Rural Health
Resources by Topic: Maternal health and prenatal care
Voices of Experience: Lay Perspectives on Severe Maternal Morbidity in Appalachia
Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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Proximity to Hospital-Based Obstetric Care in a Maternity Desert in the Deep South
Examines access to hospital facilities with maternity services in a rural Alabama county by measuring driving distance from maternal residence to birth hospital. Discusses the impact of maternity care deserts on rural residents.
Author(s): Jenna James, Steven R. Schultze, Alyssa Lee, Allen Perkins, Casey L. Daniel
Citation: American Journal of Public Health, 114(S4), S289-S336
Date: 05/2024
Type: Document
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Examines access to hospital facilities with maternity services in a rural Alabama county by measuring driving distance from maternal residence to birth hospital. Discusses the impact of maternity care deserts on rural residents.
Author(s): Jenna James, Steven R. Schultze, Alyssa Lee, Allen Perkins, Casey L. Daniel
Citation: American Journal of Public Health, 114(S4), S289-S336
Date: 05/2024
Type: Document
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Rural Health Care: Supporting Lives and Improving Communities
Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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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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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
Date: 05/2024
Type: Document
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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
Date: 05/2024
Type: Document
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Challenges and Strategies in Expanding Non-Traditional Pregnancy-Related Services: Findings from a Survey of State Medicaid Programs
Presents Medicaid reimbursement information for non-traditional pregnancy-related services, such as doula care, childbirth and parenting classes, lactation support, and more. Includes commentary on service challenges in rural areas.
Author(s): Anna Mudumala, Kathleen Gifford, Usha Ranji, Elizabeth Hinton
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Presents Medicaid reimbursement information for non-traditional pregnancy-related services, such as doula care, childbirth and parenting classes, lactation support, and more. Includes commentary on service challenges in rural areas.
Author(s): Anna Mudumala, Kathleen Gifford, Usha Ranji, Elizabeth Hinton
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Arizona Rural Maternity Care
Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018
Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 2024
Date: 04/2024
Type: Document
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Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 2024
Date: 04/2024
Type: Document
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Rural Maternal Health Series: Implementing Patient Safety Bundles in Rural Hospitals
Webinar recording, third in a series, discusses the Alliance for Innovation on Maternal Health (AIM) bundles, a standardized set of processes for improving maternal healthcare quality and safety in rural hospitals. Features presentations from representatives of the American College of Obstetricians and Gynecologists (ACOG), Alliance for Innovation on Maternal Health (AIM), the Iowa Maternal Quality Care Collaborative, and Gundersen Palmer Hospital in West Union, Iowa.
Additional links: Audio Recording, Webinar Slides
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording, third in a series, discusses the Alliance for Innovation on Maternal Health (AIM) bundles, a standardized set of processes for improving maternal healthcare quality and safety in rural hospitals. Features presentations from representatives of the American College of Obstetricians and Gynecologists (ACOG), Alliance for Innovation on Maternal Health (AIM), the Iowa Maternal Quality Care Collaborative, and Gundersen Palmer Hospital in West Union, Iowa.
Additional links: Audio Recording, Webinar Slides
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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