This presentation, provided by the University of Minnesota Center for Bioethics, will tackle core concepts related to safety during childbirth: access to and outcomes of care, with a focus on rural U.S. communities. It will present research findings on declining access to obstetric care in rural communities, what happens when rural communities lose obstetric services, and why hospitals close obstetric units. It will also consider the path forward, describing strategies to ensure that rural maternity care is safe, viable, and accessible.