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Birthing centers closing

Specializes in Infection Preventionist/ Occ Health.

The closings of a well-known Takoma Park midwifery practice and a Bethesda birth center have sparked an outcry from some Washington area women who say they're disturbed by the dwindling number of opportunities to give birth outside a hospital or with a midwife's help.

At least seven other birth centers and midwifery practices, many citing rising malpractice insurance premiums and lagging insurance company reimbursements, have folded in the Washington-Baltimore area over the past decade.

The full story can be found at

http://www.washingtonpost.com (registration required)

I think that it is so sad that birth centers are closing due to malpractice insurance. I'm currently a L&D nurse getting ready to start my dual FNP/CNM program this fall. I live in the DC/MD area, and it concerns me that the birth centers are closing. Ultimately when I'm finished with school, I hope to open a birthing center. I chose to do a dual degree so I could have more opportunities upon graduation due to the fear that the same thing could happen to my birth center. :uhoh3: I don't care for standard of care that takes place in a L&D hospital environment, and I pray that more could be done to preserve birthing centers nationwide. I hope that one day I can have a positive influence on the legistlations that impact midwifery care and practice.

It's all politics; OB's getting the legislature to protect their turf.

Politics and too many frivolous suits equals fewer centers and doctors/midwives to care for women in labor. period.

I too, read this about a month ago that they would be closing. I am not sure where. They do have some info. on the websites for these birthing centres. This is a great option for low-risk women who have as an alternative a hospital which may deliver 4,000, 8,000, or 10,000/ annually babies as is common in this area. The thing of it is, society has convinced us that there are no high or low risk patients, we should all be no risk patients. That is not the way life works, of course. I have seen a great labour end in a really awful baby, very rarely, but it does occur. A problem must be my fault as a nurse, or the physician's fault, or the CNM's. It can't be "an act of God" or even bad luck. The other belief we have is that technology fixes everything. To make our patients no risk, they must have available or even actively in use, every monitor and diagnostic procedure known to the human race. So why does healthcare cost so much??? It is very sad to see these places closing. When I was in my BSN program, we had a speaker who was a founder of the Bethesda Birth Centre. I can't remeber her name. I listened to her on tape after the fact. I was in the hospital having a baby of my own that day that she came to class. She gave a great lecture and was very passionate about what she did. Godd luck to the future CNM/WHNP, crowned. I think and hope the pendulum will swing back to common sense in a few more years.

zahryia, LPN

Specializes in L&D, QI, Public Health.

I think that it is so sad that birth centers are closing due to malpractice insurance. I'm currently a L&D nurse getting ready to start my dual FNP/CNM program this fall. I live in the DC/MD area, and it concerns me that the birth centers are closing. Ultimately when I'm finished with school, I hope to open a birthing center. I chose to do a dual degree so I could have more opportunities upon graduation due to the fear that the same thing could happen to my birth center. :uhoh3: I don't care for standard of care that takes place in a L&D hospital environment, and I pray that more could be done to preserve birthing centers nationwide. I hope that one day I can have a positive influence on the legistlations that impact midwifery care and practice.

Where are you doing your program?

there is nothing more heart wrenching than a baby facing lifetime disablilities

the juries give huge settlements even when there is no proof that health providers were really negligent that is why the birthing centers, the student docs not choosing ob-gyn as a specility

the mothers and babies that need the attention the most are being left by the wayside

I am a New Zealand Student Midwife in the first year of my degree and this worries me. Eventually, the thinking that has enabled this to happen in the states will trickle down to the rest of the world. Pregnancy and birth is not a medical crisis. Yes, sometimes things go wrong, and the consumer always expects the best outcome, but no amount of litigation can assure the next person through the birthing room doors will have that perfect outcome. That is what we as parents know. Sad as it is things go wrong. Okay you might get a good outcome but there is the chance they could get hit by a bus, or get cancer. Heaven forbid. What i think people seem to forget to think about when planning a family is to think of the bad outcomes. Parenting is risky. Opening your heart to something that might break it is hard, but it is worth the risk. You do not have a written guranty that everything will come out as planned. It is living in its most raw, basic way. This is what it is ment to be about. Not getting angry and sueing the pants off someone if it goes wrong. It is loving and holding and being.

Where are you doing your program?

I hope this response isn't too late! I just saw it. FYI, I'm going to Frontier.

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