Maine explores solutions to sustain rural maternity care

In response to declining birth rates and the closure of birthing units, Maine is exploring solutions like cross-training existing staff and incorporating more midwives. These changes aim to sustain maternity care in rural areas facing physician shortages. Maine's fertility rate was 1.47 births per woman in 2022, contributing to the financial challenges of maintaining obstetric services. Hospitals are adapting by training nurses in obstetrics and utilizing general surgeons for C-sections, addressing the need for care without relying solely on obstetricians. Additionally, Maine is considering reforms to its Medicaid program to improve reimbursement rates for maternity services. A new grant aims to develop a value-based payment model by 2028, focusing on quality care and supporting at-risk birthing units.