The Horton General Hospital in Banbury, Oxfordshire plans to downgrade a 24-hour children's ward to a day centre, close a special care baby unit and use midwives rather than consultants to run its maternity unit.
This means children needing 24-hour care, mums with pregnancy complications and very premature babies would have to travel 30 miles to Oxford for treatment.
Campaigners had hoped the Oxford Radcliffe Trust would drop the proposals after the Oxfordshire Joint Health Overview and Scrutiny Committee referred them to health minister Alan Johnson last month.
But at a public meeting, the trust voted unanimously to push on with the proposals despite fears raised by local people, councillors and GPs.
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