Parents left scrambling as staff shortages close birth units

It's after midnightand an overdue Kendra Duval sits on the edge of her bathtub after two days in early labour, her waters finally broken and intense contractions underway.

She prepared for a hospital birth, but there isn't onefor her to go to. Her husband is on the phone with a nurse at a hospital in the small town of Winchester in North Dundas,Ont.,trying to figure out where to drive.

They should already beheadedto Winchester, but itsbirthunit has been closed overnight due to staffing shortages.

Duval knows the baby is coming. She can't stop her body's contractions or slow themdown. "It was definitely the scariest moment of my entire life," she said.

After the scramble thathappened next, the couplewants people to know that health care in the province urgently needs fixing, and that staffing problems extendbeyond some hospitalemergency rooms.

"I should be here relaxing and recovering from birth and just enjoying my baby. ButI'm so mad that that happened to me, and I'm so upset that that might happen to somebody else, that I feel like I have to say something about it," she said.

Until a week before her Nov. 20 due date, Duval had no idea herhospital's obstetrics unit could just stop running.

She found out haphazardly, at a routinecheckup with her obstetricianand gynecologist (ob-gyn).

Duval, her husband and four-year-old daughter live in the small eastern Ontario community of Russell, Ont., a half-hour drive southeast of downtown Ottawa. The couplechose to have theirsecond childat the Winchester District Memorial Hospital, also a half-hour drive away, because of its great reputation in obstetrics.

Staff at her ob-gyn's office said they were runninglate;thedoctor had tohelpwomen needing induction who couldn't go to the hospital that nightbecause thebirthunit didn't have enough staff to stay open.

Now I feel like everything is in jeopardy again because maybe wewon't have help in the moment, whenever the time comes.-Kendra Duval

Duval,"blindsided"by what she heard, asked what would happen to her in that situation. She was toldhospitals regularly communicatewith each other, another hospital would take herif the need arose, and not to worry.

But shedid worry. She hadrecently suffereda miscarriage andwas being closely monitored as a result. And this time, COVID-19 and other viruses left her ill on several occasions.

"I said to my husband, I've spent nine, 10 monthsdoing everything I can to protect this baby and make sure that he's safe. And now I feel like everything is in jeopardy again because maybe wewon't have help in the moment, whenever the time comes."

When the time came the night of Nov. 22, after two days of early labour Winchester's birthunit was going to be shut down from 11 p.m. to 7 a.m. due to a lack of staff.

"These short-term closures usually happen a few times per year but with the staffing challenges affecting all of health care, it happened more often earlier this year and through the summer," hospital spokespersonJane Adams told CBC News inan email.

"In November, the unit was closed sixtimes, for between eightand 12 hours, each time due to staffing."

• Do you have a similar birth story to share? Email kristy.nease@cbc.ca

Across the provincethis year, 25 hospitals have temporarily closed their birthing units at least oncesince July 6 (when Ontario Healthstarted tracking the problem) because of staffshortages.

Ontario Health would not provide a list of which hospitals closed birth units.

Another hospital could take them, but then couldn't

Duvalwas just shy of the threshold to be admitted when she arrivedat the Winchester hospital before thebirthunit closed. The nurse who'd been checking her progress over the past two daystold her tocome back in the morning to have her waters broken if that didn't happen on its own.

"I broke down crying. I said, 'I'm really scared that it's coming,that something's going to happen in the night and you're going to be closed,'" Duvalrecalled.

So the nurse arranged the paperwork for Duval to go to Ottawa's Montfort Hospital if labourprogressed, Duval said.

About 45 minutes after getting home,herwaters broke. Her husband called Montfortto say they were on their way, but Montfort said it no longer had roomand to call The Ottawa Hospital's General campus instead.

Duval's partner called the nurse in Winchester. The General didn't have room either, she reported back, but Ottawa's Queensway Carleton Hospital did.

It was an hour away.

"She could hear me screaming in the background, and so she ended up telling my husband, come back to Winchester, I'll reassess you. And if need be, maybe we can get an ambulance to take you," Duval said.

They arrived at the ER to re-register. It was too late to go anywhere else.

"I was completely panicked. I was erratic Everything was happening so fast. I kept saying to them I can't do this, I'm going to die, I justdidn't feel safe,"Duval recalled.

The nurse coached her through, with another borrowed nurse andER doctor,until an ob-gynshowed up 40 minutes laterjust in time to deliver the baby.

I don't think that anyone deserves to be put in that situation; not me as the mother, but not her as someonejust trying todo her job.- Kendra Duval

A short umbilical cord was wrapped around hisneck too short to be moved by hand. It had to be cut while the birth was still happening, and then staff worked on himfor 15 minutes to make sure he was OK.

Duval said the staff were "amazing" she and her husband aren't upset with the hospital at allbut that the situation was unfair onall of them.

"[The nurse]sent me home as safely as she could in the moment, only to find me back there completely erratic, in full labour, with no time to spare. I don't think that anyone deserves to be put in that situation; not me as the mother, but not her as someonejust trying todo her job," she said.

"They've gone above and beyond for us, but we feel that the system has failed us overall, and failed them as well," Ken Duvaladded.

'We deserve better than this'

Last week, Ontario's five largest health-care unions announced that staff turnover is running at nearly15 per cent,and hospitals need to hire 47,000 peopleto fix the issueand meet the needs of a growing, older population.

They also admonished the province for trying to capwage increasesatoneper cent.

• Ford government plans to appeal after Ontario court strikes down Bill 124

The province announced Thursday that a record number of nurses nearly 14,000 hadregistered in Ontario so far in 2022and that it was investing $14 million to register more.

Duval saidhealth-care staff deserve more money and appreciation to attract workers.

"Without those people, where are we? They deserve more respect than this, and as regular people just trying to raise a family, we deserve better than this, too. Something has to change and it has to change now," she said.

"I'm just afraid. Afraid that health care will fail me again, fail [my son]."

WATCH | The experience of the Duvals in eastern Ontario:

New parents say the health-care system failed them

2 years ago

Duration 1:03

Kendra and Ken Duval said hospital staff "did the best with what they had" to help the couple deliver their son after a maternity ward closure upended their birth plan.

Closingunit 'the safest option,' hospital says

In a statement, Ontario's Ministry of Health said it expects hospitals"to ensure all impacts are consideredas they work towarddelivering the most appropriate range and quality of health-care services and programs for patients and residents, within available resources."

Families areencouraged to speak with their health-care providers "and work together to develop an approach that ensures patients have the right care when needed."

None of the hospitals involved would comment directly on Duval's situation, citing patient confidentiality.

Winchester's hospital said it "makes every effort" to find anotherhospital for patients when the birthunit closes, and closing "is the safest option"when not enough staff areavailable. It hopes its "almost full" staff complement will reduceclosures.

MontfortHospital said it can usuallyaccommodate all patients at its birthcentre, but when a lotof people are already admitted,"we may not be able to provide the level of care they all require."

"Like other hospitals in the province, Montfort is experiencing nursing shortages. Closures of maternity wards in neighbouring hospitals do impact us as well," its statement reads.