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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 Football Star Mello Dotson Secures AP Third Team All-American Spot

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Kansas Football Star Mello Dotson Secures AP Third Team All-American Spot


Kansas senior cornerback Mello Dotson capped off an incredible season by earning his second All-America honor on Monday.

The Associated Press named Dotson to its Third Team All-America list, adding to his earlier selection as a Walter Camp Second Team All-American on Dec. 12.

Dotson’s recognition is a big moment for Kansas football.

He’s the first Jayhawk to earn All-America honors since linebacker Joe Dineen Jr. in 2018. Even more impressive, Dotson joins an exclusive group as only the 13th Kansas player to be named an All-American multiple times.

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His selection marks the 25th All-America honor in program history.

This season, Dotson proved to be one of the best cornerbacks in the country.

He led the Big 12 Conference with five interceptions, a number that tied for third nationally among cornerbacks. Two of those interceptions were returned for touchdowns, which tied him for the most in the country.

He also tallied 49 tackles and 12 pass deflections, consistently making life difficult for opposing offenses.

Dotson’s career numbers are even more impressive.

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Over his time at Kansas, he racked up 12 interceptions, 177 tackles, and 37 passes defended. He also set a school record with four interceptions returned for touchdowns—truly a game-changer every time he was on the field.

His senior year was full of highlights.

Dotson earned First Team All-Big 12 honors and was an Honorable Mention for Big 12 Defensive Player of the Year. One standout moment came against No. 17 Iowa State, where he returned an interception 25 yards for a touchdown.

That game earned him Big 12 Defensive Player of the Week and Paycom Jim Thorpe Award Defensive Back of the Week honors.

Dotson wasn’t the only star cornerback for Kansas this season.

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His teammate, Cobee Bryant, was named a Second Team All-American by the American Football Coaches Association on Dec. 13.

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Former Kansas City Chiefs player Jimmy Wilkerson dies at 43; high school honours late assistant coach with teary win

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Former Kansas City Chiefs player Jimmy Wilkerson dies at 43; high school honours late assistant coach with teary win


Former Kansas City Chiefs draft pick and longtime NFL defensive end Jimmy Wilkerson sadly passed away earlier this week on December 13 in Oklahoma City. He was 43 years old.

Longtime NFL player Jimmy Wilkerson, 43, passed away on December 13 in Oklahoma — a day before the final game of his son Maddox’s senior season. (Instagram (maddoxwilkerson45))

Before his unfortunate demise, Wilkerson was employed as an assistant coach at Carl Albert High School. According to The Oklahoman, the Titans were scheduled to have their final practice before the Saturday game. A few hours before the planned schedule, the former OU standout was at home when a call went out to paramedics for an emergency. Wilkerson, however, was reportedly no longer with us before the officials arrived. A heart attack is believed to be the cause of his untimely death.

Also read | Ex-Georgia football player Gleaton Jones, 21, dies after Dec 10 car crash

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More about the NFL star’s pro career. His son is also a football player

Throughout his NFL career, the Oklahoma athlete played with the Kansas City Chiefs from 2003-07. Eventually, he switched over to Tampa Bay for two seasons before joining the New Orleans Saints roster in 2010. His NFL path culminated with Seattle in 2011.

The late assistant coach’s son, senior tight-end Maddox Wilkerson, followed in his father’s footsteps, playing alongside his teammates for Carl Albert. With barely a day elapsed between his dad breathing his last breath and his school’s showdown against Guthrie, the #45 athlete (the same number his dad wore while playing at the collegiate level) still stepped up to the occasion and participated in the crucial match, which ultimately paved the way for a historic victory.

Jimmy Wilkerson’s memory honoured by historic Carl Albert victory

Despite reeling from the older Wilkerson’s death, the Carl Albert team defeated Guthrie 30-6 at the Class 5A state championship football game at the Chad Richison Stadium in Edmond, Oklahoma, on Saturday, December 14. It marked the school’s third consecutive Class 5A title and the program’s 19th overall. Nevertheless, the post-game visuals stung with the abject pain of loss.

With tears in his eyes, Carl Albert coach Mike Dunn praised the student-athletes for rising above the prevailing hardship, saying, “Proud of all of our guys. Different circumstances today. … I don’t know that we’ve ever dealt with adversity like that.”

Maddox’s mother, Jamie, reportedly offered him the option to sit out the game. Yet he did more than show up for the team. “We were trying really hard to get him in” the end zone, Dunn said of the young player. “But he’s made plays all year long, and so I know his dad would be proud of him.”

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He added, “You talk about hard. That kid dealt with a lot. … He’s a great kid, great family and he’s gonna have a bunch of coaches, we’ll never be his dad, but we’ll always be there for him.”

“Everybody earned this…but this one’s going home tonight with Maddox Wilkerson.”

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Maddox Wilkerson’s teammates stand by him

Carl Albert Captain Caden Davis said of the late NFL player, “You can’t replace a guy like Coach Wilkerson. He’s so selfless and gives everything he has to everybody.”

Alluding to the example set by Maddox, he added, “That guy is so tough. Maddox is such a strong guy.”

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Similarly, linebacker and OU signee Marcus James noted, “He came out and handled business like he was supposed to. … It was great for him to come out and be able to take the field and be able to play after a time like that.”

On Friday, the deceased NFL talent’s son paid a tribute to his father on Instagram. “You were the best dad and also my best friend,” he wrote on social media. “I love you so much, Dad. Life won’t ever be the same without you here by my side.”

According to social media receipts, Jimmy Wilkerson is survived by his wife, Jamie, and four kids, Tyson, Maddox, Jax, and Emilia.

On Friday, Maddox Wilkerson honoured his late father by posting a slideshow of their shared memories on Instagram.
On Friday, Maddox Wilkerson honoured his late father by posting a slideshow of their shared memories on Instagram.



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Kansas lands former Alabama football defensive back | Report

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Kansas lands former Alabama football defensive back | Report


Ex-Alabama football cornerback Jahlil Hurley has committed to Kansas, On3 reported Sunday, citing Hurley’s agent, Casey Gunn.

Hurley re-posted the news on X shortly after.

Hurley, a Florence native, played in nine games this past season for the Crimson Tide. He didn’t see any playing time during his first season in 2023. The 247Sports Composite listed Hurley as the No. 50 player overall in the 2023 recruiting class and the No. 5 cornerback as a four-star recruit.

Hurley announced his intentions to enter the transfer portal before Alabama learned it would not make the College Football Playoff. Others have since joined him, including the likes of defensive back DeVonta Smith, running back Justice Haynes and receiver Kendrick Law, among others. Hurley joins Keanu Koht (Vanderbilt) as former Alabama players who have already found new homes.

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The transfer portal has been open for about a week and will remain open for about two more weeks.

Nick Kelly is an Alabama beat writer for AL.com and the Alabama Media Group. Follow him on X and Instagram.





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