Update December 13th, 2020
The American College of Obstetricians and Gynecologists (ACOG) recommends that the COVID-19 vaccine should not be withheld from patients trying to become pregnant, or those who are pregnant or breast feeding; who meet medical criteria for vaccination.
- American College of OBGYN on COVID-19 vaccine for pregnant and lactating patients – ACOG Vaccine Bulletin
- ACOG COVID-19 FAQ’s on Vaccine related information while pregnant or breastfeeding.
- The American Society of Reproductive Medicine (ASRM) COIVD-19 Task Force issued updated ASRM COVID-19 Recommendations on the COVID-19 vaccination.
- MHealth Decision Aid was created by MHealth to assist in discussing the vaccine and considering options for pregnant and lactating patients.
Update August 27th, 2020
As your women’s health care team, we would like to thank you for continuing to partner with us as we navigate these unprecedented changes in health care. We are grateful for your understanding as we evolve and adapt how we can continue to provide care for you during the COVID-19 pandemic. In order to keep you as informed as possible during this time, we wanted to share a few updates regarding the COVID19 pandemic.
If you have experienced fever, respiratory symptoms, chills, loss of taste or smell, we request that you stay home. Our providers are available to connect with you virtually. Minnesota has created the following website to answer questions on COVID-19 and help determine who should be tested. https://mn.gov/covid19/for-minnesotans/if-sick/
We are taking precautions to keep you safe in our clinics with additional deep cleaning, social distancing in our waiting room, and decreasing the volume of patients. Following the MN Statewide mask mandate and CDC guidelines, OGI requires all patients to wear a mask to clinic appointments and leave it on for the duration of their visit to help decrease the risk of asymptomatic transmission. (Face shields alone are not recommended by the CDC for a healthcare setting.) Our mask supplies are limited, so please try to remember to bring your mask to each visit.
- Our clinics have resumed in-office appointments for obstetrical, fertility, gynecologic problem visits and annual well-woman care.
- We continue to offer virtual visits.
- During pregnancy, both patient and their partner are welcome at the 1st Obstetrical visit and ultrasound. At key milestones in the 2nd and 3rd trimester, there will be additional opportunities for partners to participate in obstetrical visits.
- Partners will be allowed to join patients for the initial fertility consultation or insemination consultation.
- Minor children can have their parent or guardian present during visits.
- Patients with altered mental status or developmental delays may have a parent or guardian present during visits.
- We encourage video conference during your appointments for your spouse or partner for all other appointments.
Update: April 2nd, 2020
Our providers are committed to providing the same high-quality personalized care you deserve during the COVID-19 pandemic. We are excited to announce that we have launched Telehealth virtual visits. A virtual visit is a wonderful opportunity to discuss any current concerns you have with your provider during this time when routine clinic visits are postponed.
If you are pregnant, your clinic will advise you when to schedule your visits in person or via a virtual visit. For our gynecologic patients; virtual visits can be performed for many of your GYN needs including consults on anxiety and depression, birth control, pregnancy planning, menopausal management and current medical concerns. We are also able to discuss your prescriptions, medication adjustments & test results, including treatment options.
A Virtual visit is done from the safety and comfort of your home via a secure online video session. Your virtual face-to-face encounter with your doctor is billed to your insurance just like an office visit.
Please call us to schedule your Virtual Visit!
OBGYN & Infertility
Update: March 26th, 2020
The hospitals are taking every precaution to prevent the spread of Coronavirus (COVID-19). Their top priority is to protect and care for patients, visitors, and staff. For that reason, they have implemented some changes until further notice. If you need to go to Labor and Delivery, please follow the directions below.
Fairview Southdale Hospital
Please park in the East Ramp ONLY (near the Emergency Department) and enter the hospital through door 6:
-Door #6 Your support person can drop you off at Door #6, then proceed to the East Ramp to park.
-To limit potential exposure to Coronavirus (COVID–19) in the Emergency Department and not overwhelm Emergency Department traffic, your support person should then enter in through Door #6
-Follow the pink signs to the Birthplace
Maple Grove Hospital
Maple Grove Labor and Delivery (Family Birth Center) is asking all patients coming to the hospital to use the Hospital Main door entrance. There are signs clearly marking the Entrance and it is open 24 hours per day.
At Obstetrics, Gynecology and Infertility, the health and safety of our patients and staff is always our number one priority. With this in mind, we are continuing to closely monitor the COVID-19 (novel coronavirus) outbreak. In addition to staying in constant contact with the Minnesota Department of Health, we are staying up-to-date with the latest information from the Centers for Disease Control (CDC) and World Health Organization (WHO).
In an effort to keep everyone safe, we are asking patients experiencing flu-like symptoms to call and reschedule their appointments. If you have traveled outside the country or on a cruise in the past 14 days, we request that you call and reschedule for a later time.
We will continue taking extra precautions to provide the safest environment possible for our patients and staff. For any questions about your appointment or your care, please call our clinic.
Maple Grove: 763-255-3400
At this time, very little is known about COVID-19, particularly related to its effect on pregnant women and infants, and there currently are no recommendations specific to pregnant women regarding the evaluation or management of COVID-19.
