MISSION, S.D. (Dakota News Now) – In rural South Dakota, miles often separate expectant mothers from healthcare.

“A lot of women out here are left without any maternity care options,” said Rachel Kocak.

In Mission, moms mark their due dates and calculate miles to the nearest delivery location. Rachel Kocak, expecting her third child, said one option just closed.

“We used to have a birthing unit, I think up until a couple of months ago, and they lost their OB. So, Winner is no longer delivering babies,” Rachel said.

Some mothers remember when they could reach the hospital within a five-minute drive.

“IHS, for tribal members, they don’t deliver babies out here or provide prenatal care,” Rachel explained.

Families hope to reach the hospital before the baby arrives.

“So women either have to drive to Valentine, which is about 30 to 35 minutes from Mission, they can go to Wanblee, which is on the Pine Ridge Reservation, or they have to go to Pierre, Rapid City, or Sioux Falls,” Rachel said.

And if the roads are bad.

“I think there are a lot of babies who are unintentionally born at home. So it’s a tough place, I think, for mothers,” Rachel said.

The March of Dimes breaks down government data, showing a large portion of rural South Dakota as a maternity care desert, requiring travel of 38 or more minutes to reach an appointment or delivery room. The infant mortality rate is higher among native American babies born, compared to other races.

Health Department maps show counties in medium blue have 56 infant deaths per 100,000 births. Dark blue counties have three times as many. Grants aim to increase the number of healthcare workers, and funding supports a doula workforce program.

Kocak would like to see doulas and midwives available.

“Great opportunity for anyone who wants to become a home-birth midwife out here. The birth rate is still, I’m not sure what it is, but it’s high. There’s still a growing young population, and just not enough people to help deliver the babies,” Rachel said.

If care were closer, the outcomes could be brighter.

“You know, having the support network can make a huge change in the lives of these young, you know, these babies and young mothers who are building new families,” Rachel said.

The South Dakota Department of Health released a statement to Dakota News Now, which can be read in full below.

The South Dakota Maternal and Infant Health Task Force was created in 2025 to bring partners together to help improve the health and wellbeing of mothers and infants across the state. Their 5-year strategic plan was recently released, which has three priority areas: postpartum care to improve maternal health; safe sleep education and prevention strategies to protect infant health; and systems of care work that improves access, coordination, and quality of care statewide. One of the strategic plan activities that is supported by Rural Health Transformation is the creation of Regional Maternal and Infant Health Hubs, which will create a hub-and-spoke network connecting hospitals, clinics, tribal health services, and community organizations. These hubs will improve care coordination, strengthen referral pathways, and expand access to services for families in rural and tribal communities.

APPLETON, Wis. — More than 200 Wisconsin National Guard troops are back home this weekend.

The troops based out of Appleton returned on Friday after a deployment throughout the Middle East for more than a year.

Members of the Wisconsin National Guard’s 2nd Battalion, 127th Infantry Regiment were treated to a warm welcome home by family and friends at Appleton Flight Center.

Staff Sgt. Ryan Hayes said seeing his family again after being gone for so long was amazing. He said it was especially emotional reuniting with his daughters and his 3-year-old son.

“It was kind of… honestly, kind of tear-jerking a little bit. I was trying to hold… It was hard to hold it back, you know? It’s hard to watch him grow through a phone, you know?” Hayes said.

Major General Matt Strub, Wisconsin’s adjutant general, said troops’ mission included conducting security operations in nine different countries.

He said they also took part in the largest transfer of enemy prisoners of war in Central Command history.

“How long they serve depends on the individual. But this was just a normal one-year rotation into the Middle East to just provide that security that the U.S. needs in the region. During the time they were gone, Operation Epic Fury kicked off. Their mission changed slightly, but still to provide security for the region,” he said.

Gov. Tony Evers was on hand to welcome the troops back to Wisconsin.

Strub said the celebration on Friday was well-earned and well-deserved.

“When they see the fire cannons, the water cannons, when they see the families with the balloons and signs, it’s truly… The joy swells up. The emotion of being gone wells up. You really just feel like you’ve… You’re welcomed home in a positive way,” he said.

Hayes said he felt blessed to be back home with his family.

“I feel really good to be home, be with my kids, another deployment under my belt. That just puts everything into perspective, like how lucky we are back here in the United States to have what we have and be able to have this,” he said.

This group of soldiers worked as part of the U.S. Central Command Area of Responsibility. They worked alongside NATO partners before wrapping up their deployment.