Maternal care waning in rural and urban hospitals

July 17, 2025

A new study published in Health Affairs shows that in-hospital obstetric services in the U.S. have been waning since 2010.

Key findings:

  • Iowa experienced the highest loss of obstetric services in their hospitals during the study period.
  • North Dakota has the highest percentage of hospitals without obstetric services.
  • Seven US states had at least a quarter of their hospitals stop offering obstetric services during the study period.
  • Obstetric services are more difficult to access in rural areas, with over two-thirds of their hospitals in eight US states not offering obstetric care.

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