Corona-ENG

Information about Coronavirus during pregnancy, birth and Maternity Care

Last modified: 24-09-2021

We understand better than anyone that as a pregnant woman you have many questions about the coronavirus. We try to answer all questions on this page as best as possible. If you still have a question, please email us at sanne@kraamzorg.org.

We will always provide care!

Kraamzorg de Waarden will at all times continue to assist with deliveries and provide maternity care. In the event of a (suspicious) Corona infection in the maternity woman or other members of the family, how the care is deployed will be examined per situation.

Our guidelines

We are doing everything we can to prevent the further spread of the Coronavirus. We are in close contact with the RIVM and the GGD and follow their advice and guidelines. We take our social responsibility to prevent further spread of the virus. We have taken the following measures within our organization to prevent spread and to ensure that all important processes can continue:

  • As of September 25, the intake interviews can take place again at home, during which a health check is done in advance.
  • When you call our Planning before the start of maternity care or assist with the delivery, they will ask a number of questions to determine whether additional measures are needed.
  • Our employees are continuously informed of the latest guidelines that apply nationally from the RIVM and the GGDs and follow these guidelines closely. Our employees can contact our prevention officer with questions.
  • Our employees are trained to work as hygienically as possible and know how important it is not to transfer viruses while providing care. In addition, healthcare staff must stay at home with cold complaints and fever. Our maternity nurses can always discuss this with our prevention officer. As an organization, we keep a close eye on our employees and we are extra alert.
  • Our maternity nurse wears gloves during all nursing actions. In addition, she closely follows all applicable guidelines and rules. With a national risk level 'vigilant', the advice for maternity nurses to wear a mouth cap within 1.5 meters will expire on 25 September. But it is still possible to opt for this, preferably by the client or maternity nurse.
  • With a national classification level of 'worrying' and higher, the maternity nurse must use a surgical mouth-nose mask of at least type II when providing care within 1.5 metres. Non-immunized* maternity nurses always wear a face mask within 1.5 meters for the safety of the client and the maternity nurse.

    *Immune definition: You are considered immune if you:
    - Completed a vaccination series from Pfizer, Moderna or AstraZeneca OR . 14 days or more ago
    - You have received 1 dose of one of these vaccines 14 days or more ago after a corona infection OR
    - received the Janssen vaccine 28 days or more ago; OR
    - Have been through Corona less than 6 months ago.
  • Our maternity nurses all work in uniform. This uniform is washed daily at 60 degrees.
  • If the maternity woman has complaints that fit with Corona, she must wear a surgical mouth mask type II. She must provide a suitable mouth mask herself. (These are now readily available.) In the event of complaints, she must have it tested, so that it is clear whether she has been fertilized or not and the maternity nurse can use the appropriate protective equipment. Wearing the surgical mouth mask is only necessary when providing care within 1.5 meters.
  • All intake interviews take place by telephone or via video calling.
  • Our office employees partly work from home.
  • At the office, keeping the 1.5 meters distance is mandatory.

Maternity Visits

There is no maximum number of visitors for maternity visits, provided the visit has no corona complaints or the maternity nurse (or partner) falls into a vulnerable group.

We also recommend that you regularly ventilate the rooms after the departure of the visit to further reduce the risk of infection.

Can I transmit the Coronavirus to my unborn child?

Previous "new" viruses showed that pregnant women were an increased risk group. Fortunately, that does not seem to be the case with the new Coronavirus. As a pregnant woman, you run no more risk of miscarriage or birth defects than with other infectious diseases that cause fever.

The most recent research results about Corona in pregnant women in the Netherlands can be found on the website of the Dutch Association for Obsteria and Gynecology. This information is frequently updated.

Giving birth during the Corona crisis

Due to the current situation, your birth plans may change. In a number of regions it has been decided to no longer have bath deliveries. However, this is not a national policy. Check with your midwife about the policy in your region.

It is good to know that obstetrics is an absolute priority in most hospitals. Every hospital has its own policy and measures they use to prevent contamination of Coronavirus. You can find more information about this on the website of the hospital where you are going to give birth. During the delivery in the hospital, our maternity nurse follows the policy and protocols of the hospital concerned.

Students/pupils during the maternity period

Over the past few months, the courses and internships of our students / students obstetrics / maternity care have been silent as a result of Corona. There is a possibility to have an extra person present during the delivery and care, which is why the midwives and maternity care organizations ask for your cooperation in admitting a student/pupil to your delivery/care. It is important for everyone that the capacity of midwives and maternity nurses remains up to date.

