Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
Rural Obstetric Unit Closures and Maternal and Infant Health
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Exploring Health Center Capacity in Rural Maternity Care Deserts
Examines the capacity for health centers to provide maternal healthcare in rural maternity care deserts. Compares the performance of priority health centers (PHC) and non-PHCs and national benchmarks on the prenatal patients, the number of patients who delivered with a health center provider, the percent low birth weight babies, and the percent prenatal patients who received prenatal care in the first trimester.
Date: 2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Examines the capacity for health centers to provide maternal healthcare in rural maternity care deserts. Compares the performance of priority health centers (PHC) and non-PHCs and national benchmarks on the prenatal patients, the number of patients who delivered with a health center provider, the percent low birth weight babies, and the percent prenatal patients who received prenatal care in the first trimester.
Date: 2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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The Surgeon General's Call to Action to Improve Maternal Health
Describes the state of maternal health in the United States, including data and statistics on mortality and morbidity. Discusses risks to maternal health, such as high blood pressure, diabetes, infectious diseases, mental health conditions, intimate partner violence, and more. Recommends strategies and actions that individuals, organizations, and communities can implement to improve maternal health and reduce maternal morbidity and mortality. Includes rural references throughout.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Describes the state of maternal health in the United States, including data and statistics on mortality and morbidity. Discusses risks to maternal health, such as high blood pressure, diabetes, infectious diseases, mental health conditions, intimate partner violence, and more. Recommends strategies and actions that individuals, organizations, and communities can implement to improve maternal health and reduce maternal morbidity and mortality. Includes rural references throughout.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Healthy Women, Healthy Pregnancies, Healthy Futures: Action Plan to Improve Maternal Health in America
Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Infant Mortality in Rural and Nonrural Counties in the United States
Examines infant mortality at the county level and across the rural-urban continuum of the U.S. Utilizes infant death records from 2014 to 2016 to analyze infant mortality by rural-urban classification, county-level demographics, and individual-level demographics and healthcare characteristics.
Author(s): Deborah B. Ehrenthal, Hsiang-Hui Daphne Kuo, Russell S. Kirby
Citation: Pediatrics, 146(5)
Date: 11/2020
Type: Document
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Examines infant mortality at the county level and across the rural-urban continuum of the U.S. Utilizes infant death records from 2014 to 2016 to analyze infant mortality by rural-urban classification, county-level demographics, and individual-level demographics and healthcare characteristics.
Author(s): Deborah B. Ehrenthal, Hsiang-Hui Daphne Kuo, Russell S. Kirby
Citation: Pediatrics, 146(5)
Date: 11/2020
Type: Document
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Promoting Access to Care for Women of Reproductive Age with Mental Health and Substance Use Disorders in Rural Communities
Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Type: Document
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Type: Document
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Maternal and Obstetric Care Challenges in Rural America from the National Advisory Committee on Rural Health and Human Services
Webinar recording discusses a National Advisory Committee on Rural Health and Human Services' policy brief on the challenges of providing maternal and obstetric care in rural communities. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, Centers for Medicare and Medicaid Services, Mercer University, and MSMP Anesthesia Services LLC.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording discusses a National Advisory Committee on Rural Health and Human Services' policy brief on the challenges of providing maternal and obstetric care in rural communities. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, Centers for Medicare and Medicaid Services, Mercer University, and MSMP Anesthesia Services LLC.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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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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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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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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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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Last Updated: 7/5/2024