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  • <History Echoes in Care Crisis>
    19th century poor women needing assistance in childbirth got it at the Philadelphia Almshouse Hospital while the better off were attended to in their homes by relatives midwifes and physicians Maternal and infant death rates were high and childbirth was viewed with fear as well as joy Until the advent of techniques to control bacterial infections hospital births remained dangerous After the development of new methods of pain control and infection prevention as well as later antibiotics for halting postpartum infections hospital births became safer and increasingly common over the course of the 20th century Dangerous direction Now in the 21st century we seem to be moving in a different and dangerous direction By early next year we ll be witnessing the 19th shuttering of a maternity ward in the region since 1997 according to the Maternity Care Coalition And with low reimbursement rates and high costs for maternity services we could be witnessing even more closings in the coming years And then what Will women be shunted to poorly funded charity wards or forced into debt to pay for attendants at their births Or will we see even more tragically higher maternal and infant death rates Evidence based medicine a phrase that s very popular with today s health reformers taught us long ago that prenatal care births assisted by trained care providers and careful monitoring and follow up lead to healthier babies and mothers Healthy People 2010 which contains the federal government s science based 10 year national objectives for promoting health and preventing disease suggests reducing maternal deaths and increasing the proportion of pregnant women who get early adequate prenatal care That should be our goal in the Delaware Valley Reversing course With many women losing their jobs due to the economic crisis as well as the

    Original URL path: http://www.momobile.org/HistoryEchoesinCareCrisis.html (2016-05-02)
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  • <Otro materno que cierra, ahora en Norristown>
    y con ello disminuirán los servicios para las mujeres embarazas Letty Thall directora de Políticas Públicas para la Coalición de Cuidado Maternal MCC por sus siglas en inglés dijo que la razón que ha dado el hospital Mercy por el cierre es por la pérdida de dinero ya que no tienen suficientes pacientes acudiendo a su unidad de cuidado maternal Esta explicación no concuerdan con los subsidios dados a hospitales cercanos que han mostrado un aumento en el número de nacimientos entre las comunidades minoritarias Las unidades de maternidad a diferencia de los cuidados prenatales sirven para atender quirúrgicamente a las mujeres embarazadas para ayudarlas en el nacimiento de sus bebés En Norristown de acuerdo a Thall la mayoría de las mujeres usando las unidades de maternidad son mexicanas y africamericanas que requieren la atención inmediata Sin la unidad maternal en Mercy Suburban las mujeres embarazadas tendrán que esperar meses antes de ser vistas por un doctor solo para chequeos regulares Para la representante de MCC la solución es apelar al gobernador legisladores y oficiales en la salud para que no sigan cerrando unidades de este tipo de cuidado que dan servicios a las minorías Hasta ahora son 18 las unidades de maternidad en los condados de Filadelfia Montgomery Bucks y Delaware que han cerrado Recientemente Central Montgomery Medical Center y Temple East Northeastern Hospital fueron los que cerraron sus unidades de cuidado obstétrico El problema es que al cerrar Temple East Northeastern Hospital la comunidad latina se ha visto grandemente afectada porque ahora tendrán que buscar otros hospitales lejanos a sus residencias para recibir el cuidado de maternidad comentó Thall MCC ha realizado una serie de investigaciones que ayudarán a conocer el número de personas que necesitan cuidado prenatal y para bebes pero darán a conocer los resultados en

    Original URL path: http://www.momobile.org/OtromaternoquecierraahoraenNorristown.html (2016-05-02)
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  • <Childbirth Crisis Escalates with Closure of 19th Maternity Unit: Mercy Suburban Hospital Announces Closure>
    Crisis news Safe Sleep News Breastfeeding News Other News PhillyBurbs com December 10 2009 Childbirth Crisis Escalates with Closure of 19th Maternity Unit Mercy Suburban Hospital Announces Closure Posted by Vivian Silvestri As of January 18th Norristown women will effectively lose Mercy Suburban Hospital s maternity unit the 19th in the region to close since 1997 What are childbearing families suppose to do for the next two and a half years before Albert Einstein Healthcare Network AEHN opens their new maternity unit Maternity Care Coalition continues to call on the Mayor and Governor to bring various stakeholders together community members insurance companies hospitals etc to find ways to create incentives for community based maternity services According to MCC s survey Norristown s pregnant women with Medicaid insurance already have to wait a month to see a prenatal care provider twice as long as is the standard for care The closure of Mercy Suburban s maternity services means a loss of one third of their prenatal care providers In real terms Norristown will have 8 down from an already paltry 12 prenatal care providers available for Medicaid recipients A new report by MCC outlines the barriers African American women identified accessing prenatal care Partnering with the Norristown Alliance for Healthy Babies and the Montgomery County Health Department we will host a community meeting on January 20 2010 at 6pm at the Norristown Public Library to discuss key findings of the report the closure of Mercy s maternity unit and develop a strategy to support healthy pregnancies and babies This is the seventh hospital in the region to close OB services in five years Birthing is not just a business decision it is an essential and non negotiable part of the human experience said JoAnne Fischer Executive Director of Maternity Care Coalition

