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Free ZOOM event: "Breastfeeding and Safe Sleep in the Age of COVID-19"
May 22, 2020
'Breastfeeding and Safe Sleep in the Age of COVID-19'
Free Zoom Event June 11th
You are invited to a free Zoom event for new and pregnant Colorado parents! Join us on June 11th at 1 pm to learn how to navigate your journey to provide the best start for your new family despite these uncertain times.
Rocky Mountain Children’s Health Foundation is the home of the Mothers’ Milk Bank, The Best Start Program, and Patient and Family Assistance. These three programs provide valuable support to families in times of crisis and change. For over 35 years, Mother’s Milk Bank has been a safe and trusted source of donor human milk and breastfeeding advocacy and support. The Best Start Program provides critical education for new parents and a free safe sleep space. These crucial programs have joined together to create a live, virtual session to help you in these unprecedented times.
Knowledgeable presenters from Rocky Mountain Children’s Health Foundation will discuss ways to prepare for breastfeeding during the COVID crisis, overcoming breastfeeding challenges with potential limited support, and using donor human milk as a bridge during the first few days of baby’s life. Staff from the Best Start Program will address safe sleep and free safe sleep resources for all Colorado families. Each family will be sent helpful parenting items and resources after attending the event. Please register below to reserve your slot to help you prepare for your parenting journey – no matter what the world serves up!
Prepare for Delivery at Aspen Valley Hospital During COVID-19
April 15, 2020
How do I prepare to deliver my baby at Aspen Valley Hospital?
• Be diligent in social distancing to keep yourself free from exposure to infection.
• One healthy adult will be allowed with you in the Aspen Birth Center.
• That one healthy adult will need to stay with you in your room.
• No visitors will be allowed to visit.
Phone and video calls are welcomed and encouraged.
• Photography services will not be allowed, so please bring your personal camera for your baby’s first photos.
What should I do if I have confirmed COVID-19, or suspected COVID-19, and I am in labor?
• If you are in labor and you have a fever, a cold, flu symptoms, confirmed COVID-19 or suspected COVID-19, call your Doctor or Certified Nurse Midwife before you go to the hospital. They will be prepared to take proper infection control precautions to protect your baby and other people from getting the infection.
• Further restrictions are likely needed and your significant other will be required to also wear a mask and not leave your room on entry to the hospital.
• Providers, staff and your support person will wear personal protective equipment (PPE), including gown, gloves, face mask and eye protection to limit the spread of the virus.
• Proper infection control precautions include restricting you to your room in order to protect others.
If I have confirmed COVID-19, or suspected COVID-19, how do I protect my baby after birth?
• Your providers will talk with you about the AAP, and CDC recommendations, and the safest course of action to protect you and your baby until the risk of spreading infection is over. The primary concern is preventing an infected mother transmitting the virus through respiratory droplets while caring for your newborn baby.
• Possible actions include:
• Keeping your baby six feet away from you and keeping a curtain between you and your baby.
• Designating a healthy caregiver to provide care to your newborn (diapering, feeding, skin to skin).
• CDC recommends that medical facilities consider having moms with confirmed or suspected COVID-19 stay in a separate room from their new baby after birth, until the risk of spreading the infection is over. We understand the sensitivity around this recommendation and will thoughtfully discuss this with you.
Take all possible precautions to avoid spreading the virus to your baby, including washing your hands before touching your baby and wearing a face mask.
What should I do if I have confirmed COVID-19, or suspected COVID-19, and plan to breastfeed?
In addition to the items noted previously:
• Continue to plan to feed your baby based on their hunger and feeding cues. You will likely be separated from your baby.
• If you are temporarily separated from your newborn and you want to breastfeed, your providers can help you use a breast pump to express your breast milk. Wash your hands thoroughly and wear a face mask before and during using the pump. A healthy caregiver can feed the breast milk to your baby.
• If expressing breast milk with a manual or electric breast pump, you will wash your hands before touching pump or bottle parts and follow recommendations for proper pump cleaning after each use.
• If you are allowed to breastfeed, prior to each breastfeeding session, you will need to put on a face mask, wash your hands, and then put your baby to breast.
• After feeding, place your baby with a healthy caregiver or in the crib, keeping your baby greater than six feet away from you.
