Covid-19 Information for midwives

Kia ora koutou,

We have undertaken our regular review of our Testing Strategy and I’m writing to confirm that, for the period 16 November – 6 December, we’ll continue to focus our testing efforts on testing all people with symptoms of COVID-19 in all regions.

This includes a focus on testing:

–        regions/groups that have been underrepresented in recent data, in particular Māori communities

–        targeted geographic locations, to ensure access for communities and in specific areas related to cases (e.g. Auckland) or settings with target populations

–        at the border, including testing border workers and those in managed isolation and quarantine facilities.

In addition to this, we are encouraging anyone with cold or flu symptoms to get a test and stay at home until they have a negative test result, in Auckland and the rest of New Zealand.

This has now been clarified on our website, which previously advised self-isolation.

There are some locations of interest in the Auckland CDB and in central Wellington, relating to the latest cases, and we have asked anyone who was at these any of locations between 3 November and 12 November inclusive to get a test, regardless of whether they have any symptoms. This is an enhanced surveillance tactic to ensure we are not missing any cases who may be asymptomatic.

Further information is available on the Ministry’s website or the Auckland Regional Public Health Service website.

Testing numbers have remained consistent and we anticipate this to continue, with a minimum of 30,000 and potentially up to 40,000 tests per week, including the mandatory border testing.

The full current advice for 16 November – 6 December is available here.

As always, the assessment and testing for COVID-19 is at no cost to individuals.

Thank you again for the important part you play in supporting the health and well-being of New Zealanders. We appreciate your continued partnership in our response.

Dr Ashley Bloomfield
Director-General of Health

When providing midwifery care :

  • Face masks should be worn for all in-person contact
  • Screen all women prior to in-person contact
  • Women who have symptoms of Covid-19 or meet High Index of Suspicion (HIS) criteria need to be tested but face to face midwifery care should be deferred if possible. If these women require a clinically necessary assessment, discuss with the DHB to determine the appropriate setting
  • In-person visits for well women who do not meet HIS criteria should be conducted partially by phone or video. Limit in-person contact to 15 minutes or less where possible for the physical assessment.
  • Ensure physical distancing within clinics and work places
  • Ensure frequent and meticulous hand hygiene and cleaning of equipment and surfaces

Locum services

  • Locum services will be available as required, please contact locum service on 0800 MIDWIFE to enquire.
  • Auckland locums can provide services within the Auckland region – we are awaiting advice on whether locums can travel across the regional border – we will update this advice with the locum service as soon as possible. Please contact locum service on 0800 MIDWIFE to enquire.

PPE distribution

  • The Auckland region of the College is organising a distribution system for PPE – please check your emails for directions on how/when this can be picked up.
  • For more information contact the Auckland Midwifery Resource ( 09 625 9764) centre or your regional chair Sarah Ballard (021 0577453)

Please go to the Ministry of Health website for more detailed information

Follow the link to the full guidence document: https://www.midwife.org.nz/wp-content/uploads/2020/08/Level-3-Guidance-for-community-midwifery-care-and-COVID-19-risk-reduction.-11.8.20.pdf 

FORTIFYING THE IMMUNE SYSTEM FOR CORONAVIRUS
Summary of a latest webinar with top Australasian integrative medicine experts
https://www.linkedin.com/pulse/fortifying-immunity-during-covid-19-pandemic-kathy-fray/?trackingId=BdAln68ZXkDL4dtwRGuV3g%3D%3D

THE ‘NEW NORMS’ OF PRENATAL & POSTNATAL CARE
Overview for women of the new ways prenatal and postnatal care is delivered during the pandemic
https://www.mumsatthetable.com/being-pregnant-during-covid-19

WEEKLY FREE WEBINAR ON NON-HOSPITAL BIRTHING
12noon Tuesdays
Weekly live chat for expectant women (and their whanau) of a Q&A session discussing non-hospital birthing options with a senior midwife experienced in Home and Birth Centre labours.
https://us04web.zoom.us/j/635129009
Link for optional Donation to participate with funds going to Women’s Refuge https://www.kathyfray.com/birthing-during-covid-19/  

FREE ORGANIC BIRTH 90-Min VIDEO for ANY Expectant Mothers
Usually $199, but supplied free by MothersWise.com during the pandemic.
1.5 hour video explains the stages, phases and pain management – ideal for any women considering a natural labour.
Women just need to complete the pop-up form at www.MothersWise.com

WATER IMMERSION DURING LABOUR AND WATERBIRTH: COVID-19
Water immersion during labour and water birth_COVID-19_related communique_April_2020_Ethel Burns et al (2)

Rural Living-South Covid-19 Lockdown Flipbook:
https://issuu.com/times_e-editions/docs/covid_19_-_flipbook_rural-south_04-05-20/2