Access to obstetric care in rural areas: Effect on brith outcomes

Thomas S Nesbitt, F. A. Connell, L. G. Hart, R. A. Rosenblatt

Research output: Contribution to journalArticlepeer-review

154 Scopus citations


Hospital discharge data from 33 rural hospital service areas in Washington State were categorized by the extent to which patients left their local communities for obstetrical services. Women from communities with relatively few obstetrical providers in proportion to number of briths were less likely to deliver in their local community hospital than women in rural communities with greater numbers of physicians practicing obstetrics in proportion to number of briths. Women from these high-outflow communities had a greater proportion of complicated deliveries, higher rates of prematurity, and higher costs of neonatal care than women from communities where most patients delivered in the local hospital.

Original languageEnglish (US)
Pages (from-to)814-818
Number of pages5
JournalAmerican Journal of Public Health
Issue number7
StatePublished - 1990

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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