Significant health and access-to-care disparities exist for women of color compared to white women, and for women who live in rural communities compared to those in urban areas. It all results in worse maternal and infant health outcomes. Black, American Indian and Hispanic babies are up to 2.4 times more likely to die in the first year and Black women are three times more likely to die in childbirth. In addition, 36 rural counties in the Carolinas have no practicing obstetricians. Numerous rural hospitals have closed their maternity care units in the last decade.