Category Archives: Baby Your Baby

Helping young patients cope with the COVID-19 pandemic through coloring



Being a child in a hospital can be scary – especially if you see people dressed in personal protective equipment worn for COVID-19 protection – the kind of equipment kids may see in a sci-fi movie.

Enter Intermountain Primary Children’s Hospital child life specialists, an artistically-inclined nurse practitioner, and a splash of color – and it’s not so scary after all for young patients.

Jade Elliott talked with Davi Vitela, Child Life Specialist at Intermountain Primary Children’s Hospital, to discuss how coloring is helping their patients on this episode of the Baby Your Baby Podcast.

Primary Children’s child life specialists have created a new PPE coloring book to help kids better understand why some caregivers wear strange clothes and equipment, like gowns and face shields and hoses strapped to their backs, instead of the colorful scrubs that they would typically see outside of the coronavirus pandemic.

They want kids to know that underneath the shields are the same friendly faces of the nurses and doctors who help them, and who many patients have come to know and love.

“We’ve noticed any child who comes into the Emergency Department, or any kiddos getting tested, are seeing a lot of our caregivers wearing PPE. We know this can make the hospital even scarier because the PPE is unknown and it’s covering people’s faces,” said Antonia “Davi” Vitela, a certified child life specialist at Primary Children’s Hospital. “We wanted a positive resource that kids and parents can use together to familiarize themselves with PPE, understand why people wear it, and express any emotion they’re feeling about it.”

Child life specialists help children to understand the hospital setting and express emotions about being in the hospital, most often through play. Child life specialists frequently use medical play, or toys of objects found in the hospital.

Medical play dolls wear a hospital gown, and kids draw in their own faces or stitches, and use toys such as a specially designed play IV pole, CT scan, and an anesthesia mask.

The PPE coloring book was compiled using medical clip art and inspiration from child life specialists and artistic skills of a palliative care nurse. It is available to all patients in English and in Spanish when they arrive at Primary Children’s. Children in other Intermountain Healthcare hospitals throughout Utah also can receive a coloring book from their child life specialist or nurse.

The coloring book has pictures and explanations of equipment like a PAPR and other PPE, spaces for children to draw what they see around them. It discusses germs and viruses, the hospital and emotions, and asks kids to make a list of things that help them feel better, like listening to a favorite song, to give them coping mechanisms during their hospital stay.

“The pandemic has been hard on kids with the visitor restrictions and siblings being unable to visit them,” Vitela said. “Even though some of the restrictions are being lifted, it’s a difficult time. We’ll keep making the effort to make the hospital a welcoming place for kids and helping them feel more comfortable.”

Downloadable PDF of coloring book: English or Spanish.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Reading with your baby



It’s never too early to start reading with your baby.  Reading with your baby has multiple benefits.

Jade Elliott sat down with Tyson Tidwell, a pediatrician with Intermountain Healthcare, to talk not only about why to read with your baby, but also tips for how and when to do it.

Why reading to your baby is so important

When parents talk, read, and sing with their babies, connections are formed in their young brains. These connections build language, literacy, and social and emotional skills at an important time in a baby’s development. These activities also strengthen the emotional bond between parent and child and helps your child reach social and developmental milestones.

Hold your child in your arms and read with emotion

Infants as young as a few days or weeks old can know and prefer their parents’ voices and faces. Although they may not understand words, they’ll respond to the emotion in your voice and the expression on your face. They love to look at pictures with bright colors and feel secure when they’re in your arms.

Choose colorful and sturdy books

As babies get older, they’ll reach out to hold a book and then put it into their mouths to explore it. Board books and books made of fabric or with thicker pages are more durable for very young children. You can borrow children’s books for free from your local library or purchase some of your own. Look for colorful illustrations or photos. Some books have things with texture that can be touched, which makes them even more interesting.

Ask your pediatrician about the Reach out and Read program which offers free books starting at your baby’s 6 month well visit. You can receive a free book at your child’s well check visits through age five, for a total of eight free books. For more information visit https://www.reachoutandread.org/

Plan a special reading time

Active young children may lose interest in a book after only 1-2 minutes. Follow their lead, but keep reading, talking, and singing with your baby regularly and his interest and attention span will grow. Make this a special time. Give your baby your full attention. Turn off the TV and computers and put down your phone.

