Please note: information about COVID-19 transmission is emerging daily. The guidelines and recommendations are current as of the publication date. Please consult resources such as the CDC and the WHO for the most recent guidance. You can scroll down to learn more of the specific steps we are taking at Then Comes Baby to do our part in keeping our much loved community safe.
We are heartened to hear the great response to our Zoom classes! We know how important our prenatal education, wellness classes, and support groups are for the community. Part of the reason why we exist is to reduce the isolation of new parenthood and feelings of overwhelm, anxiety and depression. In this extremely difficult time of required social isolation — the opposite of what we need in the perinatal period — our full team remains steadfast in continuing to serve you.
For those of you exploring signing up for classes and groups in April and May, know that we are shifting our core services to Zoom registration as quick as we can (some already have been).
Please reach out if you want to be notified ASAP about registration information!
All in-person services at Then Comes Baby are suspended at least until Friday, April 3rd. If you are currently enrolled in a class that meetings then (or the weekend of 4/4 and 4/5), please know that we are working hard to get Zoom classes prepared for you or rescheduling. For Birth Preparation clients, we know how critical your birth preparation is — especially as it appears that doulas are not allowed in the hospital if a partner is with the birthing person — and so we plan to have the classes on Zoom until we can meet in person.
Stay tuned for update emails to your classes. And, please know that our Admin. team of three is each home with young children and capacity is reduced dramatically until schools start again. We will do our very best to respond in a timely manner to questions and concerns.
(See initial post from 3/12 for COVID-specific perinatal health guidelines and the measures we take at Then Comes Baby to keep you safe.)
Dear TCB Community,
As the entire community and country is grappling with COVID-19 and how to respond to it, we have been, too. As you are likely well aware of, the situation and guidance changes day-by-day, sometimes faster.
If you have a class or group session planned to meet between Saturday 3/14 until the end of March, know that your class is most likely postponed, moved to Zoom, or moved to an open-air space (with strict precautions still in space). For our most critical classes that are essential for the birth experience or infant safety — the Childbirth Preparation, Partner Prenatal Yoga (which is hands-on partner skill training for birth), and CPR/ Choke Savings — we are considering having these onsite with key precautions in place.
For your awareness, our entire quite dedicated and caring administrative team of three and much of our teaching staff are also processing the reality of three+ weeks of school closures and how to manage communication and work while parenting.toddlers, preschoolers, and grade-schoolers without childcare.
We are doing our very best to keep up and we gratefully and humbly accept your patience, virtual hugs, and Girl Scout cookies once we return.
Sabrina (your Executive Director)
Dear Then Comes Baby Community,
Our goal is to support you through your pregnancy and postpartum period, including offering a welcoming, safe environment for growing families and facilitating ways for you to connect one (safe) way or another.
We are paying close attention to the rapidly changing news and updates regarding COVID-19. We want to take a moment to address the Coronavirus (COVID-19) — and our Sick Policy and hygiene practices in general.
Since we are an organization that cares for many pregnant people and infants, we recognize the importance of a hygienic environment. As always, Then Comes Baby has a plan to help protect you, our staff, and our community from transmission of respiratory illnesses, such as the fu, RSV, and pertussis.
Now, we are also increasing our efforts to comply with recommended safety measures for slowing/ preventing the transmission of COVID-19. These are consistent with the CDC guidelines and recommendations, as well as those of the Academy of Pediatrics (AAP) and Healthy Children.
Pregnant women experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. However, according to data published in The Lancet, pregnancy and the risk of vertical transmission are considered low. According to the data in The Lancet, even if a mother was infected, no virus was detected in amniotic fluid, cord blood, nasopharyngeal swabs of the baby, or breastmilk.,
Per the Center for Disease Control (CDC), regarding Covid-19:
Pregnant women should engage in usual preventive actions to avoid infection like washing hands often and avoiding people who are sick.
Caring and Protecting Infants & Children
Currently, the AAP and Healthy Children recommend staying home if exhibiting symptoms that could indicate illness, as well as frequent and thorough handwashing, and disinfecting frequently touched objects and surfaces. Per the CDC regarding COVID-19 and groups high risk, does not seem that children are at higher risk. Children who have tested positive in China had mild illnesses.
