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Rural South Dakota Women Lack Access to Maternity Care

Competing with Aspire for financial support from the state is everyone who loves babies. According to a June report from Patrick Anderson now getting broader attention, South Dakota is a hard place for women to get maternity care:

Nearly two-thirds of the state’s 58 rural counties don’t have a hospital with an OB-GYN. Only Nevada and Florida were worse off, according to University of Minnesota researchers, who studied 10 years of data to determine rural access to maternity care across the United States.

During those same 10 years, from 2004 to 2014, rural counties lost maternity care services. Rural programs continue to disappear due to financial and workforce-related problems.

Maternity wards in general are usually just trying to break even, and rural maternity care usually loses money, said Dr. Kimberlee McKay, an obstetrician-gynecologist for Avera Health.

“Right now the big thing is to just keep these smaller facilities from shutting down,” she said.

Avera has stopped doing births at its facilities in Platte and Sibley, Iowa, though both centers continue to offer prenatal care [Patrick Anderson, “Rural Maternity Care Falling Short in South Dakota,” AP via U.S. News and World Report, 2018.07.14].

Loving babies demands much more than partisan cheering for Brett Kavanaugh. It demands making real money available for real medical services for real moms and babies all across South Dakota.

Hey, guess where we could get money for more maternity services?

37 Comments

  1. Jason

    You don’t need an OB/GYN to have a baby.

    What is the point of this thread?

  2. mike from iowa

    Rumour has it, Jason has been buying coat hanger stocks. Could it be he plans to open a small business?

  3. Dana P

    If you have to ask the question “what is the point of this thread”, then you will never get it. But hey Jason, you don’t “need” a knee expert to do surgery on your knee, but you can guarantee that that surgery will be fubard. That you won’t get the best surgery.

    Clearly, GOP is the party of pro-conception (future tax payers, future slave labor) , NOT pro life. They prove it every single day.

  4. OldSarg

    How on earth do you advocate for the killing of children in one post and now cry about the lack of medical care for moms in another? Freaking weird

  5. jenny

    It’s Republicans That are pretty anti-children these days, OS, especially brown and black children That don’t speak English. You Pubs really like terrorizing them and taking them away from their parents. How Can you Republicans claim to be pro life when you support such abuse?

  6. Porter Lansing

    OS … Did you get fired again? Get to work, slacker.

  7. Jenny

    We’ve got those so-called pro life Republicans, Porter, when it comes to the child abuse tactics at our borders. They will never be able to live that one down.

  8. Anne Beal

    I don’t get it either. I was living in McLaughlin when my second child was born; I drove 90 miles one-way to Bismarck to see an obstetrician. These trips were combined with shopping, lunches, and trips to the zoo.

    I did not consider this to be a problem. If I had I would have moved to Bismarck, but I didn’t want to live in Bismarck.

  9. Roger Cornelius

    Jason is one of those republicans that think Planned Parenthood performs only abortions and not a wealth of healthcare and services for women.

    No you don’t need a OB/GYN to have a baby, but it is nice to have one around for the mother and infant’s safety.

    Way dumb comment, Jason.

  10. Porter Lansing

    WOW, Anne. It’s like reading a fairy tale Princess story listening to you retell the anecdotes of your life. Let’s all go with “the ladies who lunch” as they spend their days shopping and feeding the flamingos at the zoo. Because, if it didn’t happen to Anne, it’ll never happen to anyone.

  11. OldSarg

    idiot from iwacko is there any group, club, institution other than big brother that you do not hate? I think you need professional help. Seriously, do you need a number or something?

  12. Anne Beal

    If women want to live in a county with obstetricians they are free to do so. They can move into a large city, get a nice little apartment above a bar if they want to. Why is this a problem?
    Many years ago a nurse I worked with was doing her master’s thesis on women’s rural health care. She surveyed a whole lot of rural women.
    One of the surprising things she discovered from her surveys was that a lot of rural women did not consider themselves rural. If they lived in a town with a post office, a bar, and a church, they thought they lived “in town,” not “in the country.” Only people who live “in the country” are rural, their children get school bus service. If your kids walk to school you aren’t rural.
    The other surprising thing she learned is that women whose closest health care provider is a large animal veterinarian didn’t consider “access to health care” to be an issue. They just weren’t concerned about it. They people who are concerned about it live in urban areas and lie awake at night worrying about rural folks’ access to health care. When rural folks worry about access to health care, they move to town, where they, too, can lie awake at night worrying about rural folks’ access to health care.

  13. Porter Lansing

    If ten percent of the stories Anne has invented in the last four years were true, she’d be 125 years old. #compulsive

  14. Donald Pay

    This is a long-standing problem. There are similar studies going back several decades. It is getting worse, not better. The result is higher death rates for babies and mothers in rural areas and in poor urban areas.

    Definitions of what is “rural” is a distraction, Anne. If you are concerned about life, start taking this seriously. Your snark indicates you care little for life.

    The real issue is can we figure out a way to get better pre-natal, birthing and post-natal care to women in high risk pregnancies in rural areas. I agree that most pregnancies probably don’t require a lot of medical intervention, but the best outcomes come when you can have knowledgeable physicians screen women and triage those that need more follow-on care. How can that be done?

  15. Jason

    Porter,

    Prove she is lying. If you can’t, you are just another lying Democrat. I already caught Mike lying about South Dakota grandfathered health plans.

    Either prove it or you are lying.

    Cory hasn’t responded to this thread because he knows I am correct in my first post

    He’s trying to use a useless article for political reasons.

