Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
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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2010-2024 County-Level Hospital-Based Obstetric Care Status
County-level dataset containing the county Federal Information Processing Standard (FIPS) code, county, state, and indicator of whether each county had hospital-based obstetrics care in years 2010-2024. Available for download as an XLS file.
Author(s): Julia D. Interrante, Emily C. Sheffield, Kevan O'Hanlon, Katy Kozhimannil
Date: 05/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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County-level dataset containing the county Federal Information Processing Standard (FIPS) code, county, state, and indicator of whether each county had hospital-based obstetrics care in years 2010-2024. Available for download as an XLS file.
Author(s): Julia D. Interrante, Emily C. Sheffield, Kevan O'Hanlon, Katy Kozhimannil
Date: 05/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Environmental Supports, Expectations, and Barriers to Leisure-Time Physical Activity During Pregnancy: A Rural–Urban Comparison
Discusses leisure-time physical activity (LTPA) during pregnancy among rural and urban populations. Utilizes data from 374 pregnant women regarding their LTPA and related environmental support for LTPA in the first trimester with data broken down according to demographics as well as urban, micropolitan, or small town rural location.
Author(s): Carly Williamson Rogers, Alex Crisp, Katrina Wilhite, et al.
Citation: Journal of Rural Health, 42(2), e70166
Date: 05/2026
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Discusses leisure-time physical activity (LTPA) during pregnancy among rural and urban populations. Utilizes data from 374 pregnant women regarding their LTPA and related environmental support for LTPA in the first trimester with data broken down according to demographics as well as urban, micropolitan, or small town rural location.
Author(s): Carly Williamson Rogers, Alex Crisp, Katrina Wilhite, et al.
Citation: Journal of Rural Health, 42(2), e70166
Date: 05/2026
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Career Pathways and Employment Experiences of Certified Nurse-Midwives Compared With Other Advanced Practice Registered Nurses in the United States
Examines how certified nurse midwife (CNM) demographics, career pathways, and job experiences changed from 2018-2022 and in comparison with other advanced practice registered nurses (APRNs). Uses data from the National Sample Survey of Registered Nurses. Features demographics and statistics including percentages of CNMs working in rural areas and Health Professional Shortage Areas.
Author(s): Paula M. Kett, Kyla F. Woodward, Shahida Shahrir, Selina A. Mohammed
Citation: Journal of Midwifery & Women's Health, 0(1)
Date: 04/2026
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Examines how certified nurse midwife (CNM) demographics, career pathways, and job experiences changed from 2018-2022 and in comparison with other advanced practice registered nurses (APRNs). Uses data from the National Sample Survey of Registered Nurses. Features demographics and statistics including percentages of CNMs working in rural areas and Health Professional Shortage Areas.
Author(s): Paula M. Kett, Kyla F. Woodward, Shahida Shahrir, Selina A. Mohammed
Citation: Journal of Midwifery & Women's Health, 0(1)
Date: 04/2026
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State Action to Improve Maternal & Child Health with the Rural Health Transformation Program: Virtual Convening of Milbank State Leadership Network Recap
Summarizes a March 2026 meeting for state legislators and executive branch leaders regarding how states are planning to use the Rural Health Transformation Program (RHTP) to address maternal and child health. Describes early implementation strategies presented by leaders from Mississippi, Indiana, and Oklahoma. Discusses how states are aligning funding, infrastructure, and community partnerships to expand access to care and improve outcomes.
Author(s): Mary Louise Gilburg, Morgan McDonald
Date: 04/2026
Sponsoring organization: Milbank Memorial Fund
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Summarizes a March 2026 meeting for state legislators and executive branch leaders regarding how states are planning to use the Rural Health Transformation Program (RHTP) to address maternal and child health. Describes early implementation strategies presented by leaders from Mississippi, Indiana, and Oklahoma. Discusses how states are aligning funding, infrastructure, and community partnerships to expand access to care and improve outcomes.
Author(s): Mary Louise Gilburg, Morgan McDonald
Date: 04/2026
Sponsoring organization: Milbank Memorial Fund
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Health Insurance Coverage and Rural–Urban Differences in Maternal Health Care Among Postpartum Women—National Health Interview Survey
Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Reporting and Performance of Maternity-Related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Association Between Social Determinants of Health and Cardiovascular Risk in Pregnant Women, United States
Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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