News Headlines Article

Maternal Health Care Is Disappearing in Rural America
Scientific American

By the time the pregnant woman arrived at the nearest hospital with a maternity ward—90 minutes after leaving her home in Winfield, Ala.—she was ready to deliver her baby. She made it just in time, recalls Dan Avery, an obstetrician–gynecologist who tended to patients in rural Alabama and elsewhere until his recent retirement. Too often, he says, patients are not so lucky. Some have ended up delivering on the side of the road. Winfield, located in the northwestern part of the state, does have its own hospital—but, like many rural hospitals, it no longer offers obstetrical services, Avery says, so women in labor must travel about 60 miles to Tuscaloosa. When hospital budgets get tight, Avery explains, obstetrical wards are often one of the first things to go.

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