Three pieces published on 5 October 2026. Each piece covers a different part of one question: what happens to a mother when the hospital that used to deliver her baby no longer does.
The gap isn’t the people. It’s the paper. It’s the process no one has written.
Reported from Perry and Juniata counties, both of which have no hospital where a baby can be born. The CBS 21 piece carries the Collaborative’s four reasons a maternity unit closes, and the point that closing a maternity unit slows emergency surgery for everybody, not only mothers.
The regulation that governs obstetrical services in Pennsylvania hospitals does not contain the word “hemorrhage.” Not once.
A long account of the summit in Terre Hill on 26 September 2026, quoting midwives, obstetricians and mothers from the room, and the regulation that has gone substantially unrewritten since the early 1980s.
In 23 of Pennsylvania’s 67 counties, there is no hospital where a baby can be born.
An opinion piece on House Bill 2520, which would prohibit an unlicensed attendant from carrying the medication used to control severe bleeding after childbirth, without an exception for a life-threatening hemorrhage.
The Collaborative will talk about what happens when a woman’s care moves from home or a birth center into a hospital, what Pennsylvania regulation does and does not require, and how the closure count was built. Press requests come through the inquiry form below, and each request reaches a person rather than a queue.
The Collaborative takes no position on whether community midwives should be licensed. The licensing question is before Commonwealth Court. The Collaborative is not a party to the court case. Every role in the Collaborative’s framework is described by competency, setting and transfer obligation rather than by who should hold a license.