Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
America's Children: Special Issue 2024, Maternal and Infant Health and Well-Being
Examines the factors predicting maternal and infant well-being. Breaks down data by a number of measures, including food insecurity, vaccinations, maternal health, prenatal care, and more. Select data on Tdap vaccinations, smoking during pregnancy, adequacy of prenatal care, and maternal mortality are available by metro versus nonmetro location.
Date: 2024
Sponsoring organization: Federal Interagency Forum on Child and Family Statistics
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Examines the factors predicting maternal and infant well-being. Breaks down data by a number of measures, including food insecurity, vaccinations, maternal health, prenatal care, and more. Select data on Tdap vaccinations, smoking during pregnancy, adequacy of prenatal care, and maternal mortality are available by metro versus nonmetro location.
Date: 2024
Sponsoring organization: Federal Interagency Forum on Child and Family Statistics
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America's Health Rankings 2024 Health of Women and Children Report
Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in mental health conditions, education, obesity, and smoking among reproductive-age women at the national level. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage County-Level Maps, State Summaries
Date: 2024
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in mental health conditions, education, obesity, and smoking among reproductive-age women at the national level. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage County-Level Maps, State Summaries
Date: 2024
Sponsoring organization: United Health Foundation
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Rural Maternity Innovation Summit Reports
Findings from a March 2024 Clifton, Texas summit that brought together leaders from six innovative and sustainable rural maternity programs. The site report provides case studies, sharing information on maternity services, staffing, financial strategies, and more. The leader report shares strategies and identifies leadership competencies, values, and character traits that support the leaders' abilities to meet the challenges in providing sustainable rural maternity services in rural communities.
Author(s): Erin E. Sullivan, Benjamin Anderson, Mark Deutchman
Date: 2024
Sponsoring organization: University of Colorado School of Medicine Rural Program
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Findings from a March 2024 Clifton, Texas summit that brought together leaders from six innovative and sustainable rural maternity programs. The site report provides case studies, sharing information on maternity services, staffing, financial strategies, and more. The leader report shares strategies and identifies leadership competencies, values, and character traits that support the leaders' abilities to meet the challenges in providing sustainable rural maternity services in rural communities.
Author(s): Erin E. Sullivan, Benjamin Anderson, Mark Deutchman
Date: 2024
Sponsoring organization: University of Colorado School of Medicine Rural Program
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The Task Force on Maternal Mental Health's Report to Congress
A report from the U.S. Department of Health and Human Services on maternal mental health including barriers to care, federal programs doing relevant work, identifying best practices, and offering suggestions to improve federal infrastructure. Topics discussed include substance use, mortality, social determinants of health, data gathering, community engagement, telehealth, screening, violence, policy, access to care, stigma, and more. Highlights programs across the country addressing maternal mental health issues including some in rural areas. Discusses rural throughout.
Date: 2024
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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A report from the U.S. Department of Health and Human Services on maternal mental health including barriers to care, federal programs doing relevant work, identifying best practices, and offering suggestions to improve federal infrastructure. Topics discussed include substance use, mortality, social determinants of health, data gathering, community engagement, telehealth, screening, violence, policy, access to care, stigma, and more. Highlights programs across the country addressing maternal mental health issues including some in rural areas. Discusses rural throughout.
Date: 2024
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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Health Insurance Coverage and Experiences of Intimate Partner Violence and Postpartum Abuse Screening Among Rural US Residents Who Gave Birth 2016-2020
Examines the relationship among intimate partner violence (IPV), perinatal health insurance coverage, and postpartum IPV screening in rural U.S. communities. Utilizes 2016-2020 Pregnancy Risk Assessment Monitoring System data to analyze insurance status among rural residents, postpartum visits, and IPV screenings.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Journal of Rural Health, 40(4), 655-663
Date: 2024
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Examines the relationship among intimate partner violence (IPV), perinatal health insurance coverage, and postpartum IPV screening in rural U.S. communities. Utilizes 2016-2020 Pregnancy Risk Assessment Monitoring System data to analyze insurance status among rural residents, postpartum visits, and IPV screenings.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Journal of Rural Health, 40(4), 655-663
Date: 2024
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Effects of Rurality and Distance to Care on Perinatal Outcomes over a 1-Year Period During the COVID-19 Pandemic
Examines how rurality and/or distance to care impacts perinatal outcomes such as pre-eclampsia, preterm labor, neonatal intensive care, birth weight, and more. Analyzes outcomes from 2,497 patients during the COVID-19 pandemic period of May 1, 2020 to April 30, 2021, with results broken down by distance to care and metropolitan, micropolitan, or rural location.
Author(s): Pratyusha V. Bujimalla, Kimberly A. Kenne, Haley A. Steffen, et al.
Citation: Journal of Rural Health, 40(3), 520-530
Date: 2024
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Examines how rurality and/or distance to care impacts perinatal outcomes such as pre-eclampsia, preterm labor, neonatal intensive care, birth weight, and more. Analyzes outcomes from 2,497 patients during the COVID-19 pandemic period of May 1, 2020 to April 30, 2021, with results broken down by distance to care and metropolitan, micropolitan, or rural location.
Author(s): Pratyusha V. Bujimalla, Kimberly A. Kenne, Haley A. Steffen, et al.
Citation: Journal of Rural Health, 40(3), 520-530
Date: 2024
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Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Sponsoring organization: Chartis Center for Rural Health
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Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Sponsoring organization: Chartis Center for Rural Health
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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2023 March of Dimes Report Card: The State of Maternal and Infant Health for American Families
Provides information on U.S. and state-level maternal and infant health outcomes. Considers issues such as preterm birth, infant mortality rate, access to health care, policy efforts, social determinants of health, and more. Includes county-level grades of maternal vulnerability.
Date: 11/2023
Sponsoring organization: March of Dimes
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Provides information on U.S. and state-level maternal and infant health outcomes. Considers issues such as preterm birth, infant mortality rate, access to health care, policy efforts, social determinants of health, and more. Includes county-level grades of maternal vulnerability.
Date: 11/2023
Sponsoring organization: March of Dimes
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Impact of Geography and Rurality on Preconception Health Status in the United States
Examines preconception health risk and disparities in women aged 18 to 44 years according to health factors, health behaviors, and sociodemographics. Utilizes 2019 Behavioral Risk Factor Surveillance System (BRFSS) data to assess for preconception health risk with results broken down by race, age, education, insurance status, income, rural versus urban, and regional location.
Author(s): Madison D. Haiman, Catherine Cubbin
Citation: Preventing Chronic Disease, 20
Date: 11/2023
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Examines preconception health risk and disparities in women aged 18 to 44 years according to health factors, health behaviors, and sociodemographics. Utilizes 2019 Behavioral Risk Factor Surveillance System (BRFSS) data to assess for preconception health risk with results broken down by race, age, education, insurance status, income, rural versus urban, and regional location.
Author(s): Madison D. Haiman, Catherine Cubbin
Citation: Preventing Chronic Disease, 20
Date: 11/2023
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Last Updated: 5/29/2025