Vaginal Breech Birth in Hudson
TO: Morning Star Women’s Health, St. Louis Park, MN and Menominee, WI
Health Foundations Family Health & Birth Center, St. Paul, MN
FROM: Paul Scott, M.D., Chief of Staff
Marian Furlong, President & Chief Executive Officer
Robbi Hagelberg, VP & Chief Nursing Officer
Dennis Hartung, M.D., Medical Director, Birth Center
Marti Davies, Nurse Manager, Birth Center
DATE: Thursday, March 07, 2013
SUBJECT: Hudson Hospital & Clinics Commitment to Women’s Care
Hudson Hospital & Clinics is committed to achieving the Triple Aim in our service to patients and families. We are dedicated to providing excellent patient experiences while delivering quality care at an affordable cost.
We have consistently experienced growth in our Birth Center volumes each year and want to ensure on-going safe patient outcomes for both mothers and newborns. It has been decided jointly by medical staff leadership and hospital administration to suspend vaginal breech deliveries immediately and these patients will be delivered by cesarean section.
Medical interventions will be employed, when needed on all mothers and newborns, including transfers in, to assure the safety of the mother and newborn. This practice is in alignment with national medical standards of care and consistent with other hospitals in the region.
Please communicate this information to all of your colleagues. If you have questions regarding this information, please contact Robbi Hagelberg at 715-531-6012.
This is the letter circulated to midwife friends of mine that refer to Hudson ( I guess I get special exception – not!) This is my letter to Dr. Dennis Hartung, our community’s “Go-to” Guy for Breech Vaginal Birth. Though his name is on this letter, his heart and soul are not!
This is what I wrote to Denny,
The community is hoping to hear news. They somehow think I have an in with you and know what’s up. I think the letter explained it, especially as I read the online description of Triple Aim. https://content.healthaffairs.org/content/27/3/759.long
Our hearts and cries are for you, Denny. We are compelled.
We wait for your words. While I wait, I drew this commentary.
This is what I wrote on Facebook
Pursuit of the Triple Aim is an exercise in balance and will be subject to specified policy constraints, such as decisions about how much to spend on health care or what coverage to provide and to whom. The most important of all such constraints, we believe, should be the promise of equity; [AND HERE’S THE RUB:] the gain in health in one subpopulation ought not to be achieved at the expense of another subpopulation. But that decision lies in the realms of ethics and policy; it is not technically inherent in the Triple Aim…”
Read this link sent by Midwife Catherine Mascari https://content.healthaffairs.org/content/27/3/759.long
|Ten Reasons to Protect Vaginal Breech Birthing|
But I’m hesitant to share the name of the two doctors sitting with me on the receiving end of this brave mother. Here’s what people said,