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Rural Health Information Hub

Rural Health
Resources by Topic: Maternal health and prenatal care

Maternal Morbidity and Mortality Measurement Recommendations Report
Provides an overview of two measurement frameworks, one for maternal morbidity and one for maternal mortality. Includes a list of short- and long-term recommendations for each measurement topic, which cover equitable treatment; timely access to treatment and services; follow-up and care coordination of care; protocols and guidelines; substance use disorders, mental health, and behavioral health; access to pain management and labor support; and patient- and family-reported outcomes and experiences of care. Discusses three potential, actionable measure concepts for maternal mortality.
Date: 08/2021
Type: Document
Sponsoring organization: National Quality Forum
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State and Regional Differences in Access to Hospital-Based Obstetric Services for Rural Residents, 2018
Highlights a study on rural access to hospital-based obstetric services by state and region. Compares rates regionally and by state across the country and discusses the factors that affect obstetrics access.
Author(s): Julia D. Interrante, Mariana S. Tuttle, Bridget Basile Ibrahim, et al.
Date: 08/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program: Highlights and Lessons Learned from the Planning Year (2019 – 2020)
Webinar recording discusses the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program and evaluates its successes and challenges. Includes information on network models and planning year activities, as well as baseline characteristics of the maternal health population prior to program implementation. Features presentations from Mission Analytics and Insight Policy Research.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 07/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Treating Perinatal Mood and Anxiety Disorders in Rural Montana
Profiles how St. Peter's Health - a health system in Helena, Montana - developed and implemented a parental support system to address gaps in postpartum mental health care. Discusses partnerships St. Peter's Health utilized to connect parents with community-based services and supports. Offers lessons learned and future goals for the program.
Date: 07/2021
Type: Document
Sponsoring organization: American Hospital Association
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Type: Document
Sponsoring organization: Texas Health and Human Services
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HHS Maternal-Child Health Emergency Planning Toolkit
Toolkit developed for healthcare providers, public health professionals, and social services providers focused on improving and addressing maternal and child health during emergencies. Provides resources, promising practices, and case studies related to planning for emergency preparedness, response, recovery, and mitigation for women who are pregnant or postpartum, infants, and young children. Includes discussion on the needs of underserved and rural populations during emergencies.
Date: 05/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Impact of Socioeconomic Status, Race and Ethnicity, and Geography on Prenatal Detection of Hypoplastic Left Heart Syndrome and Transposition of the Great Arteries
Results of a study of 1,862 prenatal and postnatal patients from 21 North American cardiology centers, to determine whether socioeconomic and geographic factors were correlated with lower rates of prenatal detection of hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). Also compares social determinants of health between the U.S. and Canada due to different healthcare systems. Features demographics and statistics with breakdowns by rural or nonrural location.
Author(s): Anita Krishnan, Marni B. Jacobs, Shaine A. Morris, et al.
Citation: Circulation, 143(20), 2049-2060
Date: 05/2021
Type: Document
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Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study
Results of a study to examine the effects of the Accreditation Council for Graduate Medical Education's 2014 update requiring obstetrical experience during family medicine residency training to be changed from a volume-based to a competency-based requirement of 200 hours. Features statistics with breakdowns by 6 levels of community size, ranging from less than 30,000 to more than one million.
Author(s): Julia Fashner, Christina Cavanagh, Aimee Eden
Citation: Family Medicine, 53(5), 331-337
Date: 05/2021
Type: Document
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Evaluation of the Rural Maternity and Obstetrics Management Strategies Program: First Annual Report
Reports on the Rural Maternity and Obstetrics Management Strategies (RMOMS) program awardees' planning year 2019-2020. Introduces the program, the need for increased access to maternal and obstetric care in rural areas, and the program's strategic goals. Offers an overview of the 3 RMOMS awardees in Texas, Missouri, and New Mexico and rural maternal health challenges in each area.
Additional links: Executive Summary
Date: 04/2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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