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Rural Health
Resources by Topic: Maternal health and prenatal care

The Landscape of Obstetric Resources and Risks in Indiana: A Framework for Informing Policy
Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Newborns with Withdrawal Symptoms Caused by Maternal Exposure to Select Substances
Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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Maternal Characteristics and Birth Outcomes among Oklahoma Medicaid: 2016 SoonerCare – Birth Data Linkage Report
Examines birth outcomes of mothers with live births paid by SoonerCare, Oklahoma's Medicaid, versus mothers with live births not paid by SoonerCare using 2016 data from the Oklahoma Medicaid Management Information Systems of the Oklahoma Health Care Authority, and the Center for Health Statistics division of the Oklahoma State Department of Health. Data compared includes race and ethnicity, age, education, marital status, infant birth weight, rural/urban residence, and starting trimester for prenatal care.
Date: 12/2019
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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Maternity Care in California: A Bundle of Data
Overview of maternity care services provided in California using state data from CDC WONDER (Centers for Disease and Prevention) and the California Open Data Portal with comparisons to national data. Includes California county maps demonstrating preterm birth rates and infant mortality, and provides maternity care data by race and ethnicity.
Date: 11/2019
Type: Document
Sponsoring organization: California Health Care Foundation
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Telemedicine in Sexual and Reproductive Health
Overview of telemedicine use in sexual and reproductive healthcare by patients, and by providers in metropolitan and non-metropolitan areas. Reviews the potential of telemedicine to increase access particularly in rural areas, identifies the range of reproductive health services facilitated by telemedicine, and covers Medicaid reimbursement, insurance coverage, and investment costs.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 11/2019
Type: Document
Sponsoring organization: KFF
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Severe Maternal Morbidity and Hospital Transfer Among Rural Residents
Examines hospital transfer rates for rural and urban residents before and after childbirth and the relationship of transfer status and severe maternal morbidity and mortality.
Author(s): Katy Kozhimannil, Julia D. Interrante, Alexandria Kristensen-Cabrera, Carrie Henning-Smith, Regan Theiler
Date: 11/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Health Management Associates, KFF
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Promoting Maternal Health in Rural and Underserved Areas
Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Type: Document
Sponsoring organization: Mercatus Center, George Mason University
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California's Midwives: How Scope of Practice Laws Impact Care
Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Maternal Health Begins Where Moms Live, Learn, and Work
Discusses the social and healthcare influences, particularly in rural areas, on maternal health and its effect on maternal mortality. Compares rural county and urban county data for Arizona state Medicaid coverage, amount of prenatal care received and when it was received, and the poverty rate.
Author(s): Bryna Koch, Benjamin Brady, Susan Coates, et al.
Date: 10/2019
Type: Document
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