    I already proved your man made climate change posts wrong. I will do the same on this topic Porter.

  16. Jason

    Donald Pay,

    Do you mean the decades where few people had cell phones or service?

    Why don’t you and Cory make a map for SD that shows the hospitals and post it here.

  17. Porter Lansing

    I can prove it. Anne. What’s her name?

  18. Jason

    If you can prove it you wouldn’t’ have to ask her Porter. I kicked your butt in climate change and I am kicking your butt in this thread.

    You are too easy Porter.

  19. Porter Lansing

    Jason. You “Hou je bek” about climate change not being man made when I posted this article from NASA. Remember? I do.
    ~ Multiple studies published in peer-reviewed scientific journals show that 97 percent or more of actively publishing climate scientists agree*: Climate-warming trends over the past century are extremely likely due to human activities. In addition, most of the leading scientific organizations worldwide have issued public statements endorsing this position.
    https://climate.nasa.gov/scientific-consensus/

  20. Porter Lansing

    You can apologize, now.

  21. Jason and OS both respond with distractions (OS also uses a lie: no one has advocated killing babies.)

    Heck Jason, women don’t need doctors at all to have babies. Women had babies long before doctoring became a profession. Why bother with any modern medicine? Costs too much, anyway.

    The obvious point of the article is that access to health care is generally good for all parties concerned. Having to drive all the way to Sioux Falls or Bismarck is harder than having care just down the street or a ten-minute drive into town. A long drive may be fine for an individual, but statistically, distance and other obstacles to health care mean you’ll see a higher rate of unhealthy outcomes, like dead babies.

    Again, no one is advocating killing babies, but OS apparently doesn’t mind if a few more die because their moms don’t have easy access to maternity care.

  22. Porter Lansing

    I found the point of this article to once again bring up the fact that for no logical reason South Dakota turned down the Medicaid expansion. It hurts women in rural areas when they shouldn’t be hurt just to spite Obama and those who want to help the needy.

  23. Jason

    Cory,

    Where did I say women don’t need doctors?

    Why don’t you post a map of the hospitals in SD?

    Are you saying most women can’t afford to drive to a doctor?

  24. Jason

    Porter,

    Medicaid expansion does not hurt women. Please try to prove it has and I will kick your butt again.

  25. Jason

    To be clear Porter, I mean not doing Medicaid expansion does not hurt women.

  26. Read, Jason, and you can answer Q1 & 3. As for 2, I’m not obliged to engage in whatever research porject you conjure up for me. The facts I report above stand unrefuted. Good night.

  27. Jenny

    Lack of mental health doctors and counselors is a huge problem also in rural areas. The suicide rates have risen a lot in South Dakota and I know living hours away from psychiatric care frustrates families that have loved ones with mental illness. Where does a woman with postpartum depression go when she is hours from a psychiatric doctor?
    It’s the same old republican attitude with Anne. It’s that ‘you’re on your own mentality’. It’s your fault you chose to live in the middle of nowhere and then to get pregnant! Why I declare!
    Pregnant women deserve to have decent care to say the least, and should expect a good doctor with the price of having a baby these days.
    There is something to be said for how our mothers and grandmothers ever put up with being so far from the doctor with all their pregnancies. Remember in those daysthough, new moms stayed up to a week or more after giving birth. Today, women are out in two maybe three days max and most have to go back to work full time in six weeks. We don’t treat mommies the best in the richest country in the world.

  28. Jason

    My first post states a fact,

  29. Jenny

    As women are waiting until they’re older to have their babies Jason, it is highly recommended to get a certified OB doctor. Advanced Maternal age brings with it with A higher percentage that there could be complications. Another reason to be concerned about Maternal care in rural areas.

  30. Debbo

    US infant and mother mortality rates are higher than many developed nations and rising. It’s very important to have highly skilled care available because unforseen circumstances are always possible.

    The fact that it is possible to have much better care more easily available, except for GOP misogyny is one of the darkest aspects of US failure. It is an absolute failure.

    There is Medicaid money available for SD. If income and other taxes in the US were fair and truly progressive there would be enough money available to fiscally support those medical services in rural areas.

    There is enough money, but our GOP created tax structure makes the economy out of balance and the wealthier don’t have to pay their fair share. Out of that GOP built fiscal disaster, things like dead mothers and babies result.

  31. Jason

    Jenny,

    Are you saying they can’t drive to a doctor?

    If so, do you propose an ob doctor in every town with a post office?

    Who is saying no one is not concerned with maternal care in rural areas?

    Back to the “point” of the thread. How does medicare expansion put an OB doctor in McLaughlin when they don’t have a hospital?

  32. Jason

    I forgot to add how does “medicaid expansion” help a woman drive to a doctor? Please explain that to me?

  33. Jenny

    Life is more complicated than your simple answers, Jason, especially when one is a mom with a newborn that needs 24 hour care.
    Gee, go talk to a mom with a newborn. I’m sure They will gladly fill you in on what it’s like. Go find one that was diagnosed with postpartum depression and you will learn how serious it is.
    We DFPers will alway be assured, unfortunately, that Republicans will always stay true to their no empathy attitude. Even when the debate is on moms and their newborns.

  34. Debbo

    Jenny, I don’t bother with Jason. He’s just a lying troll who tries to be relevant, but fails miserably.

  35. Medicaid expansion puts more dollars in providers’ budgets and in the SD economy, making it possible to provide more medical services to more people in more places.

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