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Donnelly Announces Support For Bipartisan Legislation Aimed At Improving Maternity Care Access In Underserved Areas

Last updated on Wednesday, July 25, 2018

(WASHINGTON, D.C.) - U.S. Senator Joe Donnelly announced his support for the bipartisan Improving Access to Maternity Care Act. The legislation seeks to help reduce the shortage of obstetrical services in underserved and rural areas.

Currently, 32 Indiana counties lack hospital-based obstetrical services, which can result in Hoosiers being forced to drive long distances or unable to access adequate maternity care.

The following is a list of Indiana counties which lack hospital-based obstetrical services: Benton, Blackford, Brown, Carroll, Clay, Clinton, Crawford, Fountain, Franklin, Gibson, Jasper, Jennings, Martin, Montgomery, Newton, Ohio, Owen, Parke, Pike, Posey, Putnam, Rush, Scott, Spencer, Starke, Switzerland, Tipton, Union, Vermillion, Warren, Washington, White.

The Improving Access to Maternity Care Act would create a new maternity care health professional shortage area designation in order to ensure that OB/GYNs participating in the National Health Service Corps (NHSC) are sent to the areas in highest need of maternity care. The NHSC incentivizes healthcare providers to work in underserved areas by awarding scholarships and loan repayment to primary care providers in eligible disciplines. As a result, maternity care resources could be targeted to the areas in greatest need of providers and services, which would help contribute to healthier pregnancies and babies. The companion bill to the Improving Access to Maternity Care Act passed unanimously in the House last year.

Donnelly said, "Hoosier mothers deserve access to quality maternal care, no matter where they live. Unfortunately, too many Indiana communities face a shortage or even lack of maternity care professionals and services altogether, which can have a harmful impact on expectant mothers, families, and ultimately babies. We must improve access to maternity care, and this bill would help address a critical need, particularly in underserved and rural areas across our state."

Dr. James Turner, Medical Director of the Richard G. Lugar Center for Rural Health, said, "Over 30 counties in Indiana are without hospital-based Obstetrical Services for pregnant women. This is especially true in rural areas of the state. This bill is a first step in helping identify all the areas in our state where it is difficult for women and their families to find the care they need."

IN OB Services County Map.png
32 of Indiana's 92 counties lack hospital-based obstetrical services, shown in gray in the image above (Source: Indiana Hospital Association)

Babies born to mothers who received no prenatal care are three times more likely to be low birth weight, and are five times more likely to die than babies whose mothers received care, according to the American Congress of Obstetricians and Gynecologists. According to the Centers for Disease Control and Prevention, approximately 700 women and 23,000 infants die in the United States each year due to complications during pregnancy or delivery. Indiana has the sixth-highest infant mortality rate and the third-highest maternal mortality rate in the United States.

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