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Kansas maternal health care deserts mean hardships on mothers, communities and providers • Kansas Reflector

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Kansas maternal health care deserts mean hardships on mothers, communities and providers • Kansas Reflector


Thirteen counties in Kansas ceased to offer obstetric care services from 2013 to 2023 — a statistic that points to a shrinking availability of maternal care in Kansas, the lack of which can cause poor outcomes in pregnancy and delivery, overburdened hospitals and long drives for women seeking adequate care.

Jennifer Cunningham drove more than six hours for care at the University of Kansas Health System for two of her four, high-risk pregnancies because she didn’t feel the limited obstetrics department in her home area of Garden City could take care of her.

Garden City, with a population of about 27,000, serves as a local hub for shopping and other services in southwest Kansas. But with a declining number of providers who can deliver, Cunningham said, many of the women she knows are driving to Wichita, or further, to seek adequate care during their pregnancies and for deliveries.

It makes her worry for the future growth and prosperity of the town.

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“If we can’t provide those basic services, we can’t continue to survive in general,” Cunningham said Tuesday during a KU Health news briefing on rural maternity care. “Local professionals, who are lawyers or other doctors or other professionals, they aren’t going to choose to come and live here if they can’t even have a baby here.”

This map, provided by Michael Kennedy, a family medicine provider and rural health expert, shows the decline in obstetric care in Kansas. More than 40% of counties in the state have decreased the number of services or stopped entirely. (Screen capture from KU Health video)

Obstetric and family medicine providers are searching for solutions to the maternal health care deserts in everything from telehealth to student loan repayment incentives.

Bob Moser, executive director at the Kansas Center for Rural Health, said it is difficult for a rural hospital to retain or attract an OB-GYN doctor or someone who can provide those services.

“It’s challenging if you go out there and you’re the only provider providing obstetrical services, because you’re basically on call 24/7,” Moser said.

Additionally, these hospitals often lack consistent anesthesia services and wraparound, pre- and postnatal care.

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“As more (communities) are dropping (obstetrical services), it falls to those who are remaining to take on that added burden,” Moser said.

Patients are driving further, sometimes an hour or more, to seek care throughout their pregnancies, which means more time off, additional child care and increased expenses.

Moser said the travel distance also increases the risk of roadside birth or a person in labor walking into the nearest emergency room, to be met with a nurse who maybe hasn’t delivered in 10 or more years.

Marc Parrish, a maternal-fetal medicine specialist at KU Health, performs telemedicine services with patients across the state.

Parrish was Cunningham’s caregiver and performed some of her check-ups via telehealth and a partnership with an ultrasound clinic in Garden City.

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Parrish said it’s like being “in a fight with one hand tied behind your back.” Telehealth can only be as good as what the local partner is able and willing to provide, he said.

Michael Kennedy, a family medicine physician and rural health expert with KU Health, said he also sees a lack of obstetric exposure during residency programs and not enough effort to get doctors in training to experience rural hospitals.

There are several loan repayment programs on a state and federal level that incentivize doctors who specialize in OB-GYN services or choose to serve in health professional shortage areas. Kennedy and others on the panel said these programs could be an effective way to alleviate some of the maternal care shortages.

Maternal care deserts exist throughout the country, including in urban areas.

Sandra Stites, an OB-GYN and chief medical officer at Vibrant Health in Kansas City, Kansas, said if care is not culturally accessible, even folks in an urban setting can be in a care desert that can endanger their pregnancies.

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Medical professionals on the panel said solutions for all of these shortages will require collaboration across local, regional, state and national advocates.

Carrie Wieneke, OB-GYN clinical service chief for KU Health, said access to maternal care is on the 2024 list for the top 10 patient safety hazards.

“We’re going to have to work together with lots of people at lots of levels, not only in Kansas City but Topeka and D.C., to really be able to provide the care that people deserve,” Wieneke said.



