Rachael Hickinbotham, a Sydney-based obstetrician, is dealing with many new and difficult challenges in the age of the coronavirus.

The biggest change that I have found with the use of personal protective equipment (PPE) is the use of a mask in the second stage of labour in a non-COVID-19 positive patient.

A first-time mum can take up to two hours to push out her baby, the second stage of labour. It is at this time, during the expulsive efforts, that there is the most risk of respiratory droplets, hence why wearing a mask is important to the midwife and the doctor.