Evidence map›Paper›PMID 42597004›Full record

ArticlePregnancy (Hoboken, N.J.)2026

SMFM Special Statement: Opportunities to improve access to maternal-fetal medicine care in rural and underserved communities.

Society for Maternal‐Fetal Medicine (SMFM), Hayley E Miller, Lynn M Yee, Cara Heuser, Chloe Zera, Erika Werner, Andrea Greiner, SMFM Health Policy and Advocacy Committee

Abstract read
In one paragraph

Article in Pregnancy (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Society for Maternal‐Fetal Medicine (SMFM)
Hayley E Miller
Cara Heuser
Chloe Zera
Erika Werner
Andrea Greiner
SMFM Health Policy and Advocacy Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Access to obstetrical and subspecialty maternal-fetal medicine care has continued to decrease in recent years, with a notable obstetrical workforce shortage. Maternity care deserts subsequently lead to worsening perinatal outcomes in these regions. High-risk pregnancies require a higher level of obstetrical care, which is becoming increasingly less accessible. Accessibility is inversely related to adverse perinatal outcomes. This Statement summarizes the health effects of increasing maternity care deserts and geographic disparities, as well as existing programs and initiatives focused on bolstering the healthcare workforce. It also includes specific policy recommendations to improve adverse perinatal outcomes related to the current workforce shortage. Federal medical training programs, programs incentivizing practice in rural and underserved areas, telehealth expansion, and federal and state programs focused on improving maternity care deserts offer solutions to improve the current state of perinatal outcomes; however, it is imperative to increase the maternal-fetal medicine workforce in underserved and rural areas and increase access to subspecialty obstetrical care.

Indexed as

geographic accesshealth accesshigh‐risk pregnanciesmaternal‐fetal medicinematernity carematernity care desertperinatal morbidityperinatal mortalitypostpartum careprenatal carerural healthworkforce shortage

Identifiers

PMID42597004
PMCPMC13344411

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.