Read together every day

As babies grow into toddlers, reading aloud together can be a very helpful routine, especially when it’s part of your regular calming bedtime routine. Young children love having choices. Let them choose the book to read. Toddlers quickly develop favorites and may ask you to read the same story over and over, so offer choices you like too!

Talk about the book

Toddlers can point to pictures of objects (Show me the tree) and answer questions (Which one says moo?) As their language grows, they may be able to name the pictures you point to or finish the sentences in a book. Sometimes they even pretend to read the book themselves. As they get older they learn to point to letters in the alphabet or to count some of the pictures.

Make reading part of your routine

Building routines for meals, play, and sleep help children know what to expect and what is expected of them. Listen to our podcast on bedtime routines here.

Keep reading together

Even when your child can read by themselves, you can still read stories to them that are at a higher reading level than books they can read on their own. They will look forward to the next chapter and you will make lasting memories.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Never leave a child in a hot car, even for a minute



Summer weather invites us to enjoy activities with our children, but we need to be extra careful about keeping them safe. This means never leaving a child in a vehicle – even for a minute – to prevent accidental heat stroke and even death.

Jade Elliott spoke with Jessica Strong, Community Health Manager, Intermountain Primary Children’s Hospital, to discuss the dangers of hot cars during this episode of the Baby Your Baby Podcast.

Hot vehicles can kill. About 40 children across the country die each year after being left in a hot vehicle. In Utah, 13 children have died in hot vehicles since 1990, and others have suffered injuries in “close calls.”

These tragedies can happen to anyone, and often occur when caretakers forget a child is in the car. Stress, fatigue, and change of routine can push a person’s brain into autopilot, making it easier to forget.

Summer is a time of heightened risk due to hot weather and changes in routine, including children out of school and families staying up late for activities. Family routine changes that have come with the coronavirus pandemic can add extra stress – and give us even more reason to be vigilant about safety.

To help provide caretakers with visual reminders that a child is in the vehicle, Primary Children’s is offering free Baby Safety Snaps at PrimaryChildrens.org/safety. The Safety Snap is a bright yellow lanyard printed with the words “Baby in Car.” The snap clicks into the car seat buckle where the straps connect in the 5-point harness. When you put your baby in the seat, you remove the lanyard and put it around your neck. When you arrive at your destination, the lanyard helps you remember the baby in the car.

Here are some additional tips to help prevent accidental heatstroke injuries:

– Never leave your child alone in a vehicle – even for a few minutes. A child’s body temperature can increase 3-5 times faster than an adult’s. Cracking a window has very little effect on the temperature inside the car.

– Always check your vehicle before leaving it.

– Keep a visual reminder that a child is with you, like a stuffed animal or diaper bag in the seat next to you, or your cell phone or purse in the backseat.

– If you see a child left alone in a car, contact the police or call 911.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Common baby skin conditions



There’s nothing like the pure, beautiful, soft skin of a baby! But your baby’s skin is still developing and that makes it very sensitive and prone to some skin conditions.

Jade Elliott sat down with Dylan Alston, a dermatologist with Intermountain Healthcare to help us learn about some common baby skin conditions, and know which of these are normal, and how to treat them and when you should see a dermatologist.

“Baby Acne”

The medical term for “baby acne” or erythema toxicorum neonatalis is a benign acne-like eruption on the central part of the face. It typically starts 1-2 days after delivery. It is thought to be related to the immaturity of the oil glands of the newborn. No treatment is necessary, and the condition improves over the next 7-10 days of life.

There is another condition, neonatal cephalic pustulosis that looks similar to “baby acne.” Eruption occurs a little later, at 2-3 weeks after birth. The baby’s face and scalp can be affected. Neonatal cephalic pustulosis is thought to be related to skin colonization of a common yeast known as malassezia. Again, no treatment is necessary and the condition resolves without intervention.

Cradle cap

Cradle cap for all intents and purposes is baby dandruff. It again is thought to be related to the baby’s immune system reacting towards a common yeast on the skin. If the baby is over three months, using a safe dandruff shampoo would be helpful but not necessary. Under three months of age, just use a regular baby shampoo. Leave it on the head a about 2-3 minutes for best results. This is good advice for adults who have dandruff too.

