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Rural Health
Resources by Topic: Maternal health and prenatal care

Rural/Urban Differences in Rates and Predictors of Intimate Partner Violence and Abuse Screening among Pregnant and Postpartum United States Residents
Examines rates, predictors, and screening of perinatal intimate partner violence (IPV) victims after giving birth. Utilizes national data from the 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) to analyze rural versus urban IPV according to demographic variables, comorbidities, screening rates, and more.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Health Services Research, 59(2), e14212
Date: 04/2024
Type: Document
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Obstetric Imaging Practice Characteristics Associated with Prenatal Detection of Critical Congenital Heart Disease in a Rural US Region over 20 Years
Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
Type: Document
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Rural Maternal Health Series: Engaging with Perinatal Quality Collaboratives for Rural Hospitals
Webinar recording, second in a series, discusses the role Perinatal Quality Collaboratives (PQCs) play in making improvements in maternal and infant healthcare and outcomes in rural hospitals. Features presentations from representatives of the CDC's Perinatal & Infant Health Team, Washington State Department of Health, and University of Montana Rural Institute for Inclusive Communities.
Additional links: Audio Recording, Webinar Slides
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Maternal Mortality in Illinois Counties by Race, 2000-2023
Provides maternal mortality rates for the Midwest, the U.S., and the state of Illinois, with state data broken down by county, metro versus nonmetro, and race.
Author(s): Adee Athiyaman
Date: 03/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Maternal and Infant Health: HHS Should Strengthen Processes for Measuring Program Performance
Provides an overview of the Healthy Start program, which aims to reduce rates of infant death, improve maternal health outcomes, and reduce racial and ethnic disparities. Describes Healthy Start grantees and participants served during the April 2019-March 2024 grant period, as well as services that grantees are expected to provide and changes to these expectations for the 2024-2029 grant period. Explores the U.S. Department of Health and Human Services's (HHS) efforts to measure program performance, the extent to which Healthy Start performance measures meet key attributes of effective measures, and HHS' efforts to align Healthy Start performance measures with those of related HHS programs. Includes information on Healthy Start programs and participants by organization type, race, and rurality. Offers recommendations regarding reviewing and coordinating Healthy Start performance measures across Healthy Start and related programs.
Additional links: Full Report
Date: 03/2024
Type: Document
Sponsoring organization: Government Accountability Office
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National Hospital Care Survey Demonstration Projects: Examination of Maternal Health Outcomes by Housing Assistance Status
Compares maternal health outcomes for patients receiving housing assistance to those who did not receive assistance using National Hospital Care Survey and U.S. Department of Housing and Urban Development linked data. Offers data breakdown by rurality of hospital location, health insurance coverage, maternal age, gestational age, delivery method, and length of hospital stay. Discusses possibilities for future use of linked data research.
Author(s): Josephine M. Alford, Lello Guluma, Doreen M. Gidali, Geoffrey Jackson
Date: 03/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Evidence-Based, Whole-Person Care for Pregnant People Who Have Opioid Use Disorder
Report presents care recommendations for treatment of opioid use disorder during pregnancy. Discusses the risks of opioid use during and after pregnancy and explores factors to consider when treating pregnant people. Highlights barriers for rural patients.
Date: 03/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Maternal Health Series: Achieving Birthing-Friendly Status in Rural Hospitals
Webinar recording discusses the quality maternity care improvements rural hospitals must make to earn the Birthing-Friendly designation from CMS. Features presentations from representatives of the Federal Office of Rural Health Policy (FORHP), the CMS Center for Clinical Standards and Quality (CCSQ), and the Maternal and Child Health Bureau (MCHB).
Additional links: Audio Recording, Webinar Slides
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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2025 Health and Human Services Evaluation Plan
Provides an overview of the 2025 evaluation activities for 49 Department of Health and Human Services (HHS) programs. Includes evaluation information on rural focused programs such as Rural Maternity and Obstetrics Management Strategies (RMOMS); the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities; the Telehealth Technology Enabled Learning Program (TTELP); and more.
Author(s): Maura R. Reilly, Kristen Hudgins, Susan Jenkins
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Racial/Ethnic Differences in Experiences of Intimate Partner Violence and Postpartum Abuse Screening Among Rural US Residents who Gave Birth 2016-2020
Describes rates of self-reported intimate partner violence among rural residents before or during pregnancy, and the frequency by which different racial or ethnic groups are not screened for abuse after giving birth. Uses 2016-2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance survey. Features statistics with breakdowns by race or ethnicity.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Katy Backes Kozhimannil
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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