Covid-19 is a topic that is largely unavoidable at this point in current affairs, and it is impacting the birthing world, most specifically those in the hospital setting.
Birthing parents are expressing concern over how Covid-19 will affect their birth, and assessing the risks of birthing in hospitals that may be experiencing strain as a result of this virus.
As a precaution, many hospitals have placed stringent limits on visitors and birth attendants, unfortunately making it difficult for doulas to support their clients during birth. It is important that hospitals understand that even during this time, doulas are not visitors.
Here is a statement regarding AWHONN’s (the Association of Women’s Health, Obstetric, and Neonatal Nurses) position on doulas during this time:
“Doulas are not visitors and should not be blocked from caring for patients in the antepartum, intrapartum and postpartum period. Most doulas have been contracted by patients weeks to months ahead of time and have established provider relationships. They are recognized by AWHONN and ACOG as essential personnel and part of the maternity care team,” states Nancy Travis, AWHONN member, MS, BSN, RN, BC, CPN, CBC, Florida Section Chair.
Contact your choice hospital/providers to ensure they are made aware of this information, verify that your doula will not be considered under visitor status, and request documentation to protect your rights and be put at ease that your birth team will remain intact.
If you are feeling uneasy about entering the hospital under current circumstances, know that there are other options available to low-risk birthing people.
If this is the case, consider contacting local midwives and inquire about choosing or switching to birthing at home or in a birth center. Midwives are highly trained professionals that have all the equipment and medications to manage complications. They have the knowledge and skill set to recognize situations outside the norm that would necessitate a transfer long before things turn emergent.
Lastly, if a hospital is your only option and you are feeling nervous, take a deep breath. Find a doula to support you and work through your fears. Focus on relaxation techniques and fear releasing exercises.