Frequently Asked Questions on COVID-19

Dear patient and visitor! We will be updating this section on an ongoing basis with answers to questions we are most frequently asked.

  1. How is the staff at the maternity hospital protected?
  2. I am about to give birth, but I have been diagnosed with coronavirus. How should I proceed?
  3. Will women who come to give birth be tested for the coronavirus?
  4. If I have been diagnosed with COVID-19, will I be separated from my baby after birth?
  5. Can the father or other support partners attend the birth?
  6. What is the practice regarding mothers with coronavirus and their newborn babies elsewhere in the world?
  7. What measures is the hospital taking to protect the health of mothers and babies?
  8. Are paediatric appointments going ahead?
  9. How to register a child’s birth during the emergency situation?
  10. Are appointments with midwives going ahead?
  11. Should I honour my appointment to register my pregnancy if I have received a text message asking me not to come?
  12. I am pregnant. Is it reasonable for me to come in to register my pregnancy in the current situation?
  13. I am pregnant and I have a lot of questions. Where can I find information?
  14. What kinds of appointments with midwives and doctors are going ahead for pregnant women?
  15. What kinds of tests are made during the state of emergency in the first trimester of a pregnancy?
  16. Will examinations of pregnant woman continue at the women’s clinic? How can I give samples?

 

 

How is the staff at the maternity hospital protected?

  • The patient must be completely honest and open when communicating with the staff and inform them of any potential contact with sources of coronavirus or contaminated people or if they have been to high-risk areas. This is the only way the patient can protect the staff as well as themselves.
  • The staff use personal protective equipment in accordance with the patient’s health status and the severity of the patient’s condition to protect themselves and stop the virus from spreading. All healthcare professionals who have had contact with people diagnosed with coronavirus without using personal protective equipment must remain in quarantine for two weeks.’

 

For women who come to give birth

I am about to give birth, but I have been diagnosed with coronavirus. How should I proceed?

  • Call 5308 0874 and let us know in advance when you are coming. Use the ambulance service for transport to the hospital (do not use a taxi). Report suspected coronavirus when calling an ambulance.
  • Upon arrival in the hospital courtyard, contact the midwife in reception again and wait in the car until they come to you.

Will women who come to give birth be tested for the coronavirus?

  • All pregnant women who come to the hospital to give birth will be tested for COVID-19 to ensure the safety of the mother-to-be and the hospital staff.

If I have been diagnosed with COVID-19, will I be separated from my baby after birth?

  • Mothers who have been diagnosed with Covid-19 will be separated from their newborn for two weeks to prevent the transmission of the disease to the baby.
  • Women’s and children’s clinics make sure that newborn babies are monitored and taken care of, but newborn babies will not be released from the hospital before 48 hours of age.
  • If necessary, mothers will be shown how to pump breast milk and advised on how to sustain lactation to facilitate transmission to breastfeeding later on.

Can the father or other support partners attend the birth?

  • We have currently suspended all family deliveries until the situation improves. Please bring all the clothing items needed to take your newborn home as you arrive at the hospital.

What is the practice regarding mothers with coronavirus and their newborn babies elsewhere in the world?

  • Current information and experience indicate that pregnant women experience the disease the same as other young people, i.e. mostly with mild symptoms. If you fall ill, it is important to stay at home so as not to spread it further. If a hospital visit cannot be avoided, notify the hospital in advance.

What measures is the hospital taking to protect the health of mothers and babies?

  • Pregnant women and women giving birth will receive assistance according to crisis instructions agreed by professional associations.

 

For newborns

Are paediatric appointments going ahead?

  • You may respect scheduled appointments if they have not been cancelled.

How to register a child’s birth during the emergency situation?

  • To register the birth of a child, visit rahvastikuregister.ee– Family – Registration of birth
  • The birth must be registered no later than within one month after birth. Parents must first agree on the given and family name of the child and whether custody belongs to both or one of the parents.
  • If the parents are married, the data of the other parent are automatically transferred to the application upon registration of the birth of a child and the child will be given the same family name as their parents. Parents with different family names must agree which family name will be given to the child.
  • The online service for the registration of a birth can be used if the child was born in an Estonian maternity hospital and has been granted a personal identification code.

Can the birth also be registered electronically by unmarried parents?

