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Rural Health
Resources by Topic: Maternal health and prenatal care

2024 Status of Women and Girls in Minnesota
Report examining economic opportunity, safety, health and wellness, and leadership equality among women and girls in Minnesota based on data from the American Community Survey, Minnesota Student Survey, and other sources. Highlights disparities in healthcare access, food security, and environmental health for rural populations.
Additional links: Executive Summary
Date: 2024
Type: Document
Sponsoring organizations: Center on Women, Gender and Public Policy, University of Minnesota, Women's Foundation of Minnesota
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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
Type: Document
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Annual Report on the New Hampshire Health Care Workforce and Data Collection: Calendar Year 2023
Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2023
Type: Document
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
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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
Type: Document
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
Type: Document
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Effects of Rurality and Distance to Care on Perinatal Outcomes over a 1-Year Period During the COVID-19 Pandemic
Examines how rurality and/or distance to care impacts perinatal outcomes such as pre-eclampsia, preterm labor, neonatal intensive care, birth weight, and more. Analyzes outcomes from 2,497 patients during the COVID-19 pandemic period of May 1, 2020 to April 30, 2021, with results broken down by distance to care and metropolitan, micropolitan, or rural location.
Author(s): Pratyusha V. Bujimalla, Kimberly A. Kenne, Haley A. Steffen, et al.
Citation: Journal of Rural Health
Date: 12/2023
Type: Document
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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 race, income, mental health, rurality, environment, violence, trauma, and more. 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
Type: Document
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
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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The Effect of Pesticide Spray Season and Residential Proximity to Agriculture on Glyphosate Exposure among Pregnant People in Southern Idaho, 2021
Evaluated regular urine samples of 40 pregnant women in Idaho to determine the impact of pesticide exposure on pregnant people both near and far from agricultural fields. Analysis included before, during, and after "spray season" or the time of the year when pesticide is most likely to be applied.
Author(s): Cynthia L. Curl, Carly Hyland, Meredith Spivak, et al.
Citation: Environmental Health Perspectives, 131(12)
Date: 12/2023
Type: Document
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Evaluating Maternal Health Capacity Building in Rural and Underserved Areas: A Research Protocol
Describes a research protocol evaluating a project addressing maternal care shortages in rural and underserved areas of Utah.
Author(s): R.W. Owens, T.C. Whittaker, A. Galt, et al.
Citation: Rural and Remote Health, 23(4)
Date: 12/2023
Type: Document
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