Pennsylvania is losing maternity care — and its providers are working alone

Across the Commonwealth, labor & delivery units are closing and the midwives and birth centers that keep birth care close to home are stretched thin — each carrying the weight of access, advocacy, and funding on its own.

38
Labor & delivery units have closed in PA since 2005
Source: PA RHTP Application
42
Pregnancy-related deaths in 2021 — nearly all preventable
Source: PA Maternal Mortality Review Committee via RHTP
30+ min
Travel time to nearest birthing hospital for nearly half of rural women
Source: PA RHTP Application
$187.4M
Allocated for PA's Maternal Health Initiative under the Rural Health Transformation Plan
Source: PA RHTP Table 6

The providers who keep birth care close to home — independent midwives, freestanding birth centers, and the practices that support them — are scattered across Pennsylvania and largely disconnected. Individually, each is too small to command attention from funders or to shape policy. Together, under one banner, they become a network strong enough to be heard, to support one another, and to shape what comes next. That is the case for the Keystone Birth Collaborative.

A network of friends

No head office. No hub. No one in charge of anyone else. The Keystone Birth Collaborative is simply a named network of independent providers who share goals and choose to stand together — loosely, but strongly, connected. Joining gives you a shared identity, an easy way to find and support one another, and a stronger collective voice when you want one. Friends keep their independence. No one merges.

"Stronger together, independent always — one shared banner, many friends."

For Friends

Belonging to something bigger than your own practice: a shared identity, peers to learn and coordinate with, an opt-in listing that helps people find you, and a stronger hand when there's funding or advocacy worth pursuing together — all without giving up an ounce of independence.

For Funders & Partners

An easy way to reach and support independent providers across Pennsylvania — one friendly point of contact, and a network that already shares goals, rather than dozens of disconnected practices to track down.

For Families & Community

A trusted, growing map of independent providers who keep birth care close to home — a simple, informational listing offered to help families find care, not a paid referral service.

A network, not a merger

Friends stay fully independent — their own licensure, operations, staff, and patients. The Collaborative adds connection and a shared voice, never control. No one is asked to consolidate — only to stand together.

Stronger when it counts: When there's a grant to pursue, a policy to weigh in on, or a standard to set, it helps to be more than one small voice. A named network gives friends that backing — there when they want it, never required.

What friends get

Being a friend is entirely opt-in — a shared set of goals, not a merger. Friends keep their independence and gain the strength of a statewide network.

Recognition When It Counts

When there's a grant, a program, or a policy worth pursuing, a recognized network carries weight that a single practice can't — there if and when you choose to use it.

Coordination Space

A private friends' channel (coming soon) to align on initiatives, share resources, and set common standards — so friends move together instead of solving the same problems alone.

Directory Visibility

An opt-in public listing in the collaborative directory — profile, services, and location — raising discoverability and credibility with families and partners.

Shared Learning

Joint education, case rounds, and a statewide learning collaborative across friends' practices — pooling the experience that no single practice could build on its own.

Shared Resources

A shared library for friends (coming soon): a Pennsylvania maternal-health grants calendar, application templates, and operating guidelines that lower the barrier to funding.

A simple, opt-in listing

The directory is just that — a listing, offered by choice. It isn't a paid referral arrangement, and being listed doesn't imply endorsement. Joining is open on clear, even terms that apply the same way to everyone.

About the Collaborative

The Keystone Birth Collaborative is a collaborative network of independent Pennsylvania midwives, birth centers, and aligned providers — brought together under one shared banner so that, together, they have the visibility and standing that none of them has alone.

Friends stay independent, keeping their own care, operations, and patient relationships. The Collaborative simply adds the connective layer — a shared identity, communication, and coordination — that turns scattered practices into a network funders and partners can reach.

A shared identity, not a merger

The Collaborative is a shared banner and a coordination layer rather than a practice of its own — care is delivered by the friends themselves — each practice in its own name. Joining adds connection and shared resources, never anyone's independence.

Friends of the Collaborative will appear here as practices join.

Join the Collaborative

Pennsylvania's birth care is stronger as a network. Whether you catch babies, run a birth center, support maternal health, or fund it — there's a place for you under this banner.

Midwives & Birth Centers

Add your practice to a statewide network of friends. Get listed in the directory, coordinate with peers, and stand together when it helps — while staying fully independent.

Get listed →

Aligned Providers & Organizations

FQHCs, hospitals, OB practices, doulas, and community organizations that share our goals. Connect to the network for coordination, shared standards, and collaborative initiatives.

Join the network →

Funders & Partners

One door to a statewide network of independent midwives and birth centers. Reach aligned providers across Pennsylvania through a single point of contact, around shared goals and metrics.

Start a conversation →

Public directory & private friends' area — coming soon

We're building an opt-in public directory of friends' practices and a private friends' area for coordination, announcements, and shared resources — including a Pennsylvania maternal-health grants calendar and application templates. Want to be listed when it launches, or help shape it? Send us a note and we'll add you to the founding list.

Add me to the founding list →
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