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Kansas Lt. Gov. ‘thrilled’ to bring Chiefs to Sunflower State

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Kansas Lt. Gov. ‘thrilled’ to bring Chiefs to Sunflower State


OVERLAND PARK, Kan. (KCTV) – As Kansas lawmakers and the Chiefs held negotiations to get the team to leave Missouri, Lieutenant Governor David Toland led those conversations. He spoke to KCTV at the Kansas Department of Commerce office in Overland Park on Tuesday.

“We’re thrilled,” said Toland. “We’re so excited to be able to bring the Chiefs to Kansas, keep them in the Kansas City region, and to add an entirely new facility to the ecosystem of assets in Kansas City, which is a modern, domed facility that can host a Super Bowl, Final Fours, and big bowl games among many other things.”

Toland, who is also the state’s Secretary of Commerce, describes the last few days as a whirlwind, but a happy one, and they weren’t sure it was a done deal until around 2 p.m. on Sunday. He acknowledges the teamwork from state politicians in getting this done.

“This is a massive win,” said Toland. “It’s a massive project. We’re talking about a $4 billion project, 21,000 construction jobs, $4 billion in economic impact just during construction and then $1 billion a year in new revenues to Kansas. Our main message is one; this is a great deal for the taxpayers. Two, we’re going to be able to do things that we’ve never done before in Kansas and in Kansas City. Three, and most importantly, this is great for the Chiefs.”

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The new stadium in Wyandotte County and team headquarters and practice facility in Johnson County, along with entertainment districts at both, are part of a new STAR Bond District. The Sales Tax and Revenue bonds, or STAR Bonds, will help finance this project. The cost of the projects will be split 60-40, with Kansas paying 60% and the Chiefs paying 40%.

“This is a project that pays for itself with new revenues and at no risk to the taxpayers,” said Toland. “It’s going to create new money that is not currently here. That sales tax from the district in that area is pledged to the STAR Bonds. The risk for those STAR Bonds is born by the people who buy those bonds, not by the taxpayers. That’s about 80% of the capitol stack for the project. The other 20% comes from the state’s Attracting Professional Sports to Kansas Fund, which comes from the lottery and from sports betting. You put those two pieces together and that’s how we’re able to accomplish a $4 billion deal for Kansas.”

There have been questions of the success rate of STAR Bonds for past projects. KCTV5 investigated the 25-year history of the program and found a mixed record: some projects paid off early, while others closed before the bonds were retired. Toland stands by them.

“STAR Bonds are a proven tool that we’ve been using for over 25 years in Kansas,” said Toland. “We’ve done huge projects with them, like the Kansas Speedway, and we’ve done smaller projects all over the state, like the Amelia Earhart Museum in Atchison, for example.

“This is a proven model. We’ve done them successfully and it’s a tool that’s particularly good on a large project like this. We’re going to have a STAR Bond District that’s very strong, and we know that this is going to be a win, not just for the Chiefs and the communities, but for the investors.”

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With the plans for the new stadium to have a dome and an entertainment district, Toland says it can be used for much more than Chiefs’ games. He listed Super Bowl games, Final Four games, collegiate bowl games, and concerts, on top of hotels, restaurants, and more. He says this is a win for the whole metro.

“When you have a large-scale event like that, the impact is felt not just in Kansas, but across the region,” said Toland. “I think this is going to be, without question, a net positive for the Kansas City metro and that’s always been a goal of ours. We want a destination that’s going to be active, vibrant, and alive 365 days a year with people who live there and work there and come for restaurants and entertainment any night of the year. That’s a major part of how this project will differ from what’s currently at the Truman Sports Complex.”

The plan is to have the Chiefs in the new stadium by the start of the 2031-2032 season. Toland acknowledges the team leaving Arrowhead and Missouri is difficult for some fans.

“I’m an economic development professional,” said Toland. “I’ve been on both sides of winning deals and losing deals, and I know what it feels like both ways. I know this is tough for a lot of people in the region. I love Arrowhead as a venue. It’s an amazing place, but it’s time to go to the next level. That’s what we’re doing with this stadium project, with the headquarters and practice facility and these entertainment districts in Kansas. It’s making sure that the Chiefs remain best in class, that we’re growing the economy not just in Kansas but in the Kansas City metro, and we can have new opportunities to, among other things, finally realize Lamar Hunt Sr.’s dream of bringing a Super Bowl to Kansas City.”

