Pregnancy and COVID-19
Preparing To Have a Baby During COVID-19
Preparing to deliver a child is a wonderful and also somewhat stressful time for many families. We want to support you through the important process of pregnancy and birth. You can also learn and consider many things before you come to our hospital to make the experience easier and more positive.
Because COVID-19 has been around for only a few months, we are still learning about this coronavirus and its effects. New information becomes available almost daily, and any of your providers will be happy to answer questions and concerns. We are doing everything we can to keep mom, baby and our staff safe during delivery and throughout your hospital stay. Stay up-to-date on the latest coronavirus information as well as our hospital and doctor office policies.
During Your Delivery and Hospital Stay
When you come to the hospital for delivery, you will be tested for COVID-19 even if you have no symptoms. This is for the safety of you and your newborn.
University Hospitals’ leadership has carefully planned for a safe delivery for you and your baby whether you test positive for COVID-19 or not.
We want to highlight the following for ALL patients:
- You may have one healthy support person with you in the hospital.
- The support person will not be allowed to enter if they screen positive for COVID-19.
- Have your support person take their temperature before you head to the hospital. That person will not be allowed to enter if their temperature is 100.0 F or higher. In that case, you may want to ask someone else to accompany you.
- The support person will not be allowed to enter if they screen positive for COVID-19.
- No visitors will be allowed, other than the support person.
- You and your support person should wear a mask during your hospital stay. This is most important when you are outside your hospital room or health care workers are present.
- You and your support person each will be screened daily for signs of illness and fever.
- If your support person develops a fever of 100.0 F or higher, s/he will be asked to leave, and may be replaced by another healthy support person.
- Your one support person can stay with you for the length of your admission, but s/he may not leave your room (we will bring in food for you both)
- If you need a cesarean delivery (C-section), your support person is not allowed to go with you to the operating room.
- Build Support and Prepare for Labor and Delivery
We understand how hard visitor limits may be for women who had imagined birth with more than one support person or loved one. Here are some things you can do to prepare and cope with these changes:
- Prepare yourself for childbirth ahead of time. University Hospitals offers virtual childbirth classes and hospital tours.
- Let your care team know if you have any specific worries or questions. It will help them understand you and your needs better.
- Feel free to ask three key questions: “Why is this being recommended?” “Do I have any other options?” and “Do I have to make a decision right now?”
- Use technology to stay connected, even if you are physically separated from loved ones. University Hospitals provides free Wi-Fi to patients.
- If you have anxiety or depression, talk to your provider about whether counseling or medication might be helpful for symptoms that are getting worse.
- Newborn Care for Mothers with COVID-19
Babies can get COVID-19, but very few cases of newborns having serious symptoms have been reported. It is still unclear whether you can pass this virus to your baby while pregnant. If this does occur, it is very rare. There have been no known cases of COVID-19-related death among newborns in China, Italy, Spain or the United States. Most of the babies who developed symptoms that needed hospital treatment were premature or had another condition, such as heart problems.
Before your baby is born, you will be able to have a discussion with the pediatric team (baby doctors) to discuss ways to care for your baby. You will have a chance to talk about options such as keeping your baby with you in your room or in another room, breastfeeding and other feeding options, and skin-to-skin care.
- If you choose for your baby to be in another room, your baby will be cared for by our medical staff and, perhaps, a healthy support person. We will do everything we can to help you and your baby be close because we know how important it is for you and your baby to bond.
- If you choose to have your baby stay in your room, s/he will be kept at least 6 feet away when possible. We will show you how to wash your hands and wear a mask when caring for your baby.
- Breastfeeding If You Have COVID-19
So far, the COVID-19 virus has not been found in breast milk. We know that breastfeeding has many benefits for you and your baby’s health, including fewer infections.
If you choose to breastfeed your baby, you will need to wash your hands and wear a mask every time to reduce the chance of passing on the virus.
If you choose to not breastfeed directly, we strongly encourage you to pump your breast milk. Our team will help you think through these choices and support you.
More information about breastfeeding and breastfeeding support at University Hospitals.
- Going Home with Your Baby
To limit the chance of your baby getting any infection, we recommend you limit visitors to only those who will actively help you take care of your baby or household.
- Anyone who comes into your home should be healthy and wear a mask and wash their hands.
- Talk to your family and friends ahead of time so they know they may not get to visit right away.
- If you are diagnosed with COVID-19, wash your hands and wear a mask any time you are going to be close to your baby, such as when changing a diaper or crib sheets.
- It must be at least 14 days after the positive test result
- AND at least three days (72 hours) must have passed since the last fever without the use of Tylenol, Ibuprofen or other fever-reducing medicine
- AND all other symptoms (cough, breathing trouble, etc.) must be improving
- Should My Baby Wear a Face Covering or Mask?
