Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
The Availability of Midwifery Care in Rural United States Communities
Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Rural-Urban Differences in Midwifery Care During Childbirth in the US
Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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How a Rural Health System Continues to Provide Essential Obstetric Services
Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Type: Audio
Sponsoring organization: American Hospital Association
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS 1809-P)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; a proposal to include an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a proposal for new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; a proposal to include an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a proposal for new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Loss of Hospital-Based Obstetric Services in Rural Counties in the United States, 2010-2022
Infographic displaying data on the loss of hospital-based obstetric services in rural counties between 2010 and 2022. Compares changes in in-county hospital-based obstetric care by rural county type - micropolitan versus noncore - using data from the 2010-2022 American Hospital Association (AHA) Annual Surveys, the Centers for Medicare & Medicaid Services (CMS) Provider of Services File, and the Health Resources and Services Administration (HRSA) Area Health Resources File.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alyssa H. Fritz, Emily C. Sheffield
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Infographic displaying data on the loss of hospital-based obstetric services in rural counties between 2010 and 2022. Compares changes in in-county hospital-based obstetric care by rural county type - micropolitan versus noncore - using data from the 2010-2022 American Hospital Association (AHA) Annual Surveys, the Centers for Medicare & Medicaid Services (CMS) Provider of Services File, and the Health Resources and Services Administration (HRSA) Area Health Resources File.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alyssa H. Fritz, Emily C. Sheffield
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Evolution of Health System Planning and Implementation of Maternal Telehealth Services During the COVID-19 Pandemic
Analyzes the impact of telehealth to provide maternal healthcare services during the COVID-19 pandemic. Utilizes interview feedback from 15 health system leaders to discuss issues such as telehealth reimbursement, research, access, barriers, and integration. Includes commentary on telehealth use in rural areas.
Author(s): Monisa Aijaz, Burcu Bozkurt, Arrianna Marie Planey, et al.
Citation: Digital Health, 10
Date: 06/2024
Type: Document
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Analyzes the impact of telehealth to provide maternal healthcare services during the COVID-19 pandemic. Utilizes interview feedback from 15 health system leaders to discuss issues such as telehealth reimbursement, research, access, barriers, and integration. Includes commentary on telehealth use in rural areas.
Author(s): Monisa Aijaz, Burcu Bozkurt, Arrianna Marie Planey, et al.
Citation: Digital Health, 10
Date: 06/2024
Type: Document
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Using mHealth to Reduce Disparities in Black Maternal Health: Perspectives from Black Rural Postpartum Mothers
Provides an overview of factors impacting Black maternal health in rural Georgia. Describes research regarding mobile health (mHealth) as a tool for advancing sexual and reproductive health outcomes. Summarizes findings from group interviews with 14 women and identifies themes related to facilitators and barriers to postpartum transitional care for rural Black women.
Author(s): Natalie Hernandez-Green, Morgan V. Davis, Oluyemi Farinu, et al.
Citation: Women's Health, 20
Date: 05/2024
Type: Document
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Provides an overview of factors impacting Black maternal health in rural Georgia. Describes research regarding mobile health (mHealth) as a tool for advancing sexual and reproductive health outcomes. Summarizes findings from group interviews with 14 women and identifies themes related to facilitators and barriers to postpartum transitional care for rural Black women.
Author(s): Natalie Hernandez-Green, Morgan V. Davis, Oluyemi Farinu, et al.
Citation: Women's Health, 20
Date: 05/2024
Type: Document
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Task Force on Maternal Mental Health: National Strategy to Improve Maternal Mental Health Care
Offers 5 recommendations for improving maternal mental health and associated substance use disorders using a whole-government approach by building infrastructure to improve care. Recommendations discuss federal collaboration, accessibility of care, data gathering, prevention strategies, and engaging those with lived experience. Discusses rural throughout.
Date: 05/2024
Type: Document
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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Offers 5 recommendations for improving maternal mental health and associated substance use disorders using a whole-government approach by building infrastructure to improve care. Recommendations discuss federal collaboration, accessibility of care, data gathering, prevention strategies, and engaging those with lived experience. Discusses rural throughout.
Date: 05/2024
Type: Document
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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Navigating Geographical Disparities: Access to Obstetric Hospitals in Maternity Care Deserts and Across the United States
Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
Type: Document
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Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
Type: Document
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Last Updated: 7/24/2024