Frequently Asked Questions

Where is the birth center located?

Our primary office is at 769 W. Terra Lane in O'fallon, MO.  (map)  and we also have an office in Creve Coeur at 555 N New Ballas Road, St. Louis MO (map). Thanks to our ability to offer care at these  locations, at Missouri Baptist Medical Center as well as home birth, we can work with families from all over St. Louis and parts of Illinois.

What will a birth at Birth and Wellness Center be like?

When a woman decides it is time to come to the birth center, she will be welcomed by a care provider that is well known to her, who will evaluate her and help her get settled in. Women are encouraged wear whatever clothes they are comfortable in. A kitchen is available for the mother and her loved ones to eat and drink as they wish. Each birthing room has a tub for waterbirth or simply for the mother’s comfort. The well-being of the mother and baby will be monitored by the midwife and a birth assistant. The midwife will be constantly available for encouragement and ideas for helping the birth progress smoothly. As the time of birth nears, the mother will be encouraged to use whatever positions or techniques she desires to give her energy and strength for the birth. The pushing phase of labor will be as gentle and quiet as the mother prefers. Throughout the process, the people whom the mother has chosen as her support, including children if she wishes, will be present with her. The father of the baby or other support people are encouraged to be intimately involved in the entire birth, and “catching” the baby can be done by the person of the mother’s choosing. Once the baby is born, he or she will be placed immediately into the mother’s arms, and bonding and breastfeeding will be encouraged. All newborn procedures such as the newborn exam will be done in the mother’s arms or at her side when she is ready. After mom has had a chance to eat and refresh herself, usually about 3-6 hours after the birth, the new family will go home, where mom and baby can rest and get to know each other in their own surroundings. Families who live within 30 miles of the birth center will receive a home visit 24-48 hours after birth. Mothers who live a greater distance away will be asked to come to the center for this visit or arrange care with a provider close to home. At 2 weeks and 4 weeks after birth, mom and baby will be seen together at the birth center.

Can I have a home birth?

We want women to be able to choose the birth that is right for them, including who helps them and where it occurs. Our birth center is as home-like as regulations will allow, but it isn't quite home. We offer a limited number of home births each month, within 30 miles of the birth center's O'fallon location. Our range includes much of St. Louis County, St. Charles County, and parts of Warren and Lincoln Counties. Talk to your midwife to see if home birth is an option for you.

Do you support VBAC?

Yes! Women whose last birth was a cesarean can receive all of their prenatal care at the birth center and have a midwife-attended birth at Missouri Baptist. Women who have already had a vbac can give birth at the birth center. If you have had multiple cesareans, or have other health concerns, we would be glad to talk with you about whether co-care between our midwives and collaborative physician is a good fit for you. 

Do you provide a doula at my birth?

Doulas are very welcome at BWC, and a woman should interview a few different options and choose the one who will be the best fit for her. A doula offers an added layer support, education and comfort to your birth team and doulas are shown to improve a mom's confidence and her chances of acheiving an unmedicated birth. For birth partners, a doula can give helpful suggestions that make the partner feel more involved and at ease during the birth process. We have lots of referrals available for local doulas, but we do not have any on staff, so a woman is free to choose whomever she prefers. If you would like to know more about the wonderful things doulas can do to support a woman through pregnancy, childbirth and early parenting, check out Doulas of Greater St Louis or just google 'what is a doula'. If you have Homestate Health for your insurance, talk to us about how you can get a doula with no out of pocket cost!

Do you accept insurance and Medicaid?

Yes. Birth & Wellness Center has contracts with nearly all major insurance providers, as well as Medicaid, and have received many positive responses so far regarding coverage for birth centers.  Clients should contact us or their insurance carrier to verify exactly what their coverage is. Every client of the Center will receive a financial agreement, so there will be no surprises along the way. For those who are paying out of pocket, a sliding scale fee and payment plans are available to make our care as accessible as possible. If you have a large deductible, we will work with you on a payment plan so you are not surprised with a large bill after your baby is born.

I know most pregnancies and births are normal and healthy, but what if there is a problem?

The Birth & Wellness Center functions within the larger medical community and has beneficial relationships with physicians and specialists throughout the region. If a woman develops complications during her pregnancy or birth that are outside the scope of CNM care, her care may be co-managed with our collaborative physician, or if necessary she will be referred to physician care. We work with the Maternal Fetal Medicine team at Missouri Baptist to get world-class care for moms or babies with significant complications. This does not always mean she cannot give birth at the birth center or continue to see her midwife, as some complications resolve as time passes (for example placenta previa, preterm labor, etc).

