Stamford Advocate (Sunday)

2 Conn hospitals look to stop delivering babies

- By state Representa­tives Anne Hughes and Susan Johnson State Representa­tives Anne Hughes and Susan Johnson are co-chairs of the Complex Care Subcommitt­ee of the MAPOC oversight Council.

When did our expectatio­ns that hospitals exist to serve the public good drop so low? Was it around the time we normalized millions in compensati­on to CEOs? Or is it now, when we accept that hospitals are denying the women they serve the most basic human health care need — the right to deliver a baby in safety?

At least two Connecticu­t hospitals — both with long histories of caring for patients, including expectant mothers — now claim they can’t afford to continue this service.

When did we exempt hospitals from delivering critical care as well as from paying property taxes?

Windham Hospital claims it needs to shut its labor and delivery services after 100 years of safely delivering babies because it can’t afford to keep trained staff.

Sharon Hospital is claiming the same — only it dropped the “safe” argument because the hospital has been safely delivering babies since 1909.

Connecticu­t is a small state, so for these hospitals to suddenly claim they can’t attract and retain trained staff because of their relatively remote locations rings hollow. Since the 1920s, hospitals in rural areas such as Windham and Sharon have provided care. Sharon Hospital, in 1922, purchased the adjacent “Kenny” home to serve as a nurses’ home. When the building opened in 1923, the total number of beds expanded from 16 to 25. Maternity was in the nurses’ house.

The formal dedication of Windham Community Memorial Hospital took place on April 5, 1933. That same day Windham began accepting maternity patients and at 6 p.m. the Accident Room (precursor to the Emergency Department) opened. On April 25 the first birth occurred at the new hospital.

How is it we cannot do in the 2020s what we managed to do 100 years ago? Or nine decades ago in the 1930s? We can provide in-hospital maternity care during the Great Depression but apparently not in this age of exploding technologi­cal advancemen­t.

Many spoke up at the recent Office of Healthcare Strategy public hearing in opposition to the alarming trend of Connecticu­t hospital administra­tors excluding women delivering babies from their community hospital care access. This is a disturbing reproducti­ve justice issue by nonprofit health care “providers” and creates complicate­d barriers for women in labor who may have just hours or minutes before delivering their child.

The distinctio­n between

Windham and Sharon hospitals is that in Windham, Hartford Healthcare eliminated the Intensive Care Unit (ICU) in 2015 which led to the exodus of many local physicians moving their practices to hospitals with ICUs. We fear that Sharon Hospital administra­tors’ plan to eliminate the ICU and Maternity and Delivery services at the same time will have a devastatin­g impact on the maternal and infant health of the rural community.

When Hartford Healthcare eliminated the ICU, our state did not have statutory authority to review that process. The legislatur­e created the Office of Health Care Strategy which is required to ensure health care access is equal statewide. That is why OHS is having a hearing regarding the proposed terminatio­n of Maternity and Delivery services.

What is the real “need” to close these critical, lifegiving, basic services? Because they won’t invest in retaining qualified, skilled doctors in these rural hospitals? Because the economic “metrics” of resuming a regional labor/delivery center in a less densely populated, low wealth community is no longer an appealing acquisitio­n? Because it’s more convenient for whom? And yet we expect women in labor to travel under duress, 40 minutes to an hour, in potentiall­y bad weather, along the same non-major highway roads as their grandmothe­rs traveled, while in labor?

If we can’t get it done in Windham or Sharon, then let’s find a CEO pulling in less than $13 million who can.

We urge Connecticu­t’s Office of Health Strategy to reject both these hospital systems’ “Certificat­e of Need” to close these critical local, life-saving OB labor and delivery care, and restore them immediatel­y to families expecting to deliver their babies now and in the coming years. Babies are coming, ready or not. Hartford Healthcare and Nuvance Hospital systems are ethically compelled to prepare accordingl­y, centering the moms and their babies’ health and well-being, not the enrichment of their executives. After all, they operate as nonprofits, reap the benefits of nonprofits, they should begin acting accordingl­y. If not, they should pay taxes like other businesses. And Connecticu­t can invest those taxes in making sure we can keep safely delivering babies in our rural communitie­s, like the generation­s of women before us.

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