As LA maternity wards close, patients are giving birth in ERs: 'There's no system to care for these women'

Los Angeles-area hospitals are increasingly becoming the only option for expectant mothers who can't get prenatal care elsewhere, as maternity wards close at an alarming rate. The trend has significant implications for pregnant women and their babies, with many facing inadequate care in emergency rooms.

A recent study found that over 1,400 women passed through Los Angeles General Medical Center's emergency room to access labor and delivery services from 2016 to 2023. However, the hospital doesn't have a system in place to provide adequate care for these patients, leaving them vulnerable to complications during delivery.

Experts warn that this trend will only worsen as more maternity wards close. The number of babies born in Los Angeles County has dropped drastically since 2014, but emergency room visits and admissions related to labor and delivery have not kept pace with this decline. In fact, the rate of emergency room visits for birthing care increased by 14% between 2016 and 2023.

The closure of maternity wards also puts a strain on doctors, who are already working long hours without adequate support staff. This can compromise patient safety, particularly for vulnerable populations such as Black women, who are three times more likely to die from pregnancy-related complications.

California's maternal morbidity rate has steadily increased in recent years, with Los Angeles County reporting the highest rates among all racial and ethnic groups. The state's governor recently signed a law establishing "standby perinatal services" at up to five rural hospitals, but advocates say this is insufficient to address the crisis.

To combat this trend, some hospitals are implementing innovative solutions. Martin Luther King Jr Community Hospital, for example, has established a staff of midwives to provide 24/7 care and expand access to prenatal services. The hospital's medical director says that having midwives present at all times allows for more personalized, holistic care that prioritizes patient safety.

However, not all hospitals have access to the same level of support. Without adequate funding and staffing, some expectant mothers may still be forced to rely on emergency rooms for birthing care. This can lead to a range of complications, from premature births to maternal mortality.

Advocates are calling on policymakers to take action to address this crisis. State Senator Akilah Weber Pierson says that California has a moral and structural obligation to invest in maternal healthcare. The state must prioritize expanding access to prenatal services, training more midwives and doulas, and ensuring that hospitals have the resources they need to provide high-quality care.

Ultimately, the closure of maternity wards is not just a symptom of a larger problem – it's also an opportunity for innovation and reform. By supporting hospitals like Martin Luther King Jr Community Hospital and advocating for policy changes, we can work towards creating a safer, more equitable healthcare system for all pregnant women.
 
πŸ€• The alarming rate at which maternity wards are closing in LA is a stark reminder of the need for systemic change 🚨. As the number of babies born in LA County drops, emergency room visits for birthing care have not only increased but also become a lifeline for expectant mothers without access to prenatal care πŸ’Š. This highlights the need for policymakers to prioritize expanding access to prenatal services and training more midwives and doulas 🀝.

The fact that 14% of emergency room visits are related to labor and delivery is a concerning trend ⚠️, especially given the vulnerability of Black women who are disproportionately affected by pregnancy-related complications πŸ’”. It's essential that hospitals like Martin Luther King Jr Community Hospital, which have implemented innovative solutions like having midwives present at all times, become the standard for maternal care 🌟.

The state must recognize its moral and structural obligation to invest in maternal healthcare πŸ’Έ. This includes ensuring adequate funding and staffing for hospitals, as well as supporting community-based initiatives that prioritize patient safety and equity πŸ’ͺ. By working together, we can create a safer and more equitable healthcare system for all pregnant women 🌎.
 
🀯 This is wild! I mean, who would've thought that hospitals in LA are becoming the only option for expectant moms with no prenatal care? It's like something straight out of "The Handmaid's Tale" 😱 But seriously, it's a huge problem and needs to be addressed ASAP. The fact that women are being forced to go to ERs instead of getting proper prenatal care is just heartbreaking πŸ€• And what's even worse is that doctors are already overworked and undervalued, so this just puts them in an impossible spot.

I love the story of Martin Luther King Jr Community Hospital trying to innovate with midwives on staff though! πŸ’– It's a great example of how healthcare can be more personalized and holistic when you prioritize patient care. But for other hospitals, it's all about funding and staffing πŸ€‘ And that's what advocates are pushing for - policymakers to step up and invest in maternal healthcare.

