Hospital delivery rooms are disappearing

Nearly half of Ohio counties lack a hospital with labor and delivery services, per a new March of Dimes report — and that now includes Delaware County, after Grady Memorial Hospital stopped delivering babies this month.

Why it matters: OhioHealth’s controversial decision in one of the state’s fastest-growing and wealthiest counties illustrates how loss of maternity care isn’t just a rural issue.

  • Longer distances are associated with delayed emergency care and a higher risk of unplanned out-of-hospital births, per the report.

The big picture: Labor and delivery units are closing amid declining birth rates, workforce shortages and financial pressures. As of May, 52.5% of U.S. counties didn’t have one.

  • Nationwide, 96 closed across 35 states from Jan. 1, 2024, to May 1, 2026, including at leastfourinOhio. Nearly two-thirds were at rural hospitals and over half, like Grady, were the county’s only birthing facility.
  • The Ohio Hospital Association estimates more than two dozen Ohio hospitals have closed or consolidated maternity care since 2018.

Zoom in: That includes OhioHealth’s Shelby and Van Wert hospitals, which stopped offering maternity care in 2023.

  • Statements explaining the changes cite declining births at rural and suburban hospitals and care standards “that most community hospitals are not equipped to provide.”

By the numbers: Fewer than 10% of Delaware County patients delivered at Grady in the last fiscal year, opting instead to travel to Dublin or Riverside, about 30 minutes away, per the hospital…

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