There are more than 400 birth centers in the U.S., and the number varies widely by state, from 92 in Texas to none in 10 states, according to Oct. 15 data the American Association of Birth Centers shared with Becker’s. Six states and the District of Columbia have one birth center.
The count includes all birth centers known to the association, said Kate Bauer, executive director of AABC. She said state differences stem from factors such as state regulations, the midwifery workforce, insurance reimbursement and other elements that affect sustainability.
An Oct. 20 Commonwealth Fund report on freestanding birth centers found that birth center births accounted for 0.62% of U.S. births in 2024, up from 0.23% in 2004, though access varies widely by state.
Here is the number of birth centers in each state and the District of Columbia, according to the AABC:
| State | Birth centers |
|---|---|
| Alabama | 3 |
| Alaska | 10 |
| Arizona | 10 |
| Arkansas | 0 |
| California | 36 |
| Colorado | 6 |
| Connecticut | 1 |
| Delaware | 1 |
| District of Columbia | 1 |
| Florida | 32 |
| Georgia | 2 |
| Hawaii | 0 |
| Idaho | 10 |
| Illinois | 4 |
| Indiana | 5 |
| Iowa | 1 |
| Kansas | 3 |
| Kentucky | 0 |
| Louisiana | 4 |
| Maine | 3 |
| Maryland | 0 |
| Massachusetts | 2 |
| Michigan | 9 |
| Minnesota | 9 |
| Mississippi | 0 |
| Missouri | 0 |
| Montana | 5 |
| Nebraska | 0 |
| Nevada | 1 |
| New Hampshire | 5 |
| New Jersey | 6 |
| New Mexico | 4 |
| New York | 11 |
| North Carolina | 5 |
| North Dakota | 0 |
| Ohio | 2 |
| Oklahoma | 8 |
| Oregon | 15 |
| Pennsylvania | 4 |
| Rhode Island | 0 |
| South Carolina | 6 |
| South Dakota | 1 |
| Tennessee | 3 |
| Texas | 92 |
| Utah | 14 |
| Vermont | 0 |
| Virginia | 22 |
| Washington | 31 |
| West Virginia | 1 |
| Wisconsin | 10 |
| Wyoming | 3 |
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