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Mama to P. born at home 10/09, and W. born in the hospital 2/13
I am not optimistic about this at all. As an L and D nurse, I just see it as a way for the hospitals to be even more cash strapped than they are, which puts more pressure on a couple of areas:
1. Individual floor budgets get cut and trimmed, which usually means an increase in nurse to patient ratio. Right now we're barely keeping our head above the water and they are gradually increasing our active labor patient ration from 1:1 to 2:1. This makes it incredibly difficult for me to support an unmedicated mom.
2. More incentive to get people out of the door faster. We also see this--yes, there are mandates put forth by insurance, but already we have most c/s moms out the door by 36 hours, and vaginal deliveries by about 30.
I applaud Washington State for trying, but I think much better incentives would be for a salaried pay system like the Mayo has to start with, and more insurance and government funded out of hospital birth.
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