Eczema

Because the newborn baby’s skin barrier is still developing, they are particularly susceptible to eczema. In infants, eczema often starts on the face, especially the cheeks and over time, moves to more common locations like the arms and legs. It has a red, rashy look. Introducing new foods to the child can make the eczema flare, so introducing one new food at a time and watching for skin rashes afterward can help provide clues to a potential food allergy. Steroid creams can help. Vaseline is a good moisturizer can reduce the risk of eczema later in life.

Diaper rash

The diaper area of a baby is particularly prone to developing rashes and irritation. The key is to change the diaper often enough to keep the baby’s skin from being injured by the alkaline nature of urine by keeping the area clean and dry. Skin protectants such as zinc oxide are great for creating a barrier between the delicate skin and the diaper contents.

Yeast can cause diaper rash. The chubby creases are susceptible to yeast. If the rash is in the crease, it may be caused by yeast. If the rash is not in the crease, then an irritant may be causing it.

Contact dermatitis from wet wipes

Unfortunately, dermatologists are seeing a significant increase in contact dermatitis in babies, or a rash that occurs when the skin is in contact with something irritating. A common ingredient that can cause contact dermatitis in babies is methylchloroisothiazolinone or MCI/MI, an ingredient in many manufactured wet wipes. Wipes should be hypoallergenic and preservative free. Parents with sensitive skin are more likely to have babies with sensitive skin.

Sunscreen sensitivity

Babies under six months have skin that is still developing and is very sensitive. Avoid using sunscreen on your baby until after six months of age. Instead, use hats and clothing. UV protective fabrics are best and should have a UPF (ultra-violet protection factor) rating of 50+. These fabrics have a higher thread count that can better block the sun’s rays than regular clothing.  To learn more about these clothes, click here.

After six months of age, you can use sunscreen on your baby, but a mineral-based sunscreen with zinc or titanium oxide is least likely to cause a skin reaction in your baby. Avoid using chemical-based sunscreens on babies.

If your baby has a skin condition that persists and you have questions or are concerned about, see a board-certified dermatologist, as they are specially trained to diagnose skin conditions.

For more information: https://intermountainhealthcare.org/services/dermatology/

Additional links mentioned during the podcast:

https://www.aap.org/en-us/Pages/Default.aspx

https://www.aad.org/

https://www.instagram.com/igskindoc/

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Encouraging your baby to walk



After children learn to crawl they start to pull up into standing position. This indicates that they could be getting ready to start walking.

Jade Elliott sat down with Jackie Swan, Early Intervention Program Director, Summit County Health Department, to discuss how parents can help prepare their child to start walking on this episode of the Baby Your Baby Podcast.

Babies pull to stand typically at the couch and learn to cruise by moving side to side against the couch. Placing something they want on the couch helps encourage the child to pull into standing position. Also, taking off the cushions of the couch allows for a lower surface for their height.

After the child is cruising they learn to bridge between two surfaces (couch and small table). Children use push toys for balance and standing by themselves. They will stand at small tables to play with toys. They learn to stand by themselves and stand in the middle of the floor when they learn balance skills. They want to learn to move around their environment.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Newborn screenings



A newborn screening is a mandatory screening for all of our Utah babies. Currently, the Utah Department of Health tests for over 40 different disorders. If these disorders aren’t caught and treated, then they can lead to health issues, brain damage, or possibly death.

Jade Elliott sat down with Kari Weiss from the Utah Department of Health, to discuss newborn screenings, what they test for and how they work.

What if my family’s health history is healthy? The disorders we screen for are called autosomal recessive and do not appear in every generation. Many times these disorders are the first in a family. That is why screening is so important.

When is it collected and by whom? Utah is a two screen state. The first screen is 24-48 hours after birth. This is either done in the hospital or with a midwife. The second one is 7-16 days after birth. The hospital or midwife will give you the 2nd card to take to your baby’s health care provider for collection at the 2 week checkup.