The steps to protect yourself from COVID-19 are generally the same as those for the flu:
- Wash your hands frequently with soap and water for at least 20 seconds, or with an alcohol-based hand sanitizer if soap and water are not available.
- Avoid close contact with sick people.
- Cover your cough or sneeze with a tissue or your elbow.
- Clean and disinfect frequently touched objects and surfaces using a household cleaning spray or wipe.
For information on prevention, symptoms and what to do if you’re feeling sick, please call the Minnesota Department of Health COVID-19 Hotline at 651-201-3920.
The Centers for Disease Control and Prevention has put out the following FAQ for pregnant women, those with infants, breastfeeding mothers.
Frequently Asked Questions and Answers: Coronavirus Disease 2019 (COVID-19) and Pregnancy
Q: Are pregnant women more susceptible to infection, or at increased risk for severe illness, morbidity, or mortality with COVID-19, compared with the general public?
A: We do not have information from published scientific reports about susceptibility of pregnant women to COVID-19. Pregnant women experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. Pregnant women also might be at risk for severe illness, morbidity, or mortality compared to the general population as observed in cases of other related coronavirus infections [including severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV)] and other viral respiratory infections, such as influenza, during pregnancy.
Pregnant women should engage in usual preventive actions to avoid infection like washing hands often and avoiding people who are sick.
Q: Are pregnant women with COVID-19 at increased risk for adverse pregnancy outcomes?
A: We do not have information on adverse pregnancy outcomes in pregnant women with COVID-19. Pregnancy loss, including miscarriage and stillbirth, has been observed in cases of infection with other related coronaviruses [SARS-CoV and MERS-CoV] during pregnancy. High fevers during the first trimester of pregnancy can increase the risk of certain birth defects.
Q: Are pregnant healthcare personnel at increased risk for adverse outcomes if they care for patients with COVID-19?
A: Pregnant healthcare personnel (HCP) should follow risk assessment and infection control guidelines for HCP exposed to patients with suspected or confirmed COVID-19. Adherence to recommended infection prevention and control practices is an important part of protecting all HCP in healthcare settings. Information on COVID-19 in pregnancy is very limited; facilities may want to consider limiting exposure of pregnant HCP to patients with confirmed or suspected COVID-19, especially during higher risk procedures (e.g., aerosol-generating procedures) if feasible based on staffing availability.
Transmission during pregnancy or during delivery
Q: Can pregnant women with COVID-19 pass the virus to their fetus or newborn (i.e. vertical transmission)?
A: The virus that causes COVID-19 is thought to spread mainly by close contact with an infected person through respiratory droplets. Whether a pregnant woman with COVID-19 can transmit the virus that causes COVID-19 to her fetus or neonate by other routes of vertical transmission (before, during, or after delivery) is still unknown. However, in limited recent case series of infants born to mothers with COVID-19 published in the peer-reviewed literature, none of the infants have tested positive for the virus that causes COVID-19. Additionally, virus was not detected in samples of amniotic fluid or breastmilk.
Limited information is available about vertical transmission for other coronaviruses (MERS-CoV and SARS-CoV) but vertical transmission has not been reported for these infections.
Q: Are infants born to mothers with COVID-19 during pregnancy at increased risk for adverse outcomes?
A: Based on limited case reports, adverse infant outcomes (e.g., preterm birth) have been reported among infants born to mothers positive for COVID-19 during pregnancy. However, it is not clear that these outcomes were related to maternal infection, and at this time the risk of adverse infant outcomes is not known. Given the limited data available related to COVID-19 during pregnancy, knowledge of adverse outcomes from other respiratory viral infections may provide some information. For example, other respiratory viral infections during pregnancy, such as influenza, have been associated with adverse neonatal outcomes, including low birth weight and preterm birth. Additionally, having a cold or influenza with high fever early in pregnancy may increase the risk of certain birth defects. Infants have been born preterm and/or small for gestational age to mothers with other coronavirus infections, SARS-CoV and MERS-CoV, during pregnancy.
Q: Is there a risk that COVID-19 in a pregnant woman or neonate could have long-term effects on infant health and development that may require clinical support beyond infancy?
A: At this time, there is no information on long-term health effects on infants either with COVID-19, or those exposed to the virus that causes COVID-19 in utero. In general, prematurity and low birth weight are associated with adverse long-term health effects.
Transmission through breast milk
Q: Is maternal illness with COVID-19 during lactation associated with potential risk to a breastfeeding infant?
A: Human-to-human transmission by close contact with a person with confirmed COVID-19 has been reported and is thought to occur mainly via respiratory droplets produced when a person with infection coughs or sneezes.
In limited case series reported to date, no evidence of virus has been found in the breast milk of women with COVID-19. No information is available on the transmission of the virus that causes COVID-19 through breast milk (i.e., whether infectious virus is present in the breast milk of an infected woman).
In limited reports of lactating women infected with SARS-CoV, virus has not been detected in breast milk; however, antibodies against SARS-CoV were detected in at least one sample.