Please, do not put a mask or face covering on your baby or any child under the age of 2 years. Face coverings of any kind create a risk of suffocation for infants and young children.
- Managing Your Stress
Getting ready for a new baby can be stressful, even in the best of times. Getting ready for a new baby during COVID-19 may be more stressful. To best care for your baby, it’s important you also take care of yourself. Here are some ideas to cope with your own stress during this time:
- Create and keep a list of community resources such as emergency numbers, doctors, social services, mental health centers, crisis hotlines and public health offices.
- Stay up to date about the COVID-19 situation in your area and state, but be careful about how much time you spend watching the news or reading about COVID-19. When you begin to feel anxious, confused, panicke or overwhelmed, take breaks from the news and social media.
- Make a list of activities that you find relaxing, such as taking a walk, reading a book, listening to music, talking to a trusted friend or family member, drawing, watching a movie, journaling, etc.
- Try meditation or relaxation exercises; many can be found for free online.
- Spend time with family that is consistent with family interests and cultural values.
- Have some structure or routine in schedules. This makes things feel less out of control and can be very reassuring to people of all ages.
- Try to have healthy eating and sleeping habits.
- Remember that feeling stressed, worried, lonely, fearful, bored, angry or panicked are normal reactions to this very stressful situation.
- Keep (virtual) appointments with your health care providers to take care of your physical and mental health.
- Focus on activities that bring you hope, optimism, gratitude and purpose – we know these things help people overcome stress and adversity.
- If you already have anxiety or depression, talk to your provider about whether counseling or medication might be helpful for symptoms that are getting worse. University Hospitals have mental health professionals who specialize in women’s mental health during pregnancy and after the birth of a baby. You can also look for support resources through Postpartum Support International, which supports the mental health needs of parents before, during and after pregnancy.
- Tips for Talking with Children About COVID-19
If you have other kids at home, it’s important to address the situation in a way that makes sense to your child(ren). Children may have very different reactions and feelings if you or another caregiver is sick. It is important that trusted adults are open and willing to talk with children about their feelings and reactions in a way that is at the child’s level of understanding. It is also important for adults to manage their own worries around their children and limit exposure to “grown-up” conversations.
- Tips for Talking with Others About COVID-19
Sharing information about your health with trusted friends and family members is safer for everyone and can let others offer you and your family support. It is nothing to be ashamed of. When others know, they can offer their support, emotionally and physically.
- Other Online Pregnancy Resources
- University Hospitals COVID-19 Information
- CDC COVID-19 Pregnancy and Breastfeeding Info
- CDC COVID-19 Guidelines for Caring for Pregnant Women in the hospital
- American College of Obstetrics and Gynecologists Recommendations
- The Society for Maternal-Fetal Medicine
- National Institutes of Health Special Considerations in Pregnancy and Post-partum Care
- COVID-19 FAQs by BabyCenter and the Society for Maternal-Fetal Medicine
- COVID-19 Birth Defect and Lactation Information by MotherToBaby
- Academy Breastfeeding Medicine Statement on COVID-19
- Ohio Chapter of the American Academy of Pediatrics COVID-19 Info
- World Health Organization
- Other Parenting Resources
- Where to Seek Help When Stress Becomes Overwhelming
- Call your healthcare provider(s)
- United Way's First Call for Help Dial 211 or 216-436-2000
- Frontline 24/7 Crisis Services in Cleveland: 216-623-6888
- Cuyahoga County Suicide Prevention, Mental Health Crisis, Information and Referral Hotline: 216-623-6888
- Cuyahoga County Alcohol, Drug Addiction and Mental Health Services
- Domestic Violence and Child Advocacy Center (Greater Cleveland) 24-hour Domestic Violence Helpline: 216-391-HELP (4357); Family Helpline: 216-229-8800
- Cleveland Rape Crisis Center 24-Hour Hotline: 216-619-6192
- Cuyahoga County Children and Family Services 24-hour Child Abuse Hotline: 216-696-KIDS (5437)
- National Parent Helpline (Monday through Friday, 10 am – 7 pm PDT) – Call 1-855-2736 for emotional support and advocacy for parents
- Substance Abuse and Mental Health Services Administration (SAMHSA’s) free 24-hour Disaster Distress Helpline at 1-800-985-5990
- National Suicide Prevention Lifeline (24/7) – Call 800-273-TALK (8255); Online chat support
- National Alliance on Mental Illness Crisis Text Line (24/7) – Text NAMI to 741-741
- National Domestic Violence Hotline (24/7) – Call 800-799-SAFE (7233)
- National Sexual Assault Hotline (24/7) – Call 800-656-HOPE (4673); Online Hotline