Recommendation on delivery services

In this episode, the student is the manager of the Social Services Department. As part of the ethics committee for a rural 18-bed hospital, the chief executive officer  and chief financial officer ask the student to contribute to an initial discussion on the decision to continue having labor and delivery in the hospital. The student knows that historically in this community, women seek late prenatal care. In discussions with the committee, the student learns that the Obstetrics and gynecology nurses(Ob/Gyn) has no back-up specialty coverage, that the family practitioner really does not want to do obstetric services (late nights, insurance…), and that the community loves the service. Based on this information, the student must make a recommendation whether to continue labor and delivery services at the hospital. Write down the recommendation.

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