[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
Purchase Options:
[Skip to Content Landing]
Views 6,060
Citations 0
March 8, 2018

Eroding Access and Quality of Childbirth Care in Rural US Counties

Author Affiliations
  • 1Ariadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
  • 2Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
  • 3Harvard Medical School, Boston, Massachusetts
JAMA. Published online March 8, 2018. doi:10.1001/jama.2018.1646

Although it is difficult to imagine a health care service that is more valuable to society than childbirth, US hospitals often lose money when they provide local childbirth services for healthy mothers.1 This discrepancy is a major flaw in the design of the maternal health system that may be the basis for lagging birth outcomes in the United States compared with other high-income nations.2

First Page Preview View Large
First page PDF preview
First page PDF preview