Rural Health
Resources by Topic: Maternal health and prenatal care
The Availability of Midwifery Care in Rural United States Communities
Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Rural-Urban Differences in Midwifery Care During Childbirth in the US
Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Feasibility of Remote Blood Pressure Monitoring for Detection and Management of Maternal Hypertension in a Predominantly Black, Rural and Medicaid Population in Mississippi
Examines the feasibility of utilizing remote patient monitoring (RPM) to manage maternal hypertension in predominantly rural, Black, and underserved populations. Analyzes data from 98 enrollees in a prospective pilot cohort study conducted at the University of Mississippi Medical Center from 2021-2023. Includes data related to adherence of RPM, broken down by enrollee demographics, pregnancy health, gestational characteristics, and more.
Author(s): Yunxi Zhang, Yueh-Yun Lin, Lincy Lal, et al.
Citation: Telemedicine and e-Health, 30(7)
Date: 07/2024
Type: Document
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Examines the feasibility of utilizing remote patient monitoring (RPM) to manage maternal hypertension in predominantly rural, Black, and underserved populations. Analyzes data from 98 enrollees in a prospective pilot cohort study conducted at the University of Mississippi Medical Center from 2021-2023. Includes data related to adherence of RPM, broken down by enrollee demographics, pregnancy health, gestational characteristics, and more.
Author(s): Yunxi Zhang, Yueh-Yun Lin, Lincy Lal, et al.
Citation: Telemedicine and e-Health, 30(7)
Date: 07/2024
Type: Document
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Changes in Maternity Care Policies and Practices that Support Breastfeeding as Measured by the Ten Steps to Successful Breastfeeding — United States, 2018–2022
Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
Type: Document
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Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
Type: Document
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Implementing Policy and Practice Changes to Support Breastfeeding Duration in New York State Communities
Analyzes the effectiveness of the Creating Breastfeeding Friendly Communities program to reduce disparities in breastfeeding. Examines the breastfeeding supports in place between 2017 and 2023 at selected worksites with breakdowns according to worksite size, social vulnerability, and rurality.
Author(s): Ann Lowenfels, Megan Murphy, Abbie Archibald, Sarah Avellino, Katie Potestio
Citation: Preventing Chronic Disease, 21
Date: 07/2024
Type: Document
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Analyzes the effectiveness of the Creating Breastfeeding Friendly Communities program to reduce disparities in breastfeeding. Examines the breastfeeding supports in place between 2017 and 2023 at selected worksites with breakdowns according to worksite size, social vulnerability, and rurality.
Author(s): Ann Lowenfels, Megan Murphy, Abbie Archibald, Sarah Avellino, Katie Potestio
Citation: Preventing Chronic Disease, 21
Date: 07/2024
Type: Document
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How a Rural Health System Continues to Provide Essential Obstetric Services
Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Type: Audio
Sponsoring organization: American Hospital Association
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS 1809-P)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; a proposal to include an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a proposal for new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; a proposal to include an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a proposal for new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Loss of Hospital-Based Obstetric Services in Rural Counties in the United States, 2010-2022
Infographic displaying data on the loss of hospital-based obstetric services in rural counties between 2010 and 2022. Compares changes in in-county hospital-based obstetric care by rural county type - micropolitan versus noncore - using data from the 2010-2022 American Hospital Association (AHA) Annual Surveys, the Centers for Medicare & Medicaid Services (CMS) Provider of Services File, and the Health Resources and Services Administration (HRSA) Area Health Resources File.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alyssa H. Fritz, Emily C. Sheffield
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Infographic displaying data on the loss of hospital-based obstetric services in rural counties between 2010 and 2022. Compares changes in in-county hospital-based obstetric care by rural county type - micropolitan versus noncore - using data from the 2010-2022 American Hospital Association (AHA) Annual Surveys, the Centers for Medicare & Medicaid Services (CMS) Provider of Services File, and the Health Resources and Services Administration (HRSA) Area Health Resources File.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alyssa H. Fritz, Emily C. Sheffield
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Association of Travel Burden with Prenatal Care Utilization, What Happens after Provider-Selection
Analyzes the impact of travel burden on prenatal care (PNC) utilization. Utilizes 2015-2018 South Carolina Medicaid claims data to examine characteristics of birthing people, characteristics of PNC providers, and rural versus urban breakdowns of how travel burden is associated with PNC utilization.
Author(s): Songyuan Deng, Yuche Chen, Kevin J. Bennett
Citation: BMC Health Services Research, 24, 781
Date: 07/2024
Type: Document
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Analyzes the impact of travel burden on prenatal care (PNC) utilization. Utilizes 2015-2018 South Carolina Medicaid claims data to examine characteristics of birthing people, characteristics of PNC providers, and rural versus urban breakdowns of how travel burden is associated with PNC utilization.
Author(s): Songyuan Deng, Yuche Chen, Kevin J. Bennett
Citation: BMC Health Services Research, 24, 781
Date: 07/2024
Type: Document
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Community Health Needs and Opportunities in Rural Central New York
Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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