US Birth Centers Market

U.S. Birth Centers Market Size

The U.S. birth centers market was valued at USD 253.7 million in 2024. The market is anticipated to grow from USD 285.3 million in 2025 and to reach USD 873.3 million by 2034, growing at a CAGR of 13.2%. Birth centers provide a more natural and personalized approach to childbirth, with a focus on a homelike environment and midwifery care. Improved health outcomes and significantly lower costs associated with birth centers are likely to drive the demand for these services. Also, increasing consumer preference for natural, low-intervention, and personalized childbirth has led to an increased demand in the U.S. birth centers market. Expectant mothers are increasingly opting for birth centers instead of hospitals because of their customized, holistic, and patient-friendly approach. According to the American Association of Birth Centers, there are currently over 400 birth centers, including both freestanding and hospital-affiliated birth centers, in operation in the U.S.

Several birth centers are located in more comfortable home-like settings and provide certified midwife care along with emergency medical attention if needed. The lower rates of cesarean section and medical interventions have increased the awareness of midwifery led care, which has made these centers more popular. Furthermore, expensive healthcare services are another factor that has contributed to market growth and the usage of birth centers. Birth centers offer an economical fee structure compared to hospitals making them quite popular. Birth center deliveries are now covered by a few insurance companies and Medicaid programs, which makes them easily accessible for expecting mothers. Policy changes that enable reimbursement and incorporation of these centers into the general healthcare system are encouraged by the American Association of Birth Centers (AABC), which widens the scope of market growth.

A birth center is a health care facility for childbirth where care is provided in the midwifery and wellness model. They are typically focused on low-risk pregnancies and offer an alternative to hospital births, often emphasizing natural and family-centered care. Birth centers are staffed by certified nurse-midwives, obstetricians, and other trained professionals who support women throughout pregnancy, labor, delivery, and postnatal care.

U.S. Birth Centers Market Trends

• Increasing demand for midwifery-led care and natural births is boosting the U.S. birth centers industry. Women are now realizing the advantages of midwifery care such as lower rates of medical interventions like C-section, epidural, and labor induction.
  
• Research indicates that birth centers offer safe and effective maternity care with less complications compared to hospitals, as well as a comfortable and homelike setting. This emerging trend is being supported by the increased levels of education and advocacy for maternal health by organizations.
  
• Also, cost-efficiency is driving the growth of birth centers due to the increasing healthcare expenditure in the U.S. For instance, hospital births with C-sections or any medical intervention can be more expensive than giving birth in a birth center. Birth centers offer an affordable option, often 40-60% cost effective than hospitals.
  
• The average cost of a vaginal birth at a birth center is about half the cost of a hospital birth. As per a study, the average cost for a vaginal birth in a hospital is approximately USD 12,500 - 13,562, which includes all facility, professional, and newborn fees, whereas the average cost for a birth center delivery is around USD 8,000, which is substantially lower than hospital births.
  
• High maternal mortality rates in the U.S. are another factor driving the adoption of birth centers. The increase in maternal mortality rates in the U.S. is alarming, especially concerning for minority and neglected populations. For example, as per the CDC, the maternal mortality rate for 2021 was 32.9 deaths per 100,000 live births, compared with a rate of 23.8 in 2020 and 20.1 in 2019.
  
• Studies indicate that birth centers can reduce negative maternal health outcomes with their personalized approach and emphasis on continuity of care while reducing unnecessary medical interventions and extensive postpartum care. Therefore, more women are seeking safe community-based alternatives to hospital births.
  
• Further, the evolving legislation for birth centers is aiding market growth. Organizations such as the Commission for the Accreditation of Birth Centers (CABC) are promoting quality standards and ensuring patient safety, which enhances public trust.
  

U.S. Birth Centers Market Analysis

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Based on the type, the market is segmented into freestanding birth centers and hospital-affiliated birth centers. The freestanding birth centers segment dominated the market and was valued at USD 201.4 million in 2024. The segment revenue was valued at USD 141.4 million, 158.9 million, and 178.8 million in 2021, 2022, and 2023, respectively.

• Freestanding birth centers have a substantial share in the U.S. birth centers market owing to their affordability, focus on patient care, and increasing demand for natural birthing methods.
  
