ELKTON, Md. —
There's a growing call in Cecil County to find a solution to becoming a maternity care desert before lives are put at risk.
ChristianaCare just closed the only birth center in the area, which means some expectant mothers will now have to drive across state lines to deliver their babies because there's no local hospital that has a delivery floor.
Maddie Reese, a certified nurse midwife at ChristianaCare Union Hospital, told WBAL-TV 11 News Investigates that her career was on track, delivering babies at her hometown hospital.
"That's been my dream ... to be the first midwife at Union Hospital, and I got to live that dream starting in 2025," Reese told WBAL-TV 11 News Investigates.
Birth center closes
In May, a bombshell announcement upended everything.
"(At) 7:45 on a Monday morning, May 18th, (they) came into the office and said, 'Hey, we're closing the labor and delivery over there,'" Reese told WBAL-TV 11 News Investigates.
Reese said warning signs had surfaced months earlier, but questions were either met with reassurance or silence — until it was too late, and ChristianaCare eliminated 31 nurses and physicians.
Cecil County Executive Adam Streight, whose children were born at Union Hospital, said he was even kept in the dark.
"If you're going to close a major health service in Cecil County, the county executive would be the first person that you call and notify," Streight told WBAL-TV 11 News Investigates.
Hearst Owned
Cecil County Executive Adam Streight and area leadership sent a letter urging ChristianaCare to reconsider its decision to close the birthing center at Union Hospital. He said the letter went unanswered.
Once the decision was made, Streight and area leadership sent a letter urging ChristianaCare, which took over Union Hospital in 2020, to reconsider its decision.
He said the letter went unanswered.
"No matter what is said now, it was very clear that this was a financial situation, and they just felt like there wasn't any money in it anymore," Streight told WBAL-TV 11 News Investigates.
Hospital cites changing needs
ChristianaCare shared its reasoning with the community at a recent public hearing.
"Closing the family birth center was a tough decision," ChristianaCare Chief Operating Officer Richard Cuming said at the meeting.
"This decision reflects several realities that have changed over time."
ChristianaCare sent a statement to WBAL-TV 11 News Investigates, saying: "This decision reflects several realities that have changed over time: An ongoing shortage of obstetricians and pediatricians; a decline in births at Union Hospital; and changing needs within Cecil County, including an increase in more complex pregnancies and an aging population in our community."
Now, instead of giving birth at Union Hospital, expectant mothers in Cecil County are being told to travel to Delaware or even farther. Depending on where they live in the county, that could be anywhere from 20 minutes to an hour's drive.
Consequences on Cecil County's expectant mothers
The Maryland Health Care Commission said ChristianaCare failed to give proper notice before choosing to close the birthing center, which allowed Maryland to negotiate protections so that Medicaid patients can deliver in Delaware at no extra cost during the transition.
"There are access concerns for people in Cecil County now," Dr. Douglas Jacobs, the commission's executive director, told WBAL-TV 11 News Investigates. "Union Hospital has committed that those patients won't have out-of-pocket costs, they're not going to be balance-billed, and, to their credit, that should make things, certainly, easier for patients on Medicaid."
"There are access concerns for people in Cecil County now."
While talks continue to find a permanent Medicaid solution, Streight said one major problem remains: Expectant mothers must now travel farther to give birth when every minute matters.
"I will work with whoever I have to work with. I don't care what political party they're from. I don't care where they live. We will find a solution one way or another. No, I am not letting this go," Streight told WBAL-TV 11 News Investigates.
"We will find a solution one way or another. No, I am not letting this go."
As Reese navigates what's next for her career, she said she's worried the closure is just the beginning of a rural health care crisis.
"You can go look at any county across this country, there's over hundreds of them that have lost their service in the past five years," Reese told WBAL-TV 11 News Investigates. "You can see what their outcomes are, and you can see what's ahead for our mothers and our families and our babies here — and it's not good."
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