ObGyn Intelligence: The Evidence of Women’s Health

ObGyn Intelligence: The Evidence of Women’s Health

ObGyn Intelligence+

When OB Closes: The Uncomfortable Truth About Emergency Obstetric Competency

Health care professionals are expected to be prepared to stabilize and/or treat any type of patient who presents to an emergency setting, including a pregnant patient or has recently given birth.

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
Jan 19, 2026
∙ Paid

A rural ER physician recently posted about attending an in-service on precipitous delivery and postpartum hemorrhage. The hospital’s obstetric unit closes December 31st. The post went viral, and the sentiment was clear: ER doctors do not want to deliver babies.

The physician’s frustration is understandable. But embedded in that refrain is an assumption worth interrogating: that emergency physicians managing childbirth represents a failure state, an aberration to be lamented rather than a reality to be addressed.

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