Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
Resources for Measuring Rurality in Research on Maternity Care
Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Midwifery Care at Rural Hospitals in Montana and California
Provides a brief overview of hospital-based maternal healthcare in rural communities. Profiles hospitals that serve rural areas in Montana and California and how they have incorporated midwives into their maternity and primary care services. Identifies opportunities and challenges to employing midwives and incorporating midwifery care that may be helpful to other rural hospitals.
Author(s): Alyssa H. Fritz, Maggie L. Thorsen, Emily C. Sheffield, Katy B. Kozhimannil
Date: 12/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides a brief overview of hospital-based maternal healthcare in rural communities. Profiles hospitals that serve rural areas in Montana and California and how they have incorporated midwives into their maternity and primary care services. Identifies opportunities and challenges to employing midwives and incorporating midwifery care that may be helpful to other rural hospitals.
Author(s): Alyssa H. Fritz, Maggie L. Thorsen, Emily C. Sheffield, Katy B. Kozhimannil
Date: 12/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Unveiling Socioeconomic Disparities in Maternal Smoking During Pregnancy: A Comprehensive Analysis of Rural and Appalachian Areas in Virginia Utilizing the Multi-Dimensional YOST Index
Examines associations of rurality, Appalachian dwelling, county socioeconomic status (SES), and other demographic factors with smoking behaviors during pregnancy. Utilizes 2009-2020 Virginia Pregnancy Risk Assessment Monitoring System (PRAMS) data.
Author(s): Asal Pilehvari, Ashley Chipoletti, Rebecca Krukowski, Melissa Little
Citation: BMC Pregnancy and Childbirth, 24, 828
Date: 12/2024
Type: Document
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Examines associations of rurality, Appalachian dwelling, county socioeconomic status (SES), and other demographic factors with smoking behaviors during pregnancy. Utilizes 2009-2020 Virginia Pregnancy Risk Assessment Monitoring System (PRAMS) data.
Author(s): Asal Pilehvari, Ashley Chipoletti, Rebecca Krukowski, Melissa Little
Citation: BMC Pregnancy and Childbirth, 24, 828
Date: 12/2024
Type: Document
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Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
Type: Document
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Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
Type: Document
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State of the U.S. Maternal Health Workforce, 2024
Offers demographic and occupational data on the maternal health workforce. Data sources include various years between 2021 and 2023. Includes current and projected comparisons of the workforce with the female population of childbearing age. Table 7 includes distribution of maternal health physicians compared with the population of women of childbearing age for large metropolitan, medium metropolitan, small metropolitan, micropolitan, and noncore areas in 2022.
Date: 11/2024
Type: Document
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Offers demographic and occupational data on the maternal health workforce. Data sources include various years between 2021 and 2023. Includes current and projected comparisons of the workforce with the female population of childbearing age. Table 7 includes distribution of maternal health physicians compared with the population of women of childbearing age for large metropolitan, medium metropolitan, small metropolitan, micropolitan, and noncore areas in 2022.
Date: 11/2024
Type: Document
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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National Rural Health Day Episode: Addressing Rural Maternal Health Disparities, with Kristen Dillon
An episode of the Exploring Rural Health podcast featuring Kristen Dillon, MD, Chief Medical Officer of the Federal Office for Rural Health Policy. Provides an overview of the current state of rural maternal health, including access barriers and disparities in health outcomes, as well as exploring the ways that the Health Resources and Services Administration is working to improve outcomes for rural mothers.
Date: 11/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Kristen Dillon, MD, Chief Medical Officer of the Federal Office for Rural Health Policy. Provides an overview of the current state of rural maternal health, including access barriers and disparities in health outcomes, as well as exploring the ways that the Health Resources and Services Administration is working to improve outcomes for rural mothers.
Date: 11/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Culturally-Safe Maternal Care for Indigenous Women
Podcast episode discussing the role that culturally safe care can play in addressing maternal healthcare needs among Indigenous women. Describes the importance of awareness of cultural and spiritual practices in creating a safe cultural environment for Indigenous women.
Date: 11/2024
Type: Document
Sponsoring organization: American Hospital Association
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Podcast episode discussing the role that culturally safe care can play in addressing maternal healthcare needs among Indigenous women. Describes the importance of awareness of cultural and spiritual practices in creating a safe cultural environment for Indigenous women.
Date: 11/2024
Type: Document
Sponsoring organization: American Hospital Association
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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'A Silent, Unmet Need': Rural Motherhood and the Challenges of Postpartum Care
Discusses the importance of rural access to postpartum care, including perinatal mental healthcare. Features programs in Montana, Maine, and Alaska that are providing support to rural mothers via postpartum doulas, telehealth, and home visiting.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the importance of rural access to postpartum care, including perinatal mental healthcare. Features programs in Montana, Maine, and Alaska that are providing support to rural mothers via postpartum doulas, telehealth, and home visiting.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Healthcare Cost and Utilization Project (HCUP) Maternal Health Chartbook 2010–2019
Analyzes data from the National Inpatient Sample from between 2010 and 2019 to highlight trends in maternal health related to diabetes, hypertension, mental health disorders, substance use disorders, and severe maternal morbidity. Includes data by expected payer, patient characteristics, and geography. Includes large metropolitan, medium/small metropolitan, and nonmetropolitan comparisons throughout.
Author(s): Lawrence Reid, Kimberly Marin, Jessica Monnet
Date: 10/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Analyzes data from the National Inpatient Sample from between 2010 and 2019 to highlight trends in maternal health related to diabetes, hypertension, mental health disorders, substance use disorders, and severe maternal morbidity. Includes data by expected payer, patient characteristics, and geography. Includes large metropolitan, medium/small metropolitan, and nonmetropolitan comparisons throughout.
Author(s): Lawrence Reid, Kimberly Marin, Jessica Monnet
Date: 10/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Last Updated: 1/13/2025