PREPARING FOR DELIVERY AT ASPEN BIRTH CENTER DURING THE COVID-19 CRISIS
Posted by Heather Knott, RN-IBCLC and Childbirth Educator
Managing Postpartum Depression- Isolation during the Pandemic
April 15, 2020
Up toone in fivewomen will develop postpartum depression, a condition that can adversely affect the thoughts, emotions and functioning of mothers, as well as the mental health of their partners and children.
Adjusting to parenthood after delivery is challenging under normal circumstances, let alone in the midst of a global pandemic. Concerns about exposure to COVID-19, combined with physical distancing recommendations, can worsen depression and decrease access to theresources, such as health care and social supports, that women typically use to build resilience and promote recovery.
Despite these challenges, there are several steps women with postpartum depression can take to optimize their mental health and thrive in the face of COVID-19.
Amplified risk factors
Postpartum depression is the result of a dynamic interplay between biological, psychological and social risk factors, all of which can beamplified by the current pandemic. My research, focused on improving women’saccess topsychotherapiesand developing perinatal depressiontreatmentguidelines, along with my clinical practice as a psychiatrist, has highlighted the immense strength of women with postpartum depression, as well as their ability to adapt to adversity.
Many women with postpartum depressionare anxious about COVID-19 and how they will manage at home with an infant(and other children). While distancing recommendations are important to controlling the spread of the virus, these limit some of the best weapons women have against postpartum depression. Not only is it more difficult for women to receive support under social distancing, but living in close quarters with children and partners can increase conflict and interfere with adapting to life with a new infant.
Despite these challenges, there are a number of ways that women with postpartum depression can reduce the impact of COVID-19 on their mental health. Indeed, this pandemic may even provide new opportunities for women and their families to flourish.
First, many physicians and other therapists are now providing telephone or online visits, and public health has made a number of their services available virtually.Psychology Todayis another source of information on therapists who offer paid services over the telephone or internet. Hospital emergency departments are an important consideration for women requiring emergency support.
An awareness of some lifestyle changes that can help optimize the mental health of women with postpartum depression can also aid them in their recovery. A regular routine (as much as is permitted by infants) with a focus on self-care based onNEST-S principles (Nutrition, Exercise, Sleep, Time for Self, Supports) is key. This can begin with taking a shower daily, changing into one’s daytime attire and opening all the blinds since these can really jump start the day.
The importance of proper nutritional intake to mothers cannot be overstated. They should try to eat three meals per day and have available a range of easy snacks. Keeping a container filled with water nearby to stay hydrated can also enhance brain function.
Time for exercise can be a challenge (particularly now), but since it can help with mood, energy and sleep, it’s worth prioritizing. Activities that are enjoyable, brief and easy-to-do (such as walking) are best. If they expose women to the outdoors, all the better (as long as physical distancing recommendations are observed).
Good sleep is also vital. Napping when the baby naps, dividing nighttime feeds 50/50 with partners and observing goodsleep hygienepractices, such as maintaining a consistent bedtime routine and avoiding alcohol and caffeine in the evening, can be helpful.
In many cases, they are on call for child care even when sleeping, and are only really off the clock for about 30 minutes a day. Given those demands, good mental health starts with taking breaks. These are best spent relaxing or engaging in activities that are pleasurable and/or stimulating, like reading and walking.
Good supports are vital to the mental health of mothers. However, COVID-19 presents unique barriers to engaging supports, particularly those outside of the home. Partners are a logical first choice, but if one is not present (or able), it may be helpful to seek outside help from family or friends. It’s crucial to ensure that anyone who comes in contact with new mothers and infants is at low risk for the coronavirus.
Raising an infant while struggling with postpartum depression can be very overwhelming and requires creative solutions. Telephone calls and videoconferencing with friends and family can also be helpful, as can goal-setting and consistency around personal and social time.
Since many partners may also be at home, COVID-19 provides a special opportunity for couples to work collaboratively. Conversations about labour division that take into account partners’ strengths and limitations can lead to effective plans that optimize breaks, sleep and pleasurable activities.
Partners of women with postpartum depression can help by providing practical assistance (for example, nighttime feeds and household chores) and support, keeping in mind that listening alone (without having to “fix” problems) can be therapeutic.
