ArticleHealth affairs (Project Hope)2025
Obstetric Care Access Declined In Rural And Urban Hospitals Across US States, 2010-22.
Article in Health affairs (Project Hope), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Addressing the U.S. maternal health crisis: a systematic review of healthcare access barriers, disparate outcomes, and effective interventions.Frontiers in public health · 2026Pooled it
- Experiences of Maternal Autonomy in Childbirth and Perinatal Care in the United States: A Systematic Review and Meta-Synthesis of Qualitative Studies.Birth (Berkeley, Calif.) · 2026Review
- Building a Framework for Sexual and Reproductive Health Care in the Rheumatology Context: Content and Approaches.Arthritis care & research · 2026Review
- Certified Nurse-Midwife Practice Authority as a Structural Determinant of Maternal Health.The Milbank quarterly · 2026Article
- Barriers to Medicaid Participation for Community Midwives in California.Journal of midwifery & women's health · 2026Article
- Health System Policies Following State Abortion Restrictions in the US.JAMA network open · 2026Article
- Validation of a prediction model for postpartum hospital use in geographic contexts with greater rural representation.American journal of obstetrics & gynecology MFM · 2026Article
- Seasonality, Weather, and Obstetric Level of Care: An Analysis of Rural Delivery Locations.International journal of environmental research and public health · 2026Article
- Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- State variations in maternal and child health workforce support.Health affairs scholar · 2026Article
- Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures.International journal of environmental research and public health · 2026Article
- Reimagining Perinatal Care in Alabama Through Innovative Partnerships.Journal of midwifery & women's healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
We identified obstetric service status for every rural and urban short-term acute care hospital in every US state. During 2010-22, seven states had at least 25 percent of hospitals close their obstetric service lines. By 2022, more than two-thirds of rural hospitals in eight states were without obstetric services.
Indexed as
Identifiers
What OpenQuestion holds
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.