• Amanda Macdonald, LM, CPM

New COVID-19 Policies At Sage Springs


I know this is a stressful time with a great amount of uncertainty. I know these new guidelines feel far less personal than the care that families typically receive with out of hospital midwifery care. It has been difficult for us to even type these out. I have cried. More than once. I wish I could tell you how long these policies will be in place. We will take this day by day, together, from a distance.


With all my midwife love,

Amanda


I hope these policies answer questions about what changes to expect in your care. All recommendations come from the World Health Organization, the Centers for Disease Control and state and federal midwifery organizations.


We will be doing short clinical checks in the office, with the rest of the appointment topics and questions being covered in a Zoom call at a different time. We will schedule both of these separately. Clinical checks should be scheduled directly with me. Zoom calls should be scheduled online through my website. This will keep in-person exposure to a minimum, as the virus is spread through talking, coughing, and sneezing. Please schedule your Zoom call for the same week as your clinical check if possible. You will find the online scheduling tool on my website.

You can find more information about Zoom at www.zoom.us.



Prenatal:

12 weeks- Initial clinical visit plus Zoom call, off site bloodwork

16 weeks- Zoom call only

20 weeks- Zoom call only, off site ultrasound

24 weeks- Zoom call only

28 weeks- Clinical visit plus Zoom call, off site bloodwork

30 weeks- Zoom call only

32 weeks- Clinical visit plus Zoom call

34 weeks- Zoom call only

36 weeks- Home Visit

37+ weeks- Weekly clinical visits plus Zoom call


If you are uncomfortable going without clinical checks on the Zoom-only weeks, or conversely, if you prefer not to come into the office at all until late pregnancy, please purchase these 3 items:


  • Electronic Blood Pressure Monitor

  • Fetal Doppler (2 or 3 mhz)

  • Soft measuring tape in centimeters



The BP monitors can be purchased at your local pharmacy or online. We will discuss proper usage together.


Fetal dopplers can be purchased fairly inexpensively on eBay. It doesn’t need to be anything fancy. Email with questions We will discuss proper usage together.


If you opt to buy a BP monitor and/or doppler, I will credit your invoice $20-60 if I can keep the BP monitor and/or doppler at your home visit to add to our office’s supplies.


I will teach you how to use the measuring tape to check the growth of your uterus.


I can supply you with urinalysis test strips if desired.



Postpartum:

24-48 hour- Home visit

3-4 days- Zoom call

10-14 days- Office visit

4 week- Zoom call

6 week- Zoom call


Virtual or in-home lactation consults are available with Nourish Nevada, as needed.

Please see www.nourishnevada.com for contact info and additional information.


If you wish to weigh your baby between our two in-person postpartum visits, please order an electronic fish scale that weighs in grams and/or ounces. It does not need to be expensive. I can supply you with the fabric sling to use with the scale. We will discuss proper usage together.

*This would be my recommendation for anyone having struggles with breastfeeding.*



For in-office visits:


  • Prior to your visit you will be texted with a set of questions to screen for symptoms of any illness. PLEASE, do not come in if you have even the most mild of symptoms. If you exhibit symptoms during a visit, you will be asked to leave and continue the visit via Zoom at a later date.


  • No children are allowed to attend visits. Only your partner is allowed to attend your visit with you. The in person visits are short and will not contain the extensive discussion information that will be provided in the Zoom call visits.


  • When you arrive, please wait in your car and text to make sure that we are ready for you. There will be no waiting in our front room for appointments to begin. The door will be locked between appointments.


  • Once in the office, you will be screened for fever. Please then go straight to the bathroom to wash your hands for at least 20 seconds.


  • Visits will be limited to physical vitals and needed testing, the rest of the visit will be done through Zoom.


Labor:


  • Please have a back-up plan for children and family members who are ill or show any symptoms of illness. We cannot attend a birth at home with any symptomatic individuals.


  • Please have disinfectant wipes or solution available for continuous cleaning.


  • Please have hand sanitizer and non-foaming hand soap available for all in attendance.


  • If we wear a mask at your birth, please do not be offended.


At this time, if a transfer to the hospital is necessary, we are unable to stay with you once your care has been established with the hospital. We will make sure the hospital has all your records and important information. We will be available to you by text or phone. It has been incredibly difficult for us to put this policy into place, but it is essential for the safety of your midwives, our families, and all the families we serve.


Please contact me with any questions or concerns. Also, if you experience any symptoms, please call me first, so we can review current recommendations on the proper place to be seen for care and testing.



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Amanda Macdonald, LM, CPM | 775-525-1669 nvmidwifeamanda@gmail.com

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Sage Springs Midwifery

12 W. Taylor Street

Reno NV 89509