It's crazy to think that California has the highest rates of maternal mortality among all racial and ethnic groups... but also some amazing hospitals and innovators like MLK Jr Community Hospital trying to make a difference. 🌟 We just need more of these stories to raise awareness and push for change! πŸ’ͺ
 
πŸš‘πŸ’” This is so concerning, the thought of expectant mothers being forced to rely on emergency rooms for birthing care is just heartbreaking... I mean, have you seen that movie "Parenthood" where the medical team has to deal with so many complications? It's like real life is mirroring those scenes and it's not pretty. 🀯 The lack of funding and staffing in hospitals is unacceptable and it's putting a huge strain on doctors who are already working long hours. We need to do something about this ASAP, California needs to prioritize expanding access to prenatal services and training more midwives and doulas. It's time for some change! πŸ’ͺ
 
πŸ€• I remember when my sister had her first child, she had to go to the ER because there weren't any maternity wards nearby. The experience was super scary, especially since they didn't have all the right equipment and medical staff on hand. It's crazy that this is still happening in LA now. 🀯 I mean, our hospital system should be able to provide adequate care for pregnant women, not leave them high and dry. And it's not just LA - I've heard of other cities where maternity wards are closing left and right.

It's also really concerning that some hospitals don't have midwives on staff, which is a huge part of providing quality prenatal care. My aunt had an amazing birth experience with a midwife, it was so much more personalized and natural than the ER experience my sister went through.

I think we need to do better, you know? We need to make sure that hospitals are getting the funding they need and that there's support staff in place to help with births. It's not just about the mother's health, it's also about the baby's well-being. 🀰 Let's hope policymakers take action soon! πŸ’ͺ
 
πŸ€• the US is literally failing its own mothers πŸš‘πŸ‘Ά i mean like what's going on with these maternity wards just closing left and right? over 1,400 women had to go through emergency rooms in LA alone because they couldn't get prenatal care elsewhere 😱 it's not just about the moms who can't afford healthcare, it's also about the long hours doctors are working without enough support staff... it's a recipe for disaster πŸ’” and then you got these rural hospitals trying to establish "standby perinatal services" but it's just not enough πŸ€·β€β™€οΈ we need more midwives, doulas, and funding period πŸ’ΈπŸ‘©β€βš•οΈ
 
my heart goes out to those expectant moms who are forced to rely on emergency rooms for birthing care πŸ€• it's just not right that they have to deal with the stress and risks of hospitalization when all they want is a safe and supportive birth experience πŸ’– we need to do better as a society to support these women and provide them with access to quality prenatal care and midwifery services πŸ’š
 
πŸ€• this is bloody unacceptable, hospitals closing left and right and expectant moms are stuck in emergency rooms with no support, its basic human decency.

the state is trying to address the crisis but some hospitals still lack funding and staffing which is concerning . 14% increase in ER visits for birthing care between 2016 and 2023 is alarming , how many more women need to get hurt before something changes?
 
πŸ€• this is so sad - maternity wards closing left & right 🚫 it's not just about the moms, it's about the babies too πŸ’” they need proper care & attention, not some hasty ER visit πŸ’‰ what's going on with funding & staffing? hospitals should be able to provide better care without all these stressors 😩
 
omg u know im soooo worried about this!!! hospitals cant just shut down on ppl needin care 4 their babies its so heartbreaking thinkin bout those 1400 women goin thru emer room 4 labor & delivery & havin inadequate care 🀯 meanwhile california's gov is tryna jus sign a lil law about standby perinatal services idk wut dat even means lol but seriously we need policy changes ASAP πŸ’ͺ gotta prioritize expandin prenatal services midwives doulas staffin hospitals n stuff we cant keep expectant moms relyn on emer rooms its just 2 harsh πŸ€’
 
This trend is really worrying πŸ€•. I've known some ladies who had to go to the ER because their local hospital didn't have a maternity ward. It's just not right that they're having to rely on emergency services like it's going to be okay 😩. We need to make sure we're supporting our hospitals and having more midwives on hand, especially for black women who are already at a higher risk of complications during delivery πŸ’•. The stats are pretty grim – 1,400 women in one hospital's ER just between 2016 and 2023? That's a lot of vulnerable women 🀯. We need to be pushing the state to do more to address this crisis, like investing in prenatal services and training more midwives πŸ‘©β€βš•οΈ. It's not just about the numbers – it's about the lives that are at stake πŸ’”
 
πŸ€• I'm so worried about the state of maternity care in LA right now... it's like they're leaving expectant moms to fend for themselves when they need the most support πŸ™…β€β™€οΈ. I've heard rumors that some hospitals are struggling to keep up with demand, and it's just not fair to the patients who are already vulnerable πŸ˜”. We need to get policymakers on board to address this crisis ASAP πŸ’ͺ. Those hospitals that are implementing innovative solutions like midwife staffing are doing a great job, but we can't leave the rest behind 🌟. It's time for California to step up and invest in maternal healthcare – our lives are literally at stake πŸ’•.
 
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