Frigid temperatures this weekend prompt cold weather advisories

MPR News helps you turn down the noise and build shared understanding. Turn up your support for this public resource and keep trusted journalism accessible to all. 

Turn Up Your Support

As a 13-year-old candy striper volunteer at the Albert Lea, Minn., hospital, Angie Obermeyer dreamed of being a nurse there someday. She wanted to work in the hospital’s labor and delivery unit.

Years later, in 2006, her dream came true. She got a job at the hospital, which for the last two decades has been run by Mayo Clinic. She still gets emotional talking about the job and her coworkers.

“Not everything is happiness in labor and delivery,” she said, “but we were a family.”

Mayo Clinic announced it would be moving labor and delivery services from Albert Lea to its hospital in Austin

, Minn., about 30 minutes away. It would also end the hospital's inpatient and intensive care, but would preserve its emergency room and some other services.

That long transition ends Wednesday when Albert Lea’s labor and delivery unit closes, the final day when babies will be born in the hospital.

Mayo said its decision to consolidate services reflects larger financial, demographic and 

 facing rural hospitals all over the country.

 have raised serious questions about Mayo's commitment to serving small communities even as it

Albert Lea smarting over Mayo shrinking hospital services

Rural hospitals retreat from delivering babies; small towns pay the price

For Obermeyer, the summer of 2017 marked the beginning of the end of her nursing career. Though she could have worked in labor and delivery in Austin, she took a different job in Mayo's Albert Lea hospital.

But she only lasted in the position a year, saying she ultimately resigned because her heart remained with delivering babies.

"It's a passion,” she said. “It's where you want to be. It's where you want to retire from."

Tricia Dahl, the operations administrator for Mayo Clinic in Albert Lea and Austin, said Mayo's decision to consolidate services was based on an array of factors: fewer patients, staffing shortages and doctors juggling difficult call schedules and toggling between the two campuses.

"Inpatient practice is really declining,” she said. “In fact, in Albert Lea in the last 20 years, we've seen a decline in inpatient stays. We've also seen a significant decline in deliveries."

In 2009, roughly 500 babies were born in the Albert Lea hospital. A decade later, that number hovered at about 300 — less than one baby a day.

That decline, Dahl said, meant doctors weren't always able to keep their skills fresh. 

"You want to be doing enough deliveries so that you use your skills on a regular basis,” she said, “both from a competency perspective but also from a job satisfaction perspective."

As part of the transition, Dahl said, the remaining obstetrics staff in Albert Lea has been preparing their patients for having their babies in Austin: making sure they leave with enough time to get there — and making sure they know where to go when they arrive.

Mayo’s Austin campus, she said, will soon open an expanded delivery ward and will have more beds available in other parts of the hospital to use during peak times.

As Mayo moves hospital services, Albert Lea lands a new provider

Rural areas nationwide losing labor and delivery services; MN is part of the trend

But the consolidation still stings for many in the Albert Lea community. For the first time in generations, most Freeborn County babies won’t be born in a Freeborn County hospital.

Save Our Healthcare, a group that formed to protest Mayo’s consolidation efforts, has argued that those 300-some births a year at the Albert Lea hospital are enough to justify keeping its birth center open.

Jennifer Vogt-Erickson, a member of the group, said she's worried about whether patients in the largely rural region the Albert Lea hospital serves has access to the care they need.

"Mayo is putting money before mothers in Albert Lea," she said.

 to the area. Services will begin slowly, Vogt-Erickson said, but she hopes the provider will eventually offer some competition to Mayo.

"We are definitely at a place in between, a low point in our services,” she said, “and we are committed to building those back again."

In the meantime, though, starting this week, Freeborn County babies will be born somewhere else.

Business and Economic News

Health

Shows

Morning Edition

NewsPartners

Catharine Richert

Author

Mayo Clinic announced in 2017 that it would move labor and delivery, inpatient and intensive care services from Albert Lea to Austin. It said low patient volume, staff shortages and money losses at both facilities drove the decision.

Albert Lea hospital closes labor and delivery unit

People stand in front of a hospital while holding signs.

Albert Lea hospital closes labor and delivery unit

Go Deeper.

Like this?