



The Best Midwife Service in Austin for Your Birth Journey
We're open to all patients looking for an out-of-hospital birth! At Abundance Midwifery Service, our team builds compassionate, trusting, relationships that help women on their birth journeys. This includes providing the best possible support for your natural birth process. Our philosophy is to watchfully wait and limit intervention, interceding only for you and your baby's optimal health.
Each midwife in our Austin-area Abundance Midwifery Service practice delivers customized pregnancy and out-of-hospital natural birth support. Our team offers services and depth others can't match. We even deliver twins!
We provide Continuity of Care through pregnancy; you keep the same midwife and have two at birth
Our practice only does Out-of-Hospital Births at our Birth Center or your Home
Pregnancy Groups are part of our care; they offer collaborative learning and social support
Childbirth Classes are available at a reasonable charge
In total our team has 55 Years of Certified Nurse Midwife & Certified Professional Midwife experience
We partner with a Collaborating Family Physician for obstetrics, pediatrics and primary care referrals
Joan Doglio Smith also delivers health care services through the Healthy Texas Women Program
Healthy Texas Women offers enrolled women enhanced health care services called HTW Plus.
How does a dual Certified Nurse Midwife & OB/GYN Nurse Practitioner improve your care & safety?
Unlike most birth centers and home birth midwife practices, we have a dual OB/GYN Nurse Practitioner and Certified Nurse Midwife on staff. This makes a significant difference in the breadth of care and safety we provide. That's because OB/GYN Nurse Practitioners offer broad women's health care from adolescense through menopause, managing general reproductive health, contraception, and wellness. While Certified Nurse Midwives specialize in pregnancy, childbirth, and postpartum care, focusing on low-risk, holistic, natural childbirth. Having a medical professional on staff with these advanced practice nursing specializations allows us to provide a wider scope of practice. It also means our team has broader work experience and more education than other midwife services in the Austin area. Other classes of midwives are not registered nurses but have some form of midwifery training.


Abundance Midwifery Service News

CPSC warns consumers to immediately stop using infant self-feeding pillows
Other recent CPSC product warnings & recalls
NFSVLB Baby Bath Seats recalled due to risk of serious injury or death to children from drowning and entrapment.

Joyful Journeys recalls baby loungers due to risk of serious injury or death from entrapment and fall hazards.

HHSC News Release: January is cervical cancer health awareness month

AUSTIN – The Texas Health and Human Services Commission is encouraging women to get screened for cervical cancer as part of National Cervical Health.
Awareness Month this January.
FDA News Release: 5-year use of etonogestrel contraceptive approved
The FDA has approved a supplemental New Drug Application extending etonogestrel 68 mg implant (Nexplanon) use from
three years up to five years, according to an announcement from Organon.

Make appointments with us for your long-term IUD!
In addition to supporting natural birth, we also provide women's health and wellness services for a lifetime. This includes inserting long term contraceptives such as Mirena & Paragard IUDs. If you'd like to receive an IUD, please contact us to set up the two appointments you'll need to do so. The professional fee for the first session is $250.00 including labs, and the second is $150.00. In addition the IUD cost is $1,000.00. These fees may be covered by your insurance or partially offset under our financial aid policy.
What is Our Humanistic Philosophy of Care?
We affirm the power and strength of women and gender non-conforming birthing people.
We believe every person, no matter their income deserves equitable, ethical, quality care.
We use the most complete and up to date evidence to make informed healthcare decisions.
We support self-determination and family member involvement in the birth experience.

