Rural Health
Resources by Topic: Maternal health and prenatal care
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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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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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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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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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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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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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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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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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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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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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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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Update: The Expanding Maternity Care Desert in Pennsylvania
Provides an overview of labor and delivery services in rural Pennsylvania and implications of limited access to maternity care. Features county-level maps showing locations of Pennsylvania hospitals with labor and delivery units and areas that are a 20-minute drive from a labor and delivery unit, as of 2026.
Date: 01/2026
Sponsoring organization: Center for Rural Pennsylvania
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Provides an overview of labor and delivery services in rural Pennsylvania and implications of limited access to maternity care. Features county-level maps showing locations of Pennsylvania hospitals with labor and delivery units and areas that are a 20-minute drive from a labor and delivery unit, as of 2026.
Date: 01/2026
Sponsoring organization: Center for Rural Pennsylvania
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2023: A State-by-State Report
Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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