Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

General Discussion

Showing Original Post only (View all)


(8,698 posts)
Thu Jun 20, 2024, 12:33 AM Jun 20

new Florida law allows doctors to perform c-sections in outpatient birthing centers. Medical experts are alarmed [View all]

paywall free link


Medical Experts Alarmed by Out-of-Hospital Cesareans in Florida
A new state law will permit surgeons to perform cesarean deliveries in “advanced birth centers,” despite the risk of complications.

A new law in Florida allowing doctors to perform cesarean sections in outpatient birthing centers has raised serious safety concerns among medical experts, who say the procedures carry a small but real risk of life-threatening complications and should not be undertaken outside hospitals.

The proposed new facilities, to be called advanced birth centers, will not be able to rapidly mobilize extra staff, equipment and expertise should complications suddenly occur, as a hospital would, critics noted.


Florida itself lags other states in maternal care, getting a D+ grade in a recent March of Dimes report because of higher than average maternal mortality rates and mortality rates among Black babies that are double those of white infants. The state has high rates of C-sections, and rates of preterm births and infant deaths are worse than the national average.


“You have 15 to 20 minutes until the oxygen supply to the baby stops and the baby dies or suffers brain damage,” said Dr. Aaron Elkin, a Florida obstetrician. He said he supports health care innovation but thinks patients must be informed of potential hazards.

Women in labor, not just fetuses, face risks in these settings, he said: “The uterus gets 20 percent of the blood that the heart is pumping when you are at term pregnancy. In minutes, you can lose your entire blood supply.”


Advanced birth centers were promoted as a way to expand access to maternity care in the state, where many hospitals have closed their labor and delivery departments in recent years. So-called maternity care deserts have grown in rural areas outside Florida’s major cities.
16 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
does the state provide liability protection when things go wrong? nt msongs Jun 20 #1
Hard to tell if this is a step backwards or forward when they are at a D+ now. Midwifes deliver babies Silent Type Jun 20 #2
MIdwives don't do C sections Warpy Jun 20 #5
They call in doctors if needed. They don't attend to patients likely to need a C-Section in the first place. Silent Type Jun 20 #10
"That ain't 'practical' nowadays".... It is because these states have starved rural hospitals by refusing Medicaid hlthe2b Jun 20 #6
Having worked in 30 bed rural hospitals, that usually had about 3 patients in nursing home status, it ain't practical. Silent Type Jun 20 #11
Having testified before a state legislature on this, I can tell you that we aren't talking Level 1 trauma centers hlthe2b Jun 20 #12
Rural hospitals for the most part are a step above a skilled nursing home. In fact, most of them operate a nursing home Silent Type Jun 20 #14
The rural hospitals I fight for in Colorado are anything BUT "glorified nursing homes"... They are vital to survival hlthe2b Jun 20 #15
I'm all for your efforts. The rural hospitals here pretty much started dying when Family Physicians stopped delivering Silent Type Jun 20 #16
Half surprised Florida doesn't allow non professionals at drugstores like Walgreens to provide such services. Freethinker65 Jun 20 #3
If she hemorrhages and bleeds out because the closest blood bank is an hour away Warpy Jun 20 #4
It's only women, why waste money providing good medical care? Irish_Dem Jun 20 #7
was fla 1 of the states that tried to restrict abortions to hospitals? mopinko Jun 20 #8
There is no end to the insanity by the Death Sentence forces there. GreenWave Jun 20 #9
What could go wrong? Kid Berwyn Jun 20 #13
Latest Discussions»General Discussion»new Florida law allows do...