Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
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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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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