Rural Health
Resources by Topic: Maternal health and prenatal care
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
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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
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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
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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
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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
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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
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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
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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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
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
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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
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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
Sponsoring organization: Flex Monitoring Team
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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
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
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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
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Trends in Perinatal and Infant Health Disparities Between Rural American Indians and Alaska Natives and Rural Whites
Describes differences over time in perinatal care, birth outcomes, and infant health between rural American Indian and Alaska Native and rural White populations by tracking hospital death rates and characteristics of the parents.
Author(s): Laura-Mae Baldwin, David C. Grossman, Elise Murowchick, et al.
Citation: American Journal of Public Health, 99(4), 638-646
Date: 04/2009
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Describes differences over time in perinatal care, birth outcomes, and infant health between rural American Indian and Alaska Native and rural White populations by tracking hospital death rates and characteristics of the parents.
Author(s): Laura-Mae Baldwin, David C. Grossman, Elise Murowchick, et al.
Citation: American Journal of Public Health, 99(4), 638-646
Date: 04/2009
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Malpractice Burden, Rural Location, and Discontinuation of Obstetric Care: A Study of Obstetric Providers in Michigan
Reports on a study that examined whether higher malpractice burden on obstetric providers was associated with an increased likelihood of discontinuing obstetric care and whether there were rural-urban differences in the relationship.
Author(s): Xiao Xu, Kristine A. Siefert, Peter D. Jacobson, et al.
Citation: Journal of Rural Health, 25(1), 33-42
Date: 2009
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Reports on a study that examined whether higher malpractice burden on obstetric providers was associated with an increased likelihood of discontinuing obstetric care and whether there were rural-urban differences in the relationship.
Author(s): Xiao Xu, Kristine A. Siefert, Peter D. Jacobson, et al.
Citation: Journal of Rural Health, 25(1), 33-42
Date: 2009
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Poor Birth Outcome in the Rural United States: 1985-1987 to 1995-1997
Reports on rural/urban differences in poor birth outcome and inadequate prenatal care between 1985 and 1997. Examines outcomes for residents of more remote rural areas and residents of rural persistent poverty counties.
Additional links: Project Summary
Author(s): Eric H. Larson, Elise Murowchick, L. Gary Hart
Date: 02/2008
Sponsoring organization: WWAMI Rural Health Research Center
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Reports on rural/urban differences in poor birth outcome and inadequate prenatal care between 1985 and 1997. Examines outcomes for residents of more remote rural areas and residents of rural persistent poverty counties.
Additional links: Project Summary
Author(s): Eric H. Larson, Elise Murowchick, L. Gary Hart
Date: 02/2008
Sponsoring organization: WWAMI Rural Health Research Center
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