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Rural Health
Resources by Topic: Maternal health and prenatal care

Area-Level Risk Factors for Adverse Birth Outcomes: Trends in Urban and Rural Settings
Examines whether adverse birth outcomes trends were associated with ZIP code-level percent poverty or percent African-American population, based on a study of Alabama birth records from 1990-2010. Includes data on preterm birth and low birth weight by level of rurality and population density. Includes data on adverse birth outcomes by race/ethnicity, age, education level, and payment method.
Author(s): Shia T. Kent, Leslie A. McClure, Ben F. Zaitchik, Julia M. Gohlke
Citation: BMC Pregnancy & Childbirth, 13, 129
Date: 2013
Type: Document
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Federated States of Micronesia: Tracking Progress in Maternal and Child Survival
Reports on reproductive, maternal, newborn, child, and adolescent health achievements and challenges experienced in the Federated States of Micronesia to achieve targets of the health-related Millennium Development Goals as outlined in the Federated States of Micronesia National Strategic Plan. Includes statistics on infant and maternal mortality rate trends, weight statuses of adults and young children, and drinking water and sanitation coverage with breakdowns by rural or urban status.
Date: 2013
Type: Document
Sponsoring organization: United Nations Children's Fund (UNICEF)
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Evolving Trends in Maternal Fetal Medicine Referrals in a Rural State Using Telemedicine
Presents the results of a study using Arkansas Medicaid claims and birth certificate data from 2001-2006 to make an assessment of maternal fetal medicine (MFM) referrals and consultations from face-to-face interaction to telemedicine over time in a rural population. Discusses the formation of ANGELS (Antenatal and Neonatal Guidelines, Education and Learning Systems) to improve obstetrical care in rural Arkansas and to improve appropriate referrals to MFM specialists.
Author(s): Everett F. Magann, Janet Bronstein, Samantha S. McKelvey, et al.
Citation: Archives of Gynecology and Obstetrics, 286(6)
Date: 12/2012
Type: Document
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Preconception Health Indicators: A Comparison Between Non-Appalachian and Appalachian Women
Examines the preconception health indicators among non-pregnant women aged 18-44 years residing in Appalachian and non-Appalachian counties in 13 U.S. states. Includes a figure illustrating the county economic status in Appalachia. Covers demographic characteristics by county economic status and intervention implications for Appalachia women to improve preconception health.
Author(s): Vanessa L. Short, Reena Oza-Frank, Elizabeth J. Conrey
Citation: Maternal and Child Health Journal, 16(2), 238-249
Date: 12/2012
Type: Document
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Perinatal Mortality and Adverse Pregnancy Outcomes in a Low-Income Rural Population of Women who Smoke
Describes a study of adverse birth outcomes and perinatal mortality rates of low-income women in rural Missouri. Analyzes resulting data by age at enrollment, race and ethnicity, and rate of smoking before and during pregnancy, among other factors. Discusses the role of socioeconomic status and maternal stress as potential factors in birth outcomes.
Author(s): Jane A. McElroy, Tina Bloom, Kelly Moore, et al.
Citation: Birth Defects Research Part A: Clinical and Molecular Teratology, 94(4), 223-229
Date: 04/2012
Type: Document
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Rural Policy Implications for Maternal, Infant and Early Childhood Home Visitation Program
Summarizes the benefits of the Maternal, Infant, and Early Childhood Home Visiting Program for rural communities and how home visiting programs can dramatically improve the lives of mothers and their children who live in at-risk communities. Discusses challenges for including rural communities in state programs and meeting the evaluation requirements; provides recommendations to address these challenges.
Date: 09/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Improving Perinatal Regionalization for Preterm Deliveries in a Medicaid Covered Population: Initial Impact of the Arkansas ANGELS Intervention
Examines the factors associated with delivery of preterm infants at neonatal intensive care unit (NICU) hospitals in Arkansas during 2001–2006 using data from Medicaid claims and birth certificates linked to county-level demographics and medical resource characteristics. Uses county rural–urban commuting areas (RUCA codes) to determine if counties are rural, urban, or small town.
Author(s): Janet M Bronstein, Songthip Ounpraseuth, Jeffrey Jonkman, et al.
Citation: Health Services Research, 46(4), 1082-1103
Date: 08/2011
Type: Document
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Changes in Obstetrical Services Among Critical Access Hospitals
Reports trends and changes in the provision of obstetrical services in Critical Access Hospitals (CAHs) using data from 2000 to 2009.
Author(s): Mark Holmes, Saleema Karim, George Pink
Date: 03/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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OB Fellowship Outcomes 1992-2010: Where Do They Go, Who Stops Delivering, and Why?
Analyzes family medicine physicians who completed a fellowship in obstetrics in Tennessee. Examines where they located, career changes, and why some stopped providing maternity care. Identifies a high percentage who practiced in rural areas and spent time as faculty.
Author(s): Wm. MacMillan Rodney, Conchita Martinez, Millard Collins, et al.
Citation: Family Medicine, 42(10), 712-6
Date: 11/2010
Type: Document
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Border Lives: Health Status in the United States-Mexico Border Region
An overview of key health issues affecting U.S. residents living in the U.S.-Mexico border region.
Date: 04/2010
Type: Document
Sponsoring organization: United States-México Border Health Commission
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