    Original URL path: http://www.momobile.org/ChildbirthCrisisEscalateswithClosureof19thMaternityUnitMercySuburbanHospitalAnnouncesC.html (2016-05-02)
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  • <Hospitals Drop Out of Baby Business>
    Get 14M for OB aid Hospitals Offer to take Pregnant Patients Temple Ending Inpatient Services at Northeastern Hospital Phila s Northeastern Hospital to Close Maternity Option in the Northeast is as Close as Bensalem Save Maternity Care More Childbirth Crisis news Safe Sleep News Breastfeeding News Other News WHYY December 9th 2009 Hospitals Drop Out of the Baby Business Taunya English WHYY Health Science Listen to the audio Nineteen maternity units have closed across the Philadelphia region since 1997 according to the Maternity Care Coalition JoAnne Fischer leads the non profit group She says the state needs to step in and make sure women have obstetric care close to home Fischer Either we need to make birth profitable meaning that reimbursement has to be increased or we have to have regulation that says that this is an essential community need whether it s profitable or not Fischer says women from the Norristown area who are covered by Medicaid can wait as long as a month for an appointment with a prenatal care provider She says the closure at Mercy Suburban could delay care even longer But a spokeswoman for the region s hospital association says nearby Montgomery Hospital should be able to meet the need Priscilla Koutsouradis is communications director for the Delaware Valley Healthcare Council Some obstetricians are opting out of the specialty because of the high cost of malpractice insurance and Koutsouradis says that has created physician shortages Koutsouradis So hospitals have to look all the time for the best way to serve their community especially now with the economic meltdown and the repercussions of that That leads to some tough choices Mercy Suburban Hospital won t provide obstetric services after June 30th Wharton health economist Mark Pauly says large urban hospitals may be winning business because they

    Original URL path: http://www.momobile.org/HospitalsDropOutofBabyBusiness.html (2016-05-02)
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  • <Holy Redeemer Spending $10M for Larger Maternity Unit>
    vice president of women s and children s services at Holy Redeemer Thallner noted the growth has placed Holy Redeemer among the top five providers of maternity care in the region The eastern Montgomery County hospital s deliveries surged after Jeanes Hospital in nearby Northeast Philadelphia closed its maternity ward in 2007 Thallner said about eight of the 20 obstetricians delivering babies at Holy Redeemer have offices in Northeast Philadelphia She noted the health system is recruiting to add a few more obstetricians in Northeast Philadelphia to ensure women receive access to prenatal care Overall 16 hospitals in the region have left the baby delivery business since 1997 blaming the combination of escalating malpractice insurance costs for obstetrical service and inadequate reimbursement from public and private insurers for deliveries Most recently Northeastern Hospital in the Port Richmond section of the city announced it was ending all inpatient services including deliveries as part of a plan by the Temple University Health System to transform the facility into an outpatient care center The Philadelphia based Maternity Care Coalition continued its efforts on behalf of pregnant women last month by lobbying state legislators in Harrisburg to ensure maternity benefits are part of all insurance products offered in Pennsylvania Earlier this year Lankenau Hospital in Wynnewood and Albert Einstein Medical Center in North Philadelphia completed multimillion dollar expansion and renovation projects for their obstetrical departments Grand View Hospital in Sellersville is spending 9 5 million to nearly double the size of its labor and delivery and maternity services unit to 28 000 square feet The Upper Bucks County hospital s expansion project is expected to be completed early next year Paoli Hospital in Chester County will be expanding its obstetrics department as part of its ongoing 90 million patient tower project Holy Redeemer s

