Abstract
(Obstet Gynecol. 2020;136:610–612) Timely access to obstetric care is an important measurement to improve maternal and neonatal outcomes. The ability to travel to a facility that can perform essential surgeries, including cesarean delivery, within 2 hours is considered timely access by the Lancet Commission of Global Surgery. Some studies have used drive times of 30- or 60-minutes to assess timely access based on benchmarks for trauma, burns and stroke. The American College of Obstetricians and Gynecologists has no such benchmark for timely access to an obstetric care facility. This has raised concerns as both high-risk pregnancies and closures of rural obstetric units increase in the United States. The aim of this study is to evaluate U.S. travel times to access obstetric and neonatal intensive care in the U.S.
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