Ob/Gyns in New Jersey increasingly pregnancy care, delivery from services
Filed under: Your Pregnancy, Health & Safety: Babies
Here's a sobering article from the folks at NorthJersey.com about a disturbing trend among
obstetrician/gynecologists to drop obstetrics from their practices. The factors include the rising cost of malpractice
insurance, which in New Jersey can climb as high as $144,000 for a year's worth of premiums. Ouch. The doctor
interviewed for the article, Ruth Schulze, was paying $51,349 before dropping obstetrics; since then, her rates have
fallen to $16,214.So far, no remedies have worked to stave off the crisis. Schulze led a movement of physicians who sought to cap malpractice awards to $250,000; not surprisingly, they failed to gain popular support. And a state-sponsored malpractice subsidy of around $11,000 has only been accepted by half of the state's ob/gyns. If something isn't done shortly, New Jersey could find itself bereft of ob/gyns in the near future.
I would chide the politicians, doctors, and insurance companies for not devising a solution, but I don't have many bright ideas myself.










ReaderComments (Page 1 of 1)
12-23-2005 @ 9:50AM
laura said...Along with your chiding you might want to also chide the regulatory agency that does a poor job of regulating the doctors. A large portion of the doctors sued are repeat offenders.
I am strongly opposed to any caps in medical malpractice.
http://www.consumeraffairs.com/news04/malpractice_ge.html
Along with your chiding you might want to also chide the regulatory agency that does a poor job of regulating the doctors. A large portion of the doctors sued are repeat offenders.
I am strongly opposed to any caps in medical malpractice.
http://www.consumeraffairs.com/news04/malpractice_ge.html
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12-23-2005 @ 11:18AM
Charlotte said...It's not just NJ. I'm in rural southeast Missouri and see this trend here as well. There are only 2 GYNs in a town of 16K that serves a county of 41K that still have OB services.
One of those 2 GYNs has had multiple malpractice suits against her and is still practicing. She delivered my daughter with no problems. I believe if you are delivering that many babies, and you are indeed human, mistakes are going to happen. It's unfortunate that medical mistakes happen, but doctors are human too.
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12-23-2005 @ 2:15PM
Carrie said...We're facing the same thing in Connecticut. They also tried to cap here, but it didn't go through. Doctors' offices are pooling their resources to save on malpractice insurance, but that also means that you could end up with a totally unknown doctor attending your delivery. :( I don't know what the answer is, but it's clear that something needs to be done.
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12-23-2005 @ 2:27PM
Michele W said...That is true this is happening everywhere. The insurance is going up and the doctors are dropping out.
I myself dont agree with the " they are humans and humans make mistakes". I had my first and only son when i was 25. I had seen everyone in my OB/GNY office assuring that i met everyone who would possibly deliver my son. I was to deliver in one of the top major hospitals in pittsburgh. Through my pregnancy I had alot of trouble. First there was that I kept on going into pre term labor. Every time having to be given drugs to stop it. I had to be very careful of what I did. Then came the high blood pressure. I had to be continuously checked for toxcimia. My blood pressure got so out of control that I was ordered complete bed rest for the last two and a half months of my pregnacy. I had to do the weekly check ups way before they normally start. Then me beong only 5 ft tall was getting very big and my doctor was concerned if I would be able to have a natural birth. she sent me for a sonogram to determin how big the baby was and depending on what it came out, we would then schedual a C section if we gad to or try natural but be prepared if there was trouble. The night after my sonogram my water broke. I went to the hospital figuring someone from my OB/Gyn office should be there or they would call them. This was not the way that the hospital worked. I had no idea that out of all the doctors that are at that hospital, could be any of the hundreds of doctors, you got who was ever on call that night! I had a doctor who I had never seen before! I had told them that I was just there for the sonogram that morning and what mt doctor had been conserned about. None of this was posted in my file yet since it was just that morning so I guesss the doctor decided that he wasnt that conserned. This doctor was a nightmare!! He was Horible ! He didn't pay close attention to my blood pressure or anything. when it finally came time to push I pushed three times and my son was right there. we found out that he was face up not down so this was even more of a concern. After the third push my son did not move. I could feel his shoulders were stuck. The doctor left me there pushing for 3 HOURS !!! My son did not move once this whole time. My mother and my husband and me all tried telling him that the doctor was very conserned that i might not be able to deliver this baby natural. He simply said well that was her not me and I think its fine. well after 3 hours of horrible pain and trying to push , he decided he would use the vacume since I was not doing my job. Here came the best! My son was born but only to have given me a fourth degree tear. i was lucky that part didnt rip or I would of had to have a colostmy bag. My sons neck was messed up to. I had to have surgery 6 months after because there was so much nerve damage and stuff wrong. My son constintly cried grabbing at his neck. I am now scared for the rest of my life, can never have a natural birth let alone all the pain that is still there from the tear. My son has to see a chiropractor since he was a month old to help his neck injury. No one should have to go through this because of a doctors ignorance. I do belive that they should have to pay some need to take their job more seriously. If you are a good doctor and you know it then I dont see a problem with them paying it. Dont get me wrong it is a shme that it has come to this because there are more good docs than bad but these are peoples lives that at their hands. I do understand to that yes there are some things they can not help or keep from happening. everything possible should be done so that they can hopefully prevent it or help the situation a bit.
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12-24-2005 @ 4:50PM
Sandy said...One bright idea would be to integrate midwifery care into our health care system (like many other developed and westernized countries around the world who have better maternal and infant outcomes that does the US).
In these settings the midwives are the primary care providers for women's health care; they work in partnership with OBs in that they refer to OBs anyone who doesn't fit the low-risk, healthy profile.
In countries who embrace midwifery care, the costs for care for birthing or well-woman care is decreased and the malpractice risks for midwifes are low; in addition the number of uncomplicated, normal births for mother and baby are increased. OBs with their specialization in surgery and pathology of pregnancy, labor and birth, treat the women who need their specialized care.
It's a proven model around the world. Our politicians need to see it as something valuable to the mothers and children in the US and take action.
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12-25-2005 @ 11:08PM
C.N.Guerriere,M.D. said...Want to see your log;FCC
Better call your attorneys
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12-26-2005 @ 4:24PM
Robert said...I would support a midwifery model as noted in Comment #5. Unfortunately, the risk and costs would just shift from OBGYN's to midwives. The nurses' liability costs would increase at a rate faster than any growth in income.
Nice idea Sandy, but only a short term remedy.
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12-27-2005 @ 12:26AM
Catherine said...Medical errors will happen, but placing a cap is not the solution. Here's an example what happens if your baby is born, and comes out burned...Sounds crazy, but it has happened. I only know this because my mother was literally set on fire in an operating room procedure, survived two years on and off a ventilator only to die at the hands of a negligent nurse. If you are having a c-section it is important to ask if they are using a flammable skin prep. If they are request something else. The skin preps with a high alcohol content are highly flammable if not completely dry, but of course your OB won't tell you this.
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12-27-2005 @ 1:09PM
david said...You have brought up a growing, nationwide problem. This should outrage mothers and fathers everywhere. There are groups looking to deal with the medical liability crisis. Check out THISMAKESMESICK.COM where we uncover the problem and lead Americans to solutions to this epidemic.
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