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When Hospitals Vanish, Mothers Die: Why Giving Birth Is Riskier in These US States

  • Pregnant South Dakota resident Shelsey Klein confronted Winner Regional Hospital in early 2024 over the planned closure of its labor and delivery unit announced via social media.
  • The hospital delayed the unit's closure from February to March after community pushback, as rural hospital labor wards close due to physician shortages and financial pressures.
  • South Dakota has one of the highest infant mortality rates in the nation and a growing number of maternal care deserts, with 58% of its counties lacking birthing facilities—an issue that disproportionately impacts tribal communities.
  • Since closing its labor and delivery unit, Winner Regional Hospital has had to deliver two babies in the emergency room, and approximately 80% of infants born there last year were covered by Medicaid, a program facing possible federal funding reductions.
  • Experts warn that continued rural hospital closures and Medicaid cuts could worsen maternal health risks, forcing more women to deliver far from care or under unsafe conditions.
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South Dakota Searchlight broke the news in on Sunday, May 11, 2025.
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