{"id":21813,"date":"2026-02-16T13:32:03","date_gmt":"2026-02-16T18:32:03","guid":{"rendered":"https:\/\/www.med.unc.edu\/fammed\/?p=21813"},"modified":"2026-03-09T16:03:24","modified_gmt":"2026-03-09T20:03:24","slug":"unc-chatham-researchers-publish-impactful-evaluation-of-rural-maternity-care-center","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/fammed\/2026\/02\/16\/unc-chatham-researchers-publish-impactful-evaluation-of-rural-maternity-care-center\/","title":{"rendered":"UNC Chatham Researchers Publish Evaluation of Successful Rural Maternity Care Center"},"content":{"rendered":"

A new three\u2011year evaluation led by the UNC Chatham Hospital Maternity Care Center (MCC) team shows that reopening a rural Level I maternity unit can provide safe, high\u2011quality birth outcomes, significantly reduce travel burdens for families, and offer a strong family physician and midwife\u2011led model for rural maternity care. Patient interviews also revealed high satisfaction with respectful, community\u2011centered care closer to home, underscoring the importance of resource\u2011appropriate maternity services in underserved regions.<\/p>\n

These findings are detailed in the team\u2019s open\u2011access article, Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures<\/em>, published in the International Journal of Environmental Research and Public Health<\/em>. The study\u2019s authors include Kathryn Wouk, PhD; Ellen Chetwynd, PhD, MPH, BSN; Emily C. Sheffield, MPH; Marni Gwyther Holder, MSN, RN, FNP-BC; Kelly Holder, DO; Isabella C. A. Higgins, PhD; Moriah Barker, MD; Tim Smith, MPA; Breanna van Heerden, MPH; Dana Iglesias, MD, MPH; Andrea Dotson, MD, FAAFP, IBCLC, MSPH; and Margaret Helton, MD.<\/p>\n

\"\"
First baby born at Chatham Hospital – September 2021. Photo courtesy of UNC Health.<\/figcaption><\/figure>\n

Led by Dr. Wouk, the writing team used a mixed-methods analysis combining birth outcome data with patient interviews. Their work positions UNC Family Medicine as a national thought\u2011leader in opening and sustaining rural maternity services during a period of widespread obstetric unit closures across the United States.<\/p>\n

A Critical Look at Rural Maternity Care Access<\/strong><\/p>\n

To assess impact, the team compared MCC outcomes with a curated dataset of low\u2011risk births from UNC Main\u2019s Labor and Delivery Unit for Chatham County residents in the three years prior to the MCC opening. This comparative dataset allowed the evaluation team, co-led by Martha Carlough, MD, MPH, and Dr. Chetwynd, to measure safety, quality, and patient experience during MCC\u2019s start\u2011up years.<\/p>\n

The findings are encouraging and underscore the importance of resource\u2011appropriate maternity services for rural communities.<\/p>\n

Key Findings<\/strong><\/h4>\n

Safe and Comparable Outcomes<\/strong><\/p>\n

The study shows that reopening a Level I rural maternity care center can maintain safe, high-quality labor and delivery outcomes comparable to a large academic medical center, demonstrating the value of family physicians and midwives as a collaborative care team.<\/p>\n

Reduced Travel Burden<\/strong><\/p>\n

Patients who previously traveled long distances for delivery experienced a 50% reduction in travel time once the MCC opened, improving access to timely and equitable perinatal care.<\/p>\n

Model for Rural Maternity Services<\/strong><\/p>\n

The study highlights a resource\u2011appropriate maternity care unit of family physicians and midwives as a model for delivering quality rural maternity services nationally in underserved regions.<\/p>\n

High Patient Satisfaction<\/strong><\/p>\n

Through interviews, patients reported high satisfaction with their care at the MCC and emphasized respectful communication, supportive decision\u2011making, and the importance of receiving care close to home.<\/p>\n

These findings highlight how resource-appropriate rural maternity services can strengthen patient agency, trust, and positive birth experiences.<\/p>\n

Impact on Rural Health Systems<\/strong><\/p>\n

UNC Family Medicine faculty lead and staff the maternity services at UNC Chatham Hospital. Since opening in 2020, the Maternity Care Center has delivered more than 850 babies using a family\u2011physician\u2011led model, offering a vital solution in regions where OB\u2011GYN services are limited or unavailable. With 20 North Carolina counties lacking maternity care, this work plays a critical role in improving health outcomes for mothers and babies across the state.<\/p>\n

As rural hospitals across the country continue to close obstetric units, this study offers an evidence-based model for reopening and sustaining maternity services in underserved regions. The MCC evaluation contributes significantly to the national conversation on rural health equity and underscores the collective work of Chatham Hospital, UNC Family Medicine, and partners across the UNC Health system.<\/p>\n

The study arrives at a critical time and highlights the power of collaborative, community-centered care in meeting the needs of rural families.<\/p>\n

Read the article:\u00a0https:\/\/doi.org\/10.3390\/ijerph23010102<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

A new three\u2011year evaluation led by the UNC Chatham Hospital Maternity Care Center (MCC) team shows that reopening a rural Level I maternity unit can provide safe, high\u2011quality birth outcomes, significantly reduce travel burdens for families, and offer a strong family physician and midwife\u2011led model for rural maternity care. Patient interviews also revealed high satisfaction … Read more<\/a><\/p>\n","protected":false},"author":58241,"featured_media":21846,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[27,72,1,24],"tags":[],"class_list":["post-21813","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community-health","category-community-health-news","category-news","category-research-news","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"\nUNC Chatham Researchers Publish Evaluation of Successful Rural Maternity Care Center - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/fammed\/2026\/02\/16\/unc-chatham-researchers-publish-impactful-evaluation-of-rural-maternity-care-center\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"UNC Chatham Researchers Publish Evaluation of Successful Rural Maternity Care Center - Department of Family Medicine\" \/>\n<meta property=\"og:description\" content=\"A new three\u2011year evaluation led by the UNC Chatham Hospital Maternity Care Center (MCC) team shows that reopening a rural Level I maternity unit can provide safe, high\u2011quality birth outcomes, significantly reduce travel burdens for families, and offer a strong family physician and midwife\u2011led model for rural maternity care. 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