Since 2011, 217 hospitals in the United States have closed their labor and delivery departments, according to a report by the health care consulting firm Chartis.
Money is one reason why maternity units are being shuttered.
Hospitals in larger cities are often able to offset low reimbursement rates from Medicaid births with births covered by employer-sponsored insurance, according to Dr. Sina Haeri, a maternal-fetal medicine specialist and CEO of Ouma Health, a company that provides virtual prenatal and perinatal care to mothers living in maternity care deserts."If you have a NICU, that's a substantial revenue generator for a hospital," Haeri said.
"After May 19th, Bonner General Health will no longer have reliable, consistent pediatric coverage to manage neonatal resuscitations and perinatal care. Bonner General's No. 1 priority is patient safety. Not having board-certified providers certified in neonatal resuscitation willing to provide call and be present during deliveries makes it unsafe and unethical for BGH to provide these services," Binnall told CNN by email.
Conditions such as high blood pressure, obesity and diabetes may raise a person's risk of complications, as can being pregnant with multiples, according to the National Institutes of Health. Pregnant women over the age of 35 are at a higher risk of pre-eclampsia.As labor and delivery units continue to shut their doors, possible solutions to the growing problem are complex, Haeri says.
A 2021 study found that women who live in remote areas of the U.S. could benefit from telehealth visits, which would decrease the number of "in-person prenatal care visits and increase access to care."
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