This website is being reviewed for updates. Some information is offline. We apologize for any inconvenience.
Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Maternal health and prenatal care

A Qualitative Study of Systems-Level Factors That Affect Rural Obstetric Nurses' Work During Clinical Emergencies
Evaluates systems-level factors affecting rural obstetric nurses and their care for patients experiencing clinical deterioration from interviews with 11 nurses and physicians at rural hospitals in Massachusetts and New Hampshire. Identifies challenges and opportunities related to resource shortages, cooperation in the workplace, conflicting workplace responsibilities, facility policies and procedures, and more.
Author(s): Samantha L. Bernstein, Maya Piccolo, Elisabeth Grills, Kenneth Catchpole
Citation: The Joint Commission Journal on Quality and Patient Safety, 2024
Date: 12/2023
view details
Annual Report on the New Hampshire Health Care Workforce and Data Collection: Calendar Year 2023
Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2023
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
view details
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
view details
Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions
Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
view details
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 race, income, mental health, rurality, environment, violence, trauma, and more. 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
view details
The Effect of Pesticide Spray Season and Residential Proximity to Agriculture on Glyphosate Exposure among Pregnant People in Southern Idaho, 2021
Evaluated regular urine samples of 40 pregnant people in Idaho to determine the impact of pesticide exposure on pregnant people both near and far from agricultural fields. Analysis included before, during, and after "spray season" or the time of the year when pesticide is most likely to be applied.
Author(s): Cynthia L. Curl, Carly Hyland, Meredith Spivak, et al.
Citation: Environmental Health Perspectives, 131(12)
Date: 12/2023
view details
Evaluating Maternal Health Capacity Building in Rural and Underserved Areas: A Research Protocol
Describes a research protocol evaluating a project addressing maternal care shortages in rural and underserved areas of Utah.
Author(s): R.W. Owens, T.C. Whittaker, A. Galt, et al.
Citation: Rural and Remote Health, 23(4)
Date: 12/2023
view details
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
view details
Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People
Interviewed 30 rural Spanish speaking women who were pregnant or recently postpartum to determine social media advertisement factors that influenced COVID-19 vaccine acceptance. Offers recommendations for public health messaging campaigns based on findings.
Author(s): Magali Sanchez, Iveliz Martel, Elizabeth Cox, et al.
Citation: Vaccines (Basel), 11(11), 1726
Date: 11/2023
view details
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
view details