The frontier graduate school of midwifery was started in 1939 by the frontier nursing service fns as a part of its demonstration project in the care of the mother and child in rural areas of kentucky mary breckinridge viewed nurse midwifery as central to health care when world war ii started in 1939 a number of the british members of . Mary breckinridge 1881 1965 by gina castlenovo msn mph rn established the frontier nursing service fns in 1925 to provide professional health care in the appalachian mountains of eastern kentucky one of americas poorest and most isolated regions. Mary breckinridge founded the frontier nursing service in 1925 as a demonstration project of accessible affordable and competent health care for a rural population nurse midwives came to hyden kentucky and established outpost nursing centers that provided primary health care over 700 square miles of mountain terrain. The service was a decentralized health care system with the hospital at the center and the outpost nursing clinics located within a five mile ride on horseback these centers were staffed by nurse midwives who held clinics made rounds on horseback providing home care and went to the homes to attend births. The frontier nursing service provides healthcare services to rural underserved populations and educates nurse midwives the service maintains six rural healthcare clinics in eastern kentucky the mary breckinridge hospital the mary breckinridge home health agency the frontier school of midwifery and family nursing and the bed and breakfast inn at wendover kentucky
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