top of page
Screenshot 2026-03-03 at 1_edited.jpg

Rural OB Access

 

Please click the button below to view an interactive map of the Obstetric Unit Closures in Northern New England.

News Articles & Literature

Understanding Local Maternity Care in VT [uvm.edu]:

Maternal Health Characteristics and Outcomes in New Hampshire: Trends and Contributing Factors Data Brief

Data brief questions? Email Carole McBride: carole.mcbride@med.uvm.edu

Obstetric Care Access at Rural and Urban Hospitals in the United States

Obstetric Volume and Severe Maternal Morbidity Among Low-Risk and Higher-Risk Patients Giving Birth at Rural and Urban US Hospitals

Financial Challenges of Providing Obstetric Services at Rural US Hospitals

Evaluating Disparities in Access to Obstetric Services for American Indian Women Across Montana 

Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas

Following Labor and Delivery Unit Closures in Rural New Hampshire, Driving Time to the Nearest Unit Doubled

The Role of Family Medicine in Addressing the Maternal Health Crisis in the United States

The “30-Minute Rule” for Expedited Delivery: Fact or Fiction?

Obstetric Care Access Declined In Rural And Urban Hospitals Across US States, 2010–22

Health Care Centralization: The Health Impacts of Obstetric Unit Closures in the US

Research

Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States

The Effect of Hospital Maternity Ward Closures on Maternal and Infant Health

Regionalization and Local Hospital Closure in Norwegian Maternity Care-The Effect on Neonatal and Infant Mortality

The Effect of Rural Hospital Closures on Maternal and Infant Health

Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures

The Impact of Birth Settings on Pregnancy Outcomes in the United States

Midwife‐Led Continuity Models Versus Other Models of Care for Childbearing Women

The Impact of Obstetric Unit Closures on Maternal and Infant Pregnancy Outcomes

Obstetric Unit Closure Effects on Child Academic Achievement, Infant Health, and Maternal Care

Birth Outcomes for Planned Home and Licensed Freestanding Birth Center Births in Washington State 

Maternal and Obstetric Care Challenges in Rural America

Tool Kits

Maternal Quality & Safety Toolkit for Rural & Frontier Hospitals in Colorado

Clinical Initiatives

Educational Opportunities:

  • OB Emergencies In-Situ Drills and/or Drill Champion Training

  • Emergency Department OB Skills Stations & Simulation

  • AWHONN Obstetric Safety Course

  • Pedi2Go Trainings

  • NeoSim Clinical Skills Training:

OB Resource Binder:

  • Created by Emily Watson, RN, BSN, MPH, RNC-OB, C-EFM, with review and collaboration from Rosie Davis, MD (Pediatrician), Rebecca Hunt, MD (OB), Jennifer James, MD (Neonatology), and Kelley Conroy, MD (MFM)

OB Triage Algorithm:

  • OB Triage Algorithm for patients presenting to EDs at non-birthing facilities:

  • Created by Maternal Fetal Medicine at Maine Health

Basic Life Support in Obstetrics (BLSO):​​

Additional group meetings and trainings take place throughout the year, please contact Emily Watson for further information: Emily.Watson@mainehealth.org

Public Relations/
Government Relations

Information to be added

National Initiatives

Application is no longer available.

bottom of page