ArticleJournal of perinatology : official journal of the California Perinatal Association2016
Factors associated with high-risk rural women giving birth in non-NICU hospital settings.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Access to specialty healthcare in urban versus rural US populations: a systematic literature review.BMC health services research · 2019Pooled it
- Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Racial and Ethnic Inequalities in Actual vs Nearest Delivery Hospitals.JAMA network open · 2025Article
- Use of Maternal-Fetal Medicine Subspecialist Services by Commercially Insured Pregnant People.JAMA network open · 2025Article
- The Dobbs decision and pediatric healthcare: preparing for unintended consequences.Pediatric research · 2025Article
- Association Between Prenatal Diagnosis and Age at Surgery for Noncritical and Critical Congenital Heart Defects.Circulation. Cardiovascular quality and outcomes · 2023Article
- Understanding categories of postpartum care use among privately insured patients in the United States: a cluster-analytic approach.Health affairs scholar · 2023Article
- American Indians travel great distances for obstetrical care: Examining rural and racial disparities.Social science & medicine (1982) · 2023Article
- Racial Disparities in Respectful Maternity Care During Pregnancy and Birth After Cesarean in Rural United States.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023Observational
- Labor and Delivery Unit Closures in Rural Georgia from 2012 to 2016 and the Impact on Black Women: A Mixed-Methods Investigation.Maternal and child health journal · 2022Article
- Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care.JAMA health forum · 2022Article
- Identifying individual hospital levels of maternal care using administrative data.BMC health services research · 2021Article
- Access to risk-appropriate hospital care and disparities in neonatal outcomes in racial/ethnic groups and rural-urban populations.Seminars in perinatology · 2021Review
- Access to Home and Community Health Services for Older Adults With Serious, Life-Limiting Illness: A Study Protocol.The American journal of hospice & palliative care · 2021Article
- Geospatial variation in caesarean delivery.Nursing open · 2020Observational
- Rural-urban differences in access to hospital obstetric and neonatal care: how far is the closest one?Journal of perinatology : official journal of the California Perinatal Association · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify risk factors for childbirth in a facility without neonatal intensive care unit (NICU) capacity among high-risk rural women. STUDY
designUsing data on all maternal hospitalizations for rural residents in nine states (2010, 2012), we performed logit regression, focusing on women with multiple gestation and preterm birth. We defined a 'local' hospital as any maternity hospital within 30 miles (or the nearest hospital).
resultsRural women with preterm births and multiple gestation pregnancies were less likely to give birth in a hospital with NICU capacity if no local hospital had this capacity. Adjusted odds of giving birth in a NICU hospital were lower among women ⩽age 20 (AOR 0.87 (95% CI 0.77, 0.98)), Medicaid beneficiaries (0.81 (0.75, 0.89)), uninsured women (0.44 (0.32, 0.61)) and black women (0.60 (0.50, 0.71)).
conclusionsAmong high-risk rural pregnant women without local NICU access, younger, low-income, and black women had lower odds of using NICU hospitals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.