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Rural Maternal Health – Resources

Selected recent or important resources focusing on Rural Maternal Health.

Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including race, income, mental health, rurality, environment, violence, trauma, and more. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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2023 March of Dimes Report Card: The State of Maternal and Infant Health for American Families
Provides information on U.S. and state-level maternal and infant health outcomes. Considers issues such as preterm birth, infant mortality rate, access to health care, policy efforts, social determinants of health, and more. Includes county-level grades of maternal vulnerability.
Date: 11/2023
Type: Document
Sponsoring organization: March of Dimes
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Impact of Geography and Rurality on Preconception Health Status in the United States
Examines preconception health risk and disparities in women aged 18 to 44 years according to health factors, health behaviors, and sociodemographics. Utilizes 2019 Behavioral Risk Factor Surveillance System (BRFSS) data to assess for preconception health risk with results broken down by race, age, education, insurance status, income, rural versus urban, and regional location.
Author(s): Madison D. Haiman, Catherine Cubbin
Citation: Preventing Chronic Disease, 20
Date: 11/2023
Type: Document
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Type: Audio
Sponsoring organization: American Hospital Association
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MotherToBaby Gives Rural Pregnant and Breastfeeding Moms 'Fingertip Access' to Exposure Experts
Provides an overview of MotherToBaby, which works to educate pregnant and breastfeeding mothers and their healthcare providers on the risks of exposures. Discusses how MotherToBaby's free services can support rural mothers, highlighting programs serving rural areas in Georgia and North Texas.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Maternal, Infant, and Early Childhood Home Visiting Program in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Dual Barriers: Examining Digital Access and Travel Burdens to Hospital Maternity Care Access in the United States, 2020
Analyzes the relationship between drive time to hospital maternity units and access to digital/telehealth care in mitigating travel burden. Utilizes 2020 American Hospital Association Annual Survey data with information broken down by rural versus urban location, race/ethnicity, socioeconomic status, and broadband and digital device access.
Author(s): Peiyin Hung, Marion Granger, Nansi Boghossian, et al.
Citation: The Milbank Quarterly, 101(4), 1327-1347
Date: 08/2023
Type: Document
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Changes in Policy Supports for Healthy Food Retailers, Farmers Markets, and Breastfeeding Among US Municipalities, 2014–2021: National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (CBS-HEAL)
Examines policies that support healthy food access and breastfeeding, such as tax incentives for food vendors, streamlined processes for farmers markets, breaktime for workers who pump breast milk, and more. Tracks data changes between 2014 and 2021 to examine policies in US municipalities according to rural-urban status, Census region, educational attainment, poverty, and race/ethnicity.
Author(s): Stephen J. Onufrak, Latetia V. Moore, Samantha L. Pierce, Carol A. MacGowan, Deborah A. Galuska
Citation: Preventing Chronic Disease, 20
Date: 08/2023
Type: Document
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Last Updated: 5/10/2024