Rural Health
Resources by Topic: Maternal health and prenatal care
Voices of Experience: Lay Perspectives on Severe Maternal Morbidity in Appalachia
Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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Challenges and Strategies in Expanding Non-Traditional Pregnancy-Related Services: Findings from a Survey of State Medicaid Programs
Presents Medicaid reimbursement information for non-traditional pregnancy-related services, such as doula care, childbirth and parenting classes, lactation support, and more. Includes commentary on service challenges in rural areas.
Author(s): Anna Mudumala, Kathleen Gifford, Usha Ranji, Elizabeth Hinton
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Presents Medicaid reimbursement information for non-traditional pregnancy-related services, such as doula care, childbirth and parenting classes, lactation support, and more. Includes commentary on service challenges in rural areas.
Author(s): Anna Mudumala, Kathleen Gifford, Usha Ranji, Elizabeth Hinton
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Arizona Rural Maternity Care
Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018
Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 2024
Date: 04/2024
Type: Document
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Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 2024
Date: 04/2024
Type: Document
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Rural Maternal Health Series: Implementing Patient Safety Bundles in Rural Hospitals
Webinar recording, third in a series, discusses the Alliance for Innovation on Maternal Health (AIM) bundles, a standardized set of processes for improving maternal healthcare quality and safety in rural hospitals. Features presentations from representatives of the American College of Obstetricians and Gynecologists (ACOG), Alliance for Innovation on Maternal Health (AIM), the Iowa Maternal Quality Care Collaborative, and Gundersen Palmer Hospital in West Union, Iowa.
Additional links: Audio Recording, Webinar Slides
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording, third in a series, discusses the Alliance for Innovation on Maternal Health (AIM) bundles, a standardized set of processes for improving maternal healthcare quality and safety in rural hospitals. Features presentations from representatives of the American College of Obstetricians and Gynecologists (ACOG), Alliance for Innovation on Maternal Health (AIM), the Iowa Maternal Quality Care Collaborative, and Gundersen Palmer Hospital in West Union, Iowa.
Additional links: Audio Recording, Webinar Slides
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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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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Evaluating a Web-Based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome in a Rural Hospital, the NOWS-NM Program
Evaluates the NOWS-NM program, a web-based training program for care of newborns with neonatal opioid withdrawal syndrome (NOWS) in rural New Mexico hospitals. Describes results of interviews with 16 providers on their experiences with NOWS and attitudes toward local NOWS treatment. Discusses stigma reduction and knowledge of non-pharmacologic NOWS treatment.
Author(s): Heather Pratt-Chavez, Heidi Rishel Brakey, Sarah G. Sanders, et al.
Citation: BMC Pediatrics, 24, 258
Date: 04/2024
Type: Document
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Evaluates the NOWS-NM program, a web-based training program for care of newborns with neonatal opioid withdrawal syndrome (NOWS) in rural New Mexico hospitals. Describes results of interviews with 16 providers on their experiences with NOWS and attitudes toward local NOWS treatment. Discusses stigma reduction and knowledge of non-pharmacologic NOWS treatment.
Author(s): Heather Pratt-Chavez, Heidi Rishel Brakey, Sarah G. Sanders, et al.
Citation: BMC Pediatrics, 24, 258
Date: 04/2024
Type: Document
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Patient-Centered Respectful Maternity Care: A Factor Analysis Contextualizing Marginalized Identities, Trust, and Informed Choice
Examines issues of maternal autonomy and respect related to a pregnant person's experiences in the healthcare system. Utilizes the Mothers on Respect Index (MORi) and Mothers Autonomy in Decision Making (MADM) scales to analyze data from 484 patients regarding trust, informed choice, and identity. Includes statistics broken down by race, educational attainment, employment, justice involvement, disabilities, social risks, and rural-urban commuting area (RUCA) codes across 7 RUCA categories, from rural area to metropolitan core.
Author(s): Annie Glover, Carly Holman, Patrick Boise
Citation: BMC Pregnancy and Childbirth, 24, 267
Date: 04/2024
Type: Document
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Examines issues of maternal autonomy and respect related to a pregnant person's experiences in the healthcare system. Utilizes the Mothers on Respect Index (MORi) and Mothers Autonomy in Decision Making (MADM) scales to analyze data from 484 patients regarding trust, informed choice, and identity. Includes statistics broken down by race, educational attainment, employment, justice involvement, disabilities, social risks, and rural-urban commuting area (RUCA) codes across 7 RUCA categories, from rural area to metropolitan core.
Author(s): Annie Glover, Carly Holman, Patrick Boise
Citation: BMC Pregnancy and Childbirth, 24, 267
Date: 04/2024
Type: Document
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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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Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions
Evaluates a text and telephone screening program against in-person screening practices to determine effectiveness in improving screening rates, identification of a disorder, and treatment rates for perinatal mental health disorders, substance use disorders, and intimate partner violence. Includes analysis of rurality.
Author(s): Constance Guille, Courtney King, Kathryn King, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
Type: Document
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Evaluates a text and telephone screening program against in-person screening practices to determine effectiveness in improving screening rates, identification of a disorder, and treatment rates for perinatal mental health disorders, substance use disorders, and intimate partner violence. Includes analysis of rurality.
Author(s): Constance Guille, Courtney King, Kathryn King, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
Type: Document
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