Rural Health
Resources by Topic: Maternal health and prenatal care
A Comparison of Evidence-Based Supports for Maternal and Infant Health in 133 Rural US Counties with and without Hospital-Based Obstetric Care
An infographic that provides information on available maternal and infant supports in rural areas. Includes data from 133 surveyed hospital administrators regarding access to breastfeeding groups, doula care, childbirth education classes, and more.
Author(s): Phoebe L. Chastain, Mariana S. Tuttle, Alyssa H. Fritz, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 12/2022
Sponsoring organization: University of Minnesota Rural Health Research Center
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An infographic that provides information on available maternal and infant supports in rural areas. Includes data from 133 surveyed hospital administrators regarding access to breastfeeding groups, doula care, childbirth education classes, and more.
Author(s): Phoebe L. Chastain, Mariana S. Tuttle, Alyssa H. Fritz, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 12/2022
Sponsoring organization: University of Minnesota Rural Health Research Center
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Mental Health Disorders Among Delivery Inpatient Stays by Patient Race and Ethnicity, 2020
Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Doula Care and Maternal Health: An Evidence Review
Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Report of the (Pennsylvania) Opioid Abuse Child Impact Task Force: Act 2 of 2022
Identifies strategies to mitigate the suffering of Pennsylvania infants and children affected by the opioid epidemic and alcohol abuse. Offers 13 actionable recommendations for consideration by the General Assembly and governor. Mentions rural throughout, and includes county-level maps showing higher rates of opioid use disorder and its consequences in Pennsylvania rural counties.
Author(s): Glenn J. Pasewicz, Allison N. Kobzowicz, Daniel Nguyen, et al.
Date: 11/2022
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Identifies strategies to mitigate the suffering of Pennsylvania infants and children affected by the opioid epidemic and alcohol abuse. Offers 13 actionable recommendations for consideration by the General Assembly and governor. Mentions rural throughout, and includes county-level maps showing higher rates of opioid use disorder and its consequences in Pennsylvania rural counties.
Author(s): Glenn J. Pasewicz, Allison N. Kobzowicz, Daniel Nguyen, et al.
Date: 11/2022
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Maternal Telehealth: Innovations and Hawaiʻi Perspectives
Examines access to maternal-fetal medicine (MFM) subspecialty services via telemedicine in high-risk patients in remote Hawai'i. Includes a literature review on telehealth MFM, discusses efficacy of currently available telemedicine technologies, and covers obstetric outcomes and barriers of telehealth MFM.
Author(s): Cathlyn Sullivan, Marguerite Cazin, Christina Higa, Ivica Zalud, Men-Jean Lee
Citation: Journal of Perinatal Medicine, 51(1), 69-82
Date: 11/2022
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Examines access to maternal-fetal medicine (MFM) subspecialty services via telemedicine in high-risk patients in remote Hawai'i. Includes a literature review on telehealth MFM, discusses efficacy of currently available telemedicine technologies, and covers obstetric outcomes and barriers of telehealth MFM.
Author(s): Cathlyn Sullivan, Marguerite Cazin, Christina Higa, Ivica Zalud, Men-Jean Lee
Citation: Journal of Perinatal Medicine, 51(1), 69-82
Date: 11/2022
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Remotely Sensed Measures of Hurricane Michael Damage and Adverse Perinatal Outcomes and Access to Prenatal Care Services in the Florida Panhandle
Examines the damage caused by Hurricane Michael in 2018 on residential buildings in the predominantly rural Florida panhandle and the relationship to adverse perinatal outcomes and access to prenatal care (PNC) services in this population. Compares aerial photography of building damage to 8,965 women's geocoded addresses, utilizing data from the Florida Department of Health's Office of Vital Statistics. Includes demographic information of women giving birth in high risk/damaged areas and the related associations to perinatal outcomes and access to PNC services.
Author(s): Ke Pan, Elaina Gonsoroski, Christopher K. Uejio, et al.
Citation: Environmental Health, 21, 118
Date: 11/2022
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Examines the damage caused by Hurricane Michael in 2018 on residential buildings in the predominantly rural Florida panhandle and the relationship to adverse perinatal outcomes and access to prenatal care (PNC) services in this population. Compares aerial photography of building damage to 8,965 women's geocoded addresses, utilizing data from the Florida Department of Health's Office of Vital Statistics. Includes demographic information of women giving birth in high risk/damaged areas and the related associations to perinatal outcomes and access to PNC services.
Author(s): Ke Pan, Elaina Gonsoroski, Christopher K. Uejio, et al.
Citation: Environmental Health, 21, 118
Date: 11/2022
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Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them
Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Sponsoring organization: KFF
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Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Sponsoring organization: KFF
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Improving Maternal Health Outcomes To Reduce Maternal Mortality and Severe Maternal Morbidity
Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Additional links: Strategic Planning Summary
Date: 10/2022
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Additional links: Strategic Planning Summary
Date: 10/2022
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Association of Health Insurance, Geography, and Race and Ethnicity with Disparities in Receipt of Recommended Postpartum Care in the US
Explores whether there is a significant difference in the characteristics of patients who received a postpartum visit and the content covered in these visits. Uses data from the 2016-2019 Pregnancy Risk Assessment Monitoring System (PRAMS) surveys to compare visit attendance and content across health insurance type, rural or urban residency, and race and ethnicity.
Author(s): Julia D. Interrante, Lindsay Admon, Caitlin Carroll, et al.
Citation: JAMA Health Forum, 3(10), e223292
Date: 10/2022
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Explores whether there is a significant difference in the characteristics of patients who received a postpartum visit and the content covered in these visits. Uses data from the 2016-2019 Pregnancy Risk Assessment Monitoring System (PRAMS) surveys to compare visit attendance and content across health insurance type, rural or urban residency, and race and ethnicity.
Author(s): Julia D. Interrante, Lindsay Admon, Caitlin Carroll, et al.
Citation: JAMA Health Forum, 3(10), e223292
Date: 10/2022
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