Epidemiologic Reports SurveysPopulation-based Cohort Study of Hospital Delivery Volume, Geographic Accessibility, and Obstetric OutcomesAubrey-Bassler, F.K.; Cullen, R.M.; Simms, A.; Asghari, S.; Crane, J.; Wang, P.P.; Godwin, M.Author Information Primary Healthcare Research Unit, Discipline of Family Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL, Canada Obstetric Anesthesia Digest: December 2019 - Volume 39 - Issue 4 - p 182-183 doi: 10.1097/01.aoa.0000603648.06135.a2 Buy Metrics Abstract (Int J Gynecol Obstet. 2019;146:95–102) There is no consensus on the ideal distribution of maternal health care between rural and urban areas. Studies on this topic have been mixed, sometimes showing poorer outcomes for women in rural areas and for those who travel further to obstetric services. Studies have also suggested women delivering at higher-volume hospitals experienced improved outcomes. These studies, however, may not consider women who travel farther distances to high-volume hospitals. In Canada, high-risk women are often referred to high-volume and high-level medical centers, which confounds the relationship among delivery volume, geographic accessibility and obstetric outcomes. This study aimed to quantify the effect of geographic accessibility and delivery volume on outcomes for both mother and child, in an effort to inform policy decisions. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.