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Ready access to maternity services in rural areas is not a given, yet access to obstetric hospitals is associated with decreased rates of preterm birth and neonatal/perinatal mortality.

United statesAnnel banfieldSarac handleyHuman developmentRoberts centerNational institutes of healthAmerican hospital associationPediatric researchHealth affairsAmerican college of obstetricsEunice shriver national institute of child healthDavis medical centerAgency for healthcare researchAmerican collegeAlan liangHealthcare research