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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

Kansas Lottery Pick 3, 2 By 2 winning numbers for Dec. 21, 2025

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The Kansas Lottery offers several draw games for those aiming to win big. Here’s a look at Dec. 21, 2025, results for each game:

Winning Pick 3 numbers from Dec. 21 drawing

Midday: 3-5-4

Evening: 8-2-2

Check Pick 3 payouts and previous drawings here.

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Winning 2 By 2 numbers from Dec. 21 drawing

Red Balls: 06-20, White Balls: 08-25

Check 2 By 2 payouts and previous drawings here.

Winning Lucky For Life numbers from Dec. 21 drawing

11-24-27-38-46, Lucky Ball: 15

Check Lucky For Life payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

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Are you a winner? Here’s how to claim your lottery prize

All Kansas Lottery retailers will redeem prizes up to $599. For prizes over $599, winners can submit winning tickets through the mail or in person at select Kansas Lottery offices.

By mail, send a winner claim form and your signed lottery ticket to:

Kansas Lottery Headquarters

128 N Kansas Avenue

Topeka, KS 66603-3638

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(785) 296-5700

To submit in person, sign the back of your ticket, fill out a claim form, and deliver the form along with your signed lottery ticket to Kansas Lottery headquarters. 128 N Kansas Avenue, Topeka, KS 66603-3638, (785) 296-5700. Hours: 8 a.m. to 5 p.m., Monday through Friday. This office can cash prizes of any amount.

Check previous winning numbers and payouts at Kansas Lottery.

When are the Kansas Lottery drawings held?

  • Powerball: 9:59 p.m. CT Monday, Wednesday and Saturday.
  • Mega Millions: 10 p.m. CT Tuesday and Friday.
  • Pick 3 Midday/Evening: 1:10 p.m. and 9:10 p.m. CT daily.
  • 2 By 2: 9:30 p.m. CT daily.
  • Lucky for Life: 9:38 p.m. CT daily.
  • Lotto America: 9:15 p.m. CT Monday, Wednesday and Saturday.
  • Super Kansas Cash: 9:10 p.m. CT Monday, Wednesday and Saturday.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Kansas editor. You can send feedback using this form.



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3 hospitalized in Kansas City after Sunday morning house fire

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3 hospitalized in Kansas City after Sunday morning house fire


KANSAS CITY, Mo. – Three people were taken to the hospital after a house fire in Kansas City, Missouri on Sunday morning.

The Kansas City Fire Department was called to the 3300 block of Askew around 10:37 a.m., when crews reported smoke on the second floor of a two-story house.

All residents in the house were able to evacuate the home on their own. The fire was quickly brought under control and contained to a single room.

KCFD transported all three residents to the hospital. Their condition is currently unknown.

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The cause of the fire is under investigation by KCFD.



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Kansas Lottery Powerball, Pick 3 winning numbers for Dec. 20, 2025

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The Kansas Lottery offers several draw games for those aiming to win big. Here’s a look at Dec. 20, 2025, results for each game:

Winning Powerball numbers from Dec. 20 drawing

04-05-28-52-69, Powerball: 20, Power Play: 3

Check Powerball payouts and previous drawings here.

Winning Pick 3 numbers from Dec. 20 drawing

Midday: 2-0-6

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Evening: 3-9-2

Check Pick 3 payouts and previous drawings here.

Winning 2 By 2 numbers from Dec. 20 drawing

Red Balls: 13-26, White Balls: 08-21

Check 2 By 2 payouts and previous drawings here.

Winning Lucky For Life numbers from Dec. 20 drawing

08-21-30-41-47, Lucky Ball: 15

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Check Lucky For Life payouts and previous drawings here.

Winning Lotto America numbers from Dec. 20 drawing

09-12-34-45-50, Star Ball: 01, ASB: 02

Check Lotto America payouts and previous drawings here.

Winning Super Kansas Cash numbers from Dec. 20 drawing

07-08-17-20-32, Cash Ball: 19

Check Super Kansas Cash payouts and previous drawings here.

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Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

All Kansas Lottery retailers will redeem prizes up to $599. For prizes over $599, winners can submit winning tickets through the mail or in person at select Kansas Lottery offices.

By mail, send a winner claim form and your signed lottery ticket to:

Kansas Lottery Headquarters

128 N Kansas Avenue

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Topeka, KS 66603-3638

(785) 296-5700

To submit in person, sign the back of your ticket, fill out a claim form, and deliver the form along with your signed lottery ticket to Kansas Lottery headquarters. 128 N Kansas Avenue, Topeka, KS 66603-3638, (785) 296-5700. Hours: 8 a.m. to 5 p.m., Monday through Friday. This office can cash prizes of any amount.

Check previous winning numbers and payouts at Kansas Lottery.

When are the Kansas Lottery drawings held?

  • Powerball: 9:59 p.m. CT Monday, Wednesday and Saturday.
  • Mega Millions: 10 p.m. CT Tuesday and Friday.
  • Pick 3 Midday/Evening: 1:10 p.m. and 9:10 p.m. CT daily.
  • 2 By 2: 9:30 p.m. CT daily.
  • Lucky for Life: 9:38 p.m. CT daily.
  • Lotto America: 9:15 p.m. CT Monday, Wednesday and Saturday.
  • Super Kansas Cash: 9:10 p.m. CT Monday, Wednesday and Saturday.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Kansas editor. You can send feedback using this form.



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