An open letter from over 35 women㽶Ƶֱs health physicians and midwives is expressing concern for 㽶Ƶֱunsafe conditions and adverse outcomes㽶Ƶֱ at Surrey Memorial Hospital 㽶Ƶֱ including accusations that these gaps led to a newborn death.
The letter, which was published on Scribd and later taken down, underlines three critical issues impacting women㽶Ƶֱs health that they believe require immediate action: Lack of resources in the birthing unit, need for more supervised beds and a need for more operating rooms.
㽶ƵֱWe view it as our duty to our patients and community stakeholders to disclose the significant challenges we currently face, which are predominately rooted in the inaction of Fraser Health㽶Ƶֱs executive administrator, the Board of Directors, and the Ministry of Health,㽶Ƶֱ the group said.
The letter goes on to say that the strain on resources is preventing teams from 㽶Ƶֱdelivering care that is required and expected, directly resulting in poor outcomes which fall sharply below the standard for a tertiary level maternity care centre in our province.㽶Ƶֱ
In addition to the death of a newborn, the group says there has been 㽶Ƶֱcountless near misses, and moral injury to our care providers.㽶Ƶֱ
The group is calling for more supervised beds in the family birthing unit, 㽶Ƶֱdue to insufficient space and lack of nursing resources.㽶Ƶֱ
The letter points out the disparity of resources between the Surrey and Vancouver regions.
Vancouver currently has two hospitals that provide obstetrical care with 13 antepartum care beds, 47 labouring beds and 35 postpartum beds between the two of them.
The family birthing unit in Surrey serves a population larger than Vancouver, the letter states, and only has six antepartum beds in shared rooms, 32 labouring beds and 16 postpartum beds.
The birthing unit often diverts patients to other hospitals for care as they lack space.
The group goes on to say that gynecologists are facing limited access to the operating rooms. The letter states that the surgical wait times are inaccurate.
㽶ƵֱYear-to-date wait times for surgery at SMH are 23% longer than benchmark (the maximum amount of time that clinical evidence shows is appropriate to wait for a particular procedure).㽶Ƶֱ
㽶ƵֱThe gynecology service average wait times are 77% longer than the benchmark.㽶Ƶֱ
These long wait times put women in Surrey at a higher risk of significant pelvic disease, the group says. While the hospital has 10 operating rooms, often only eight or nine are in use due to under-staffing or renovations.
㽶ƵֱIn addition, there is a shortage of acute care in-patient beds, as articulated by our emergency room colleagues, which forces cancellations of any surgery requiring a patient to be admitted to the hospital,㽶Ƶֱ the letter reads.
The final point addresses a lack of action taken by leaders at the hospital, Fraser Health and the provincial government.
㽶ƵֱWe have sounded the alarm loud and clear for that length of time without seeing meaningful action.㽶Ƶֱ
A year ago, the Departments of Obstetrics and Gynecology, and Anesthesia sent an open letter about the challenges their units were facing and the changes that needed to be made.
The implemented solutions require 㽶Ƶֱnursing staff and physicians to take on greater workload and cut corners which has resulted in negative patient experience and poor outcomes.㽶Ƶֱ
㽶ƵֱThe end result of this perfect storm is, not surprisingly, dismal. Patients are not receiving the care they should expect at a tertiary (specialized) care centre, putting them at risk of greater morbidity and need for further interventions. This has detrimental effects on patients㽶Ƶֱ health and significant increases in adverse events.㽶Ƶֱ
The new Cloverdale hospital has no plan to add obstetric or gynecological care, according to the group. They feel the new hospital is 㽶Ƶֱdeeply misguided㽶Ƶֱ and 㽶Ƶֱwill halt any substantial investment in women㽶Ƶֱs Health in our region, setting us back by decades.㽶Ƶֱ
The group ended the letter with calling for community members to call for change regionally and provincially.
㽶ƵֱThis letter is a call to action for patients from Burnaby to Boston Bar to demand funding and resources at SMH and across Fraser that is equivalent to our neighbours in Vancouver.㽶Ƶֱ
The Now-Leader has reached out to Fraser Health for a response.
anna.burns@surreynowleader.com
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