In the unlikely event of an emergency during birth, the staff at the Birth and Wellness Center is highly qualified to provide emergency care associated with labor and birth. Medications and oxygen are on hand for stabilization and treatment. To facilitate timely and smooth transfer when needed, the Center is located just minutes from our emergency transfer hospital.  During this stressful time, our staff will accompany the family to the hospital and continue to offer support throughout the birth experience if the family desires it.

What will I get with my prenatal care?

The midwives at Birth & Wellness Center provide comprehensive prenatal care, and each appointment will include education, physical assessments and plenty of time for questions, stories and just getting to know each other.  We draw labs at the birth center and will make referrals for ultrasounds or other testing as needed.

What kind of classes will you offer?

Education is an integral part of the midwifery model of care. For first time parents, or those giving birth outside of the hospital for the first time, prenatal classes are essential and will be offered at a reduced charge for our clients. We are pleased to partner with New Generation Birth for our general prenatal/childbirth classes. Members of the community who are planning birth elsewhere but are looking for more natural-focused classes or a more personalized class experience are welcome to join our education program. For more information on all the classes we offer, visit our Resources page.

What is a Certified Nurse-Midwife?

A CNM is trained and certified in the sister disciplines of nursing and midwifery. She is prepared at the Master’s Degree level, certified by national standards and examination, and licensed by the state. A CNM  provides comprehensive care in all aspects of women's health including adolescent care and counseling, prenatal care, attendance at birth, postpartum care, family planning, screening and treatment of routine gynecological problems, wellness exams and counseling including nutrition, as well as perimenopausal and postmenopausal care. CNMs are also trained in newborn care and assessment, and well baby care.

Are there standards or regulations for birth centers?

Yes. The American Association of Birth Centers, as well as the American Public Health Association, have published standards for birth centers. Birth centers can be accredited on the national level by the Commission for the Accreditation of Birth Centers, and are licensed by the state of Missouri. The American College of Obstetricians and Gynecologists, among other national medical organizations, agree that a licensed and accredited birth center is a safe place for healthy women to give birth. The Birth & Wellness Center has met the rigorous standards of accreditation and is the first and only licensed birth center in the St Louis area.

Do you offer care besides birth?

Yes we do! Our Nurse-Midwives are specialists in women's wellness, pre-conception counseling, breastfeeding support, and family planning. Call for an appointment for any of your women's health needs.

I'm an RN, Doula, Massage Therapist, etc, can I work for you?

The Birth & Wellness Center is blessed to have a great staff that exemplifies the heart and soul of our practice, but we are always looking for new, passionate individuals who might join our team. If you’re interested in working beside an amazing group of women, contact us with what kind of work you do, and a little about yourself. We don't have doulas on staff directly through BWC, but we give out lots of referrals, and our partner Community Birth and Wellness Center offers a doula program through Homestate Health and also offers doula training.  

How can I help?

Get the word out:  Besides talking about the Birth and Wellness Center to friends and relatives, you can help us present  information to the public every chance we get. You can let us know if there is a group we can talk to, including women’s clubs, church groups, etc, or health/parenting  fairs in your community.  Also, talk to your health care provider! If you see an OB/Gyn for women’s health, ask if they’ve heard of us and let them know how excited you are for this option in our area.  Ask if they have considered collaborating with us to offer such a great service to their patients.  If you see a chiropractor, massage therapist, pediatrician—anyone-- ask if they’ve heard about the birth center opening, and give them our info! We have business cards and other marketing materials available, and are happy to answer questions from other providers and professionals by phone or email.

Community support: Get involved in groups like Friends of Missouri Midwives to ensure that midwives will be available to families in Missouri without unnecessary legal restriction. FoMM also has lots of opportunities for the community to learn more about midwives, birth centers, and the midwifery model of care.

Library: An enormous part of our service to women will be sharing information. We will have a library of educational and inspiring books and videos available for any woman to check out. We need lots of good resources! So clean off those dusty shelves and share with other women and families.

Partners: Another commitment that the Birth and Wellness team has made is fostering community among families and providers. Please let us know about professionals you encounter who offer services or products that are complementary to the mission and philosophy of Birth and Wellness Center.

Insurance: Call your insurance company and ask if they cover birth center birth, and ask your Human Resources representative to ask for birth centers and midwives to be included in your health insurance plan - specifically Birth and Wellness Center! We want everyone-including insurance companies, to be hearing the words “birth center” as often as possible!  Let us know what you find out.  Medicaid is required by federal law to cover midwifery care, and a bill is currently before Congress to ensure facility fees are covered by Medicaid in every state.



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Birth and Wellness Center
O'Fallon, MO
Accredited since 2013

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