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Rural Health Information Hub

Rural Health
Resources by Topic: Maternal health and prenatal care

State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Maternal Mortality in the United States
Provides an overview of maternal mortality in the United States. Discusses the increase in maternal mortality rates and factors that contribute to maternal deaths. Includes information specific to rural maternal mortality. Identifies policy solutions, including state maternal mortality review committees, and highlights efforts in California and North Carolina to address maternal mortality.
Author(s): Tara O'Neill Hayes, Carly McNeil
Date: 09/2019
Sponsoring organization: American Action Forum
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Improving Access to Maternal Health Care in Rural Communities
Highlights the issues affecting access to healthcare for women in rural communities before, during, and after pregnancy. Demonstrates the need for national, state, and community organizations to work together to develop a plan to improve access to care and the outcomes for rural women and their babies.
Date: 09/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It.
Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Sponsoring organization: Pew Charitable Trusts
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Oklahoma American Indian Maternal and Child Health Data Review
Provides data on maternal and child health for American Indians in Oklahoma. Addresses demographics, chronic conditions, pregnancy health, infant mortality, and more.
Date: 08/2019
Sponsoring organization: Oklahoma State Department of Health
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E-Cigarette Minimum Legal Sale Age Laws and Traditional Cigarette Use among Rural Pregnant Teenagers
Uses 2010-2016 data from 32 states to explore how minimum legal sale age laws for e-cigarettes affects cigarette use among pregnant teenagers in rural areas. Provides data and statistics on smoking before and during pregnancy, underage teen births, and birth outcomes. Includes rural/urban comparisons.
Author(s): Michael Pesko, Janet Currie
Citation: Journal of Health Economics, 66, 71-90
Date: 07/2019
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All Texas Rural Hospitals and Clinics
Offers Texas maps showing counties with Critical Access Hospitals, Prospective Payment System Hospitals, and Rural Health Clinics as well as which rural counties offer labor and delivery services.
Date: 06/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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A Conversation on Maternal Health Care in Rural Communities: Charting a Path to Improved Access, Quality and Outcomes
Provides a recording of a day-long forum on maternal health access in rural communities. Addresses statistics on maternal health access, disparities in access and mortality rates, healthcare quality, models of care, state and federal policies related to maternal health, and more.
Additional links: Agenda, External Summary
Date: 06/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Access to Maternal Health Care in Rural Communities: A Patient's Personal Story
Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed. Transcript available below description.
Date: 06/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Overcoming Racial Disparities and Social Determinants in the Maternal Mortality Crisis
Provides testimonies and the recording of a hearing before the U.S. House Ways and Means Committee on disparities in maternal mortality. Discusses disparities by race and geographic location, social determinants of health, challenges in rural access to obstetrics, and potential steps for action. Includes testimony from the American Medical Association, American College of Obstetricians and Gynecologists, Maternal Mortality Projects Coordinator at the Virginia Department of Health, and others.
Additional links: Lisa Hollier Testimony, Loren Robinson Testimony, Melanie Rouse Testimony, Patrice Harris Testimony, American Medical Association, Video Recording
Date: 05/2019
Sponsoring organization: House Ways and Means Committee
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