How much does it cost? The kit is $118. This fee funds 100% of our program. We do not receive any general State funds to operate the program. Typically this fee is rolled into the hospital’s laboratory fee. If you are having a home birth, you will need to work with your midwife to purchase a kit.

What if I can’t pay this? Call us and talk with us.

What does the cost cover? This covers all the testing (1st, 2nd and any necessary repeats), confirmatory (diagnostic) testing and follow-up.

How is the test done? Baby will have a simple heel prick where several drops of blood that are placed on the screening card (one drop in each circle).

How do I get my results? They are sent to the baby’s health care provider or midwife.

What if the results come back abnormal? We will contact your doctor’s office or midwife for further testing.

What happens to the card after? The dried blood spot is kept for a minimum of 90 days to ensure all testing is complete and nothing needs repeating. After this the sample may be used for quality assurance/quality control purposed that are related to newborn screening. Space is limited therefore we only have sample that are a few years old.

Can I request to have the blood sample destroyed? Yes, the left over specimen can be destroyed after 90 days and by completing a “Request for Destruction” form.

What if I want to refuse the test? In the interest of your baby’s health, Utah law requires newborn screening. An exception can only be made for a religious objection [Statute 26-10-6 (1)]. Visit the Objections section of our website for more information.

How is this tracked? Each baby is assigned a Kit number. This is like a medical record number. The first, second and any additional samples have the same kit number but a different accession numbers.

What do we do if the collection screen is unsatisfactory or untestable multiple times? We offer on-site training. Call us and we can schedule a time where we will come out and help with trainings.

What can I do as a parent? Ensure your baby’s card is filled out completely and accurately. We need to know the correct health care provider in order to send and communicate your baby’s results. Also, if we cannot reach the provider, we need to know how to contact you if we have urgent information to communicate. Also, make sure two screens have been completed at the right time.

What about adoption or foster care? Fill out the card with the person who will be taking care of baby. We need to know who the guardian is in case we need to contact them with medical instructions.

What if my baby was born out of state? Do not start a Utah screen, contact the state the baby was born in, request the result and inquire if additional follow-up is needed. Some states only have one screen while others, such as Utah, screen twice. If this is not possible, a Utah kit will need to be purchased.

Where can I get more information? newbornscreening.health.utah.gov

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Skin changes during pregnancy



When you’re pregnant, your skin changes. Sometimes it’s more than just having a healthy glow about you. You might not be so happy about things like stretch marks, dark spots, acne, rashes. Are these changes normal? Are they permanent?

Jade Elliott say down with Dylan Alston, a dermatologist with Intermountain Healthcare on this episode of the Baby Your Baby podcast to talk about why your skin changes during pregnancy and what’s normal and what you might want to ask your doctor about and when to see a dermatologist.

The causes of skin changes during pregnancy

Some skin changes are due to changes in hormone levels that occur during pregnancy. There’s a shift in the predominant hormones, progesterone during pregnancy. For most skin changes, however, health care professionals are not sure of the exact cause.

Good changes to your skin during pregnancy

That healthy glow, may not be physiologic, but it could be due to increased blood volume during pregnancy. Increased circulation can make skin look healthier and brighter. Hormones can make oil production more prominent and skin can shine or glimmer. Plus, some skin conditions, like rosacea, acne, or eczema can clear up during pregnancy.

Normal skin changes during pregnancy

There are many changes that occur in the skin during pregnancy. Most are considered normal and do not affect the health of the mother or the baby.

Dark spots or hyperpigmentation

The most common skin change is hyperpigmentation, or a darkening of the skin in certain areas. Dark spots and patches are caused by an increase in the body’s melanin—a natural substance that gives color to the skin and hair.

After childbirth, dark patches of skin typically return to their normal pigment after a period of months. However, some dark patches may never fade.

This can involve the face causing chloasma or melasma, also known as the “mask of pregnancy.” This can be very distressing to women as it can cause significant discoloration and it is most common on the face. It can remain throughout life. If you develop dark spots, or sun spots, be sure to protect yourself from sun, which can prevent it from worsening. Your skin is also sensitive to any visible light – indoor light, cell phone or computer screen light, TV lights, etc.

What can be done about melasma?

Use a sunblock with a high SPF and that contains ferric (iron) oxide which protects skin from visible light.

