A new report finds that deliveries at midwife-run birth centers for low-risk pregnancies have tripled over the past 20 years, with notable growth in rural Western states. These freestanding centers offer an alternative to hospital labor and delivery units, typically serving patients with low-risk pregnancies who want a less medicalized birth experience. The report highlights their particular popularity in rural areas, where hospital obstetric units have been closing. Growth trends like this carry implications for state maternal health policy and access planning, especially in rural communities facing shrinking hospital-based delivery options.
Why it mattersState Medicaid agencies covering a large share of rural births need to track birth center capacity and reimbursement policy as hospital obstetric units close and low-risk deliveries shift to freestanding midwife-led settings.