Since 2000, there have been at least twenty rural maternity care services that have closed in BC.  These closures are occurring for various reasons, including:

• Shortages of maternity care providers
• Health care system restructuring
• Fiscal constraints

Thus, a growing number of rural women in B.C. must now travel away from their home communities to give birth.  This can be problematic to mothers, babies, families and communities because:

• Babies born to mothers from rural communities where there are no maternity care services may be less healthy at birth than babies born in their home communities
• Rural women who must travel from home communities to give birth may suffer physically and emotionally because of anxiety, and the uncertainty around planning for birth

These effects seem most pronounced in women with limited social and economic resources.

As researchers, we are very concerned that these changes are taking place without a clear understanding of what it all means for women, babies, families, communities and our health system resources. Through the RM-NET program of research we aim to investigate the challenges facing the provision of rural maternity care in a comprehensive way from multiple perspectives.  Health services literature suggest that within a regionalized system small rural maternity services can offer safe care as long as there is an efficient way to transport women during labour and delivery when necessary. However, there are many challenges in the way of sustaining small rural maternity care practices.

We believe it is extremely important to improve understanding of the diverse causes and consequences for British Columbians trying to access, provide, administer and make policy decisions about rural maternity care services.

For more information regarding our projects (past, current, and pending), please visit see below.

For additional resources on rural maternity care, such as publications and reports, please visit our Publications or Community Reports section.

Past Projects

• Bella Bella:  A Case Study on the Implications of the Closures of Rural Maternity Services
• Collaborative Maternity Care in Rural Environments: An Investigation of Regulary and Legislative Barriers
• Cost Effectiveness
• Demonstration Project
• Establishing Geographic Population Catchment Areas Using Proximity and Road Access for Rural Maternity Services in British Columbia
• Fetal Fibernectin
• Maternal and Newborn Outcomes by Service
• Practice Experiences of Rural GP Surgeons in BC
• Preterm Labour and Delivery
• Rural Maternity Service Closures: Implications for Referral Hospitals
• Rural Nurses' Experiences with the Provision of Maternity Care
• Rural Women’s Experiences of Maternity Care
• Rural Women’s Experiences of Maternity Care: Implications for Policy and Practice
• Secondary Analysis
• Sustainable Rural Maternity Care:  A Comprehensive Approach to Program Planning
• Stress and Pregnancy
• The Evolution of Rural Maternity Services: The Development of a Predictive Model