, TOURS, MEET AND GREETS: We are temporarily instituting Zoom for classes, tours and meet and greets – this means there will be a live presentation but you will attend via computer or phone. If you are registered for any Birth Center class, you will be contacted with instructions for how to access Zoom.

SUPPORT GROUPS: All support groups (Mom’s groups, breastfeeding support groups, etc.) will be done via Zoom at their regularly scheduled times. We will be sharing a link on Facebook. If you do not have Facebook, e-mail thebirthcenter@thebirthcenter.com to request the Zoom link.

TBC STAFF: To protect our clients, all TBC personnel with the above listed symptoms have been advised not to come to work.  Hand washing remains paramount. While cleaning and sterilization has always been of utmost importance, we have increased our sanitation measures throughout the day.  Toys have been removed from the waiting room and pens at the registration desk are disinfected periodically throughout the day.

PREGNANT MOTHERS: The literature is limited but there have been no cases of mom to baby transmission in pregnant women.  Postpartum there is a benefit to baby receiving breast milk, but precautions need to be taken with direct breastfeeding in women who are symptomatic or infected (i.e. good handwashing and use of a mask). Please click here for more information.

CONFIRMED CASES: If you have a positive test for COVID-19, please call our office and we will develop an individualized plan of care moving forward.

We understand that these are strict measures and they impact not only our clients but our staff and entire organization. Our goal is to be proactive instead of reactive, and we hope these measures will keep our birth center operating as close to usual as possible so that we can continue to offer safe out-of-hospital birth.  Please continue to check our website and Facebook for updates on these policies or contact us with any questions or concerns.