Observational studyJournal of perinatology : official journal of the California Perinatal Association2022
Perinatal outcomes for rural obstetric patients and neonates in rural-located and metropolitan-located hospitals.
Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- The Association of Hospital Characteristics with Brachial Plexus Birth Injury.Research square · 2026Article
- Disparities in delivery hospital risk-adjusted outcomes for very low birthweight infants: the role of NICU volume and level of care.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- The association of NICU capacity strain with neonatal mortality and morbidity.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- State-Level Prevalence of Maternity Care Deserts: Association With Healthcare Access, Utilization, and Outcomes Among Medicaid Recipients.AJPM focus · 2025Article
- Hospital birth volume and rurality: Associations with pregnancy outcomes among individuals with chronic hypertension.Pregnancy (Hoboken, N.J.) · 2025Article
- Obstetric care in rural critical access hospitals: A domestic application of the World Health Organization Emergency Obstetric Care framework in rural communities.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Inferred Attractiveness Gravity-Based Models for Estimating Realized Access at Rural Hospitals.The Journal of the Operational Research Society · 2025Article
- Effects of rurality and distance to care on perinatal outcomes over a 1-year period during the COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo compare rural obstetric patient and neonate characteristics and outcomes by birth location.
methodsRetrospective observational cohort study of rural residents' hospital births from California, Pennsylvania, and South Carolina. Hospitals in rural counties were rural-located, those in metropolitan counties with ≥10% of obstetric patients from rural communities were rural-serving, metropolitan-located, others were non-rural-serving, metropolitan-located. Any adverse obstetric patient or neonatal outcomes were assessed with logistic regression accounting for patient characteristics, state, year, and hospital.
resultsOf 466,896 rural patient births, 64.3% occurred in rural-located, 22.5% in rural-serving, metropolitan-located, and 13.1% in non-rural-serving, metropolitan-located hospitals. The odds of any adverse outcome increased in rural-serving (aOR 1.27, 95% CI 1.10-1.46) and non-rural-serving (aOR 1.35, 95% CI 1.18-1.55) metropolitan-located hospitals.
conclusionOne-third of rural obstetric patients received care in metropolitan-located hospitals. These patients have higher comorbidity rates and higher odds of adverse outcomes likely reflecting referral for higher baseline illness severity.
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