Rural Maternal Health – Resources
Selected recent or important resources focusing on Rural Maternal Health.
Doula Care and Maternal Health: An Evidence Review
Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them
Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Sponsoring organization: KFF
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Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Sponsoring organization: KFF
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2022
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Family Physicians and Maternal Health in Rural America, with Julie Wood and Zita Magloire
An episode of the Exploring Rural Health podcast featuring Dr. Julie Wood, senior vice president of research, science and health of the public at the American Academy of Family Physicians, and Dr. Zita Magloire, a practicing family physician in Cairo, Georgia. Focuses on rural family physicians and the challenges and joys of providing maternal care in rural areas.
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Dr. Julie Wood, senior vice president of research, science and health of the public at the American Academy of Family Physicians, and Dr. Zita Magloire, a practicing family physician in Cairo, Georgia. Focuses on rural family physicians and the challenges and joys of providing maternal care in rural areas.
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Improving Rural Maternal Health Care through Network Models: Summary of the RMOMS Program 2021 Cohort
Describes the Rural Maternity and Obstetrics Management Strategies (RMOMS) program supporting increased access to maternal healthcare in rural communities and improvement in maternal and neonatal outcomes. Summarizes three RMOMS programs from the 2021 Cohort - Families First: Rural Maternity Health Collaborative (Minnesota), RMOM-Southeast Missouri Partnership, and West Virginia RMOMS Collaborative. Identifies their maternal health service area, network partners, and goals and strategies for improving healthcare access and outcomes.
Date: 09/2022
Sponsoring organization: Health Resources and Services Administration
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Describes the Rural Maternity and Obstetrics Management Strategies (RMOMS) program supporting increased access to maternal healthcare in rural communities and improvement in maternal and neonatal outcomes. Summarizes three RMOMS programs from the 2021 Cohort - Families First: Rural Maternity Health Collaborative (Minnesota), RMOM-Southeast Missouri Partnership, and West Virginia RMOMS Collaborative. Identifies their maternal health service area, network partners, and goals and strategies for improving healthcare access and outcomes.
Date: 09/2022
Sponsoring organization: Health Resources and Services Administration
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Rural and Urban Women Have Differing Sexual and Reproductive Health Experiences
Explores the healthcare disparities women aged 15 to 49 experience related to sexual and reproductive health. Analyzes 2015-2019 data from the National Survey of Family Growth (NSFG) to investigate contraceptive use in 1,128 rural residents and 6,007 urban residents. Includes rural versus urban demographic breakdowns according to race/ethnicity, nativity, income, education, LGB+ identity, and history of/plans for having children.
Author(s): Emma Pliskin, Kate Welti, Jennifer Manlove
Date: 09/2022
Sponsoring organization: Child Trends
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Explores the healthcare disparities women aged 15 to 49 experience related to sexual and reproductive health. Analyzes 2015-2019 data from the National Survey of Family Growth (NSFG) to investigate contraceptive use in 1,128 rural residents and 6,007 urban residents. Includes rural versus urban demographic breakdowns according to race/ethnicity, nativity, income, education, LGB+ identity, and history of/plans for having children.
Author(s): Emma Pliskin, Kate Welti, Jennifer Manlove
Date: 09/2022
Sponsoring organization: Child Trends
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Obstetricians, Gynecologists, and Maternal Health in Rural America, with Anne Banfield
An episode of the Exploring Rural Health podcast featuring Dr. Anne Banfield, physician administrative and clinical director at Women's Health at Leonardtown in Maryland, and member of the foundation board of the American College of Obstetricians and Gynecologists. Discusses the rural OBGYN workforce and the challenges of providing maternal care in rural areas.
Date: 09/2022
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Dr. Anne Banfield, physician administrative and clinical director at Women's Health at Leonardtown in Maryland, and member of the foundation board of the American College of Obstetricians and Gynecologists. Discusses the rural OBGYN workforce and the challenges of providing maternal care in rural areas.
Date: 09/2022
Sponsoring organization: Rural Health Information Hub
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Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents
Examines the social risk factors rural residents face related to maternal and infant mortality. Utilizes data from 285 rural hospitals across the United States that have inpatient birthing centers to measure the availability of maternal and postpartum supports such as breastfeeding support groups, nurse home visiting, childbirth education classes, and more. Evaluates each hospital's social vulnerability index (SVI) on the county-level to determine the level of birth support inequities in rural areas and for residents who are Black, Indigenous, and People of Color (BIPOC).
Author(s): Bridget Basile Ibrahim, Julia D. Interrante, Alyssa H. Fritz, Mariana S. Tuttle, Katy Backes Kozhimannil
Citation: Children, 9(7), 1077
Date: 07/2022
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Examines the social risk factors rural residents face related to maternal and infant mortality. Utilizes data from 285 rural hospitals across the United States that have inpatient birthing centers to measure the availability of maternal and postpartum supports such as breastfeeding support groups, nurse home visiting, childbirth education classes, and more. Evaluates each hospital's social vulnerability index (SVI) on the county-level to determine the level of birth support inequities in rural areas and for residents who are Black, Indigenous, and People of Color (BIPOC).
Author(s): Bridget Basile Ibrahim, Julia D. Interrante, Alyssa H. Fritz, Mariana S. Tuttle, Katy Backes Kozhimannil
Citation: Children, 9(7), 1077
Date: 07/2022
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County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care
Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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Additional resources are available related to this guide. See the full list of resources by topic for:
Last Updated: 1/27/2025