• Rising awareness of the benefits of out-of-hospital birth, like lower rates of cesarean sections and decreased medical expenses has promoted the adoption of these facilities. Also, increasing knowledge about the advantages associated with freestanding birth centers, including decreased intervention rates, reduced length of stay, and supportive staffing, has stimulated their use.
  
• Furthermore, with the growing number of states that subsidize midwife attendance and birth center accreditation, freestanding birth centers will continue to maintain strong market growth in the market.
  

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Based on the service, the U.S. birth centers market is categorized into obstetric care, neonatal care, gynecological care, and lactation support. The obstetric care segment accounted for the highest market share of 34.8% in 2024.

• Birth centers offering obstetric care provide comprehensive services, including prenatal monitoring, labor and delivery support, and postpartum care, ensuring a holistic approach to maternal and neonatal health.
  
• Advancements in obstetric technologies and the availability of skilled healthcare professionals in birth centers have enhanced patient outcomes, solidifying the segment's dominant position in the market.
  
• The segment’s value is further strengthened by the increasing focus on holistic maternal care that extends to prenatal education, nutritional counseling, and postpartum care. Expansion of federally aided and privately insured health plans also contribute to the segment’s growth.
  

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In 2024, Florida held a significant position in the U.S. birth centers market and was valued at USD 15.6 million. The market size in 2023 reached USD 14 million, growing from USD 12.6 million in 2022.

• Florida holds a dominant position in the U.S. birth centers industry owing to its large population, extensive birth rates, and high interest in non-traditional methods of childbirth. The state’s high birth rate, coupled with a strong presence of licensed birth centers, has contributed to its dominant position. As of May 2024, there are 31 licensed birth centers in Florida.
  
• The growing awareness pertaining to the advantages of birth centers, including lower spending, less medical intervention compared to hospital births, have fueled the growth of the market.
  
• Moreover, birth centers have become more popular due to the growing coverage of these facilities by health insurance companies in Florida. Also, an increasing number of states are acknowledging the contribution of birth centers in maternal care and are broadening the scope of licensing and Medicaid-insurance coverage for these facilities.
  
• With the improvement in accreditation and zone or state policies, it is anticipated that birth centers will be more widely integrated into the healthcare system in the U.S., thereby driving market growth.
  

The West South Central zone of the U.S. demonstrates significant growth potential in the U.S. birth centers market.

• This region includes states such as Texas, Oklahoma, Louisiana, and Arkansas where there is an increasing demand among expectant mothers looking for personalized and natural childbirth offered by birth centers. This is driven by the growing preference for midwifery care, low-cost relative to hospital births, and better health results.
  
• The existence of many freestanding and hospital affiliated birth centers in metropolitan region of Houston, Dallas, and New Orleans have further entrenched the regions sizable share in the U.S. birth centers industry.
  
• Also, favorable state policies and regulations have eased the setting up and operation of birth centers which makes them more appealing to a larger portion of the population.
  

The North East zone is poised for second highest growth in the U.S. birth centers market.

• Due to the region’s well-built healthcare infrastructure, high population density, and increasing preference for midwifery-led maternity care, the North East zone holds a substantial market share in the market.
  
• States like New York, Massachusetts, and Pennsylvania have a strong presence of freestanding birth centers, which is made possible by favorable healthcare policies alongside insurance coverage for alternative birthing options.
  
• Further, high focus on reducing healthcare expenditure has also contributed to the growing popularity of birth centers.
  

U.S. Birth Centers Market Share

The competitive landscape in the U.S. birth centers industry is shaped by the presence of numerous independent birth centers, hospital-affiliated centers, and emerging chains of birthing facilities. Top 3 players such as Ronald Reagan UCLA Medical Center (UCLA Health), Barnes-Jewish Hospital, and Rose Medical Center account for approximately 10% - 15% of market share. Key players compete in factors such as personalized care, advanced prenatal and postnatal services, and state-of-the-art facilities designed for comfort and safety. Market players are adopting strategies such as acquisitions, mergers, collaboration, and partnerships, to expand their market footprint.

