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Rural Health
Resources by Topic: Maternal health and prenatal care

2020 Alabama State Health Assessment
Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Type: Document
Sponsoring organization: Alabama Department of Public Health
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A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Reports on a critical review of maternal and infant mortality literature to observe how social determinants of health relate to health disparities for mothers and babies of racial/ethnic minorities, less privileged socioeconomic statuses, and rural geographies. Includes discussion about rural versus urban differences in maternal and infant mortality.
Author(s): Rada K. Dagher, Deborah E. Linares
Citation: Children, 9(3), 394
Date: 03/2022
Type: Document
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HHS Strategic Plan FY 2022 - 2026
Identifies the strategic goals and objectives of the U.S. Department of Health and Human Services (HHS). Addresses issues impacting rural and tribal communities, including health disparities, healthcare access, and health workforce. Discusses maternal mortality, emergency preparedness, and other specific concerns.
Date: 03/2022
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care
Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
Type: Document
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Rural Health Research Recap: Opioid Use Disorder and Treatment: Rural-Urban Comparisons
Summary of research on opioid use disorder (OUD) among youth, young adults, and pregnant women, the impact of OUD on hospitals and emergency departments, and the use of buprenorphine and partial psychiatric hospitalization programs as treatment for OUD. Features statistics including population-adjusted emergency department rates per 100 people from 2005-2016 and opioid-related emergency room visit rates per 100,000 people in 2006 and 2013, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 02/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year
Examines the stability of the rural healthcare safety net. Discusses disparities between rural and urban communities and communities with hospitals vulnerable to closure. Describes the benefits of COVID-19 relief funding on rural hospitals and how scheduled reimbursement cuts and staffing shortages could impact hospitals' financial stability. Also discusses how staffing shortages impact access to obstetrics and chemotherapy care in rural areas.
Date: 02/2022
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Cardiometabolic Health after First Pregnancy: Associations with Social Determinants of Health. A nuMoM2b-HHS Study
Examines connections between social determinants of health and metabolic syndrome after first pregnancy, including hypertension, diabetes, and obesity. Reports on metabolic syndrome in 4,484 participants broken down by income, education, acculturation, social support, insurance, and health literacy. Includes rural versus urban data in Table 2.
Author(s): N.A. Bello, J. Moore, E. C. Miller, et al.
Citation: American Heart Journal Plus: Cardiology Research and Practice, 13
Date: 01/2022
Type: Document
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Prenatal Telemedicine During COVID-19: Patterns of Use and Barriers to Access
Study examining patient experiences with prenatal telemedicine based on a survey of 164 pregnant patients at a rural New England medical center. Covers barriers to accessing care, internet access, remote surveillance tools, and engagement with providers.
Author(s): Allie Morgan, Daisy Goodman, Julia Vinagolu-Baur, Ilana Cass
Citation: JAMIA Open, 5(1)
Date: 01/2022
Type: Document
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Trends in the Incidence of New‐Onset Hypertensive Disorders of Pregnancy Among Rural and Urban Areas in the United States, 2007 to 2019
Examines 51,685,525 live births in rural and urban women between 2007 and 2019 to study incidence of hypertensive disorders of pregnancy. Provides Centers for Disease Control and Prevention Natality Database statistics and data broken down by rural/urban category, age, race/ethnicity, and census region, among others. Discusses impacts of trend changes in hypertensive disorders in both rural and urban areas.
Author(s): Natalie A. Cameron, Ian Everitt, Laura E. Seegmiller, et al.
Citation: Journal of the American Heart Association, 11(2)
Date: 01/2022
Type: Document
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