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In Auburn, in central New York, a hospital must eliminate its obstetric ward.
Certainly, home birth is cheaper, costing £1,066 on average, compared to £1,450 in a midwife-led unit and £1,631 on an obstetric ward.
For women not giving birth for the first time they also have a lower rate of transfer to an obstetric ward than mothers who planned to give birth at home.
She was treated with amoxicillin and high-dose oxygen, and she could be transferred to the obstetric ward after 3 days.
Thirty-nine women admitted from 24 to 27 week's gestation with severe pre-eclampsia, whose pregnancies were otherwise stable, were managed expectantly with careful clinical and biochemical monitoring of maternal and foetal status, together with careful blood pressure control, in a high-care obstetric ward.
At enrolment, patients assigned to the induction group will be admitted to the obstetric ward.
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The obstetric wards are attended by 35 obstetricians working with 25 obstetrics and gynecology residents, 2 registrars and ≈25 nurse midwives.
Many of those units are obstetric wards, where medical mistakes have historically led to expensive jury awards and settlements.
A situation that would mean hospital obstetric wards are the Stella Artois of maternity care, and midwife-led labour in the living room equal to Dad's home brew?
Around the country this summer, at least half a dozen hospitals have closed obstetric wards, others have curtailed trauma services, and a string of rural clinics have been temporarily shuttered as a result of soaring costs for medical malpractice insurance.
Rising medical malpractice insurance premiums are causing hospitals to close obstetric wards; trauma centers to shut their doors; and doctors to drop services, move to more doctor-friendly states, order more expensive tests or retire early (front page, Aug. 25).
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