Other types of hyperpigmentation

Linea nigra is a hyperpigmented line that appears on the abdomen from the pubic bone all the way up to the navel or even the breast bone. It’s unsightly but tends to fade after birth.

Darkening of the armpits can also appear.

Moles can darken or change. Hormones are to blame. Know the ABCDs of skin cancer and see a dermatologist if you notice one of the types of changes.

Changes to hair and fingernails

Women can experience changes in their hair and nails. About three months after delivery, the hair can begin to fall out in large amounts. This is normal stress-related hair loss. The stress of delivery has shocked the hair into falling out and it is transitioning in to a new hair growth phase.

Acne

Many women have acne during pregnancy. Some already have acne and notice that it gets worse or better during pregnancy. Other women who have always had clear skin may develop acne while they are pregnant.

Tips to treat acne:

• Wash your face twice a day with a mild cleanser and lukewarm water.

• If you have oily hair, shampoo every day and try to keep your hair off your face.

• Avoid picking or squeezing acne sores to lessen possible scarring.

• Choose oil-free cosmetics.

• Prescription therapy may be needed and see your doctor or consult with a dermatologist to see what is safe. Many topical acne treatments are safe during pregnancy.

Pregnant women should not take the oral acne medication Accutane or the generic isotretinoin or the generic equivalent as it can cause severe fetal defects. Topical versions with Retin A should also not be used during pregnancy. Before or after pregnancy, birth control pills can cause acne.

Stretch marks

Stretch marks are indented streaks that often appear on the abdomen, breasts, hips, buttocks and thighs. They’re caused by the stretching of the skin and are common during the second and third trimesters. Stretch marks are more likely to happen with rapid weight gain, with twin pregnancies or in women who are already obese.

Typically, they’re just unsightly scars. Using a heavy moisturizer may help keep your skin soft, and aggressive moisturizing of the abdomen can help offset the risk of stretch marks. Coconut oil or bio oil can help, but it will not help get rid of stretch marks. Most stretch marks fade after the baby is born, but they may never disappear completely.

If you develop a rash near the stretch marks, you may want to see a dermatologist. It’s called PUPPP (pruritic urticarial papules and plaques of pregnancy). It’s a rash that starts in the stria or stretch marks in the third trimester and is more common in twin pregnancies. It is horrifically itchy. It can be so intrusive that an early delivery may be recommended.

When to see a dermatologist about a skin condition when you’re pregnant

When you are pregnant, there are really two patients: mom and baby. The needs of the baby may be more pertinent. Some skin changes are considered pathologic or abnormal and could affect the health of the mom or baby. Some rashes can affect the health of the mother and even more concerning, some rashes can impact the health of the baby. It is important to be seen by a board-certified dermatologist if you have one of these conditions:

  • Blistering around the belly button – This can impact morbidity or mortality of baby.
  • A rash with a large oval or circular patch on the chest, back or torso – Pityriasis Rosea. Usually, this starts as one large patch and then after 3-7 days, smaller versions develop in a Christmas tree pattern. It may be related to a viral infection. It is usually asymptomatic.
  • Severe itching of the palms of the hand or soles of the feet can be due to cholestasis of pregnancy – a liver condition where bile acids in the liver are getting obstructed. It causes severe itching on palms of hands or soles of feet and can spread to the trunk. It occurs in the third trimester, but goes away after childbirth. It can lead to preterm birth, or other problems.

For more information, click here.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Spot the Tot and helmet safety



As schools are closed and social distancing continues during the coronavirus pandemic, more kids than usual are playing outside their homes, often at unexpected times of day. That’s why it’s more important than ever to keep kids safe. This means using Spot the Tot safety techniques to help prevent accidental back-overs or front-overs, and making sure that you and your bike-, scooter- and skateboard-riding crew wears a helmet every ride, every time.

Jade Elliott spoke with Jessica Strong, community health manager, Primary Children’s Hospital, to discuss the Spot the Tot program and helmet safety.

Spot the Tot

Use the Spot the Tot safety techniques can help prevent accidental back-overs or front-overs.

