PHOTO | Courtesy of UMass Memorial Health
Dr. Tiffany Moore Simas is obstetrics and gynecology chair at UMass Memorial Medical Center.
Updated: June 12, 2023
Viewpoint
Viewpoint: Why UMass Memorial needs to close maternity services in Leominster
By Dr. Charles Cavagnaro and Dr. Tiffany Moore Simas
As medical professionals, we have an obligation to provide appropriate, effective, and equitable care – by us personally and by the hospitals where we provide care. That is why we support the difficult but necessary decision to propose the closure of our inpatient maternity services at HealthAlliance-Clinton Hospital, Leominster campus, to the Massachusetts Department of Public Health. To be clear, this was a clinical decision – one we made after careful consideration and do not take lightly.
Like other healthcare providers across Mass., we are carefully examining how we deliver care to the patients and communities we serve, as well as determining how to best allocate our resources to support high-risk patients across the region, particularly in light of the impact of pervasive staffing shortages on existing services.
Maternity care is highly specialized and requires continuous and consistent coverage. The advanced nature of these services, combined with existing labor shortages and the steadily declining number of births at the hospital, has heightened the difficulties of staffing this unit. The dedicated teams of maternity care professionals at UMass Memorial HealthAlliance-Clinton Hospital have provided exceptional care for decades, but it is becoming more challenging to consistently sustain the level of care we strive to provide. We are tremendously grateful to our compassionate caregivers who have helped thousands of parents and families navigate the birthing journey and welcome new loved ones into their lives.
PHOTO | Courtesy of UMass Memorial Health
Dr. Charles Cavagnaro is chief medical officer at UMass Memorial HealthAlliance-Clinton Hospital.
Patients in North Central Massachusetts will continue to have the option to deliver within the UMass Memorial Health system at UMass Memorial Medical Center in Worcester, where many from the Leominster area already receive care. In fact, a third of patients from across the region choose to deliver at the Medical Center given the exceptional care provided there. Patients can choose to deliver at one of the many other high-quality hospitals providing obstetrics care in the region. Other local providers offering maternity inpatient services include Heywood Hospital in Gardner, Saint Vincent Hospital’s Center for Women and Infants in Worcester, and Emerson Hospital’s Clough Birthing Center in Concord – all of which are within a 30-minute drive from HealthAlliance-Clinton Hospital, Leominster Campus. It's worth noting, according to the March of Dimes 2022 “Maternity Care Deserts Report,” Massachusetts is designated as a full access to maternity care state, the highest of its four rankings.
We are working within the UMass Memorial Health system and with community obstetric and pediatric providers to maintain and enhance access to prenatal and postnatal care locally and throughout the region. We are in the process of identifying and evaluating transportation options for patients and loved ones who need maternity inpatient services at the Medical Center or another nearby delivery site.
This proposed unit closure involves a robust and collaborative public process to allow us to address concerns from various community members as plans progress. We look forward to engaging in that process and remaining transparent throughout to make this transition as seamless as possible.
Dr. Charles Cavagnaro is chief medical officer at UMass Memorial HealthAlliance-Clinton Hospital. Dr. Tiffany Moore Simas is obstetrics and gynecology chair at UMass Memorial Medical Center.
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Anonymous
June 17, 2023
This is a disgrace. It's bad enough that we have such a small hospital for such a large population and now services, limited to start with, keep getting cut. Do those making these decisions know what it's like to be in labor...and have to get transportation to a hospital at least a half hour away? I'm beyond this time, luckily, but there were complications during birth with one of my children and he very well could have died without QUICK help. We're paying insurances that keep going up. We're paying taxes that keep going up. We deserve better...not worse...medical care. All I see is a business that's disregarding people.
Anonymous
June 16, 2023
If 1/3 of the Fitchburg/Leominster area moms deliver their babies in Worcester, what about the other 2/3rds? Many low income families rely on public transportation for their medical needs. Mothers in labor will be seeking the assistance of our ambulances to transport them to Worcester, thus leaving the cities unable to cover other emergencies while they are out of the city. You are leaving many residents unable to access emergency care.
New mothers will not have the support of family members during their stay in Worcester. Support for new moms is crucial for the health of the moms and newborns.
Patient care before profits should be your mission.
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