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CABC Consulting Services: Enhancing Birth Center Success With a Consultant
CABC accreditation isn’t a one-person side project. It touches policies, space design, documentation, and daily care—and it’s labor intensive. With tailored CABC consulting services, your birth center gets customized policies, chart reviews, and staff training that fit your workflows, protect compliance, and build credibility with families and referral partners.
7 hours ago4 min read


Why Every Birth Center Needs Service-Line Cost Centers (And Why “No Margin, No Mission” Still Applies)
Many birth centers add services because clients truly need them—but without tracking the numbers, those same services can quietly sink the whole ship. “No margin, no mission” isn’t about chasing profit. It’s about making sure your birth center stays open long enough to keep serving families.
May 104 min read


International Day of the Midwife 2026: Midwifery Advocacy in Action
This May 5th, we're celebrating International Day of the Midwife in a powerful way: by advocating for the future of midwifery care in New York State. Honoring Midwives Through Midwifery Advocacy International Day of the Midwife, established by the International Confederation of Midwives in 1992, recognizes the essential contributions midwives make to maternal and newborn health worldwide. This year's theme, "One Million More Midwives," couldn't be more relevant to the midwife
May 33 min read


Birth Centers, Adoption and Surrogacy: How to Truly See Non‑Birthing Parents
Becoming a parent through adoption or surrogacy is every bit as real—and often more complex—as pregnancy and birth. This post explores why birth centers, adoption and surrogacy belong together in your planning, and shares one adoptive mom’s story plus practical steps birth centers can take so non‑birthing parents feel seen, supported and truly welcomed.
Apr 269 min read


Sustainable Birth Centers: Challenging Sacred Cows Without Losing Your Soul
Sustainable birth centers are built on heart, but too often they’re held back by “sacred cows” like doing everything in-house, never saying no, or figuring out the finances later. This post explores how leaders can name and gently challenge those ingrained practices—like in-house labs, long appointments, and open-access scheduling—without losing the soul of midwifery-led care, and offers a practical framework and script to bring staff into thoughtful, values-aligned redesign.
Apr 193 min read


Black Maternal Health Week 2026: What Birth Centers and Midwives Have to Do With Saving Black Lives
Black women in America are dying in childbirth at more than three times the rate of white women — and this crisis has a history. From the Granny Midwives who attended 75% of all births through the 1940s to the federal data proving birth centers close the racial gap, the path forward is rooted in what we've always known. This Black Maternal Health Week, here's what the evidence shows and what communities can do right now.
Apr 138 min read


Q1 Reality Check: Build a Birth Center Financial Dashboard That Actually Guides Your Decisions
Quarter one is the perfect moment to step back and ask: is your birth center actually on track, financially and operationally, or are you just hoping it is? In this post, we’ll walk through a simple birth center financial dashboard—birth volume, reimbursements, staffing costs, cash, and owner pay—and pair it with operational and compliance check-ins so you can spot what’s working, what’s drifting, and exactly where to focus next for Q2.
Apr 55 min read


Why Collaborative Maternity Care Makes Birth Safer for Everyone
Collaboration in birth work is more than a buzzword—it’s how we keep families safe. At “And Still We Birth” in the Bronx, I saw OBs, midwives, doulas and community members learning together, proving that humble, team‑based maternity care is not only possible, it’s essential.
Mar 295 min read


How Your Front Desk Drives Birth Center Revenue
Your front desk is one of the most powerful drivers of birth center front desk revenue. With clear systems and the right people, it does more than answer phones—it captures payments, verifies insurance, keeps the schedule full, converts inquiries, and delivers an intentional, relationship-centered client experience.
Mar 224 min read


Birth Center Design for Healthy Women, Not Hospital Systems
Most regulations still treat birth centers like mini‑hospitals, but most women are healthy people experiencing a normal life event, not patients in need of surgery. In this post, I explore how birth center design grounded in physiology, relationship-based midwifery care and community needs can improve safety, sustainability and equity for families while challenging hospital-centric rules that often work against the very outcomes they claim to protect.
Mar 166 min read


Birth Center Interior Design: Expert Tips from Designer Michal Miara
Birth center interior design lives where heart, safety, and regulation meet. In this Q&A, designer and mom of five Michal Miara shares how to plan before you hire a designer, create a homelike yet compliant space, and keep multi‑site birth centers on brand without feeling cookie‑cutter.
Mar 84 min read


International Women’s Day and Maternal Health: Why Both Celebration and Urgency Matter
On International Women’s Day, I’m holding the tension between celebration and urgency. We’ve made real progress for women and girls, yet maternal health outcomes around the world still reveal how uneven that progress truly is. This piece explores how midwifery‑led, community‑rooted care and birth centers can help create a future where every birthing person is treated with dignity and respect.
Mar 85 min read


How to Stop Doing Everything Yourself: A Midwife Burnout Prevention Guide for Birth Center Owners and Directors
A birth center can’t run on one person’s shoulders forever—especially when that person is also catching babies. In this post, I unpack why “doing everything yourself” quietly fuels midwife burnout and puts your team and clients at risk, and I offer a practical framework to start delegating systems work without sacrificing quality. If you’re a midwife‑owner juggling clinical care, operations, HR, billing and compliance, this guide will help you protect your energy, support you
Mar 18 min read


Health Equity Impact Assessments: What New York Birth Centers Need to Know
In this interview, health equity consultant Andrea Mantsios, PhD, MHS, explains what Health Equity Impact Assessments (HEIAs) are, when New York birth centers need them, and how they can use the process to prevent unintended harms, strengthen community relationships, and improve access and equity—especially for medically underserved birthing people—while getting clear, step-by-step support from an experienced independent team like PHIA.
Feb 169 min read


How to Pay Yourself as a Birth Center Owner: A Guide to Market-Rate Salaries
Intentional financial planning and market-rate owner compensation are key to long-term birth center sustainability.
Feb 13 min read


Birth Center Financial Management: 6 Financial Red Flags That Put Birth Centers at Risk (Plus One Bonus You Can’t Ignore)
Birth centers operate on thin margins, delayed reimbursement, and high fixed costs—making financial visibility essential for survival. This post outlines the most common financial red flags in birth center financial management, from A/R aging blind spots to unclear break-even volume, and explains how small gaps in oversight can quietly threaten long-term sustainability.
Jan 254 min read


Resilient Goals for Birth Centers: Planning for Growth in an Uncertain Time
Learn how birth centers can set resilient goals, diversify revenue, manage payer risk and plan for growth in today’s uncertain financial climate.
Jan 124 min read


Start 2026 on the Right Foot with Birth Center Consulting
Feeling like something in your birth center is off? Whether you’re launching a new center or strengthening an existing one, birth center consulting can help you gain clarity. Start 2026 with intentional planning, aligned systems and expert guidance tailored to your specific birth center.
Jan 43 min read


Birth Center Trends 2025: The Policy Wins, Funding Cliffs and What to Prepare for in 2026
Birth center trends 2025 reveal major shifts in maternity care, including growing maternity care deserts, new federal legislation, Medicaid payment reforms, and regulatory changes. This article breaks down what birth center owners, administrators, and midwives need to know—and how to prepare for sustainable growth in 2026 and beyond.
Dec 29, 20256 min read


Birth Center Strategic Planning: From Surviving to Thriving
Birth center leaders are often so immersed in daily operations that you rarely have time to plan for the future. This post invites you to pause, reflect, and intentionally shape where your birth center is headed—financially, operationally, and clinically—so you can move from survival mode to sustainable, confident leadership.
Dec 15, 20255 min read
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