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Rural Health
Resources by Topic: Prenatal care and obstetrics

Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018
Examines self-reported drinking in the past 12 months, current drinking, binge drinking, and the co-use of other substances among pregnant females aged 12–44 years. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Lucinda J. England, Carolyne Bennett, Clark H. Denny, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(31), 1009-1014
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Providing Maternity Care in a Rural Northern Iowa Community
Describes how a rural Critical Access Hospital in Iowa has sustained its maternity care practice, and offers suggestions for other rural hospitals and communities seeking to retain local access to pregnancy and childbirth services.
Author(s): Alexandria Kristensen-Cabrera, Julia D. Interrante, Carrie Henning-Smith, Katy Kozhimannil
Date: 08/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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COVID-19: Maternal and Child Health During COVID-19
Provides information and resources regarding pregnancy, maternal, and neonatal health during the COVID-19 pandemic. Includes examples, tools, and policies from hospitals nationwide on mitigating risk in labor and delivery, visitation policies, utilizing remote resources, racial disparities, and more.
Date: 08/2020
Type: Document
Sponsoring organization: American Hospital Association
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Loss of Hospital-based Obstetric Services in Rural Counties in the United States, 2004-2018
Line chart showing the percent of micropolitan and noncore counties that had hospital-based obstetric care from 2004 through 2018.
Author(s): Katy B Kozhimannil, Julia D Interrante, Mariana S Tuttle
Date: 07/2020
Type: Chart/Graph
Sponsoring organization: University of Minnesota Rural Health Research Center
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American College of Obstetricians and Gynecologists: COVID-19
Provides resources and guidance on the treatment of pregnant patients related to COVID-19. Addresses clinical information, practice management, and more.
Date: 07/2020
Type: Website
Sponsoring organization: American College of Obstetricians and Gynecologists
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The Supply and Rural-Urban Distribution of the Obstetrical Care Workforce in the U.S
Highlights the supply of obstetrical care workers in rural and urban areas in the U.S. Compares rates of midwives, advanced practice midwives, obstetricians, and family practice physicians who deliver babies per 100,000 women of childbearing age in rural counties. Features a state-by state analysis and state-level profiles.
Additional links: State-level Reports
Author(s): Davis Patterson, Holly Andrilla, Lisa Garberson
Date: 06/2020
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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COVID-19 Exposes Threat to America's Broken Rural Health Care System
Recording of an April 21, 2020, webinar featuring members of the Bipartisan Policy Center's Rural Health Task Force. Discusses the Task Force's policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care as outlined in the report Confronting Rural America's Health Care Crisis. Describes how these recommendations will address the closures of obstetrics units, promote value-based care, provide incentives for clinicians to stay in rural areas, and remove barriers to telehealth. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 04/2020
Type: Video/Multimedia
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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