Nurse midwives fill gap in prenatal care after rural hospitals shut down labor and delivery units

Nurse midwives fill gap in prenatal care after rural hospitals shut down labor and delivery units

           

https://www.facebook.com/cnn/posts/10162892597406509

Jennifer I said "They know what they're getting into" aka they're informed. You countered that with saying my statement was gross. How else should one interpret that?

And I do have empathy, sympathy and everything else, seeing as i AM one of the nurses working in a rural hospital that lacks specialized doctors. If you move into an area full well knowing they don't have full level 1 hospitals, who else is to blame but you (the person who moved there, knowing the situation.) Saying some people should have personal responsibility isn't gross.

And again, how do you suggest we fix said broken system? These communities don't have the funds to just support unnecessary doctors, especially in hospitals that see maybe 500 patients a year, like the one stated in the article. The hospital will lose money just having all of these specialized doctors on staff doing absolutely nothing because they're not needed but once or twice a year.

One thing we do here is pay extra for doctors to come in on a rotation basis and be available during certain times. But these communities just can't afford to waste money like that. Idk what else would work, hence why I said people need to offer suggestions rather than just complaining, because it accomplishes absolutely nothing.


Horatio Claggett nope. Maybe you should read up… Many abortion laws taking effect in ‘pro life’ states now make NO exceptions. Even the person helping them find someone to save their life can be charged, even the driver taking them there. There are many, many conditions and events during pregnancy and childbirth that can kill if doctors aren’t allowed to do what’s necessary to save the woman. That’s why women in the past, and in places without decent healthcare, regularly die during either the pregnancy or childbirth. Combine these draconian new laws with the closure of Obstetric clinics, departments and practices in rural areas is going to mean the rate of maternal death in the US, already higher than any other developed country, is going to get worse.


Bills 8296 and 8297, federally guaranteeing someone’s right to medical privacy just passed Congress and are on their way to our Democratic learning Senate for approval and then onto The President for signature.

WRITE, CALL, AND EMAIL EVERY REPUBLICAN SENATOR NOW AND DEMAND BODILY AUTONOMY. THOSE WITH NEEDS SHOULD ALWAYS TAKE PRIORITY OVER THOSE WITH NO NEEDS!! DEMAND That they STOP politicizing your uterus! Link below with contact information.

https://www.senate.gov/senators/senators-contact.htm

QUESTION THEM about WHAT they are doing RIGHT NOW about the 11.5 million children in the US that live in poverty!

QUESTION THEM about what they are doing about the shortage of SOCIAL WORKERS.

QUESTION THEM about what they’re doing to HELP the 425,000 children CURRENTLY in the US foster care system.

QUESTION THEM about what they’re doing to HELP the 120,000 children CURRENTLY available FOR ADOPTION through the state, which in most cases is LOW COST TO FREE!!

QUESTION THEM about what they are doing to REDUCE the MATERNAL MORTALITY RATE in their state.

QUESTION THEM about EXACTLY how they plan on “helping women and families choose life by providing needed support”. ASK THEM if they will pass federal regulation for PAID PATERNAL LEAVE, PAID FMLA, UNIVERSAL HEALTHCARE, ADDITIONAL FUNDING FOR PROGRAMS LIKE SECTION 8, EBT, MEDICAID, HUD.

QUESTION THEM about NATIONWIDE living wages that increase with inflation.

QUESTION THEM about FEDERALLY FUNDED day care so mothers can still work while raising the children they’ve been forced to birth.

QUESTION THEM about WHY someone with NO NEEDS outside that of a constant blood source via the umbilical cord is MORE important than others WITH needs.

QUESTION THEM about what they are doing to reduce the rates of domestic violence/Intimate partner violence because IT’S A LEADING CAUSE OF MATERNAL DEATH.