When asked if he’s leading continued talks with the Royals, Toland declined to answer, saying they’re still focused on the Chiefs at this time.

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For more stories on the latest stadium development news, click here.



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Kansas powers through Davidson, securing 10th win of season

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Kansas powers through Davidson, securing 10th win of season


LAWRENCE, Kan. — Tre White and Flory Bidunga each had 18 points and eight rebounds as No. 17 Kansas used balanced scoring to beat Davidson 90-61 on Monday night.

Six players finished in double figures for the Jayhawks (10-3), including all five starters. Bryson Tiller added 11 points and Jamari McDowell scored 10. Melvin Council Jr. had 10 points, nine assists and seven rebounds.

Kohl Rosario provided 13 points off the bench as Kansas shot 58% from the field, including 11 for 21 (52%) on 3-pointers. The Jayhawks had 27 assists on 37 baskets and outrebounded Davidson 42-31. White nabbed four of the team’s 13 steals.

Roberts Blums was the only player in double figures for the Wildcats (8-4) with 13 points off the bench. Davidson was limited to 36% shooting from the floor and went 2 for 6 at the free-throw line.

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Kansas played its second consecutive game without Darryn Peterson. The freshman star, who missed seven straight games earlier this season due to injury, is averaging 25 points in four games.

But the Jayhawks barely missed him.

Kansas led by 19 before Davidson went on a 10-2 run to trim it to 36-25. The Wildcats hit six straight shots during one stretch, though they never cut the deficit to single digits. When White hit his fourth 3 of the first half, the lead was back up to 46-26.

Kansas went to the locker room with a 51-30 cushion. The Jayhawks were led by White’s 16 points. Bidunga and Council each had 10.

The second half didn’t start much better for Davidson, as the Wildcats were outscored 7-2 in the first 2:51, leading coach Matt McKillup to exhaust his timeouts with 17:09 left.

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Kansas wasted no time distancing itself from the overmatched Wildcats. When Bidunga threw down an alley-oop dunk with 13:03 left in the opening half, the Jayhawks already had stretched the lead to 17-6. Davidson didn’t reach double figures until 10:36 remained in the first half.

Up next

Davidson hosts Duquesne on Dec. 30.

Kansas is off until starting Big 12 play Jan. 3 at UCF.





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Chiefs expected to announce stadium move from Missouri to Kansas

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Chiefs expected to announce stadium move from Missouri to Kansas


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  • The Kansas City Chiefs are expected to receive approval to build a new stadium in Kansas.
  • The new stadium will be located in Wyandotte County and is projected to be ready for the 2031 season.
  • Plans for the new venue include a roof to allow for year-round events like the Super Bowl or Final Four.

The Kansas City Chiefs are expected to receive the green light to build a new stadium in Kansas, a person with knowledge of the situation told USA TODAY Sports, with the official announcement expected later Dec. 22 following a meeting of a key legislative committee.

The person was granted anonymity because the news was not yet official. 

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The eight-person Legislative Coordinating Council (LCC) will vote later Dec. 22, with Kansas Gov. Laura Kelly teasing a “special announcement” for Dec. 22 as well. 

The Chiefs have been negotiating with both the governments of Missouri and Kansas regarding their future home. Kansas City has played its home games at Arrowhead Stadium, located on the outskirts of Kansas City, Missouri, since 1972. 

The exact location of the new stadium is unknown but the land will be in Wyandotte County, not far from the Kansas Speedway and where Major League Soccer’s Sporting KC is headquartered. The new stadium will be ready for the 2031 season since the team’s current lease at Arrowhead Stadium expires after 2030.

The venue will have a roof to make it a year-round hosting site, with designs on the stadium hosting the biggest events in sports, such as the Final Four or Super Bowl. 

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According to the Kansas City Star, the state will provide up to 70% of the funding for the stadium. The projected total price tag of the project is $3 billion. 

The Chiefs are also moving their training facility to Olathe, Kansas – another suburb of Kansas City. That project does not currently have a timeline. 



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