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Why One of the Nation’s Largest Hospital Systems Is Phasing Out Midwives

Credits: My Birth My Choice

The decision to cut the jobs of nurse-midwives at NewYork Presbyterian-Allen Hospital, a facility primarily serving Black and brown patients, has sparked outrage and concern.

The midwives, who provide crucial and culturally sensitive care to the community, were informed of their termination without a clear explanation or plan for patient care after their departure. For Rosalina Lozada and her colleagues, who have dedicated their careers to serving the community, the news came as a shock.

With decades of experience and deep connections to their patients, midwives play a vital role in ensuring safe and effective pregnancy care, particularly for low-income Medicaid patients and recent immigrants from Latin America and the Caribbean.

Midwives (Credits: Nightingale College)

The loss of these midwives is not only a blow to the individuals losing their jobs but also to the community they serve. Midwives are often the frontline providers who listen to patients, notice subtle changes in health status, and provide critical support during and after childbirth.

Their absence could have serious consequences, especially in a community already at higher risk for pregnancy complications and maternal deaths.

The decision to eliminate midwifery care at Allen Hospital highlights broader issues of health inequity and access to care. Black women in New York City are disproportionately affected by pregnancy-related deaths, and initiatives to address this crisis, such as expanding access to midwifery care, are crucial.

The hospital’s decision seems to contradict these efforts and could further exacerbate health disparities in the community. As the March 3 deadline approaches, there is growing concern about the impact of this decision on patient care.

Advocates are calling for transparency from the hospital administration and are urging them to reconsider the cuts to midwifery care. The fight to save these jobs is not just about employment but about ensuring that all women have access to the care they need to have safe and healthy pregnancies.

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