You can watch the entire debate and vote on the C-SPAN website below.

https://www.c-span.org/vi...hts-legislation


I was on Grand Jury for 8 weeks of hell! We all called this “Hidden In The Closet” no one wanted anyone to know their child had been sexually abused etc. children from the ages of 11,12,13,14,15,and 16 impregnated by their father,stepdad,a mother’s boyfriend,neighbor, uncle,cousin, older boy,etc. This Judge told us this was only the Tip of the Iceberg! Also there were a group of young married men going around impregnating Catholic College and University girls because they believe they would not get an abortion! This men belong to a group called “Spreading Their Seeds”. How in the hell can I ever be for Pro-Life. Women should be in charge of their body,not men and not the church! This is only a small part of what I know!


Prenatal care should be done by the PCP or the individuals OBGYN. Not by the local hospital, first.

Second, what do people expect to happen? Not every rural area has a hospital. You know that moving there. So what is CNN or anyone else gonna do to fix the problem of hospitals not having doctors? Nothing? Just complain? Solves nothing. Just another whiny piece. I doubt anyone who was involved with writing and approving this as news, nor any of the people reading, are gonna...what? Donate money to random rural hospitals? Try and get their degree and work there for free?
Lmao. Yeah, no. People know what they're getting into when they choose to move there.


Angela Lukehart same here, my insurance refused to cover midwives. Yet, I found they billed under the OB that was over the midwives luckily, so I found a loophole they couldn’t even and saved them a ton of money. Midwife bills aren’t close to as expensive as an OB. Midwives should be paid more. It’s crazy that in the 21st century, people think midwives only do home births, that you can’t have medicated births with a midwife, that they don’t assist with c-sections. In my state, unfortunately, it’s illegal for midwives to assist with home births. It makes no sense.


Jamie Dawn Schlanser absolutely untrue. Guttmacher (notorious lefty) data:

RESULTS
The reasons most frequently cited were that having a child would interfere with a woman's education, work or ability to care for dependents (74%); that she could not afford a baby now (73%); and that she did not want to be a single mother or was having relationship problems (48%). Nearly four in 10 women said they had completed their childbearing, and almost one-third were not ready to have a child. Fewer than 1% said their parents' or partners' desire for them to have an abortion was the most important reason. Younger women often reported that they were unprepared for the transition to motherhood, while older women regularly cited their responsibility to dependents.

https://www.guttmacher.or...ve-perspectives


Over 90% of nurse-midwives do births in the hospital setting. The huge majority of patients being seen by CNM’s will already be IN a hospital if/when these complications occur. I believe the article is referring mostly to CNM’s who are seeing patients in remote clinics so that people have easier access to prenatal care and then only have to make one long trip for their birth. I think we are actually agreeing here, the lack of easily accessible hospitals with critical access services is horrific and we need to better, but having CNM’s providing research proven excellent care for normal, low-risk women will help alleviate the burden for some women living in communities with low obstetric resources.

Just out of curiosity though, what kind of equipment do you think that midwives that do home birth bring with them?


Lily Rain I live in the small rural farming community. Doctors and advanced practice nurses are getting there student loans paid off to sign 5 year or longer contracts to work in the rural underprivileged communities. The big level 1 trauma center was bribed to buy the smaller rural area hospitals and clinics by getting a kick back from Medicare, so even tho they are little patients they are still able to be supported financially because they are part of a bigger healthcare system. This bigger system also opened several clinics in the small farming communities and hired FNPs trained to do care across the life span, including women's health. So they are essentially a one stop shop. They are also trained and certified in addiction med. A huge focus was put on care in the community with a mobile health clinic for preventative care and telehealth services. There ya go. Solutions. Sounds like your community needs to up their healthcare game.


10ºKaren Robyn and with that I 100% agree with you. I am a CNM with 20 years of birth work experience. We need skilled physicians to consult and collaborate as needed for difficult cases or things out of our scope. The American medical system is crumbling before our eyes and the loss of hospitals providing birth services is just a symptom. Sadly, most of these hospitals are closing units because they can’t afford the liability insurance required to keep them open, that’s why the larger hospitals are open, bc they can afford it….ain’t nobody ready to talk about that though ️




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