Rural Health
Resources by Topic: Maternal health and prenatal care
'A Silent, Unmet Need': Rural Motherhood and the Challenges of Postpartum Care
Discusses the importance of rural access to postpartum care, including perinatal mental healthcare. Features programs in Montana, Maine, and Alaska that are providing support to rural mothers via postpartum doulas, telehealth, and home visiting.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the importance of rural access to postpartum care, including perinatal mental healthcare. Features programs in Montana, Maine, and Alaska that are providing support to rural mothers via postpartum doulas, telehealth, and home visiting.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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The 2024 State of Poverty in Ohio Report
Provides an overview of poverty in Ohio, with a focus on childhood poverty, family impacts, food security, healthcare access, and more. Includes county-level data on poverty rates, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-approved vendors, and maternity care access.
Date: 10/2024
Type: Document
Sponsoring organization: Ohio Association of Community Action Agencies
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Provides an overview of poverty in Ohio, with a focus on childhood poverty, family impacts, food security, healthcare access, and more. Includes county-level data on poverty rates, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-approved vendors, and maternity care access.
Date: 10/2024
Type: Document
Sponsoring organization: Ohio Association of Community Action Agencies
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Healthcare Cost and Utilization Project (HCUP) Maternal Health Chartbook 2010–2019
Analyzes data from the National Inpatient Sample from between 2010 and 2019 to highlight trends in maternal health related to diabetes, hypertension, mental health disorders, substance use disorders, and severe maternal morbidity. Includes data by expected payer, patient characteristics, and geography. Includes large metropolitan, medium/small metropolitan, and nonmetropolitan comparisons throughout.
Author(s): Lawrence Reid, Kimberly Marin, Jessica Monnet
Date: 10/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Analyzes data from the National Inpatient Sample from between 2010 and 2019 to highlight trends in maternal health related to diabetes, hypertension, mental health disorders, substance use disorders, and severe maternal morbidity. Includes data by expected payer, patient characteristics, and geography. Includes large metropolitan, medium/small metropolitan, and nonmetropolitan comparisons throughout.
Author(s): Lawrence Reid, Kimberly Marin, Jessica Monnet
Date: 10/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Oregon Areas of Unmet Health Care Need Report, 2024
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2024
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2024
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021
Examines severe maternal morbidity (SMM) in U.S. women by patient characteristics and type of SMM complication. Utilizes 2016-2021 National Inpatient Sample (NIS) data to analyze yearly trends, with breakdowns for patient age, race/ethnicity, insurance status, income, and residence by large metro, medium/small metro, or nonmetro. Discusses impacts of COVID-19 on SMM trends.
Author(s): Lawrence D. Reid
Date: 09/2024
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Examines severe maternal morbidity (SMM) in U.S. women by patient characteristics and type of SMM complication. Utilizes 2016-2021 National Inpatient Sample (NIS) data to analyze yearly trends, with breakdowns for patient age, race/ethnicity, insurance status, income, and residence by large metro, medium/small metro, or nonmetro. Discusses impacts of COVID-19 on SMM trends.
Author(s): Lawrence D. Reid
Date: 09/2024
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Obstetric Outcomes among Rural Parturients across US Urban and Rural Hospitals
Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
Type: Document
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Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
Type: Document
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Maternal Respiratory Syncytial Virus Vaccination and Receipt of Respiratory Syncytial Virus Antibody (Nirsevimab) by Infants Aged <8 Months — United States, April 2024
Reports on maternal respiratory syncytial virus (RSV) vaccination and administration of RSV antibody (nirsevimab) to infants. Includes data by location of residence for rural and nonrural areas.
Author(s): Hilda Razzaghi, Emma Garacci, Katherine E. Kahn, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(38), 837-843
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on maternal respiratory syncytial virus (RSV) vaccination and administration of RSV antibody (nirsevimab) to infants. Includes data by location of residence for rural and nonrural areas.
Author(s): Hilda Razzaghi, Emma Garacci, Katherine E. Kahn, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(38), 837-843
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Final Report of the Rural Texas Obstetrics Study
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Type: Document
Sponsoring organization: Stroudwater Associates
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Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Type: Document
Sponsoring organization: Stroudwater Associates
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Pediatric and Pregnancy-related Visits at Rural Health Clinics in 2018 among Medicaid/CHIP Enrollees in 20 States
Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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