Please see Newborn care section for information on Mother-Baby separation policies
From the UW DFMCH Adapted Prenatal Care Guidelines recommended post partum schedule:
Postpartum:
2 weeks postpartum: Provider TeleMedicine Visit
For documentation can use .OB2PPTELEMED
6 weeks postpartum: Provider TeleMedicine Visit or Office Visit if exam needed
For documentation can use .OB6PPTELEMED
See Intrapartum Care Resources and Prenatal Care for more information about COVID and pregnancy
What UW OB is doing:
If patient has a BP cuff, recommend daily BP checks and a call to the clinic nurse with this value or enter into mychart bp monitoring (see details of entering this order in the adapted prenatal care guide above)
If patient does not have a BP cuff but is willing to purchase one, we recommend the Omron brand (New Omron 3 Series Upper Arm Blood Pressure Monitor (model BP7100) - $32 dollars on Amazon - now available but shipping is out at least a week. Patient should check BP at home and call the clinic with this value
Postpartum: If patient does not have a cuff and cannot purchase one, coordinate a follow up blood pressure check at baby’s newborn visit
Postpartum: If none of these options are possible, the patient should call the clinic in 3-5 days about scheduling a nurse visit for BP check per our usual recommendation.
Please note that there are often no telehealth bp cuffs left for discharge given expedited discharges after delivery. If a patient's bp is borderline or if there are previous issues with htn disease in previous pregnancies think about getting a cuff early for the patient rather than waiting for post partum follow up
Podcast with a discussion by members of the Academy of Breastfeeding Medicine from Anne Eglash: https://podcasts.apple.com/us/podcast/breastfeeding-medicine-podcast/id417009927
CDC guidance regarding breastfeeding with COVID
WHO guidance (Q&A here):
Close contact and early, exclusive breastfeeding helps a baby to thrive. You should be supported to
Breastfeed safely, with good respiratory hygiene
Practice respiratory hygiene during feeding, wearing a mask where available;
Wash hands before and after touching the baby;
Routinely clean and disinfect surfaces they have touched.
Hold your newborn skin-to-skin
Share a room with your baby
You should wash your hands before and after touching your baby, and keep all surfaces clean.
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At Meriter : Lactation is currently putting breastfeeding/ feeding plans in all discharge AVS and calling all breastfeeding families 2 days after discharged or sooner if complicated feeding plans. They will continue to call the families who are having issues as well and are hoping to do virtual outpatient visits soon
Feeding plan templates were created by the Meriter newborn team for term and late preterm infants . Here is the AAP article on breastfeeding in late preterm infants which has a nice table on the risks for delayed lactogenesis.
Univeristy of California San Fransisco PRIORITY registry for COVID+ pregnant patients
From the AAP section on Neonatal Perinatal Medicine (website/info here) -- Registry Link