Year(s) Funded: 2016-2017
Topic(s): Children and Adolescents, Health Services, Healthcare Access, Hospitals and Clinics, Maternal Health, Women
Project Lead: Katy Kozhimannil
As rural hospital and obstetric unit closures continue to affect rural communities across the US, little is known about the consequences of these closures in terms of access to maternity care and outcomes of childbirth for women and infants. Data to inform policy efforts are needed, as no current research documents the county-level effects of the loss of obstetric services on maternity care, location of childbirth, or birth outcomes. Further, little is known about the strategies rural women use to obtain maternity care in the wake of a closure and the effects of a closure on clinicians and communities. This project will examine the relationship between closure of an obstetric unit or hospital and maternity care and outcomes of childbirth in rural US counties including prenatal care, distance to delivery hospital, out-of-hospital birth, and infant health outcomes
Related Publications
- Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States, March 8th, 2018
- Case Study: Challenges Related to Pregnancy and Returning to Work after Childbirth in a Rural, Tourism-Dependent Community, February 6th, 2018
- Access To Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004-14, September 5th, 2017
- Closure of Hospital Obstetric Services Disproportionately Affects Less-Populated Rural Counties, April 14th, 2017
- State Variability in Access to Hospital-Based Obstetric Services in Rural U.S. Counties, April 14th, 2017