Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
Regional Highlights: Changes in Hospital-Based Obstetric Care in the US, 2010-2024
Describes changes in availability of obstetric services at hospitals in the 4 U.S. census regions, including hospitals that lost obstetric services and the percentage of all hospitals without obstetric services. Features statistics with breakdowns by urban and rural areas.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy Backes Kozhimannil
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes changes in availability of obstetric services at hospitals in the 4 U.S. census regions, including hospitals that lost obstetric services and the percentage of all hospitals without obstetric services. Features statistics with breakdowns by urban and rural areas.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy Backes Kozhimannil
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Frontiers: A Rural Maternal Health Podcast Series
A podcast series that examines strategies hospitals use to improve access to maternal healthcare and connect rural areas with clinical expertise.
Additional links: Episode 1 - Frontiers: Committing to Rural Maternal Care, Episode 2 - Frontiers: The People Powering Rural Maternal Care, Episode 3 - Connected Rural Maternal Care, Closer to Home
Date: 09/2026
Sponsoring organization: American Hospital Association
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A podcast series that examines strategies hospitals use to improve access to maternal healthcare and connect rural areas with clinical expertise.
Additional links: Episode 1 - Frontiers: Committing to Rural Maternal Care, Episode 2 - Frontiers: The People Powering Rural Maternal Care, Episode 3 - Connected Rural Maternal Care, Closer to Home
Date: 09/2026
Sponsoring organization: American Hospital Association
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What Will It Take to Sustain Maternal Care in Rural Communities? These Strategies Are Helping Keep Care Close to Home
Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Risk Factors for Loss of Hospital-Based Obstetric Care in Rural and Urban Hospitals
Examines factors associated with loss of obstetric services in hospitals. Analyzes 3,108 rural and urban hospitals in 2010 and then again in 2023 to observe rates of unit or hospital closure. Includes breakdown of hospital characteristics such as distance to nearest obstetric hospital, birth volume, hospital ownership, county unemployment, and more.
Author(s): Julia D. Interrante, Caitlin Carroll, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Citation: JAMA Health Forum, 7(9), e263122
Date: 09/2026
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Examines factors associated with loss of obstetric services in hospitals. Analyzes 3,108 rural and urban hospitals in 2010 and then again in 2023 to observe rates of unit or hospital closure. Includes breakdown of hospital characteristics such as distance to nearest obstetric hospital, birth volume, hospital ownership, county unemployment, and more.
Author(s): Julia D. Interrante, Caitlin Carroll, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Citation: JAMA Health Forum, 7(9), e263122
Date: 09/2026
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Annual Overview of Hospital-Level Changes in Obstetric Services Availability, 2010-2024
First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Availability of Rural Hospitals Providing Inpatient Maternity Care in Medicaid
Examines the availability of hospitals offering inpatient maternity care in rural areas to Medicaid enrollees. Describes the median drive time between rural hospitals and the next closest in-state hospital that provides inpatient maternity care to Medicaid enrollees by state. Includes data on the number of urban and rural hospitals providing these services in each state in 2023.
Author(s): Rhiannon Euhus, Brittni Frederiksen, Alice Burns
Date: 08/2026
Sponsoring organization: KFF
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Examines the availability of hospitals offering inpatient maternity care in rural areas to Medicaid enrollees. Describes the median drive time between rural hospitals and the next closest in-state hospital that provides inpatient maternity care to Medicaid enrollees by state. Includes data on the number of urban and rural hospitals providing these services in each state in 2023.
Author(s): Rhiannon Euhus, Brittni Frederiksen, Alice Burns
Date: 08/2026
Sponsoring organization: KFF
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2026
Reports on maternal healthcare access and provides data on maternity care deserts, distribution of OB providers, and travel time to maternity care, including color-coded, county-level maps. Includes rural versus urban data comparisons of maternal health workforce availability, travel distance to care, and labor and delivery unit closures, and discusses efforts to address rural shortages, including the Rural Health Transformation Program (RHTP).
Date: 08/2026
Sponsoring organization: March of Dimes
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Reports on maternal healthcare access and provides data on maternity care deserts, distribution of OB providers, and travel time to maternity care, including color-coded, county-level maps. Includes rural versus urban data comparisons of maternal health workforce availability, travel distance to care, and labor and delivery unit closures, and discusses efforts to address rural shortages, including the Rural Health Transformation Program (RHTP).
Date: 08/2026
Sponsoring organization: March of Dimes
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Reimagining Rural Maternal and Child Health
Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Reducing Rates of Cesarean Delivery in Rural US Communities: A Systematic Review of Interventions and Approaches to Care
Provides a review of literature that analyzes interventions designed to reduce rural cesarean birth disparities. Discusses 9 studies and outlines their patient-, provider-, or health system-level interventions and focuses on strategies tailored for rural health.
Author(s): Jena L. Funakoshi, Hannah M. Collins-Doijode, Kathryn L. Braun
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Provides a review of literature that analyzes interventions designed to reduce rural cesarean birth disparities. Discusses 9 studies and outlines their patient-, provider-, or health system-level interventions and focuses on strategies tailored for rural health.
Author(s): Jena L. Funakoshi, Hannah M. Collins-Doijode, Kathryn L. Braun
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Voices From the Field: Informing Maternal Child Health Navigator Training Through Rural Practice Insights
Presents a study on Maternal-Child Health (MCH) Navigators on their perception of their preparedness for providing trauma-informed care, substance use support, and addressing drivers of health in rural Texas communities. Explores MCH Navigators' assessment of the efficacy of their training and real-world experience to prepare them for the maternal health challenges in rural communities.
Author(s): Sharon L. Dormire, Cassidy S. Doucet, Nydia Garcia, Robin Page
Citation: Journal of Primary Care & Community Health, 17
Date: 07/2026
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Presents a study on Maternal-Child Health (MCH) Navigators on their perception of their preparedness for providing trauma-informed care, substance use support, and addressing drivers of health in rural Texas communities. Explores MCH Navigators' assessment of the efficacy of their training and real-world experience to prepare them for the maternal health challenges in rural communities.
Author(s): Sharon L. Dormire, Cassidy S. Doucet, Nydia Garcia, Robin Page
Citation: Journal of Primary Care & Community Health, 17
Date: 07/2026
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