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Rural Health
Resources by Topic: Maternal health and prenatal care

Maternal Morbidity and Mortality Measurement Recommendations Report
Provides an overview of two measurement frameworks, one for maternal morbidity and one for maternal mortality. Includes a list of short- and long-term recommendations for each measurement topic, which cover equitable treatment; timely access to treatment and services; follow-up and care coordination of care; protocols and guidelines; substance use disorders, mental health, and behavioral health; access to pain management and labor support; and patient- and family-reported outcomes and experiences of care. Discusses three potential, actionable measure concepts for maternal mortality.
Date: 08/2021
Type: Document
Sponsoring organization: National Quality Forum
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State and Regional Differences in Access to Hospital-Based Obstetric Services for Rural Residents, 2018
Highlights a study on rural access to hospital-based obstetric services by state and region. Compares rates regionally and by state across the country and discusses the factors that affect obstetrics access.
Author(s): Julia D. Interrante, Mariana S. Tuttle, Bridget Basile Ibrahim, et al.
Date: 08/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Additional links: Fact Sheet, October 2020
Date: 08/2021
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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COVID-19 Data from the National Center for Health Statistics
Provides access to state and county provisional death counts for COVID-19, as well as national and state data on mental health, births and pregnancies, and healthcare access. Also offers guidance on cause-of-death certification for COVID-19.
Date: 08/2021
Type: Website
Sponsoring organization: National Center for Health Statistics
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American College of Obstetricians and Gynecologists: COVID-19
Provides resources and guidance on the treatment of pregnant patients related to COVID-19. Addresses clinical information, practice management, vaccination information, and more.
Date: 08/2021
Type: Website
Sponsoring organization: American College of Obstetricians and Gynecologists
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program: Highlights and Lessons Learned from the Planning Year (2019 – 2020)
Webinar recording discusses the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program and evaluates its successes and challenges. Includes information on network models and planning year activities, as well as baseline characteristics of the maternal health population prior to program implementation. Features presentations from Mission Analytics and Insight Policy Research.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 07/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Treating Perinatal Mood and Anxiety Disorders in Rural Montana
Profiles how St. Peter's Health - a health system in Helena, Montana - developed and implemented a parental support system to address gaps in postpartum mental health care. Discusses partnerships St. Peter's Health utilized to connect parents with community-based services and supports. Offers lessons learned and future goals for the program.
Date: 07/2021
Type: Document
Sponsoring organization: American Hospital Association
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Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries
Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
Type: Document
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Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study
Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
Type: Document
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Evaluation of the Rural Maternity and Obstetrics Management Strategies Program: First Annual Report
Reports on the Rural Maternity and Obstetrics Management Strategies (RMOMS) program awardees' planning year 2019-2020. Introduces the program, the need for increased access to maternal and obstetric care in rural areas, and the program's strategic goals. Offers an overview of the 3 RMOMS awardees in Texas, Missouri, and New Mexico and rural maternal health challenges in each area.
Additional links: Executive Summary
Date: 04/2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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