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Joan Doglio Smith, CNM

Joan is a native Californian, and has lived in Austin since 2002 with her husband and 3 children. She earned a Masters in Nursing from UC-San Francisco while concurrently earning a specialization in nurse-midwifery and OB/GYN nurse practitioner from UC-San Diego School of Medicine.

Since moving to Austin in 2002, Joan worked at Austin Area Birthing Center where she held many administrative positions including Clinical Director, Staff Educator, Centering Pregnancy Director, and Student Supervisor, as well as being the longest tenured Staff Midwife at the center.

Joan was the first CNM to obtain Privileges at Seton Medical Center and St David's Medical Center as well.

Joan has 3 years of experience as faculty in Nurse-Midwifery and Nursing and  is a preceptor for ATM, NARM, National College of Midwifery, University of Cincinnati, Frontier Nursing University, Georgetown University, and Baylor University School of Nursing. She loves teaching and growing Midwifery!

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Victoria Meinhardt, LM, CPM

Victoria Meinhardt, LM, CPM became a Licensed Midwife in 2005 after studying with Association of Texas Midwives Midwifery Training Program. She opened her own practice, in April 2005 where she helped a ~200 hundred families over a 5 year period.


In 2010 she became a staff Midwife with the Austin Area Birthing Center. In 2016, she was promoted to Clinical Director. During her ten years with AABC, she was privileged to help and guide hundreds of Central Texas families through the childbearing year. She also helped train multiple midwifery students and still is an active preceptor. As Clinical Director at AABC, she helped create policies, guidelines, protocols, managed staff and handled complex situations.

Victoria joined Abundance Midwifery after leaving AABC in April 2020, returning to her home birth roots. Over the last 17 years, she has helped ~1300 families through the life changing process of pregnancy, birth and the postpartum experience and is still passionate about her profession. 


Victoria also served on the Midwives Advisory Board for Texas Department of Licensing and Regulation's Midwife Program from 2018-2021 and enjoys training the next generation of midwives.

She has three grown children, all women now, all delivered by midwives, two at home!

Victoria also owns Manor Birth Sanctuary in Manor TX, which is a free standing, midwife led open model birth center.  Please contact her at if you would like to use this center for your clients or if you are interested in birth center birth.

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Caroline Paganoni, APRN, CNM

Caroline Paganoni is an advanced practice certified nurse midwife (APRN, CNM) practicing in Austin. Caroline was born and raised in Texas, but she has also spent time living in Alaska, Colorado, California, Central America, & Europe. The majority of her almost fifteen years of direct patient care has been in perinatal and women’s health services. She has served as a volunteer doula, public health nurse, pediatric & labor and delivery nurse, Holy Family Birth Center midwife Fellow, Indian Health Service midwife in Alaska, and women’s health provider for Planned Parenthood. Dedicated to helping women feel empowered by their birth experience, Caroline helped co-found Giving Austin Labor Support (GALS) over ten years ago, and still feels 100% committed to that mission. She has experience helping high and low-risk pregnant people, in both hospital and birthing centers, and has supported new families in both very rural and urban settings.  Caroline has assisted in over 1,200 births as a nurse or midwife, with over 1,000 hours of breastfeeding support over the past decade.


Formal Education: BA in Neuroscience from Colorado College, ’05, MSN in Public Health Maternity Nursing, ’10, & Certification as a Certified Nurse Midwife from Frontier Nursing University, ’15.


“ I am so thankful for the opportunity to join Abundance Midwifery Service as your midwife, and can’t wait to meet you”.


Cat McGrath, DONA, CPM

I began my birth support journey at the age of 19 when becoming a DONA certified Doula. My
career began through a hospital Doula program in New Mexico where I served both labor and
delivery, postpartum and NICU families. Two years later I began working for the Austin Area
Birthing Center. There I worked as a birth assistant, postpartum caregiver and prenatal yoga
instructor for 10 years. During that time I also became a midwife apprentice and earned the
credential of Certified Professional Midwife under supervision of both CPM’s and CNM’s.
I also assisted Joan Smith, CNM in the creation of the Centering group prenatal care program to offer a greater sense of community to our rapidly growing birth center and city. During my 10 total years at the birth center I attended over 500 births. To date I have attended over 800 births and counting! My care is a blend of 12 years experience, both in and out of hospital settings. I support women in all ways and all places they choose to give birth. It is my deep belief that when women and families are truly informed about their choices in birth, no matter the outcome of that day, they will feel empowered in their transformation as individuals, parents and new families; Thank you for the opportunity to serve yours!

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