In recent weeks, hospitals have limited delivery room visitors to prevent the spread of COVID-19, prompting pregnant people and their support systems to find creative solutions. Here Erica Chidi Cohen, a doula and the co-founder of wellbeing brand LOOM, talks about what it’s like to facilitate a socially distanced birth.

I started working with Diana and Jason last summer—they were the last clients I took on as a doula before moving on to focus on LOOM in its entirety. When we started working together, I had no idea that Diana’s delivery would end up happening in the middle of a pandemic. I thought I was going to be doing my usual thing, laboring with them at home in the early stages then going to the hospital with them. Obviously, that didn’t happen.

My mom is a nurse and my dad is an infectious disease specialist—I grew up in South Africa while my dad was doing HIV/AIDS research there— so I’m very acquainted with herd immunity, viruses, and disease. I think having that exposure to pandemic at an early point in my life made me very open to making the transition to virtual services. As a doula and as a CEO, I’m always thinking about the action plan.

A pregnant person might see a couple of different providers depending where they get care, so a doula is supposed to be a source of support that doesn’t change. We also help educate our clients on what to expect during labor and help them self-advocate. When the pandemic began, I had to ask myself, How do I continue to be continuously there? How can I continue to educate and help them prepare to advocate for themselves?

I knew I couldn't help with massage or physically motivating her to get up and move around to better manage the contractions, but I thought if they’re open to having me on FaceTime and in constant communication over text, I’ll still be there.

They knew they could call me at any time, and we were in touch from the time their delivery took off until the baby was delivered. Of course it felt hard to not be there for them physically, but I loved being able to answer their call any time they had a question and give them my energy. Unfortunately, the hospital had rules that meant Jason wasn't able to be with Diana for her postpartum recovery, so I FaceTimed with Diana then too. Although I wasn’t in the room, I definitely felt a similar energy, and I think they both felt really supported as well.