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Rural Health
Resources by Topic: Maternal health and prenatal care

Models of Success in Rural Maternity Care: Kearny County Hospital
Profiles the maternity program at Kearny County Hospital, a Critical Access Hospital in rural Lakin, Kansas. Describes key features of the program including mission-based recruitment and strong communication. Includes recommendations for emulating this model.
Author(s): Carrie Henning-Smith, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Models of Success in Rural Maternity Care: ANGELS Network & Millard-Henry Clinic
Describes the Antenatal and Neonatal Guidelines, Education, and Learning System (ANGELS) program, a high-risk pregnancy program based at the University of Arkansas for Medical Science designed to improve the ability of tertiary care facilities in the state to deliver low birth weight babies. Discusses the importance of communication between ANGELS staff and partner clinics and the role of telehealth services for specialty care.
Author(s): Megan Lahr, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Models of Success in Rural Maternity Care: Western Wisconsin Health
Profiles Western Wisconsin Health, a Critical Access Hospital in rural Wisconsin with a successful obstetrics unit. Describes the philosophy of the leadership and staff, as well as the scope of services. Includes recommendations for emulating this model.
Author(s): Katy B. Kozhimannil, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rethinking Rural Health: FY 2020 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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HRSA Programs Serve Rural Communities
Infographic provides an overview of the Health Resources and Services Administration programs serving rural areas. Covers rural health, health center, health workforce, HIV/AIDS, and maternal and child health programs.
Date: 11/2020
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, Health Resources and Services Administration
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Maternal Morbidity and Mortality Environmental Scan
Reports on an environmental scan to define maternal morbidity and identify risk factors, processes, and innovations relevant to maternal morbidity and mortality care delivery and measurement. Discusses rurality as a factor influencing maternal health outcomes.
Date: 11/2020
Type: Document
Sponsoring organization: National Quality Forum
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Making it Work: Models of Success in Rural Maternity Care
Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith, Megan Lahr, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Addressing Opioid Use Disorder among Rural Pregnant and Postpartum Women: A Study Protocol
Explores a study examining the rates of prenatal opioid use disorder and neonatal opioid withdrawal syndrome in rural areas. Study includes provider-level measurements such as patient retention, adoption of evidence-based practices, and attitude towards substance misuse, among others, and patient-level measurements such as substances used, co-occurring conditions, and birth outcomes, among others.
Author(s): M. Aryana Bryan, Marcela C. Smid, Melissa Cheng, et al.
Citation: Addiction Science and Clinical Practice, 15, 33
Date: 10/2020
Type: Document
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Influenza and Tdap Vaccination Coverage Among Pregnant Women — United States, April 2020
Examines influenza and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) vaccination coverage among women pregnant during the 2019–20 influenza season. Includes data by location of residence for rural and nonrural areas.
Author(s): Hilda Razzaghi, Katherine E. Kahn, Carla L. Black, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(39), 1391-1397
Date: 10/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Characteristics of US Rural Hospitals by Obstetric Service Availability, 2017
Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
Type: Document
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