Frequently Asked Questions

What is a birth center?
A freestanding birth center is a birth center that is independently owned and separate from a hospital. Care is provided by CPM’s (Certified Professional Midwives), LM’s (Licensed Midwives), and/or CNM’s (Certified Nurse Midwives). Only low-risk women are accepted into our care. We focus on keeping women healthy in order to give birth naturally at our facility.

The birth center is a homelike facility, existing within a health care system with a program of care designed in the wellness model of pregnancy and birth. Birth Centers are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness. Birth centers provide family-centered care for healthy women, before, during and after normal pregnancy, labor and birth.  (from

How much does it cost?
Giving birth in a birth center costs only a fraction of birthing in a hospital.  The cost for our services includes all of your prenatal, postpartum and newborn care, and of course your birth.  We work with a professional insurance biller to ensure that your actual out-of-pocket cost is as low as possible.  We also offer discounts for cash paying clients, as well as a discount for those families on medicaid, although we are unable to accept medicaid at this time.  Please discuss any special circumstances you may have regarding payment. It is our goal to help you have the birth you desire.  We will work with your situation to figure out an arrangement that will achieve this. 
Do you accept late transfers?
Yes, we do accept women into our care late in their pregnancy. We have the mother fill out a medical release form and we fax it to her prior health care provider’s office in order to request her records. It is not uncommon for a woman to decide late in her pregnancy that she no longer wants to give birth in the hospital.
How do you define “low risk”?
A low risk woman is healthy with no pre-existing medical conditions that could affect her pregnancy.  She continues to focus on wellness in order to establish and maintain a healthy pregnancy.  Some conditions that may label a woman “high risk” and risk her out of a birth in our facility include:

  • High Blood Pressure
  • Insulin-dependent diabetes
  • Heart Disease or Defects
  • Cancer
  • Hepatitis
  • HIV
  • Seizure Disorder
  • Placenta Previa in the third trimester
  • pre-eclampsia

If you have any question about whether or not you would be considered high risk or low risk, please call us for a free consultation.  Even if we are unable to serve your needs here, we can provide valuable resources to help you attain the birth you desire.

What happens in an emergency?
Most of the time low-risk women go on to have a low-risk labor and birth. Occasionally, even for low-risk women, complications can occur. Most of these can safely be handled at the birth center, and our midwives are trained and experienced in handling those circumstances. However some do require transfer of care to a physician at a hospital.  In the event that your situation requires transport, you midwife will remain with you at the hospital whenever possible (to act as support and care advocate), and CTBC will resume the regularly scheduled postpartum care after you and your baby have returned home.

Our birth center is located in the medical triangle of Georgetown and Round Rock. We are within 5 miles of 3 different hospitals.  We are fortunate to have wonderful physicians to refer to. Options for transport can be discussed at your tour and consultation.  Our midwives maintain current certifications in Neonatal Resuscitation and CPR for the professional rescuer. Your safety, and that of your baby, is our utmost concern.