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Rural Health Information Hub

Rural Health
Resources by Topic: Maternal health and prenatal care

Arizona Health Improvement Plan Summary Document 2024-2025 Update
Describes state efforts to address health priorities in Arizona, including social determinants of health, mental well-being, and rural health. Highlights strategies to improve public health in each identified area.
Additional links: Rural & Urban Underserved Health 2024-2025 Update
Date: 12/2023
Sponsoring organization: Arizona Department of Health Services
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Gestational Weight Gain Among Urban and Rural Pregnant Individuals Who Smoke or Quit Smoking
Examines the relationship between smoking cessation and gestational weight gain (GWG). Utilizes 2009-2020 Virginia Pregnancy Risk Assessment Monitoring System (PRAMS) data to analyze GWG and smoking in rural versus urban pregnant women.
Author(s): Kinsey Pebley, Asal Pilehvari, Rebecca A Krukowski, Melissa A Little
Citation: American Journal of Preventative Medicine, 66(5), 888-893
Date: 12/2023
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Tennessee Health Equity Plan, 2023-2028
Outlines strategies, timelines, and the steps to be taken to ensure equitable health services, meaningful partnerships, engaged communities, and a diverse, skilled workforce in Tennessee. Includes statistics on obesity with breakdowns by urban and rural areas, and maternal care and food deserts.
Date: 12/2023
Sponsoring organization: Tennessee Department of Health
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A Qualitative Study of Systems-Level Factors That Affect Rural Obstetric Nurses' Work During Clinical Emergencies
Evaluates systems-level factors affecting rural obstetric nurses and their care for patients experiencing clinical deterioration from interviews with 11 nurses and physicians at rural hospitals in Massachusetts and New Hampshire. Identifies challenges and opportunities related to resource shortages, cooperation in the workplace, conflicting workplace responsibilities, facility policies and procedures, and more.
Author(s): Samantha L. Bernstein, Maya Piccolo, Elisabeth Grills, Kenneth Catchpole
Citation: The Joint Commission Journal on Quality and Patient Safety, 2024
Date: 12/2023
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Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Sponsoring organization: Chartis Center for Rural Health
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Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions
Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Health Care Coordination Program Directory, 2023-2027
Provides an overview of the 10 initiatives funded under the Rural Health Care Coordination Program during the 2023-2027 project period. Each profile includes information on the focus areas to be addressed, project partners, and targeted populations.
Date: 12/2023
Sponsoring organization: Federal Office of Rural Health Policy
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2023 March of Dimes Report Card: The State of Maternal and Infant Health for American Families
Provides information on U.S. and state-level maternal and infant health outcomes. Considers issues such as preterm birth, infant mortality rate, access to health care, policy efforts, social determinants of health, and more. Includes county-level grades of maternal vulnerability.
Date: 11/2023
Sponsoring organization: March of Dimes
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Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People
Interviewed 30 rural Spanish speaking women who were pregnant or recently postpartum to determine social media advertisement factors that influenced COVID-19 vaccine acceptance. Offers recommendations for public health messaging campaigns based on findings.
Author(s): Magali Sanchez, Iveliz Martel, Elizabeth Cox, et al.
Citation: Vaccines (Basel), 11(11), 1726
Date: 11/2023
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