COVID-19 & Prenatal Care updates
COVID-19 has offered us an opportunity to think critically about how we see our patients.
Prenatal Care during COVID
In an effort to balance your safety with physical distancing during the COVID-19 outbreak, we suggest this schedule for your prenatal visits, balancing both in-person and video visits. This is only a suggested guide.
For most lower risk patients, the graphic below provides the approximate timing of when and what kind of visit is appropriate. You and your obstetric provider (doctor, nurse practitioner, or certified nurse midwife) can make a plan best suited for you and your needs! In an effort to COVID19 and prenatal care infographic
If you have questions along the way, please do not hesitate to ask us 415.353.2566.
COVID-19 Updates on UCSF Birth Center and Outpatient Clinic
With the unique challenges and fast-paced changes that COVID-19 has presented, we realize the importance of keeping our patients up-to-date on our latest policies. Most policies are reflected in our source of truth, UCSF Coronavirus for Patients. However, given the day-to-day changing nature of the pandemic, UCSF OB/GYN Leadership will use this space in the interim to keep our patients updated in real-time with the latest on our visitor policy and other frequently asked questions.
This FAQ reflects policy updates as of: 3/4/21
What is the visitor policy for the UCSF Birth Center? Does this include doulas? How about the outpatient setting (prenatal and/or ultrasound visits)?
- For the most up-to-date summary of UCSF visitor restrictions please go to UCSF Coronavirus for Patients and choose Visitor Restrictions. For the complete and detailed visitor policy, please refer to the policy UCSF Health COVID-19 Guidelines for Visitor Restrictions and Exceptions. Please note these important details:
- In the inpatient setting, visitation for patient support in the Birth Center (including OB ED, labor, postpartum and antepartum) includes one primary support person who may change every 12 hours. The visitor must pass the COVID-19 Symptom Screening program (completed on entry to the hospital)
An additional support person (most commonly a doula) is also allowed into the Birth Center. This second support person will be able to able to join you after admission to the labor unit (ie. not in OB triage/OB ED) unless they are taking on the role of the primary caregiver/support person. Doulas are able to switch out as frequently as every 12 hours in the labor process.
For the outpatient setting, no visitors are allowed, however, necessary visitation exceptions can be made for the outpatient setting. This is approved on a case-by-case basis by the clinic leadership/management (refer to policy “Necessary Visitation”).
What is the COVID19 testing policy for the Birth Center? Are visitors tested?
COVID-19 testing is not required for visitors. However, if the visitor does not pass the COVID-19 Symptom Screening program it is recommended that they follow up with their primary care provider.
All patients with procedures scheduled at the Birth Center need COVID-19 testing within 96 hours of their admission to the hospital.
Inpatient COVID-19 testing guidelines have been updated to include COVID-19 testing on admission (even if you had pre-admission testing) and again on the fourth day of admission. If discharged on the fourth day, COVID-19 repeat testing is not required.
Please refer to UCSF Asymptomatic Inpatient Testing and Re-Testing Algorithm for more information.
What happens if I test COVID+ when I get to the Birth Center? Will my support person be asked to leave?
Your status will be discussed in detail with you by your care team if you test positive for COVID-19 to support you through this process.
How often can a visitor switch out? Will the visitor be able to leave the room?
- The primary support person may change at 24 hours, but not less than 24 hours. It is recommended that visitor changes are minimized during this time to reduce the risk of increasing exposures.
The visitor may leave the room to obtain food from the hospital cafeteria or to exit the hospital. Walking the hallways or utilizing shared spaces such as lounges is strictly prohibited during this time.
If a visitor leaves the hospital, they will need to be re-screened with the COVID-19 Symptom Screening program prior to re-entry.
Will visitors be able to order food from the hospital or should they bring their own?
While in the Birth Center, patients and their support person are allowed to order food from the hospital to be brought to the room. You may bring outside food and drink however there is not a refrigerator space available to labor patients and families at this time. You can bring a small cooler for drinks and foods to keep in your private room.
You may order from a delivery service (UberEats, DoorDash, etc) and the support person may go downstairs to pick up the food.
Do I need to wear a mask while at the Birth Center and while in labor?
Even in the setting of a negative COVID-19 test, we are asking that patients maintain masking as much as possible.
Visitors are required to wear a mask at all times, especially when other hospital staff are in the room with them.
Have we changed the timing of postpartum discharge because of COVID-19?
No, we have not. In general, our patients with vaginal deliveries are discharged 1-2 days after vaginal delivery. Patients with a cesarean delivery are discharged 2-4 days after delivery. There may be other reasons and conditions that may necessitate longer stays in the hospital.
Are UCSF Employees getting COVID-19 vaccines?
- Yes, the COVID-19 vaccines have been rolled out and offered to UCSF employees. Employees can decide if they want to get vaccinated.
Visit the Birth Center page for general information.
Additional Patient Resources
UCSF Women's Health has designed and lined up the UCSF Women's Health Webinar Series to keep patients engaged and informed about topics that range from prenatal and gynecological care to fertility care during the COVID-19 pandemic.