Neighborhood Birth Center

on the TEDx stage!

TEDx Global has recognized our Executive Director, Nashira Baril, by selecting her talk as one of the most important ideas worth sharing. Nashira's TEDx talk is a compelling vision of the transformative potential in childbirth when we reimagine healthcare. Drawing from her personal experiences and pioneering leadership, she illustrates how liberated healthcare—unbound by racism and capitalism—can profoundly impact lives and communities. Spread the word, share the talk!

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Why Does Boston Need a birth center?

Massachusetts ranks 32nd in the country on midwifery integration and lags significantly behind other states in access to community birth centers. Of the 400 birth centers in the US, there is 1 in Massachusetts. Right now, 99% of births in MA happen in the hospital, even though most could happen safely outside the hospital with midwives. Not to mention that a shift of just 10% of births from hospitals to birth centers would save $1.9 billion annually. Out-of-hospital options in eastern MA are limited unless people can afford the several thousand dollar price tag and have the space and support for homebirth. Neighborhood Birth Center will create a third option for pregnant people to receive care and give birth in a safe, sanctuary-like space, with highly trained midwives, whose care is covered by insurance. The presence of a birth center in Boston will improve outcomes and experiences and advance racial equity in birth and other health measures.

Birth center care results in:

Fewer infant emergency department visits and hospitalizations
Lower rates of c-section
Higher rates of spontaneous vaginal delivery
Lower rates of preterm birth
Lower rates of babies born low birth weight
Higher rates of initiated and sustained breast/chestfeeding

**Boston’s**
**First**
**Birth center**

Build with us today!

Our Vision

Our vision is that birth experiences and outcomes improve for all through the integration of a community birth center in Boston. We believe that people living in and around Boston should have access to a full range of pregnancy care and birthing options. Our mission is to offer comprehensive full scope midwifery care rooted in reproductive justice. Birth is a sacred process, and when the pregnant person is centered, the experience has the power to transform and heal individuals, families, and communities.

Our work is guided by the belief that the world we want to live in – from a healthy family to a healthy planet – requires the reimagination of healthcare and the equitable redistribution of capital. To birth a just and bright future, and change course on maternal health, birth centers, especially those led by people of color, must be invested in at scale. Neighborhood Birth Center is about building power to redesign healthcare in ways that improve experiences and outcomes for all.

With only one other birth center in the state of MA, there is a need for community birth infrastructure. We are working hard to open in 2025. (100% of donations at this time go to the purchase and renovation of space.)

Progress!

Started as a volunteer project since 2015, we now have a rockstar board of directors, 5 staff, and a team of consulting midwives designing everything from physical space to policy to organizational culture with a commitment to healing the past and creating a new, sustainable, model of care for the Greater Boston community.

LOCATION: We are conspiring with social justice movement leaders on co-ownership of a shared space, creating a healing sanctuary for community, designed by MASSDesign Group and anchored by Neighborhood Birth Center. In 2023, we purchased property collectively with Resist, Movement Sustainability Commons, City Live Vida Urbana, and the Center for Economic Democracy. Together we are designing the Community Movement Commons, a movement home for activists and organizers, with birth at the center.

PLANNING: Most birth centers are for-profit entities, started by midwives, using their own personal savings or lines of credit. At Neighborhood Birth Center, we have committed to birthing a nonprofit model, allowing us to maintain a people-focused mission and engage philanthropy for start up and not relying on the goodwill and capital of midwives. In doing so, we are steadfast in our commitment to community engagement and weaving a web of believers around this vision. We are integrating lessons from other birth centers and from social movements into the design of our business model and clinical policies to ensure we are centering the needs. and wildest dreams, of people most often left out of the design of health care. In addition to real estate development, fundraising, and business planning, we see shifting the narrative and building community as a fundamental piece of our sustainable success. We are intentionally building community around the midwifery and birth center models of care by hosting and participating in events from birth story slams, to house parties, to church gatherings, to social media conversations.