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    <title>Rural Health &amp; Human Services News by Topic: Scope of practice - Rural Health Information Hub</title>
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    <description>Rural Health &amp; Human Services News by Topic: Scope of practice - Rural Health Information Hub</description>
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      <title>Maternal Health Care Deserts Are Spreading in Rural Pennsylvania</title>
      <link>https://pennsylvaniaindependent.com/uncategorized/maternal-health-care-deserts-rural-hospitals-physicians-obgyn-midwives-childbirth/</link>
      <description>Discusses reasons for labor and delivery department closures across Pennsylvania including challenges with recruiting and retaining obstetricians and gynecologists and low reimbursement rates for Medicare and Medicaid. Also notes poor health outcomes associated with maternal healthcare deserts. Describes potential solutions including increasing access to and the scope of practice for nurse midwives and certified midwives</description>
      <guid>https://www.ruralhealthinfo.org/news/38168</guid>
      <pubDate>Tue, 13 Jan 2026 00:00:00 -0600</pubDate>
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