Models of Success Case Study: ANGELS & the Millard-Henry Clinic

Publication Date: November 16th, 2020
Publication Type(s): Case Studies
Topic(s): , , , ,
Author(s): Lahr M; Gilbertson M

Rural, hospital-based obstetrics units continue to close across the nation. Between 2014 and 2018, 52 rural counties lost all local hospital-based obstetric services, continuing a trend of declining access that
has been occurring since at least 2004. As a result of these closures, rural residents are more likely to give birth in an emergency room, or to give birth prematurely – a leading cause of infant mortality. While the current COVID-19 pandemic has already catalyzed additional closures, little literature has attempted to capture models of success or best practices used in rural hospitals that have maintained
successful obstetrics units. In an effort to explore this, key informant interviews were conducted with three members of the Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS) team via phone in February, 2020 and two staff members from the Millard-Henry Clinic (one via phone and one via email) in July, 2020.

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