Client Update Letter

Dear valuable TMC client and family, 

We are sending an additional note to remind you of all of the policies we put into place last week and to update you on the new changes we have made this week. Please know that as things are changing day-by-day and sometimes minute-by-minute as your family’s health and safety are constantly at the forefront of our conversations, planning, and decision making. We know these times are uncertain, but we at TMC are committed to maintaining care at TMC for all of you. 

With that being said, we are following current standards to cut down on infection risk to all our clients and our staff. Here are the policies that are currently in place: 

  • If you, our client, has symptoms or is exposed to someone who is ill please NOTIFY OUR OFFICE so that we can reschedule your appointment and direct you to next step
  • When you call in labor, we will be asking some screening questions to see if you have symptoms of coronavirus or other flu-like illnesses.
  • In labor, we are limiting support people to a maximum of two support people. These two people can be anyone you desire, but it must be the same two people throughout your labor and birth. 
  • If any member of your support team in labor has symptoms of concern (body aches, a cough, a sore throat, and/or fever) we request that they NOT accompany you in labor. This includes your doula or partner. Please start considering back up plans for people to be with you in labor if your primary support person is ill.
  • No postpartum visitors will be allowed in the center.  If your family is healthy and practicing social distancing you can consider having them meet your baby at home.
  • In the office, we are asking that you only bring one person with you to visits and that person must be 18 years old or older. 
  • If a person who accompanies you to your office visit (including your partner) exhibits symptoms, please have them wait in the car/outside for you.
  • If you have a fever or symptoms consistent with these types of viruses, we do not feel it is appropriate to send you and your baby home on early discharge, your care will be directed to the hospital where you may be tested and followed closely.

Two other changes have occurred this week that we want to bring to your attention. 

  • We have decided to stop using nitrous at the birth center at the advice of our Anesthesia colleagues due to a possible increased risk of transmission during use. We know that this is a tool many of you were looking forward to, but for now, we are halting use. 
  • The birth center staff made the decision as of 3/16 to not have our midwives go into the hospital for birth care. We want our midwives to have as little exposure as possible to illness to be healthy to care for you and your family at TMC. Our colleagues at our referral hospitals have been gracious to be accepting of our clients in the need for a transfer. At your next visit, your provider will talk you through your options if transfer during labor is needed. 
  • We are going to be suspending the in-home postpartum nurse visits typically done between 24-72 hours. We will ask families to come to the center for these visits with our nurses. We ask that you follow CDC guidelines for social distancing, limiting visitors, and only going out when necessary.  We strongly encourage you to facetime/video chat anyone who would have normally visited you after the birth of your baby
  • .We are working out how to hold all of our scheduled classes remotely via an online meeting platform. If you are scheduled for a class expect to receive a message in your for how to access the meeting at your scheduled class time. We are planning a way to get your class materials to you also.

All of these decisions have not been taken lightly in the last week and we appreciate your flexibility and understanding as we move forward together. Please know that more things are subject to change, especially things like our current home visit policy, but know that we are weighing our decisions consciously with you in mind. We are going to try and update our blog at the bottom of our homepage at www.midwifecenter.org as things change to keep everyone up to date. 

Best, 

Emily McGahey, MSN, CNM 

Acting Clinical Director 

The Midwife Center for Birth and Women’s Health

2831 Penn Avenue

Pittsburgh, PA  15222

Phone 412-321-6880

FAX 412-321-7070www.midwifecenter.org