Mini Meltdown Allowed (virtual prenatal visits amidst Covid-19)

March 24, 2020

I’m 38 weeks and 2 days pregnant. I just got the notice from my midwife that per state of California recommendations, they are treating low risk pregnancies by virtual visits when possible and in person visits when labs or other circumstances warrant during this corona virus crisis. I am super grateful that they are taking such precautions to ensure their availability for attending my birth (not being sick) and also not bringing sickness into my home. The email was thoughtful, laid out professionally, and makes total sense. However… of course not how I envisioned the end of pregnancy going. I have no actual cause for worry about my health or my baby’s health, hence some of the reasons why we have been planning a home birth since the beginning. If I was a high risk pregnancy I would be seeing an OB and planning to birth in a hospital. But even with the mental knowledge that I am healthy and all is good, the fear can creep in and it did this afternoon as I started crying to my husband.

This is a stressful time to be giving birth. Period. I am trying my best to talk to my baby to tell him it’s safe out here and that we are all ok and we are excited to meet him, but I know he can feel some of my stress, which of course makes me feel worse. Today on my walk I tried to tell him, “Mom feels stressed bc it is weird right now BUT I am strong and able to surrender so we will be ok.” I guess it might be a lesson in connecting and teaching my son about the reality of emotions and how they are ok. I can validate my feelings and not let them steamroll me. He is going to be quite a little trouper I can tell already if he’s choosing to come into the world now. I can’t wait to meet him.

So, even as I am grateful to be planning a birth at home (because you couldn’t pay me to be going to hospitals right now or even busy offices, with how the policies are literally changing daily with support persons/or husbands not being allowed in some labor and deliveries, and just the fact that hospitals are the centers for infections even more so now). My heart goes out to all women who are having to deal with that. I hope I will not. I am mentally staying in the zone of “I will not” and visualizing my birth at home.

I think it was healthy and helpful today to freak out a little though with the realization that I am not physically seeing my midwife in person until 40 weeks. I think it just hit home for me more today that this is all very real with how COVID-19 is affecting maternal care and our birth is being affected too, just probably not in ways that a lot of others are at the moment planning hospital births. I will see her in person of course if something comes up that warrants a need. Until then, I am going to be checking my vitals at home (just ordered a doppler for checking baby’s heart rate and a blood pressure monitor), doing virtual visits, waiting for labor and trying to relax. :)) We will not have anyone beyond the essential labor team come over (doula, midwife, assistant) so that means my husband and doula will be taking turns caring for my 20 month old while I labor. I can see the beauty in how this will be though. I wanted a family centered birth. We will be able to be just us for most of this and postpartum. It will be lovely and challenging and beautiful. I have been listening to unassisted birth stories the past week or so to just mentally get into that space even more of “My baby knows how to do this. My body knows how to do this. Everyone else is a witness.” I think it’s helping, along with some good releasing tears.

California’s “Stay Home” Order Right Before Giving Birth…This is interesting.

March 20, 2020

So… today is technically the first full day of the “stay home” order in California because of the COVID-19 pandemic. I am almost 38 weeks pregnant getting ready for my HBAC (home birth after cesarean). I originally wanted to make this post all about how to prepare for a healthy postpartum space, arranging for help as desired and limiting visitors, and honoring the 40 days as many cultures do. Well… a lot of that is now already taken care of for me, but there will also be new challenges. I’ll write about postpartum planning later.

So far this week my family has already been practicing “social distancing” mostly, and staying home. We did go to Torrey Pines beach to walk a few times, went to grocery stores, and the chiropractor. All of these things still seem to fall under the umbrella of being “ok” but I’m not totally sure yet. The call was just made last night to have the “stay at home” order in place for all of California. I think we are going to cut out things like Torrey Pines now but still get our walks in with our toddler while honoring the 6 feet distancing from others.

Yesterday, my birth doula came over for our last “prep” session. It was stressful to even decide if that was ok to do or not… to have her over, but we did and we didn’t touch at all. I was able to cry a bit with her as talking about everything going on sparked a release in me. I can acknowledge that this is stressful while 38 weeks pregnant while also being strong and mentally capable of preparing for birth and staying positive.

I am seeing my midwife (an LM who does home births and birth center births) by Facetime for my 38 week appointment next week after having just seen her this week for my 37 week and all is well.

Having some medical services go virtual and others still being in person, make it hard to differentiate how much I should still be going to or not. I have been regularly going to the chiropractor and acupuncturist throughout this pregnancy so now at the very end, I would like to continue to do so as part of my prenatal care. Luckily my providers are still open as they are medical services and they have verified for me the precautions they are taking in their very small offices.

I have to say, I am trying to look for silver linings in all this and one of those may be that we culturally make a shift towards less “medicalized” births in hospitals for the majority (not all) of women who are low risk as I am seeing numerous women online in all of my pregnancy/birth groups, asking about birth centers or home births to avoid the hospitals right now. Midwives in my area are accepting late transfers and giving discounts to accommodate for the demand. Policy is already very scary for pregnant mothers in hospitals without all this but now it’s even worse. ACOG and WHO are giving different recommendations and hospitals are abiding by different ones, many of which of course are not evidence based because there is no solid evidence with any of this (impact of virus on pregnant women and babies). Some hospitals are doing a two week mother baby separation right at birth for mothers who are COVID-19 positive when there is not actually evidence that this is needed. The repercussions of this on mother and baby are huge! My heart goes out to anyone who experiences this and my hope is that this crisis helps shed more light on the flaws in our OB/hospital model of maternity care system in the US.

If you are pregnant right now and trying to change birth plans/providers/location or just going through the stress of this and want to connect, please reach out! Here is a great link (with numerous links inside it) to stay informed whatever your choices may be for your birth:

EVIDENCE BASED BIRTH website has lots of links and webinars and newsletters to stay on top of the pandemic and it’s affect on pregnant women.