    Original URL path: http://www.momobile.org/HolyRedeemerSpending10MforLargerMaternityUnit.html (2016-05-02)
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  • <Maternity Care Advocates Seek Information>
    Patients Temple Ending Inpatient Services at Northeastern Hospital Phila s Northeastern Hospital to Close Maternity Option in the Northeast is as Close as Bensalem Save Maternity Care More Childbirth Crisis news Safe Sleep News Breastfeeding News Other News Northeast Times June 3 2009 Maternity Care Advocates Seek Information Diane Prokop Staff Writer A handful of Northeast Maternity Care Advocates met last week to discuss efforts to collect both statistics and stories as they try to find solutions to deal with the dearth of maternity care in Northeast Philadelphia Sue Rosenthal who chairs the community board at the city s District 10 Health Center near Cottman and Bustleton avenues led the discussion of the Northeast Maternity Care Advocates who have been meeting regularly since Jeanes Hospital closed its obstetrics unit in 2007 Since then four more area hospitals including Northeastern Hospital for a total of 18 have closed their doors to laboring moms to be Whatever help is going to come isn t going to come quickly Rosenthal said Prior to asking for support and action from legislators the group is surveying community interest for a birthing center as well as collecting the stories of Northeast Philadelphia women whose prenatal care or birth experiences have been affected by the maternity unit closures They d like to know Did you experience interrupted or otherwise unsatisfactory care due to fewer options as maternity units and hospitals have closed Did you find offices overcrowded or experience long wait times for appointments or procedures Were your options limited due to transportation or distance to the nearest hospital Did a lack of delivery options result in unwanted procedures during birth If you d like to share your story you can e mail it with your ZIP code to phillybirthstories gmail com Let them know if they

    Original URL path: http://www.momobile.org/MaternityCareAdvocatesSeekInformation.html (2016-05-02)
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  • <Better Maternity Care Needed>
    care during pregnancy That s what I thought too But then I read Insuring Healthy Births a report prepared by the Maternity Care Coalition a nonprofit organization committed to strengthening families one baby at a time The report starts with an obvious point Lots of Pennsylvania women are uninsured which makes it really hard for them to get medical care Pregnancy opens the door to Medicaid coverage for some women those with incomes below 185 percent of the federal poverty level But for women with higher incomes say 34 000 or more annually for a family of three pregnancy does not lead to expanded public coverage For these women private health insurance has been the traditional source of help Increasingly however employers are dropping work related coverage due to spiking rates and declining business profitability That leaves the individual insurance market which has always exacted a very high price from customers such as pregnant women who need medical care How many Pennsylvania women go through their pregnancies without health coverage of any kind Based on data provided by the Insurance Department s 2008 Pennsylvania Health Insurance Survey and the National Center for Health Statistics about 16 600 uninsured women give birth annually Medicaid provides coverage for nearly 10 000 of these mothers during their pregnancies the other 6 600 are on their own to cobble together care from providers who agree to provide care despite the lack of insurance To cover the costs of prenatal and post partum care for women with no insurance doctors hospitals and clinics will often make private payment arrangements according to the Coalition s report Hospitals receiving funds for uncompensated care are required to have charity care policies but these vary among hospitals Alternatively uninsured women may receive prenatal and post partum care at safety

    Original URL path: http://www.momobile.org/BetterMaternityCareNeeded.html (2016-05-02)
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  • <Coalition Rallies in Capital for More Maternity Care>
    Mother s Day coalition supporters delivered carnations and the report Insuring Healthy Births which they tout as a road map for increasing access to maternity services throughout Pennsylvania The report expands on findings of its 2006 report Childbirth at a Crossroads that identified health insurance as a good starting point to improve maternal and child health Toward that end the report states we have reviewed the healthcare services needed to achieve this goal as well as the demographics of the insured the uninsured and the under insured studied the role of health insurance in providing those services and the kinds of health insurance currently available in the state We also examined other states solutions and considered the lessons they ve learned The advocates focused on three of the report recommendations when visiting legislators They asked them to ensure that maternity benefits be included in all insurance products exclude pregnancy from the list of pre existing conditions and eliminate gender and age from insurance community ratings since they drive up the cost of insurance for childbearing women Other report recommendations include identifying a commission to ensure all women receive maternity care to prevent poor birth outcome similar to commissions in New Jersey and Illinois and creation of a Bill of Rights for women ages 18 to 45 to alert consumers of their rights and recommend cautions before buying insurance similar to a document for older Pennsylvanians Joel Ario Pennsylvania s insurance commissioner was unavailable for an interview with the Times but his department e mailed this statement I am supportive of goals outlined in the coalition s report My office will continue to work on the expansion of adultBasic and small group reform as a means to help the Maternity Care Coalition achieve their goals Letty Thall MCC public policy director

    Original URL path: http://www.momobile.org/CoalitionRalliesinCapitalforMoreMaternityCare.html (2016-05-02)
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