Rural Health
Resources by Topic: Maternal health workforce
The Availability of Midwifery Care in Rural United States Communities
Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Rural-Urban Differences in Midwifery Care During Childbirth in the US
Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Compares rural and urban births that were midwife-attended. Highlights changes over time and locations of midwife-attended births including homes, hospitals, and more.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante
Date: 07/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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How a Rural Health System Continues to Provide Essential Obstetric Services
Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Alabama Maternity Care Target Areas (MCTA)
County-level map showing high-need, primary care Health Professional Shortage Areas meeting specific criteria based on ratio of females ages 15-44 to maternity care providers, low-income women, distance/travel time to care, fertility rates, social vulnerability, and maternal health indicators.
Date: 06/2024
Type: Map/Mapping System
Sponsoring organization: Alabama Office of Primary Care and Rural Health
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County-level map showing high-need, primary care Health Professional Shortage Areas meeting specific criteria based on ratio of females ages 15-44 to maternity care providers, low-income women, distance/travel time to care, fertility rates, social vulnerability, and maternal health indicators.
Date: 06/2024
Type: Map/Mapping System
Sponsoring organization: Alabama Office of Primary Care and Rural Health
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Meeting Essential Health Services And Reimagining Obstetrics In A Rural Community
Case study profiling Kittitas Valley Healthcare (KVH) in rural Washington. Describes how KVH implemented a new staffing model to maintain essential obstetrics and gynecological care.
Date: 04/2024
Type: Document
Sponsoring organization: American Hospital Association
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Case study profiling Kittitas Valley Healthcare (KVH) in rural Washington. Describes how KVH implemented a new staffing model to maintain essential obstetrics and gynecological care.
Date: 04/2024
Type: Document
Sponsoring organization: American Hospital Association
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San Luis Valley Hospital Delivers When Families Need Obstetric Care
Podcast episode describing challenges with offering obstetric care in rural Colorado. Discusses services offered, cross-training, behavioral health and substance use, and social determinants of health. Offers strategies for other hospitals offering maternal healthcare. Transcript is below the audio player.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode describing challenges with offering obstetric care in rural Colorado. Discusses services offered, cross-training, behavioral health and substance use, and social determinants of health. Offers strategies for other hospitals offering maternal healthcare. Transcript is below the audio player.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Obstetric Imaging Practice Characteristics Associated with Prenatal Detection of Critical Congenital Heart Disease in a Rural US Region over 20 Years
Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
Type: Document
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Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
Type: Document
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2023 Maine Perinatal Health Disparities Needs Assessment
Qualitative assessment of the perinatal system of care in Maine, based on information from interviews and rural focus groups. Includes information on perinatal health indicators and the perinatal workforce capacity, and offers recommendations for improvement.
Author(s): Cecelia Stewart, Allison Tippery, Hailey Marnell-Bozdag, Frances Tarbell
Date: 02/2024
Type: Document
Sponsoring organization: Maine Center for Disease Control and Prevention
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Qualitative assessment of the perinatal system of care in Maine, based on information from interviews and rural focus groups. Includes information on perinatal health indicators and the perinatal workforce capacity, and offers recommendations for improvement.
Author(s): Cecelia Stewart, Allison Tippery, Hailey Marnell-Bozdag, Frances Tarbell
Date: 02/2024
Type: Document
Sponsoring organization: Maine Center for Disease Control and Prevention
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Maternal Health in Rural America
White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Type: Document
Sponsoring organization: National Rural Health Association
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White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Type: Document
Sponsoring organization: National Rural Health Association
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