Welcome at Midwifery Practice Breedstraat

Coronavirus and pregnancy

Corona

Influence of Covid on pregnancy

As far as we know, an infection with the coronavirus during pregnancy does not cause miscarriage or congenital abnormalities in the unborn child.

From other viral infections, similar to COVID-19 (such as SARS, MERS, H1N1), we know that there is a higher risk of lung problems when a woman is pregnant, especially as from the 3rd trimester (>28 weeks). 
Therefore we advise all pregnant women, and especially the ones who are >28 weeks, to comply with the preventive measures (such as keeping a distance of ≥ 1.5 meters from persons suspected of COVID-19 or persons confirmed by COVID-19 etc). An employer needs to offer other suitable work if these preventive measures cannot be guaranteed.

Corona vaccination and pregnancy

The vaccination advice was adjusted in April 2021. The multidisciplinary Workgroup ‘COVID-19 and Pregnancy’ has formulated the following advice on vaccination against COVID-19:

 All healthy pregnant women need to be vaccinated routinely, according to the national vaccination strategy; preferably with an mRNA vaccine (Pfizer-BioNtech or Moderna).

The workgroup strongly recommends that women with underlying serious diseases need be vaccinated, because the advantages outweigh the potential disadvantages of vaccination. This concerns (one of) the following disorders:

  • Women with chronic lung problems who are being treated by a specialist;
  • Chronic heart patients who therefore qualify for a flu shot;
  • Women with diabetes with or without complications;
  • Women with a kidney disease who are on dialysis or are waiting for a kidney transplant;
  • Women with reduced resistance to infections due to taking autoimmune disease medication
  • Women who had an organ or stem cell transplant (bone marrow transplant).
  • Women who have a blood disease.
  • Women with reduced resistance because they take resistance-lowering drugs.
  • Cancer patients during or within three months after chemotherapy and/or radiation treatment.
  • Women with severe immune disorders.

 Corona vaccination and trying to get pregnant
Women who are currently trying to get pregnant are also advised to be vaccinated against COVID-19. As far as is known, there is no increased risk of miscarriage or birth defects due to infection with this virus. 

Important
       If you are showing symptoms of the Corona virus (coughing, sneezing, tight chest or fever, more than 38 °C) please inform us of this. We have a duty to report this. DO NOT visit the clinic if you show symptoms.
        If you are in labour and you or your partner is showing symptoms tell us immediately by phone.
          If your partner is ill (coughing, sneezing, tight chest or fever) then he/she maybe can’t be present at the birth depending on his/her complaints and the location of the birth. If you are ill yourself, you must give birth at the hospital (under medical supervision)

This is a drastic measure but must unfortunately be implemented everywhere in order to prevent spreading the virus. Consider bringing someone else to the birth in case your partner becomes ill.

Contact us on 06-49777349 if:
          You have concerns;
          You are experiencing bright red blood loss without contractions;
          You are experiencing headaches, dizzy spells, vomiting, pain in upper abdomen or upper back;
          The baby moves less or differently after 28 weeks;
          You are experiencing inconsistent abdominal or back pain before 37 weeks;
          You are losing amniotic fluid before 37 weeks.

For practical matters, appointment schedule or basic queries, you can contact us on: 030-231 1376 between 9 am – 1 pm and 2 pm – 4 pm.  We strongly request that you save the telephone consultation time (between 1.30 pm and 2 pm) for care relevant queries only.

Should you wish to speak to the midwife, please contact the receptionist and request a call back from the midwife. OR contact us during the telephone consultation (weekdays between 1.30 pm and 2 pm)

Practice

To minimize the risk of infection and spread of the corona virus, we are unfortunately forced to take the following measures:

          Please be on time for your appointment. We will try to avoid having contact with other clients in the waiting room. (due to risk of infection). Please do not arrive too early or too late. Once in the waiting room please keep your distance from others by at least 1.5 metres.

          Disinfect your hands when requested and keep your time with the midwife as brief as possible.

          We ask you to pay attention to the 1.5 meters distance together with us during the check-up. Of course, this is not possible when measuring blood pressure or during an ultrasound

          You will notice that we have adjusted a number of things in our practice. For example, we have removed some of the toys from the waiting room. We clean more often and use hygienic cleaning products.

Below a schedule of when during your pregnancy you can expect a check up appointment

          10-12 weeks dating ultrasound

          10-12 weeks intake

          16 weeks check up 

          23 weeks check up 

          27 weeks check up

          30 weeks check up 

          33 weeks check up 

          35 weeks check up, discussing the birthplan and ultrasound  (can be in 2 different appointments)

          37 weeks check up 

          39 weeks check up 

          40 weeks check up

          41 weeks check up at the practice or at the hospital

          Appointment elsewhere: 18-19 weeks 20 weeks ultrasound at an ultrasound centre

Would you like to listen extra to the heartbeat of your baby, then visit the practice on a special consultation hour. Every Monday and Thursday from 16.45 – 17.00u it’s possible to have an extra short check-up to listen to the heartbeat of your baby. This is for pregnant women between 13 – 20 weeks of their pregnancy. You can make an appointment with our assistent, even if it’s last-minute! If you would like to discuss complaints of questions it’s better to make an appointment on a different time.

You are able to check any scheduled appointments via your Zwangerenportaal. Some of you have not registered for the Zwangerenportaal, everyone has been sent an invitation including instructions how to join. If you have not received the invitation, please contact our receptionist. Also: check your spam folder. Please note: if you have received a notification from the Zwangerenportaal that an appointment has been amended: please always log in to check on the changes.

The consultation hours will be held at both our locations (Boothstraat and Tuindorp), make sure you check for which location your appointment is scheduled. 

Additional information

To make sure you receive all the information you need,  we recommend the following:

       Install our app on your phone it you understand Dutch: For instructions, please visit: https://verloskundigenbreedstraat.nl/nieuws/webapp/ This app will provide all necessary information. By creating an account you will have access to a list of all important things to organise and essentials to purchase. Make note of this list and make sure you give yourself plenty of time to organise matters. It reading Dutch is difficult for you, go to our website to check important things to organise and essentials to purchase. https://verloskundigenbreedstraat.nl/en/your-first-visit/what-to-arrange/ and https://verloskundigenbreedstraat.nl/en/news/brochures-websites/

          The information evenings are on hold for now, we have a digital version of this evening. Around 30 weeks we will email you information about the birth, this will be a youtube link to the information evening (only in dutch) and information for a birthplan.

          Have a look at the english pregnancy courses on our website: https://verloskundigenbreedstraat.nl/en/news/pregnancy-courses/

Blood test at Saltro

An appointment must be made for the blood test. Do this as soon as possible, to have a choice of day and time.

Some of the Saltro locations are currently closed. Check the Saltro website for the most up-to-date information.

Birth registration

The birth registration must be made within three days of the birth of your child. The municipality explicitly asks to do this digitally. Click here for more information.