Please note that it is currently not possible in all hospitals to have an extra person accompany you during the birth.

Breasfeeding and the Corona virus

During pregnancy we will discuss how you plan to feed your baby. Most people know that there are benefits to breastfeeding, but how exactly does that work?

In addition to the basic nutrients that every baby needs (and which are also in formula), breast milk also contains a lot of substances that offer a baby protection against all kinds of infections. The main effects are seen in respiratory infections and gastrointestinal infections. Especially in this time that can be an extra motivation to start breastfeeding.

La Leche League provides comprehensive information about breastfeeding and the Coronavirus.

You can follow an online breastfeeding course with us in preparation.

Borstvoeding en het Coronavirus

Covid-19 vaccination during breastfeeding

Side Effects Center Lareb has set up a page on their website with information about the Covid-19 vaccination during breastfeeding.
Following several studies, the Lareb side effects center does not expect any adverse effects on the child if the mother receives a Covid-19 vaccination during the breastfeeding period. According to Lareb, the antibodies that the mother makes after the vaccination contribute to the protection of the child against Covid-19.

Preventing Spread

Even if you are vaccinated, you can still transmit the coronavirus, only to a lesser extent than if you have not been vaccinated yet. So standard corona measures (don't shake hands, wash hands regularly, cough and sneeze in the elbow and use paper tissues) are still in force.

How do I protect my baby against corona?

As long as you have Corona, you can infect your baby during or after delivery. For example if you give or hug your baby food. Therefore, the following things are important. You take these measures until you have no complaints for 24 hours.

  • Wash your hands well before you touch your baby.
  • Wash your hands well before breastfeeding or bottle feeding.
  • You can decide to have the bottle given by someone else who is not infected with corona.
  • Only use your own breast pump and clean it well.
  • Wear a mouth mask when feeding, grooming and cuddling to minimize the chance of your baby becoming infected. What kind of mask and how to use it, the maternity assistant, doctor or midwife will explain.
  • Use a new face mask with each feeding.
  • All these things also apply to other people in your house with complaints. They apply at all times when there is contact with the baby, such as changing, bottle feeding and cuddling.
  • If you and your baby are in the same room, at least when the baby is not being fed or changed, keep it at least 1.5 meters. This also applies to other housemates with corona.

Corona cannot get into breastfeeding. With good hygiene (see above) you can simply breastfeed. You may be afraid of infecting your baby with corona. That cannot be completely prevented. The midwife, maternity assistant or doctor will work with you to ensure that the chance of your baby being infected is as small as possible. If it does happen, you don't have to feel guilty about it. Your baby is unlikely to get very sick from corona.

More information

For more information about the Coronavirus, we refer you to the RIVM website. In addition, you can always contact our lactation experts with questions about (breast) nutrition.

Information for non-native speakers

The Pharos website contains information about the Coronavirus for non-native speakers: https://www.pharos.nl/coronavirus/.

Frequently asked questions about the Corona virus in relation to pregnancy

Have I contracted the Corona virus?

The RIVM website shows you if there are signs for you to take futher actions.Call your doctor if in doubt. You can then discuss whether you should be tested or not. Since 1 June, anyone with complaints can have themselves tested, click here to make an appointment for a test. Are you going to the midwife or gynecologist and do you think you might be infected with the Corona virus? Then first call the midwife or the hospital before you go there.

Can I go to the midwife or gynecologist with Corona complaints?

Are you going to the midwife or gynecologist and do you think you might be infected with the Corona virus? Please call the midwife or hospital first before going there.

I have complaints (cough, cold in the nose, sore throat, feeling like a flu and / or fever), can my medical ultrasound examination continue?

No, you stay at home in case of complaints. It is important to get tested first. Do contact your attending midwife, general practitioner or gynecologist by telephone: they will see where and when your ultrasound examination can best take place.

Can I still have a fun ultrasound made?

Yes. This also applies, only if there are no complaints from Corona.

I have to go to the midwife / hospital for a check-up. Can I bring someone?

Whether or not you can take someone with you to the check-up differs per practice and per hospital. It also depends on the type of appointment. Ask your midwife or your hospital what is or is not allowed.

Can the unborn baby become infected during the pregnancy or birth?

The chance that a baby will become infected in the belly or during delivery seems very small at the moment. The limited data in the medical literature shows that these babies have been doing well.
Also, the baby can become infected shortly after delivery if the parents are contagious at that time and it is very important that hygiene measures are observed.

Am I prone to a miscarriage due to the Corona virus?

