It is great to hear that there is a special place, pre-maternal home, to provide a safe, healthy place for rural mothers to go to while awaiting birth. In Southeast, lower Southeast, years ago, IHS would provide for transportation from the home village into Ketchikan where IHS had a contract with the local women's shelter to provide for rural women in the last month of pregnancy or who were at high risk. Being in Ketchikan was preferred over being sent to Sitka or Anchorage. All the rural women came from isolated, rural villages located on islands. By having this program the women were able to be close to the hospital and medical services. It helped to prevent from having babies mid-air in air taxis and reduced the need for emergency medivac by helicopter, which endangered all during night time and inclement weather. 
This program is no longer operating, women are sent to Sitka or Anchorage to await the births unless they have family or friends (or can afford a hotel) in Ketchikan.