Over 5.6 million U.S. women live in “maternity care deserts,” counties with no access to obstetric care through a hospital or other provider, according to the latest analysis by the March of Dimes. Since the organization’s initial report on the issue in 2018, access to hospital obstetric care units has declined in 369 counties and 70 more counties have been classified as maternity care deserts, with the highest proportion in states with more rural populations, including North Dakota, South Dakota, Alaska, Oklahoma and Nebraska, the organization said.
 
“These reports come during a critical time for hospitals struggling with maternity unit closures, recruitment, and staffing,” the March of Dimes notes. “Even before the pandemic, hospitals started closing maternity units across the country due to low birth volume and rising costs.”
 
The AHA has highlighted the challenge of providing obstetric services in rural areas and provides members with resources to improve maternal and child health through the Better Health for Mothers and Babies initiative.

Headline
Rep. Randy Feenstra, R-Iowa, introduced the Rural Maternity Options for Medical Support Act on May 19. The bill would guarantee that beds used solely for labor…
Headline
Sutter Health is taking a proactive, systemwide approach to maternal care — supporting a range of birth experiences while reinforcing the…
Blog
High-quality maternal care is essential to protecting the health of both mom and baby during birth.Sutter Health is taking a proactive, systemwide approach to…
Headline
Katie Au, M.D., and Katherine Jorda, M.D., directors of the Perinatal Trauma Clinic at Oregon Health & Science University, explore how…
Headline
The U.S. birth rate declined by 1% in 2025, according to preliminary data released by the Centers for Disease Control and Prevention. The cesarean delivery…
Blog
h2, h3, h4 {color: #002855;} Postpartum hemorrhage (PPH) is one of the most common — and preventable — causes of maternal health in the United States. The…