Coronavirus  (COVID 19)

*Update Coronavirus*    

April 2020

On March 31, it was announced that government measures will be extended until at least April 28. We, too, will have to continue to maintain our adapted practice organization during this time and possibly longer. All midwifery practices in North Brabant will comply with these agreements. Because the situation changes quickly, advice also changes quickly. Keep an eye on your email, this website and the Social Media of our practice so that you stay informed of the latest developments.

Insert IUDs

From April 6 we will go back to placing IUD's. Do you want an IUD? Contact us by the registration form, so that we can see together what is possible.

Advice KNOV 1-4-2020: (..) to meet the demands of clients, the placement of IUDs can be resumed. Certainly also to relieve the pressure on GPs, possibly gynecologists. The condition remains, of course, that Ms has no complaints, appropriate for a COVID-19.

Pregnancy

Our practice locations are only open for office hours for the necessary pregnancy checks.

Urgency

Emergency and delivery care will of course continue, so just call us if you have any questions or complaints. The midwife is always there for you and will work with you to assess whether an extra check-up is necessary.
You can still ALWAYS call with questions or concerns!

If you have a fever, signs of a cold or signs of the flu stay at home and do not come to our clinic.

• The interval between inspections, if no complaints, is increased on the advice of the authorities. The exclusion of medical details is a priority. There are no medical checks between 16-27 weeks of pregnancy necessary and are therefore not done unless they are really necessary.
• Intake interviews will take place by telephone.
• Clients who have an appointment at the practice in the coming weeks will be called in the days before this appointment by the midwife or assistant of  practice. Checks that are not medically necessary will be cancelled. Checks that do take place are kept as short as possible. This means that we only check your blood pressure and the growing of your uterus/position of baby; we answer questions by telephone. We also ask you to come to this check-up alone and not to bring children, partner or other family members.
• All ultrasound appointments, including those of the 20-week ultrasound, will remain; We will plan careful in every specific situation if ultrasound is indicated en necessary.
• We want to ask you to arrive on time to ensure that the consultation hours run as smoothly as possible. We do our utmost to work on time as possible, so that the waiting time will be as limited as possible in the waiting area. Avoid contact with others in the waiting room by keeping as much distance as possible.
• To protect us all, there will be no toys in the consultation and waiting rooms. We also observe special cleaning rules and use hygienic aids if necessary.
• The Centering Pregnancy meetings have been cancelled.
• We will also do the 6-week follow-up checks by telephone.
• The Pretecho040, ultrasounds for fun (without any medical indication) , will temporarily not be offered until further notice, such as the placement of spirals , Anticonceptie040, and the wish for pregnancy (preconception) consultation hours.
• Do not bring your partner, children or anybody else with you to the visits at our clinic. If they want to be part of the visit, they can (video)call.
• We will not shake your hand at our visit.
• The visits at our clinic will be as short as possible. We will measure your blood pressure, check the growth of your uterus and the baby and listen to the baby’s heartbeat. Any questions that you have will be answered by phone. This measure focusses on keeping physical contact to a minimum between everybody in the waiting room and the meeting room.

Delivery

Are you about to give birth?

What an exciting time to be dued with all corona developments now! It is important to know that the choice for a home or hospital birth remains just as before. Even if you have a medical indication, giving birth in a hospital is safe and responsible. We do everything we can to help you give birth personally and in peace at the location you like. If the help of a gynecologist is needed, you can count on excellent and safe care in the hospital of your choice due to our good cooperation with the hospitals.

There are a few important points you should know:

• For the time being, only one attendant may be present at birth (both at home and in the hospital at all), so not in the hallway or anywhere else in the hospital.
• Unfortunately, delivery in the bath is currently not possible. You cannot give birth in the bath during a home birth, but you can absorb your contractions in the bath. In the hospital it is no longer possible to take a bath during your delivery. Showering is of course still a possibility.
• If you or your partner have a fever or other corona-related complaints during the delivery, we will have to take extra precautions and adjust our guidance. This is customization and is viewed per situation.
• Maternity visits after delivery are also not desirable in the hospital. If you have to stay longer in the hospital, the rules that apply in the hospital apply.

At this moment you still have a choice where you want the delivery to take place. Both at home or in the hospital. During a hospital delivery you can bring a maximum of one person. After the birth you cannot receive guests at the hospital. We are in close contact with all hospitals around us, CZH, MMC-V and St-Anna,  in order to make the safest arrangements for each delivery.

Here is a list of events in which you have to call us :  06-107 209 08 (team Pink)      or      06 301 551 21 ( team Blue):

• Vaginal blood loss
• Vaginal fluid loss/broken membranes
• Fever higher than 38 Celsius, measured rectally
• Pain in your belly and/or back that comes and goes if you are not 37 weeks pregnant yet.
• If you do not feel the baby move as you know it or not at all and you have passed 26 weeks pregnancy.
• If you are vomiting and at risk of dehydration

general information delivery in Maxima Medisch centrum in english : 

Maxima Medisch Centrum, delivery information ENG

Postnatal period

The postnatal visits will be done by phone. We will come over when necessary. Of course safety for you and your baby is the most important during the strict measures!

Maternity visits:

• We will do maternity visits by telephone as much as possible, as long as the situation allows. If we estimate that a visit is necessary or if you have been delivered and have complains, we will of course visit you.
• When we do come to a maternity visit, we want to meet as few other people as possible, so please no visitors in the house when the midwife comes by.
• If you or one of your housemates develop complaints, we would like to be called about it.

We hope this has given you enough information about the strict measures. You can always call the office or give us an email with question(s). Thank you again for understanding the measures that we all need to take to minimize the spread of the corona virus.