Based on the few known data there are no indications women with a Corona infection are more at risk of a miscarriage or loss of the pregnancy.

Possibly there is a slight chance of a premature birth but it is still not clear whether this is a case of spontaneous  premature labour or this was  a prematurely induced birth due to medical conditions.

I am currently infected with the Corona virus and are in home isolation.
Will my appointment with the midwife or obstetrician be cancelled?

In this case consult your midwife/obstetrician by phone. Don’t visit them without their consent!!

I am currently infected with the Corona virus. Am I still allowed to have a homebirth?

On the now known few facts it is advisable to give birth in hospital due to the fact careful monitoring of your baby (electrocardiogram CTG) is necessary. If you have recovered from the virus more than a fortnight ago a home birth might still be an option. Your midwife will advice you in this case.

Am I allowed to breastfeed if I’m infected?

At present there is njo evidence that the virus can be carried in breast milk. We advise you to wear a facemask and rigorously follow the hygiene rules (wash your hands before touching the baby or your breasts, use your own breast-pump or feeding bottle ans clean the latter items thoroughly after using them).

As it’s possible to infect the baby when in close contact with you it would be wise to consider to leave the feeding of your expressed milk to a healthy person..(partner, care assistant).

I have recovered after being infected with the Corona virus. Am I now due to be monitored by an obstetrician?

If you have been hospitalized because you had a Corona infection, the check-ups for the remainder of your pregnancy are usually done by the gynecologist. If you only had mild complaints and you were under the control of a midwife, even during the infection, you can remain under the care of the midwife. Because we still have limited data, it is important that the midwife and / or gynecologist keeps a close eye on how the rest of your pregnancy is progressing by monitoring the growth externally or ultrasound.

I'm going to give birth. Can other people be at the delivery?

Your partner can be at the delivery. In the home situation it is sometimes possible to have an extra person present at the delivery. This depends on the midwife and maternity nurse. Ask your hospital what is or is not allowed. As outside of Corona times, don't take your kids with you, ask a nanny at your place.

I am about to give birth, can I go to the hospital?

You can certainly give birth in hospital if it is medically necessary for you to give birth in hospital. Is it not necessary for you to give birth in hospital, but would you like to? Then that is possible in most hospitals, this is called outpatient delivery. Ask your midwife or gynecologist about what is possible in your area.
Midwives, gynecologists, pediatricians and maternity care try to ensure that pregnant women can go to as many hospitals as possible for the delivery.

I now have an infection with the Coronavirus, can I give birth at home?

You can give birth with mild / mild complaints, just like pregnant women without Corona, at the place of your choice, at home, in an outpatient clinic in the hospital or in a Birth Center. If the Corona complaints are serious, the delivery must take place in a hospital under the supervision of a gynecologist so that we can keep a close eye on you and the baby and, if necessary, provide treatment. Your healthcare provider and you will discuss this thoroughly.

How do I protect my baby against corona during care?

As long as you have Corona, you can infect your baby during or after delivery. For example when you hug your baby. Therefore the following things are important. You take these measures until you have no complaints for 24 hours and it has been more than 7 days since you became ill.

  • Wash your hands well before touching your baby.
  • Wash your hands well before breastfeeding, bottle feeding or pumping.
  • You can decide to have the bottle given by someone else who is not infected with corona.
  • Only use your own breast pump and clean it well.
  • Wear a mouth mask when feeding, grooming and cuddling to minimize the risk of infecting your baby. The maternity nurse, doctor or midwife will explain which type of mouth mask and how to use it.
  • Use a new mouth cap with every feeding.
  • If you and your baby are in the same room, you should at least keep 1.5 meters when the baby is not being fed or changed. This also applies to other housemates with Corona.

Can Corona Get Into Breast Milk?

Corona cannot enter breast milk. Antibodies against Corona do get into breast milk. This is likely to help your baby if he or she becomes infected with Corona.
With good hygiene (see above) you can simply breastfeed. You may be concerned that you will infect your baby with corona. That cannot be completely prevented. The midwife, maternity nurse or doctor will do everything with you to ensure that the chance that your baby is infected is as small as possible. If it does happen, you don't have to feel guilty about it. Your baby probably won't get very sick from corona.
More information can be found on the website of the Dutch breastfeeding council.

The actual maternity care.

Kraamzorg de Waarden follows the guidelines given by both the RIVM and the established government  measures. Our professionally trained care assistants will be updated on a daily base about the development of the Corona virus and the measures they can take to prevent spreading of the virus.

Source: NVOG

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