We commend Lisonkova and colleagues for the breadth of morbidities they included in their
article. 1 However, we are disappointed and somewhat astonished over the absence of any …

Background: Most studies examining geographic barriers to maternity care in industrialized
countries have focused solely on fetal and neonatal outcomes. We examined the …

Women from rural and remote communities with no local access to maternity services have
worse maternal and newborn outcomes than women from similar communities with local …

Background In the past fifteen years there has been a wave of closures of small maternity
services in Canada and other developed nations which results in the need for rural …

Objective To study the association between travel time from home to hospital on intrapartum
stillbirth and neonatal mortality. Population All births to women who were resident in Wales …

Abstract Background Small Canadian rural maternity services are struggling to maintain
core staffing and remain open. Existing evidence states that having to travel to access …

Background Maternal mortality is an issue of growing concern in the United States, where
the incidence of death during pregnancy and postpartum seems to be increasing. The …

Background: The number of maternity units has declined in France, raising concerns about
the possible impact of increasing travel distances on perinatal health outcomes. We …

Maternity unit closures in France have increased travel time for pregnant women in rural
areas. We assessed the impact of travel time to the closest unit on perinatal outcomes and …

This study examined whether the closure of several inpatient obstetric units in rural New
Hampshire affected birth outcomes. It is a secondary analysis of birth certificate data from …