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Rural Health
Resources by Topic: Maternal health and prenatal care

Exploring Maternal Mental Health Conditions and Urban-Rural Disparities in Hypertensive Disorders of Pregnancy in South Carolina: A Fairlie Decomposition Approach
Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Association Between Social Determinants of Health and Cardiovascular Risk in Pregnant Women, United States
Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Reporting and Performance of Maternity-Related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Delivering Quality: Maternity Care Innovation in Critical Access Hospitals
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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REH Learning Brief: Obstetric Care in Rural Emergency Hospitals
Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Availability of Higher-Level Neonatal Care in Rural and Urban US Hospitals, 2010-2022
A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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Patterns of Telehealth Use During Pregnancy and Postpartum Among Commercially Insured Women
Examines the use of telehealth among pregnant and postpartum women by rural versus urban location and type of service. Utilizes 2019-2021 data to examine telehealth visits by patient characteristics, predelivery versus postpartum use, service type, and rurality. Discusses the role of telehealth to access mental health services and differences between rural and urban telehealth use.
Author(s): Adit Doza, Lijing Ouyang, Donatus U. Ekwueme, et al.
Citation: Journal of Women's Health, 35(2)
Date: 02/2026
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Maternal Health Workforce Expansion and Local Childbirths
Results of a study to determine whether the National Health Service Corps's support of clinicians to work in Health Professional Shortage Areas has resulted in improved access to local childbirth care. Features statistics with breakdowns by rural and urban counties.
Author(s): Yanlei Ma, Olesya Baker, Fang Zhang, et al.
Citation: JAMA Network Open, 9(2), e2556775
Date: 02/2026
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Birth Defects Surveillance: New Mexico 2015-2024
Reports on demographic differences and trends in birth defects among children born in New Mexico using 2015-20204 New Mexico Birth Defects Prevention and Surveillance System (NMBDPASS) data. For data comparisons by level of rurality, see pages 15-17.
Date: 02/2026
Sponsoring organization: New Mexico Department of Health
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Snapshot of Rural Health in Colorado, 2026
Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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