Risk factors for loss of hospital-based obstetric care in rural and urban hospitals

Between 2010 and 2022, there was a notable decline in hospital-based obstetric care across both rural and urban US hospitals. Rural hospitals experienced a larger loss of obstetric services compared to urban hospitals. The study highlights the need for sustained attention to maternal health in these regions.

Access to hospital-based obstetric care declined across the US as hospitals closed labor and delivery units between 2010-2021. Rural communities were hit hardest, with access dropping by over 50% in some areas.

A large study found that Asian mothers experience a 1.5-fold higher rate of obstetric trauma, while Black immigrant and refugee mothers have a 20-30% higher risk. The study also found that immigrants with shorter duration of residence had higher initial risk of obstetric trauma, which declined with increasing time in Canada.

A study found that family physicians are improving maternal health in rural areas, particularly in Texas, Iowa, Nebraska, and Kansas. Rural counties with only hospital obstetric services have higher rates of social deprivation and Black populations.

A cross-sectional study found that US physicians with a rural background and training experience in rural settings are more likely to practice in rural locations. The study assessed the interdependence of these factors on rural practice among US physicians.

The American Heart Association has extended its Rural Health Care Outcomes Accelerator program until 2028, expanding access to cardiovascular care and quality improvement resources for over 1,000 rural hospitals. This extension aims to address the significant disparities in health outcomes between urban and rural communities.