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Monday, Oct 16 2023

Full Issue

More Maternity Units Closing Amid Staff Shortages And Rising Costs

The closure of maternity units in three Alabama hospitals is part of a trend in parts of the country that are leaving pregnant women with a dangerous lack of medical services.

By the end of the month, two Alabama hospitals will stop delivering babies. A third will follow suit a few weeks later. That will leave two counties 鈥 Shelby and Monroe 鈥 without any birthing hospitals, and strip a predominantly Black neighborhood in Birmingham of a sought-after maternity unit. After that, pregnant women in Shelby County will have to travel at least 17 miles farther to reach a hospital with an OB-GYN. And because the county, one of Alabama鈥檚 largest, is bordered by another whose hospital also lacks an obstetrics unit, some of those residents are also losing the closest place they could go to deliver their babies.聽(Harris, 10/15)

A growing number of hospitals have been forced to cut inpatient maternity services as costs rise and staffing challenges persist. Inpatient maternity care is an expensive operation, requiring specialized clinicians and equipment ready to go 24 hours a day. And payer reimbursements often fall short, clinicians say.聽(Hudson, 10/13)

In updates on abortion 鈥

A group of more than 600 Democratic legislators from 49 states have signed an amicus brief to the U.S. Supreme Court urging the justices to overturn an appellate court decision that would roll back access to mifepristone, one of two drugs used to safely terminate early pregnancies and treat miscarriages. The amicus brief, also called a 鈥渇riend of the court鈥 brief, was organized by State Innovation Exchange鈥檚 Reproductive Freedom Leadership Council and assembled over the past week, said Jennifer Driver, the group鈥檚 senior director of reproductive rights. Driver said State Innovation Exchange, also known as SiX, provides tools and resources for state legislators to advocate for progressive public policies after being elected to office. (Moseley-Morris, 10/16)

Because of new restrictions on abortion, a generation of doctors will be ill-equipped to meet their patients鈥 needs because of insufficient gynecological training, experts warn. (Hutchinson, 10/13)

In election news 鈥

After 28-year-old Allie Phillips had to leave the state in order to get an abortion for a pregnancy that could endanger her life, she began to envision a law that helps families in her situation. (Sherman, 10/16)

Ohio Republicans and abortion opponents have spent years fighting for Ohio鈥檚 鈥渉eartbeat鈥 law banning abortions as early as six weeks into pregnancy with no exceptions for rape or incest. But now that they鈥檙e trying to convince voters to reject an abortion-rights amendment Nov. 7, they鈥檝e begun to act like it doesn鈥檛 exist. (Tobias and Hancock, 10/14)

Kari Lake campaigned for governor of Arizona last year as a fierce ally of former President Donald J. Trump who was in lock step with her party鈥檚 right-wing base, calling abortion the 鈥渦ltimate sin鈥 and supporting the state鈥檚 Civil War-era restrictions on the procedure. This week, she made a remarkable shift on the issue as she opened her bid for the U.S. Senate: She declared her opposition to a federal ban. (Bender, 10/14)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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