Perhaps most important of all, it’s important to keep in mind that postpartum depression does improve, and the COVID-19 crisis will pass. Self-care, compassion and engaging one’s partner in the journey to recovery can not only bolster the health of mothers and their families, but build stronger bonds in the long term.
Article written by, Beth Daley, Editor and General Manager, The Conversation, April 2nd, 2020
Coronavirus Disease 2019 (COVID-19) Information for Children’s Health Advocates
Updated March 24th, 2020
Coronaviruses are a family of viruses that cause symptoms similar to the common cold, like a runny nose, cough, and sore throat. They can also lead to more serious respiratory diseases, like pneumonia.
The 2019 Novel Coronavirus (COVID-19) is a new coronavirus. It first appeared in China in 2019 and is now a global pandemic, with an increasing number of cases spreading across the U.S. COVID-19 can be fatal, though symptoms range from mild to severe. More severe cases seem to be associated with specific high-risk populations, including the elderly and those with serious pre-existing conditions. According to the CDC, COVID-19 is likely spread through close contact with an infected person. When an infected person sneezes or coughs, others nearby can contract the virus by inhaling their respiratory droplets.
Knowledge about the outbreak, including who is most at risk and how it spreads, is constantly evolving. Below, is a summary of key information related to children’s health and links to information references.
There is currently no information on whether pregnant women are more susceptible to COVID-19 or have a higher risk for illness, morbidity, or mortality. However, generally, pregnant woman may be more susceptible to viral respiratory infections, including COVID-19. In other related coronavirus infections, pregnant women have been at higher risk than the general population for developing severe illness. Currently the CDC does not know whether COVID-19 would cause problems during pregnancy or affect the health of the baby after birth.
It is important to acknowledge that families living in poverty will be disproportionately affected by COVID-19. Low-income populations may be more likely to have chronic health conditions, which put them at a heightened risk of adverse outcomes from COVID-19. Moreover, important safety measures will likely hit them harder: closed schools means a loss of school breakfasts and lunches for children; closed businesses and quarantines means fewer paychecks to buy basic necessities; and seeking medical care if symptomatic is more difficult for someone without health insurance or easy access to care. In the coming months, national, state, and local efforts will continue to seek solutions to address COVID-19. During this time, we urge our network to keep under-resourced families top of mind and consider how to mitigate the added burden COVID-19 places on their health.
Currently, the virus that causes COVID-19 has not been found in the breastmilk of infected women. There is also no information on whether the virus can be transferred through breastmilk. For other infectious diseases, like the flu, the CDC recommends that a mother continue breastfeeding while taking precautions to spread the virus to her baby. The CDC does not have specific guidance for breastfeeding for other, more similar viruses, like SARS-CoV or Middle Eastern Respiratory Syndrome (MERS-CoV).
While breastfeeding supports the health of moms and babies, it is important to recognize that there is still much information needed about breastfeeding and COVID-19. Families should talk with their health care providers when deciding to breastfeed, as there may be a medical reason to separate mom and baby. If a mother with COVID-19 or who is under investigation because she has COVID-19 symptoms chooses to breastfeed, the CDC recommends important precautions, including:
Washing her hands before touching the infant and, if expressing breast milk with a breast pump, washing her hands before touching the pump or bottle parts
Wearing a face mask, if possible, while feeding at the breast
If expressing breast milk, following recommendations for proper cleaning after each use and considering having someone who is well feed the breast milk to the baby
While children have been affected by COVID-19, they currently appear less likely to have severe symptoms when infected by the virus. However, children with underlying health conditions may be at an increased risk for complications.
Information about how COVID-19 will affect those living with sickle cell disease is evolving constantly. Individuals with sickle cell disease have weakened immune systems, so maximizing the prevention of infections is important. The Sickle Cell Disease Association of American has put together pertinent COVID-19 information for families and providers:
There is not enough information yet to determine whether COVID-19 will have a more severe impact on children with asthma. However, in adults, we do know that COVID-19 affects the respiratory tract and can cause an asthma attack, which may lead to pneumonia or acute respiratory disease. Therefore, families with children with asthma should be extremely vigilant in following their current asthma regimens (e.g., regularly scheduled medicines) and practicing hand-washing as well as social distancing.