Market players are also collaborating with healthcare firms to address the issue of prenatal and postnatal care for patients in the country. Additionally, technological advancements, such as telemedicine integration and enhanced fetal monitoring systems, are playing a pivotal role in differentiating service offerings in this competitive market.

U.S. Birth Centers Market Companies

Few of the prominent players operating in the U.S. birth centers industry include:

• Alma Midwifery
• Barnes-Jewish Hospital
• Cedars-Sinai Medical Center (Cedars-Sinai)
• Cleveland Clinic
• Houston Methodist Hospital
• Mayo Clinic
• Norton Healthcare
• NewYork-Presbyterian Hospital
• Prisma Health Baptist Hospital
• Rose Medical Center
• St. David's Healthcare
• The Mount Sinai Hospital
• TriStar Centennial Women's and Children’s Hospital
• The Mother Baby Center
• UCLA Health
• UCSF Medical Center
  

Cleveland Clinic operates a network of birthing centers across the U.S., offering advanced maternal and neonatal care. The clinic is known for its high-risk pregnancy management, state-of-the-art neonatal intensive care units (NICUs), and comprehensive maternity services. In July 2024, Cleveland Clinic expanded its maternity program, TeamBirth model, to three additional hospitals. TeamBirth is a shared decision-making model that focuses on improving communication between caregivers and pregnant patients to bolster safety and quality of care.

The Mount Sinai Hospital offers pregnancy and birth services, including prenatal care, childbirth preparation, and labor and delivery. It is known for its state-of-the-art facilities, expert medical staff, and comprehensive prenatal and postnatal care programs.

U.S. Birth Centers Industry News

• In February 2025, St. David's South Austin Medical Center recently celebrated the expansion and renovation of its women's services unit. This project included the addition of new labor and delivery rooms, the expansion of existing C-section operating rooms, and the creation of an additional C-section operating room.
  
• In January 2025, NewYork-Presbyterian Westchester opened its newly renovated labor and delivery unit, designed to enhance the care and comfort of mothers and their newborns. The new labor and delivery unit is outfitted with state-of-the-art equipment, including artificial intelligence technology that analyzes fetal heart rate and other data related to the mother and baby’s condition.
  
• In July 2023, St. David's Women's Center of Texas at North Austin Medical Center opened its expanded labor and delivery unit, enhancing its capacity to provide comprehensive maternal care. This expansion, which was part of a USD 121 million renovation project, includes significant upgrades and new facilities designed to improve patient care and experience.
  
• In May 2021, Oula Health, Inc., a maternity center providing midwifery and obstetrics care, announced a partnership with Mount Sinai West. As a result of this collaboration, Oula Health, Inc. patients who receive postpartum, birthing, and prenatal care through the company's remote care platform and collaborative team will be able to avail these services at Mount Sinai.
  

The U.S. birth centers market research report includes in-depth coverage of the industry with estimates and forecast in terms of revenue in USD Million from 2021 – 2034 for the following segments:

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Market, By Type

• Freestanding birth centers
• Hospital-affiliated birth centers

Market, By Service

• Obstetric care
• Neonatal care
• Gynecological care
• Lactation support

The above information is provided for the following zones and states:

• North East
  • Connecticut
  • Maine
  • Massachusetts
  • New Hampshire
  • Rhode Island
  • Vermont
  • New Jersey
  • New York
  • Pennsylvania
• East North Central
  • Wisconsin
  • Michigan
  • Illinois
  • Indiana
  • Ohio
•  West North Central
  • North Dakota
  • South Dakota
  • Nebraska
  • Kansas
  • Minnesota
  • Iowa
  • Missouri
• South Atlantic  
  • Delaware
  • Maryland
  • District of Columbia
  • Virginia
  • West Virginia
  • North Carolina
  • South Carolina
  • Georgia
  • Florida
• East South Central          
  • Kentucky
  • Tennessee
  • Mississippi
  • Alabama
• West South Central        
  • Oklahoma
  • Texas
  • Arkansas
  • Louisiana
• Mountain States             
  • Idaho
  • Montana
  • Wyoming
  • Nevada
  • Utah
  • Colorado
  • Arizona
  • New Mexico
• Pacific Central  
  • California
  • Alaska
  • Hawaii
  • Oregon
  • Washington