A birthing center in Missouri is a freestanding, non-hospital facility dedicated to low‑risk childbirth and pregnancy care. These centers emphasize midwifery and wellness models, offering a more natural, personalized birth experience outside the traditional hospital setting.
Our team empowers Missouri families with clear, concise insights into the rules and protections around birthing centers, helping you make informed decisions about where to give birth.
Licensing & Regulation Overview
We license and oversee birthing centers under Chapter 30 – Ambulatory Surgical Centers and Abortion Facilities in the Missouri Code of State Regulations (19 CSR 30).
Application & Renewal
Centers must submit an application (initial or renewal), detailing facility ownership, staffing, administrator credentials, and proof of regulatory compliance.
How to Report a Birthing Center Complaint
If you have concerns about patient care, infection control, or any other issue involving a Birthing Center, you can report them to the Missouri Department of Health and Senior Services (DHSS) using any of the options below:
• Call the State Hotline toll‑free at (800) 392‑0210
• Call the Bureau of Ambulatory Care at (573) 751‑1588
• Email the Bureau of Ambulatory Care at BAC@health.mo.gov
Please note: Calls and emails received after normal business hours will be returned the next business day.
Key Consumer Protections
- Definition & Scope
Only facilities for planned, uncomplicated, low‑risk births separated from hospitals qualify as birthing centers. - Governing Body & Administration
Must be legally responsible for all operations and employ a qualified administrator—such as a physician, certified nurse‑midwife (CNM), registered nurse, or healthcare administrator. - Staffing & Supervision
Staff include CNMs, physicians, RNs, and others trained for low‑risk care. An administrator or designee must be available at all times. - Privacy & Inspections
DHSS can inspect the center at any time, balancing client privacy and confidentiality. - Patient Records
Centers must maintain and complete accurate medical records and enforce disciplinary action for non-compliance. - Safety & Environment
Must follow state and local building, fire, and accessibility codes. Existing centers must meet physical design standards—including handicapped access.
Facility Standards
- Safety Codes & Accessibility
Physical standards align with ambulatory surgical center rules, requiring occupancy certificates, NFPA fire regulations, and handicap-access measures.