These include medical, surgical, emergency/trauma, obstetrical, gynecological and pediatric services as well as psychiatric services for adults, adolescents and children.

As of 2006, nearly two thirds of counties in the Appalachian region lacked a hospital offering obstetrical services.

If the clinic were closed, he said, the obstetrical service would have to close, too.

It also increased by as much as $400 the reimbursement to physicians for obstetrical services.

Women would have direct access to routine obstetrical and gynecological services, without having to get approval in advance.

But in contrast to traditional definitions of women's health, the clinic will not offer any obstetrical services, instead focusing on general wellness.

In 1985, when she was working as a nurse on an obstetrical service, Milos was dismissed by the hospital administration for insubordination.

The obstetrical and gynecological services are among the busiest in the hospital; about 3,000 babies are born there each year.

The federal government pays for half the obstetrical services provided to Medicaid beneficiaries in New York State, with the state picking up the rest.

The Woman & Child Program cares for 11,500 patients annually, providing gynecological and obstetrical services, outpatient pediatric care and women's services.