Considerations for Lactating People:
As always, whether to and how to start or continue breast/chestfeeding should be determined by the breast/chestfeeding person in coordination with her family and healthcare providers. However, the general guidance is to continue offering breastmilk to infants.Current CDC guidance on COVID-19 and breastfeeding is available here.
According to the Academy of Breastfeeding Medicine, regardiing COVID-19
In limited studies on women with COVID-19 and another coronavirus infection, Severe Acute Respiratory Syndrome (SARS-CoV), the virus has not been detected in breast milk; however we do not know whether a parent with COVID-19 can transmit the virus via breast milk.
Breast milk provides protection against many illnesses. There are rare exceptions when breasteeding or feeding expressed milk is not recommended. Given low rates of transmission of respiratory viruses through breast milk, the World Health Organization states that patients with COVID-19 can breastfeed.
Then Comes Baby Classes and Keeping Each Other Healthy
Community and support are core values of our organization. Classes at Then Comes Baby are small and intimate. The largest group size is for childbirth preparation classes, which are limited to 16 participants and an instructor. This group size is far below the threshhold currently recommended for cancelling large events. However, if this changes, we may need to change our approach.
At this time we are looking at each service on case-by-case basis on whether to continue as planned, postpone, or temporarily shift to outdoor meetings or online meetings.
Until the end of March 2020 we plan to run a reduced schedule, with extra added health and safety precautions in place. We are focusing on the prenatal health education class that are key for informed decision making and the skills and values clarification that is important for a more satisfying birth and breastfeeding experience, and the postpartum classes and groups that aid in reducing feelings of overwhelm, isolation, and the risk of perinatal mood and anxiety concerns.
Here are the ways that we’re focusing on maintaining a hygenic enviornment:
- Implementing a severely reduced service schedule until the end of March 2020 (longer if needed)
- Shifting some classes and groups temporarily online or holding them in a open-air park.
- Requiring all staff with any signs of a cough, runny nose, or active illness to stay home (this may require postponed classes, but most have a make-up date built in for this purpose already)
- Cleaning all hard surfaces that are of communal use (ex. door handles, kitchenette area, bathroom surfaces, tables) regularly, before and after each class.
- We will utilize our HEPA filter during our limited services.
- Instructors have been given guidance to limit the use of props in their classes or have them covered and have been asked to modify their instruction to have more verbal cues and less touching.
We are now officially “out” of hand sanitizer and there are nationwide shortages of the product. We are exploring how to make our own, but if you have your own — it needs to be at least 60% alcohol based — please bring it.
Here are ways that you can contribute to a hygienic environment. PLEASE:
- Keep you and/ or your baby home when sick. We will do our best to see if there are ways to offer you an alternative date or teaching method for your class or group.
- Please cover coughs and sneezes with a tissue and properly dispose of it. It you don’t have a tissue at hand, please cough/ sneeze into your elbow.
- We have tissues at Then Comes Baby but if no tissue is available, cough or sneeze into your upper sleeve, not your hands.
- Wash hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
- For yoga students, you can also help by bringing your own yoga mat to class and a cover for yoga props. Yoga blankets still remain available, but please place your own blanket or towel over for protection.
- Soap and tissues are available throughout the facility as well as disinfectant wipes. Please use them as needed.
- We recognize that it is currently allergy season: We trust that those with seasonal allergies will do their best to care for themselves, recognize their own signs of allergies versus illness, and follow guidelines for covering coughs and sneezes. We understand that this time can feel difficult for you as you are coping with allergies.
Hard times and difficult situations are when we need each other most. It can be easy to become lonely and isolated. While “social distancing” is an effective way of preventing the spread of illness, social isolation can be a factor in feelings of perinatal overwhelm and mood and anxiety complications. We understand how important and supportive our community can be in decreasing feelings of isolation and easing the transition into parenthood.
As noted above, for the families actively using our services, we are currently running at a reduced schedule and anticipate this to be the case at least until the end of March.
You will be contacted directly if a class you are taking is cancelled, shifted to an outdoor space, shifted online, or combined with another class. If your class is continuing as planned, you’ll be contacted to have this confirmed and to learn of the specific things that you can do to keep yourself and our beloved community safe.
We hope to welcome all back to our thriving and much-loved community of learning and support soon.