  • If the parents are not married to each other and the mother is the first to fill out the application for the registration of the birth of a child electronically, she must manually add the data of the man who wishes to acknowledge paternity to the application.
  • If the father is the first to fill out the application, the data of the mother are automatically added to the application after entry of the child’s personal identification code.

The birth cannot be registered electronically if:

  • the child was born in a foreign country;
  • the father of the child is not the husband of the mother;
  • married parents wish to submit an application to state that the married husband is not the father of the child;
  • the parent is a minor;
  • the parent has restricted active legal capacity.

 

For pregnant women

Are appointments with midwives going ahead?

  • Midwives will contact all pregnant women on an ongoing basis to provide information on whether appointments are going ahead or being cancelled.
  • If you have a viral disease or a cold, do not respect any appointments you have at the Maternity Counselling Centre! Consult your midwife if necessary. Come alone if you have an appointment with the midwife and for ultrasound examinations; it is not permitted to bring partners or children.

Should I honour my appointment to register my pregnancy if I have received a text message asking me not to come?

  • Midwives will contact all patients on an ongoing basis to specify whether appointments will go ahead as planned or not.

I am pregnant. Is it reasonable for me to come in to register my pregnancy in the current situation?

  • We register pregnant women as of week 10 of the pregnancy. In order to protect the health of mothers and babies, the optimal time to register with us is after week 10 of the pregnancy. You can make an appointment by calling the general registration number 666 1900.
  • If you experience abdominal pain or bleeding, you should turn to our emergency department. You can seek advice and help from the midwife hotline on 5397 7077, where necessary.

I am pregnant and I have a lot of questions. Where can I find information?

  • The midwives’ hotline is open and available from 08:00-16:00 Monday-Friday. You can contact us by calling 5397 7077. Our midwives offer advice to all pregnant women registered with East-Tallinn Central Hospital.

What kinds of appointments with midwives and doctors are going ahead for pregnant women?

  • We continue monitoring pregnant women during the state of emergency and have changed our general monitoring plan only to ensure that it is safe for everyone in the current situation and reduces direct contact between people.
  • During the monitoring of a pregnancy, appointments with the midwife or gynaecologist take place on weeks 10-12, 20-21, 28-30 and 38-40 of the pregnancy to perform essential examinations to assess the condition of the mother and foetus.
  • Other appointments have been replaced with remote appointments and generally take place over the phone with other electronic channels used where necessary.
  • Please note that pregnant women are monitored by midwives or gynaecologists who will decide on the monitoring method on the basis of each expectant mother’s condition.

What kinds of tests are made during the state of emergency in the first trimester of a pregnancy?

  • Instead of the first trimester screening, we offer pregnant women a non-invasive prenatal DNA test (NIPTIFY) performed in Estonia.
  • During the state of emergency, the NIPTIFY tests are paid for by the Health Insurance Fund.
  • The sample for the NIPTIFY test must be provided on week 11-12 of the pregnancy.

How can I get a NIPTIFY test?

  • You will be referred to the NIPTIFY test by your doctor or midwife, who will issue a respective digital referral.
  • The hospital will call the pregnant woman and invite them to do the test. Pregnant women do not have to make the call themselves.

How does NIPTIFY work?

  • You can provide a sample for the NIPTIFY test in the blood sample room of the Ravi unit 8:00-13:00 Monday-Thursday. Note:  The sample cannot be given on Maundy Thursday, 9 April 2020.

How can I learn the results of my NIPTIFY test?

  • The waiting period for the NIPTIFY test results is 4-6 weeks.
  • You will be informed of your NIPTIFY test results by your midwife or doctor.

Will the NIPTIFY test be performed for everyone?

  • The NIPTIFY test will not be prescribed for pregnant women who have undergone first-trimester screening with a negative result.

 

Will examinations of pregnant woman continue at the women’s clinic? How can I give samples?

  • Scheduled ultrasound examinations are proceeding as of now. You may respect scheduled examination appointments if they have not been cancelled. It is not permitted to bring partners or children.
  • Urine samples can be delivered without entering the hospital. Urine samples can be left on the desk by the entry to the Maternity Counselling Centre in block B between the hours of 07:30 and 12:00 a.m.
  • Blood samples are taken in the usual places.
    • The blood sample collection room of the Ravi unit is open on business days 7:30-15:00.
    • The blood sample collection room of the Magdaleena unit is open on business days 7:30-15:00.
    • The blood sample collection room of the Tõnismäe unit is open on business days 8:30-13:00.

 

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