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This study investigates how access to maternal care at the county level correlates with term stillbirth rates in the United States.

February 5, 2026SHILAP Revista de lepidopterologíaOpen Access

The association between maternal care access and term stillbirth at the US county level

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This study investigates how access to maternal care at the county level correlates with term stillbirth rates in the United States.
Conducted a cross-sectional analysis using CDC Vital Statistics birth certificate data from 2016 to 2019.
Included non-anomalous, singleton births of 37 weeks’ gestation or more.
Categorized maternal care access levels into full, moderate, low, or desert based on the March of Dimes report.
Utilized mixed-effects multivariable models, adjusting for clinical, demographic, and county-level factors.
Out of 3138 counties, 1100 were identified as maternal care deserts (35.1%).
Term stillbirth occurred in 16,402 deliveries, constituting 0.12% of total births, with 13.2% from counties lacking full maternal care access.
In unadjusted models, maternal care deserts had increased odds of stillbirth (OR 1.13), but this was not significant after adjusting (aOR 0.98).

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Implication

Cross-sectional analysis shows geographic inequities in maternal care access and stillbirth rates in the US, suggesting critical areas for intervention.

Cite This Study

McNamara et al. (2026) studied this question.

synapsesocial.com/papers/698433d8f1d9ada3c1fb149a https://doi.org/10.1002/pmf2.70225

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Implication

Cross-sectional analysis shows geographic inequities in maternal care access and stillbirth rates in the US, suggesting critical areas for intervention.

The association between maternal care access and term stillbirth at the US county level

Key Points

Discussion

Implication

Cite This Study

The association between maternal care access and term stillbirth at the US county level

Key Points

Discussion

Implication

Cite This Study

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