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Midwifery Care
The Birth Center of Gainesville offers comprehensive care for pregnant women, women in labor, postpartum follow-up visits, and well-woman (gynecological) care for non-pregnant women, including birth control.
Prenatal Care

Pregnancy is a unique and special time for a family, and at the Birth Center of Gainesville, we honor the fact that each woman has different needs and desires during her pregnancy. Our midwives strive to assist the family in creating the best experience they can have throughout their pregnancy and birth. Prenatal care at the Birth Center consists of private appointments with a midwife beginning around 10 to 12 weeks of pregnancy and continuing on until 6 weeks after the birth of your baby. Visits begin with a one-hour initial interview and physical examination, with following visits lasting 30 minutes and scheduled to ensure comfort and familiarity with our intimate staff of midwives. Clients are welcome to bring family or friends to visits if desired.

Prenatal care with our midwives includes medical testing*, discussion, advice, and support on all of the following:
  • Weight gain
  • Blood pressure
  • Routine lab work
  • Genetic testing, if desired
  • Glucose levels
  • Fetal size and positioning
  • Fetal heart tones (via doppler and/or fetoscope)
  • Ultrasounds
  • Pregnancy management and family concerns
  • Nutrition counseling
  • Emotional changes
  • Other various health concerns
what is the Midwifery model of care?
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The "midwifery model" of care for pregnant women is based on the fact that pregnancy and birth are normal life experiences. The Midwives Model of Care includes:
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Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
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Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
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Minimizing technological interventions
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Identifying and referring women who require obstetrical attention

The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
Citizens for Midwifery
*Our midwives work closely with the Women's Center at Shands teaching hospital in the event that additional medical care not provided by the Birth Center is necessary.
Prenatal care also includes attendance at a variety of free classes offered by the Birth Center; see Classes & Workshops for more information.

To schedule a free orientation and tour of the Birth Center of Gainesville, call (352) 372.4784 or email us at fom@birthcenterofgainesville.org.

Birth and Labor Support

If pregnancy is a special time for families, the birth day is the crowning moment. We understand the needs of women in labor and strive to provide a safe, comfortable, and relaxed environment where mothers and families can enjoy the birth that they have spent many months anticipating. Laboring women are encouraged to soak in our large spa tub for pain relief, to walk, eat, drink, or otherwise move freely, and to generally be themselves in whatever way seems right in the moment. We are here to support your best birth as an individual, not to manage or control it for you. Births are typically attended by one Licensed Midwife and one to two Student Midwives of the Florida School of Traditional Midwifery who will assist with minor duties.
What we do:
  • Intermittent monitoring of baby (heartbeat) and mother (blood pressure and temperature)
  • Minimal cervical checks
  • Provide doula support, if desired
  • Discuss progress openly with mother and/or family as desired
  • Suggest options for positioning to facilitate easier birth
  • Offer comfort measures such as water immersion, massage, aromatherapy, music, food/drink, etc
  • Provide emotional support during difficult moments
  • Provide a quiet, peaceful environment into which baby can be calmly born
  • Delay cord cutting and allow ample family bonding time
What we do not do:
  • Constant fetal monitoring (internal or external)
  • Frequent cervical checks by several attendants
  • Augment labor with drugs such as pitocin or cervidil
  • Deny family participation in birth
  • Withhold food or drinks
  • Confine laboring women to bed
  • Provide narcotic pain relief or epidurals
  • Caesarean sections, use of forceps, or vacuum-assisted delivery
  • Routine use of medical machinery, presence bright lights, or high-traffic environments
  • Separation of mother and baby or nursery stays
Our well-trained midwives will monitor the safety of mother and baby so that your birth can be experienced without stress. Should transfer to a hospital during labor become necessary, the family is accompanied to Shands Teaching Hospital for additional care .

After birth, baby is immediately placed in the hands of the mother for uninterrupted bonding for at least one hour and unlimited skin-to-skin contact. During this time, breastfeeding is encouraged and assistance is given as needed, and baby is given a full newborn assessment within two hours of birth in the presence of the parents. Families then remain in the care of the Birth Center midwives until they are ready to go home, with a minimum stay of 2 hours.

Midwives at the Birth Center also attend home births for clients who live no more than 30 minutes from Shands Hospital on a case-by-case basis. If you are interested in a home birth, please contact us. For more information, please see our Questions & Answers section.
Postpartum Care & Support

After the birth of your baby, midwives at the Birth Center provide you with ongoing support as you adjust to life with a new baby. This is initially in the form of a 48-hour postpartum check-up to asses the well-being of mother and baby, to discuss feelings about labor and birth, and to provide assistance with any questions you may have. After this visit, clients are seen again six weeks after birth for a final physical assessment, to discuss any additional concerns, and to wrap-up the process of pregnancy and birth with the midwife. In between the final two visits, however, the Birth Center is always available to you as a resource for health or emotional support, so do not hesitate to give us a call if you need anything!

Common areas of postpartum assistance include breastfeeding support, pelvic healing, newborn concerns, emotional changes, nutrition counseling, and birth control methods. Our lactation consultant, Teresa Glaser, is always available to you in addition to our 24/7 on-call midwives.
Well-Woman Care

The Birth Center of Gainesville is pleased to offer well-woman gynecological care to clients who are not currently pregnant. Our Certified Nurse Midwife/ARNP, Mary Ann Smith, provides this service on Mondays and Thursdays to women needing any of the following:
  • Annual exams
  • Breast/Pelvic exams
  • Pap smears
  • Family planning
  • Contraception management (including IUD insertion)
  • Sexually-transmitted disease counseling, testing, or treatment
  • Other gynecological concerns
To make an appointment for well-woman care, please call the Birth Center at (352) 372.4784. For more information on insurance and/or costs of care, please see Payment & Insurance.