Rural Health
Resources by Topic: Maternal health and prenatal care
Birth Volume and Geographic Distribution of US Hospitals with Obstetric Services from 2010 to 2018
Examines the characteristics of hospitals with obstetric services by volume of births between 2010-2018. Describes the geographic distribution, proximity to other obstetric hospitals, and metropolitan status. Presents data on birth volume by hospital characteristics, including Critical Access Hospital and Rural Referral Center designation.
Author(s): Sara C. Handley, Molly Passarella, Heidi M. Herrick
Citation: JAMA Network Open, 4(10)
Date: 10/2021
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Examines the characteristics of hospitals with obstetric services by volume of births between 2010-2018. Describes the geographic distribution, proximity to other obstetric hospitals, and metropolitan status. Presents data on birth volume by hospital characteristics, including Critical Access Hospital and Rural Referral Center designation.
Author(s): Sara C. Handley, Molly Passarella, Heidi M. Herrick
Citation: JAMA Network Open, 4(10)
Date: 10/2021
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A Holistic Approach to Maternal Health in Rural Indiana
Discusses the Healthy Start Communities that C.A.R.E. (HSCC) program that utilizes family nurse practitioners (FNPs) and a licensed clinical social worker (LCSW) to serve women in 4 rural counties in Indiana. Provides commentary on the program, such as reducing access barriers, utilizing bilingual healthcare practitioners, providing mental health support and trauma-informed care, and more. Transcript available below description.
Author(s): Heather M. Grable, Joanah Wischmeier, Kasia Jayjack
Date: 09/2021
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Discusses the Healthy Start Communities that C.A.R.E. (HSCC) program that utilizes family nurse practitioners (FNPs) and a licensed clinical social worker (LCSW) to serve women in 4 rural counties in Indiana. Provides commentary on the program, such as reducing access barriers, utilizing bilingual healthcare practitioners, providing mental health support and trauma-informed care, and more. Transcript available below description.
Author(s): Heather M. Grable, Joanah Wischmeier, Kasia Jayjack
Date: 09/2021
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Restoring Access to Maternity Care in Rural America
Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2021
Sponsoring organization: Commonwealth Fund
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Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2021
Sponsoring organization: Commonwealth Fund
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Preconception Health Disparities and Birth Outcomes among Foreign-Born and Native-Born Hispanic Women in Oklahoma
Evaluates the birth outcomes for Hispanic Oklahoma women, comparing those born in and out of the United States. Considers the mother's age, education, health insurance, and rurality. Makes recommendations to improve birth outcomes.
Date: 08/2021
Sponsoring organization: Oklahoma State Department of Health
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Evaluates the birth outcomes for Hispanic Oklahoma women, comparing those born in and out of the United States. Considers the mother's age, education, health insurance, and rurality. Makes recommendations to improve birth outcomes.
Date: 08/2021
Sponsoring organization: Oklahoma State Department of Health
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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
Sponsoring organization: National Quality Forum
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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
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
Sponsoring organization: University of Minnesota Rural Health Research Center
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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
Sponsoring organization: University of Minnesota Rural Health Research Center
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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
Sponsoring organization: American Hospital Association
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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
Sponsoring organization: American Hospital Association
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Sponsoring organization: Texas Health and Human Services
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Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Sponsoring organization: Texas Health and Human Services
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HHS Maternal-Child Health Emergency Planning Toolkit
Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Sponsoring organization: U.S. Department of Health and Human Services
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Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Sponsoring organization: U.S. Department of Health and Human Services
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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
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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
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