'Why are we dismissed?': Women open up about being sent home from hospitals in labor.
Quayla Harris knew exactly how she wanted the delivery of her third child to go: a natural birth in the hospital with her husband by her side.Harris' husband was, in fact, by her side -- but she gave birth in the passenger seat of their car after being sent home from the hospital less than two hours earlier, the couple told ABC News.
Doctors consider numerous factors, including if it's a woman's first labor, if the pregnancy is high-risk and whether fetal heartbeat patterns are reassuring, as well as how far away the patient lives, according to Ashton. “Sometimes it's not about policy and procedures," Harris said."It's about doing what's right. Women know their bodies ... Why are we being dismissed?"
Her contractions were consistently 5 minutes apart, had reached a point of being unbearable, and the nurse said she her cervix was 95% effaced, according to Harris -- all indicators of how far along labor is. Dr. Wendy Wilcox, an OB-GYN in Brooklyn, said the process of admitting a woman in labor goes far beyond just one factor, such as their cervix dilation or contractions.
Studies concerning admitting women in early labor have produced different results, according to an ACOG committee opinion from February 2019. Some observational studies have found that doing so led to more medical interventions as well as C-sections, but the studies weren't able to discern if that was attributable to longer exposure to the hospital environment or a"propensity for dysfunctional labor," according to ACOG.
Some instances of not providing appropriate care for women in labor have resulted in fines and violations of law. Over the years, hospitals that participate in Medicare have been fined under the 1986 Emergency Medical Treatment and Labor Act , which regulates medical screening and patient transfer in emergency situations.
In a 2015 case, for instance, a Kansas hospital"did not record the patient’s medical history, take any vitals, conduct fetal monitoring, test for fetal movement, or perform any exam on the patient," who was 38 weeks pregnant and complaining of abdominal and lower back pain. She delivered a stillborn baby at another hospital, according to a report from the HHS OIG.
She and her husband went to a local hospital around 10 p.m. where the nurses performed a cervical check and put a fetal monitor on her stomach. Ultimately, Newton said, they told her she wasn't in labor. Her husband called for an ambulance and Newton began pushing. By the time EMTs arrived, her daughter was crowning.Liz Kimller, 33, of Orlando, said she remembers her contractions felt like a"9 out of 10" in terms of pain by the time she arrived at the hospital in February of this year.
After being in the hospital for about two hours, she and her fiance were sent home. Kimller’s water broke about an hour after that.“I felt like they should have known that if I’m in too much pain then that means something. That means I’m very close,” she said. “Which I was.”
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