Rules of family births in the Medical Centre "Żelazna" sp. z o. o. during the COVID-19 pandemic.

1. Only one accompanying person (the child's father or another close person appointed by the patient) may participate in a family birth.

2. The accompanying person should:

    - live with the mother who is to give birth for at least 14 days before the delivery, be healthy on the day of delivery, not be quarantined or isolated, and should not have come into contact with a person sick or suspected of having COVID-19 infection within 14 days before the date of delivery,

    or

    - must be healthy on the day of delivery and meet one of the following criteria:

      • full vaccination against COVID-19, i.e. 2 weeks have passed since the last dose was administrated (both in the one- and two-dose regimen),

      • infection and recovery from COVID-19 confirmed by a certificate within up to 6 months from the date of a positive PCR test confirming the disease (convalescents),

      • negative test result (antigen, PCR) for COVID-19 infection (valid up to 72 hours from the time of collection). The accompanying person is required to show to the hospital staff a document confirming recovery from the disease, vaccination or a negative COVID-19 test result.

3. Families preparing for a family birth should limit contacts with strangers to the necessary minimum for 14 days before the delivery date, in order to minimize the likelihood of coronavirus infection.

4. On admission to the hospital, the accompanying person is subject to the same procedures as the patient giving birth, i.e. their body temperature and saturation are checked, and they must complete the epidemiological questionnaire.

5. The decision about the possibility of a family birth is made by the admission room doctor / midwife after the initial examination and analysis of the epidemiological questionnaire.

6. The accompanying person, throughout the stay on the premises of the Hospital, maintains a safe 2-meter distance from other people apart from the woman giving birth, especially in the communication routes. In the delivery room, the accompanying person behaves in accordance with the instructions of the person conducting the delivery.

7. The accompanying person does not leave the delivery room, unless instructed to do so by the medical staff, which may happen, for example, in an emergency obstetrician situation; in this case, the accompanying person waits for a permission to return to the room (if possible) directly in front of the Labour and Delivery Suite.

8. After entering the delivery room, the accompanying person disinfects their hands and wears an approved protective mask with a certificate throughout their stay in the delivery room (in the case of a surgical mask, they change it every 2 hours, in the case of FFP2 / FFP3 masks, they follow the manufacturer's recommendations – 6-12 hours).

9. For safety reasons, while moving around the hospital premises (communication routes) the person accompanying the delivery and the patient giving birth must have their mouth and nose covered with an approved protective mask. We ask the patient to wear a protective mask in the first stage of labor whenever the staff is in the room.

10. Two hours after the end of the delivery, the accompanying person leaves the Hospital without any delays.

11. In the case of a surgical delivery (not applicable to planned caesarean sections), the presence of an accompanying person is not allowed. The hospital staff has the right to refuse admission to persons who do not comply with the rules in force in the hospital and to order them to leave the hospital premises.

CHAIRMAN OF THE BOARD

Wojciech Puzyna , MD, PhD

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