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 15, 2023
Positions at L&D go un-filled; nurses who apply are not called back; our maternal mortality rate is the highest in the state and this proposal amounts to genocide in slow-motion to low-income and POC expectant mothers. And what happens to the people in the ER -- some of whom are there for 8 plus hours -- when the mother in active-labor arrives? How's their care going to be handled? This decision is deadly, and must not go through. Signed, Sally Cragin, City Councilor-at-Large, City of Fitchburg
Stephen Quist
June 14, 2023
Now how about providing a realistic opinion piece on what the closing actually means to the people in and around the Twin Cities rather than this self serving infomercial piece trying to cloudy and muddy up the waters.
Bilge is more appealing than this commentary piece.
The people in the North County deserve much better than this.
Healthcare is a human right not a corporate right.
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