Out-of-Hospital Births and Infant Mortality in the United States: Effect Measure Modification by Rural Maternal Residence

Document Type


Publication Date



MRHRC, infant mortality, rural, home birth, population, quantitative analyses

Publication Title

Paediatric and Perinatal Epidemiology,


Using data from the National Center for Health Statistics, researchers at the University of Southern Maine's Rural Health Research Center and the Maine Medical Research Institute conducted a population-based cohort study of infant births to estimate the effect of rural residence on the risk of infant mortality.

The authors found that home (out-of-hospital) births in both rural and urban areas had higher rates of infant mortality compared to hospital births, and risks associated with planned home births and birth centre births were especially pronounced for women in rural counties.


Early release of this article may be found at: https://onlinelibrary.wiley.com/doi/abs/10.1111/ppe.12862