What are Our Midwife Services?
Who are Our Medical Professionals?
Our Leader is a dual Certified Nurse Midwife & OB/GYN Nurse Practitioner
What is a Preceptor?
Preceptors bridge theoretical learning & clinical practice to guide student midwives in delivering safe, quality care. They educate through observation and instruction.
Joan Doglio Smith is an OB/GYN Nurse Practitioner and Certified Nurse Midwife who leads our team. She's one of only two dual CNM & OB/GYN NPs practicing midwifery in the Austin area. Joan is also the only local birth professional with birth center, home birth, and prior hospital birth experience. She has attended center births since 2002 and at homes from 2017. In addition, Joan is a midwife mentor/trainer and Preceptor for:
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Yale, Georgetown, Emory, & Walden Universities; Texas Tech Health Center.
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Association of Texas Midwives, American College of Nurse-Midwives.
Joan's services include women's health care for pregnancy and postpartum through
Lastly, Joan is President of the
Our Team Also Includes a Collaborating Family Physician
Rebecca Coats, MD, is the collaborating family physician for obstetrics and pediatrics at our practice. We also refer moms to her for primary care when required. In addition, she supports our medication prescription orders. As a medical practitioner, Dr. Coats' goal is to help families and patients where they are, regardless of need. Lastly, clients can contact her directly for obstetrics, pediatrics, and primary care at allydirectcare.com. Appointments can be conducted via Telehealth.
What Do Clients Say About Us?
An excerpt from Fernando Castillo's family birth story...
I'm so pleased my wife and I decided to work with Joan and Victoria at Abundance Midwifery for the delivery of our baby. As someone with a medical background and deep concern for the safety and the well-being of both my wife and baby, I wanted to ensure they were both in the best of hands - and with Joan and Victoria, they absolutely were. Their expertise, responsiveness, and calm professionalism were evident from the start, especially when we faced a potential preterm labor situation. They were immediately available to assess and care for my wife and baby, then provided ongoing monitoring until the concern passed...We felt that the level of care and knowledge Joan and Victoria provided was more personal and reassuring than what we may have experienced in a typical hospital setting...I am grateful that because of Joan and Victoria's care, I never had to doubt the safety or wellbeing of my wife and child. I can't recommend Abundance Midwifery enough!
Our Birth Center
Our birth center is a refuge for clients with a home-like environment and artsy vibe. It features two fully outfitted birth suites with amenities including water birth support. Located away from the busy city in nearby Manor, the center has easy highway access. It's also just 15 minutes from the nearest transfer hospital.
Take a short video tour



The center is also member of the Texas Birth Center Coalition and the American Association of Birth Centers. Please see this video produced by AABC about the benefits of midwives and birth centers.

Our birth center, Manor Birth Sanctuary, serves clients including low-income women. This is why they're a non-profit. For more information or to donate please click here.
Insurance Information
In Network Insurance Coverage Options
(we'll also file with any payer on your behalf)
Superior Health Plan STAR & CHIP Health Plans
Blue Cross Blue Shield's STAR & CHIP Medicaid Health Plans
Traditional Medicaid, Texas Medicaid Health Plan, STAR & CHIP
Dell Children's Health Plan Medicaid
The Only Austin-Area Birth Center in Network
with Marketplace & Medicaid Insurance
We're in network as a provider & birth center for Medicaid, Superior Medicaid & Ambetter Health Plan. Professional fees are in network for home or birth center delivery with Ambetter Marketplace insurance. Joan is also in network with Ascension Health Plan including Dell Children's Health Plan & Blue Cross Blue Shield Medicaid.




Our Midwives Also Support Women's Health & Wellness for a Lifetime
Pap smears
Preconception counseling & care
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Family planning
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Cycle tracking
Contraception support
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Pills, patches, NuvaRing, diaphragms
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Nexplanon certification for implantable contraceptives
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Long term contraceptives such as Mirena & Paragard IUD
Intrauterine insemination
OB/GYN nurse practitioner

Our goal is to assist you in finding all the information you need for your pregnancy and birth.
North Location - Clinic Only, Appointment Required
East Location - Clinic & Birth Center, Appointment Required
South Location - Clinic Only, Appointment Required
13805 Ann Place, Austin, TX 78728
1711 Fortview Road, Austin, TX 78704
109 W Lane Ave, Manor,TX 78653
Our North Clinic is on the 2nd floor of Lotus House at the rear of Sol Healing and Wellness Center. Once you reach the center, park in back next to Lotus House. Enter the building through door c.1 (see diagram) and proceed upstairs.


Lotus House
Austin
Manor
Round Rock
Cedar Park
Pflugerville
Elgin
Buda
Kyle
Bastrop
Lockhart
San Marcos Dripping Springs
Lakeway
Georgetown
Hutto
Taylor
























