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Germany’s Delivery Wards Halve Since 1991 as New Hospital Atlas Charts Access Gaps

Rural residents face much longer drive times to obstetrics care, Destatis reports.

Overview

  • Destatis released updated figures through 2024 alongside a refreshed Krankenhausatlas that maps gynecology and obstetrics access nationwide.
  • Hospitals with delivery wards declined from 1,186 in 1991 to 578 in 2024, while births were 18.4% lower than in 1991.
  • Specialty departments in gynecology and obstetrics fell from 1,275 to 758, bed capacity dropped from about 66,400 to 24,100, and occupancy slid from 77.4% to 56.4% as average stays shortened.
  • The atlas shows stark gaps in 15‑minute car reachability for women aged 16–49: 95.1% in large cities versus 73.4% in medium towns, 44.7% in larger small towns, and 29.9% in smaller small towns or rural municipalities.
  • In Saxony‑Anhalt, delivery hospitals fell from 36 to 18 since 1991, and only 18.2% of women in rural areas can reach a birth clinic within 15 minutes.