This policy brief provides descriptive data on the
economic changes underway in counties that lost obstetric
care facilities between 2012 and 2019.
The majority of rural counties in the United States
do not have an obstetric care provider within their
borders (micropolitan and non-core as defined by the
National Center for Health Statistics urban-rural
Counties without obstetric care facilities have
higher rates of poverty and lower rates of health
insurance coverage across all ages.
For the years studied, data illustrate a decline in
economic activity after counties experienced a loss in
obstetric facilities, either through facility conversion
or through hospital closure.
Counties which lost obstetric care access also had
decreases in their labor forces and population of