Between 1991 and 2018, 1,427 children nationwide died from injuries sustained in a backover, meaning the child was accidentally rolled over by a moving vehicle. In Utah, 62 children have died in backovers since 1991. That’s the fifth highest number of such fatalities in the nation.

Most often, fatalities occur when a child is accidentally run over by a vehicle in a driveway or parking lot, most often driven by a parent or caregiver.

These accidents can be prevented, starting with a 10-second walk around your vehicle. While backup cameras can help with visibility, they also have significant blind spots at each corner. The best prevention is human intervention.

You can Spot the Tot and Prevent injury by doing these three things:

o Walk completely around the car before getting in to drive

o Eliminate distractions (put phone away, turn off music)

o Roll down windows and listen before backing up

Here are some other tips to help keep kids safe:

o Supervise children when others are getting into a car.

o Teach children not to play in or around cars.

Wear a helmet – every ride, every time

Each year, more than 1,200 people die and thousands more are seriously injured in bicycle, roller blade, scooter and skateboard accidents. The most serious accidents involve head injuries. Many of these can be prevented by wearing a safety helmet.

Help your child get into the habit of wearing a helmet on every ride they take, whether on a bike, scooter, or skateboard. Make sure the helmet fits properly, and remember that kids outgrow helmets, just like they outgrow clothes or shoes.

Use this checklist to ensure your child’s helmet fits properly before they ride:

• Be sure your helmet has an CPSC or SNELL label certifying it is safe.

• Don’t wear a hat or anything else under the helmet

• The helmet should fit snugly and sit level on your child’s head.

• The helmet should fit two finger widths above your child’s eyebrow

• For the side strap: Make a V shape under your child’s ears with the strap and clasps.

• Under the chin: You should be able to fit one adult’s finger between the child’s chin and the strap.

Other Tips:

• Make sure you are using equipment as designed, only one person per bike.

• Don’t tie or drag other people behind you. They don’t have brakes and can’t stop like the bike rider.

• Obey all traffic laws like stop signs and lights.

• When riding in a group, always ride single file on the street.

• Never wear headphones while biking.

For more information, visit primarychildrens.org/safety.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Postpartum depression amid the coronavirus pandemic



Being pregnant for the first time or being a first-time mom means a woman will be making a lot of changes. You now have another person’s needs to care for and think about, besides managing your own personal needs.

Plus, when you’re pregnant and after you deliver your baby, your hormone levels are changing. On top of that, many new mothers are unable to get the rest they need to fully recover from giving birth. Constant sleep deprivation can lead to physical discomfort and exhaustion.

For all of these reasons, pregnancy and the postpartum period are a time when women are susceptible to mood disorders like depression and anxiety.

Add to that, the COVID-19 global pandemic, which may increase anxiety and social isolation, and also lead to life stressors like a job change or moving, and that’s a lot of things that can factor into a woman’s mental health. Many women may wonder if their feelings are normal, or if they are just the baby blues, or if they may be experiencing true depression or anxiety.

Jade Elliott talked with Kristy Jones, from Intermountain Healthcare who is a senior consultant for mental well-being and community health, about the behavioral health resources available for pregnant and new moms who are going through all these changes amid the COVID-19 pandemic.

Postpatum depression is common

Up to 1 in 7 women experience postpartum depression.

Risk factors for PPD:

  • Previous mental illness or family history of such
  • A stressful life event during pregnancy or soon after birth (job change, moving, divorce, death of a loved one)
  • Traumatic labor and delivery or medical complications of mother or baby
  • Mixed feelings about the pregnancy
  •  Isolation or lack of emotional support from family or friends
  • Alcohol or drug abuse problems

If you have some of these risk factors and are experiencing some mental health symptoms you’re concerned about you can always reach out to your doctor with your concerns. Another great option is the Intermountain Emotional Support Hotline.

The Emotional Health Relief Hotline

  •  It is a free service provided by Intermountain Healthcare to help people in emotional distress and is available from 10 am – 10 pm 7 Days per week
  • Number 833-442-2211
  • People responding to the calls – a great mix of Intermountain Caregivers differing skills such as our Behavioral Health Patient Navigators and COVID Call Center Staff.
  1.  All have been trained
  2. No DX work

 What happens when someone calls in?

