Our focus is to support the natural process of growing babies and evolving mothers. We encourage our clients to lead healthy lifestyles and avoid unnecessary medications and interventions. However, we will not hesitate to offer medical and obstetrical diagnostic and treatment interventions when these will enhance the health of mother or baby.
We take care of a wide range of expectant moms. Some come to us because they are looking for a “natural” birth, in which they have choices in their labor and delivery experience, but also have the security of an excellent hospital with a Neonatal ICU and expert surgical team. For these low-risk women, we encourage walking during labor, soaking in jacuzzi tubs, using birthing balls, variations in birthing positions, and other natural supportive techniques. These moms have the choice of attendance by midwives only.
Others are drawn to the excellent reputation of our star OB/GYN, Dr. Alexander Brickler, who has delivered more than 30,000 babies since he first opened our practice more than 50 years ago. Nurses, midwives, and doctors continually seek his expertise, wisdom and guidance.
Our team of midwives, in close consultation with our medical staff, also manages the care of women with medical risks. All patients are offered all the options available for pain management in labor; from non-medical comforts, to IV pain medication, to epidural anesthesia.
Connection to Tallahassee Memorial Family Medicine Residency Program
We are part of the Tallahassee Memorial Family Medicine Residency Program and assist in the clinical education and supervision of family practice physicians. A team of OB/GYN and Family Practice doctors is always available to us for consultation and referral. In addition, we have a close relationship with a Maternal Fetal Medicine specialist who meets regularly with us for advice on caring for our high-risk clients.
Along with the TMH Family Practice faculty and residents, our midwives provide prenatal services to women in several outlying county health department clinics, including Taylor, Madison, Jefferson, Wakulla, and Gadsden counties.
Margaret Canter, CNM
Margaret Canter was born in Washington DC and spent her youth traveling and living with her family in South America and Asia. From ages six to twelve she lived in Santiago, Chile, then spent the next three years in Bangkok, Thailand and Mussoorie, India.
Margaret attended nursing school at St. Petersburg Community College and moved to Tallahassee to work at Tallahassee Memorial Hospital as an RN in Labor & Delivery while earning her Bachelor's Degree in Nursing from Florida State University. Margaret then moved to Kentucky for midwifery education at Frontier School of Midwifery and Family Nursing.
After earning certification, Margaret moved back to the St.Petersburg area to deliver babies at Bayfront Medical Center, later becoming director of an independent birth center where she gave birth to her first child. A year later, Margaret moved to Pennsylvania where her husband was senior editor at Men's Health magazine and she worked as a staff midwife at another independent birth center, where she gave birth to her second son.
The Canters returned to Tallahassee in 1990. Margaret worked as a midwife in private practice for 13 years. She then followed Dr. A.D. Brickler when he joined TMH Family Practice, gaining the opportunity to help with clinical training of Family Practice residents. Margaret is fluent in Spanish and has a large Hispanic clientele.
From her first time attending a birth in 1980, Margaret remains awed by the birth process and feels privileged to assist women in this intimate and empowering life event. Margaret also has an interest in international health and has volunteered for health missions to Central America and Africa.
When not at work, Margaret enjoys racquetball, running, swimming, yoga and gardening, and is a skilled and dedicated potter. Within her circle of family and friends, Margaret is well-known for her Mediterranean cooking and enjoys preparing big meals when her young adult sons come for family dinner. She is happily married to Mark Canter, novelist and college professor.
Miriam Gurniak, CNM
Miriam Gurniak, CNM, joined Anderson-Brickler Midwifery and the TMH Family Medicine program in 2007. She has spent her entire midwifery career in North Florida, arriving in 1996 straight from the midwifery program at Yale University in order to fulfill a commitment to the national health service corps.
While she loves public health work and regularly staffs obstetrical clinics in the Madison and Jefferson County Health Departments, she also owns a pair of purple "hippie midwife" Birkenstocks and has twice attended conferences at Ina May Gaskin's "Farm" in Tennessee. She is the mom of two soccer-playing boys. She spends time off at a cabin in North Carolina where the boys shoot potatoes into the woods via their homemade PVC-pipe potato cannon.
Karen Honn, CNM
Karen Honn, CNM attended the University of Central Oklahoma, where she graduated with her nursing degree in 1999 and met her husband, with whom she now has two daughters and two chocolate labs.
After graduation, Karen and her husband moved to Kansas City, where she worked as a labor and delivery nurse. During her time in the delivery room, Karen was profoundly inspired by the midwives she encountered – she loved working with women and families and midwifery offered an opportunity to provide care for women beyond birth and throughout their lives.
Following this passion, Karen received her master’s degree from Fronteir University in 2012 and went on to work as a midwife in a community hospital in Lawrence, Kansas for three years. Seeking a reprieve from the harsh Kansas winter, she moved with her family to Tallahassee, where she now loves working with her new Tallahassee Memorial Family Medicine Residency Program family.
Kathleen "KK" McKeon, CNM
KK joined Anderson-Brickler Midwifery Center in 2005. A Connecticut Yankee, she became a Certified Nurse-Midwife while serving in the U.S. Navy in 1992. She received her Masters in Nursing in the Nurse Midwifery program at Medical University of South Carolina. She was Active Duty military for 14 years and then completed her Navy career as a reservist, retiring in 2010.
KK enjoys working alongside the faculty in providing the Family Practice Residents a strong foundation in the care of women throughout the lifespan. She also enjoys providing support and encouragement to families seeking midwifery care during their pregnancy and childbirth.
KK has lived in Tallahassee since 2003. She is married to Fred Beckham and they have two children, John Ross and Madeline. KK and her family are active in their church, scouting, baseball, volleyball and the children’s orchestra activities. In her spare time, KK enjoys cooking and quilting.
Jordan Miles, CNM
Jordan Miles, CNM graduated from Wallace Community College with her registered nursing degree in 2014, then worked as a labor and delivery nurse for four years at Southeast Alabama Medical Center.
After discovering her passion for midwifery, Jordan went on to complete her certified nurse midwife training at Frontier Nursing University in 2018. Originally from Graceville, Florida, Jordan recently joined the Tallahassee Memorial Family Medicine Residency Program team and relocated to Tallahassee with her husband and two children.
Jordan loves educating and empowering women to be proactive about their own health and strives to help them thrive throughout every stage of life.
Darcy Ward, CNM
Darcy Ward is a certified nurse midwife and women’s health nurse practitioner originally from Minnesota. After completing an undergraduate degree in anthropology she taught biology and chemistry in Lesotho and worked in evidence-based practice at Johns Hopkins.
She completed her nursing and midwifery training at the University of Pennsylvania and came to Tallahassee to work with the Family Medicine Residency Program. Her parents are both family practice physicians, so from the start the Family Medicine Residency felt like home. Her particular interests are in shared decision-making, caring for marginalized populations and family planning.
When not catching babies, Darcy catches fly balls on the softball field, indulges her dog and misquotes the New Yorker.