TY - SER AU - Durfee,Stephanie AU - Nazarenko,Danielle N. AU - Agbemenu,Kafuli TI - Perceptions of rural access to prenatal care in the United States by patients, nurses, midwives, and physicians: an integrative review PY - 2024/// KW - Prenatal care KW - United States KW - Maternal health services KW - Rural health services N2 - Rural regions lack adequate prenatal care services, a contributing factor to disparate maternal health outcomes. Perspectives of 34,239 patients, 93 health care professionals including nurses, midwives, physicians, and 14 community health workers on accessing prenatal care in rural areas of the United States are examined in this integrative review. Three major categories influencing access to prenatal care in rural areas were developed. Individual factors included transportation, family support, motivation, and work commitments. Socioeconomic factors encompass health insurance, rurality, income, and housing. System factors involved the qualities of nurses, midwives, physicians, the clinic environment, and collaboration within the health care system. Findings emphasized the complexity of rural prenatal care ER -