  • The caller will be asked predetermined questions that will help to assess their level of needs. Each caller will be triaged as Low, Medium or High need.
  •  If there is a high concern or suicidal concern, there is a “warm” handoff to the U of U University Neuropsychiatric Institute (UNI). This is the same Crisis Line that operates the Utah chapter of the National Suicide Lifeline.
  • Based on the level of need, they may be provided some resource materials, referred to the myStrength App (free for 60 days with code UDHSGuest33), provided resources to connect them to service – or given a warm handoff to a crisis hotline
  • If someone calls the Relief Hotline after hours – it refers those with a high concern to the UNI Crisis line which operates 24 hours a day.

What are some general tips we can provide for being mentally well?

  • stay connected with friends and family through video chats, phone calls and “drive-by” visits
  • Physical activity and exercise can help boost your mood
  •  Reduce Stress and anxiety – ie limit exposure to constant messaging relating to the pandemic, use focused meditation and relaxation, set and keep a schedule or goals for the day
  •  Ask for help when needed – call the Emotional Health Relief Hotline, reach out to a friend or family member, see your provider via telehealth / video visit.

    The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.


Telehealth prenatal visits are a great option for low-risk moms anytime and during the coronavirus pandemic



If you’re pregnant during the COVID-19 pandemic, you may have questions about your prenatal clinic visits and staying healthy.

To help you and other patients stay safe during the COVID-19 pandemic, Intermountain Healthcare has modified some of the OB prenatal appointments to include video visits in addition to your in-person visits if you have an uncomplicated pregnancy. This visit schedule is based on national recommendations.

Jade Elliott spoke with Angela Anderson, certified nurse midwife with Intermountain Healthcare, who explains how these virtual visits work.

Some telehealth prenatal visits are available for low-risk moms without pregnancy complications

This program has been in place for over a year at the Nurse Midwife clinic at Intermountain Medical Center and provides a safe and convenient platform for remote prenatal visits at specific intervals during an uncomplicated delivery using Connect Care, Intermountain’s Telehealth platform, which is now expanding to other locations along with Intermountain Medical Group providers. Ask your provider about your eligibility for video visits for a number of your prenatal visits.

Some in-person visits are still necessary

In general, in-person visits are still recommended for your initial visit; your 20-week ultrasound; labs done at 28 weeks; and appointments after 36 weeks. During the in-person visits, they will perform a physical exam, obtain necessary labs and measurements, etc. Check with your provider to find out what is recommended for your specific situation.

Telehealth visits are an excellent option during the COVID-19 pandemic as you can interact with your provider through video. Phone appointments are also available if you prefer. Check with your provider about what they offer.

Video visits are a safe alternative for uncomplicated pregnancies and have been studied at shown to be successful at other institutions in the U.S.

Technology needed for home visit:

  • iPad or computer
  • Download the Intermountain Connect Care app.
  • Platforms include Connect Care where available, Google Duo, WebEx, Facetime, etc.

How the program got started

There’s been an interest in this for several years and Intermountain looked into some pilot programs at other institutions in the U.S. and they had good outcomes and high patient satisfaction. With our telehealth program well developed, the time was right.

Moms need to meet certain criteria to be able to do video visits

  • No serious chronic medical conditions.
  • Access to a computer, iPad, tablet, smart phone or other mobile device with internet access.

Five key face to face visits in clinic are needed

The schedule of face-to-face and virtual visits is up to the patient and should be flexible to meet a patient’s clinical and personal needs. Five key face-to-face visits are done during these time frames.

  1. Initial prenatal visit with labs
  2.  18-20 week ultrasound visit
  3. 28 week laboratory/vaccination visit (diabetes screening, hematocrit, Tdap)
  4. 36 week laboratory visit (GBS)
  5. 38-40 weeks delivery planning / physical exam visit

The remaining virtual visits are scheduled according to the standard visit schedule to meet the needs of the individual patient.

Providers like the home prenatal visits too

At home visits offer more actual face time with the patient, allowing for more time to talk and increasing satisfaction for the provider as well. Because medical assistants are not involved, it frees them up to help office clinic schedules run more smoothly.

For more information about home prenatal visits go to intermountainhealthcare.org.

The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.