Maternal Health & Maternity Care Deserts

Pulse Atlas ranks every U.S. county on maternal access using a composite of March of Dimes maternity care desert designation (2024), CMS OB unit presence (Q2 2025), pop-weighted distance to the nearest hospital, and HRSA AHRF OB provider supply per 10,000 women of reproductive age. The 100 counties below have the country's most severe maternal access gaps.

Top 100 counties by maternity care designation

  1. Aleutians East Borough, AK — Desert
  2. Aleutians West Census Area, AK — Desert
  3. Yakutat City and Borough, AK — Desert
  4. Yukon-Koyukuk Census Area, AK — Desert
  5. Kusilvak Census Area, AK — Desert
  6. Southeast Fairbanks Census Area, AK — Desert
  7. Denali Borough, AK — Desert
  8. Lake and Peninsula Borough, AK — Desert
  9. Skagway Municipality, AK — Desert
  10. Petersburg Borough, AK — Desert
  11. Prince of Wales-Hyder Census Area, AK — Desert
  12. Bristol Bay Borough, AK — Desert
  13. Haines Borough, AK — Desert
  14. Catron County, NM — Desert
  15. Esmeralda County, NV — Desert
  16. Wrangell City and Borough, AK — Desert
  17. Hoonah-Angoon Census Area, AK — Desert
  18. Owyhee County, ID — Desert
  19. Hidalgo County, NM — Desert
  20. Sublette County, WY — Desert
  21. Torrance County, NM — Desert
  22. Daggett County, UT — Desert
  23. Terrell County, TX — Desert
  24. Powder River County, MT — Desert
  25. Hudspeth County, TX — Desert
  26. Custer County, ID — Desert
  27. Harding County, NM — Desert
  28. Emery County, UT — Desert
  29. Jones County, SD — Desert
  30. Petroleum County, MT — Desert
  31. Hinsdale County, CO — Desert
  32. Clark County, ID — Desert
  33. Wheeler County, OR — Desert
  34. Judith Basin County, MT — Desert
  35. Zapata County, TX — Desert
  36. Ziebach County, SD — Desert
  37. Eureka County, NV — Desert
  38. Burke County, ND — Desert
  39. Kinney County, TX — Desert
  40. Wayne County, UT — Desert
  41. Douglas County, WA — Desert
  42. Logan County, NE — Desert
  43. Jackson County, CO — Desert
  44. Dunn County, ND — Desert
  45. Camas County, ID — Desert
  46. La Salle County, TX — Desert
  47. Mora County, NM — Desert
  48. Harding County, SD — Desert
  49. San Juan County, CO — Desert
  50. McMullen County, TX — Desert
  51. Kidder County, ND — Desert
  52. Sioux County, NE — Desert
  53. Lyman County, SD — Desert
  54. Boise County, ID — Desert
  55. Hayes County, NE — Desert
  56. Golden Valley County, MT — Desert
  57. Piute County, UT — Desert
  58. Keya Paha County, NE — Desert
  59. Grant County, NE — Desert
  60. Gilliam County, OR — Desert
  61. Jim Hogg County, TX — Desert
  62. Oldham County, TX — Desert
  63. Forest County, WI — Desert
  64. Real County, TX — Desert
  65. Dixie County, FL — Desert
  66. Irion County, TX — Desert
  67. Skamania County, WA — Desert
  68. Thomas County, NE — Desert
  69. Donley County, TX — Desert
  70. McHenry County, ND — Desert
  71. Benson County, ND — Desert
  72. Briscoe County, TX — Desert
  73. Armstrong County, TX — Desert
  74. Zavala County, TX — Desert
  75. Sheridan County, ND — Desert
  76. Sherman County, TX — Desert
  77. Corson County, SD — Desert
  78. Blaine County, NE — Desert
  79. Carson County, TX — Desert
  80. Kent County, TX — Desert
  81. Loving County, TX — Desert
  82. Borden County, TX — Desert
  83. King County, TX — Desert
  84. Wallace County, KS — Desert
  85. Roberts County, TX — Desert
  86. Dickens County, TX — Desert
  87. Lipscomb County, TX — Desert
  88. Pendleton County, WV — Desert
  89. Crowley County, CO — Desert
  90. Treasure County, MT — Desert
  91. Motley County, TX — Desert
  92. Keweenaw County, MI — Desert
  93. Loup County, NE — Desert
  94. Sherman County, OR — Desert
  95. Glades County, FL — Desert
  96. Kenedy County, TX — Desert
  97. Costilla County, CO — Desert
  98. Morgan County, MO — Desert
  99. Dolores County, CO — Desert
  100. Oregon County, MO — Desert

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