We're flying with the instruments off.
When you can't measure what's happening to women, you can't prove it, fund it, or fix it. Over the last year the public infrastructure that counted maternal outcomes has been quietly taken apart — while the crisis it was built to watch keeps widening.
Not a complaint. Documentation.
- PRAMS was dismantled in April 2025. The surveillance system that tracked maternal outcomes for thirty years — gone. The data simply stops.CDC · Pregnancy Risk Assessment Monitoring System
- Black maternal mortality is 3.5× the white rate, and widening. The widening is the part no one is now positioned to measure.CDC, last full surveillance year
- Care avoidance is rising in enforcement-heavy regions — and maternal outcomes there are getting worse in real time, with fewer and fewer eyes on it.Labora Rounds Intelligence Report 13
We are not waiting for them to look again.
A record built with patients.
Labora Collective already runs Labora Rounds — a physician-led intelligence platform watching dozens of women's health domains and turning sources into verified signals. It reads the public record. But the public record is going dark.
Community-level data is the missing half: the experiences, outcomes, and patterns that institutions never captured well even when they were trying — and aren't capturing at all now. The contraceptive desert you live in. The appointment you waited six weeks for. The symptom you were told was nothing. One story is an anecdote. Ten thousand stories, structured and consented, is a record.
We're not launching a database today. We're starting the conversation — with patients, clinicians, doulas, and advocates — about how to build one that earns trust. The form below is how you tell us you want to be part of that conversation.
Early thinking, in the open.
Nothing here is final. This is the shape we're exploring, and we want your reaction to it.
You contribute
Your experience, in your words — a short structured intake, a voice note, or both. Always voluntary, always yours.
We protect
De-identified by default. Consent-first. You decide what's shared, with whom, and you can withdraw it.
We build the record
Patterns — deserts, delays, disparities — surfaced alongside Labora Rounds' clinical intelligence.
It goes to work
Evidence for the journals, for advocates, for policy — proof that doesn't depend on a system that stopped counting.
The rules, first.
Consent is the product
Nothing is collected without informed, revocable consent. You can see what we hold and ask us to delete it.
Owned, not extracted
Your data is not sold, not handed to advertisers, not used to train a stranger's model. Owned, built, and run by women of color — that includes the data.
De-identified by default
We design to protect identity from the start, not as an afterthought. Aggregate over individual, always.
You see the receipts
What the record shows goes back to the community that built it — not locked behind a paywall or a login you'll never get.
To be clear: this is a conversation, not a live data pipeline. We are not collecting medical records or sensitive health data through this page. Right now we're only gathering interest and ideas from people who want to help shape what a trustworthy community-data effort looks like. Please don't share private health details in the form below.
Join the conversation.
Tell us you want in. We'll bring you into the design process — early listening sessions, draft consent language, and the first pilot when it's ready. No medical information needed or wanted here.