Anderson-Brickler Midwifery Obstetrical Services

We are a team of experienced nurse-midwives who love what we do: providing personalized healthcare to women before, during and after pregnancy. As nurse-midwives we believe in the inherent normalcy and healthiness of pregnancy and birth.

Our Services

  • Prenatal care
  • Labor & Delivery
  • Post-partum care
  • Care of women throughout their Life spans, including
  • Well-woman exams
  • Cancer screening
  • STD screening and treatment
  • Contraceptive counseling
    • Birth control pills
    • Patches
    • Depo-Provera
    • Nexplanon
    • IUDs
    • Natural family planning
  • Referrals to our OB-GYN’s for permanent birth control, including tubal ligations and Essure.
  • Care and counseling to menopausal and peri-menopausal women.
  • Pre-conception counseling and referral for infertility management.

More Information

About Anderson-Brickler Midwifery

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.

Meet the Team

A.D. Brickler, MD

brickleradDr. A.D. Brickler has been faithfully serving our residents of the Family Medicine Residency Program since the beginning of the program. He is a family physician with advanced training in obstetrics and a long career (30,000+ deliveries) in the care of women.

His accomplishments include being named the 1982 Family Physician of the Year by the Florida Academy of Family Physicians and later that year being honored as National Family Physician of the Year. Dr. Brickler serves as a “laborist” and teaches residents on the Inpatient Obstetrics service. He performs ultrasounds, Cesarean Sections, and tubal ligations as part of his practice. He is married with 4 children, 2 of whom are physicians in Tallahassee. When away from work, Dr. Brickler is an avid runner and enjoys amateur astronomy.

Margaret Canter, CNM

MargaretCanterMargaret 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

MiriamGurniakMiriam Gurniak, CNM, joined Anderson-Brickler Midwifery and the TMH Family Medicine progam 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.

Kathy Hartley, CNM, ARNP

KathyHartleyBorn in the Florida panhandle, Kathy Hartley was first drawn to Tallahassee by the lure of Florida State University. After graduating as a registered nurse, Kathy began her career as a Tallahassee Memorial Labor and Delivery nurse. During this time, she earned certification in childbirth education, served as a preceptor to new RNs, and worked in the in-vitro program. Along the way she and her husband of more than nine years had their son, Jesse.

Becoming a mother inspired Kathy to further her education and become a Certified Nurse-Midwife. After being accepted to the midwifery program at the University of Florida and gaining the support of her husband, Kathy commuted until reaching her goal of becoming a CNM and completing her Masters Degree in December of 1996.

Once officially a CNM she worked in private practice for over ten years, and then spent three years teaching undergraduate RNs at FAMU and the Taylor County Health Department before returning to TMH in 2009. When away from work, Kathy enjoys hiking, boating, snorkeling, gardening, working with stained glass and traveling.

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.

Links to Explore

OTIS (Organization of Teratology Information Specialists)

OTIS, the Organization of Teratology Information Specialists, is a non-profit organization that serves to provide accurate evidence-based, clinical information to patients and health care professionals about exposures during pregnancy and lactation.

La Leche League

La Leche League is an international nonprofit organization dedicated to promoting breastfeeding through education and encouragement for mothers worldwide.

American College of Nurse-Midwives

The American College of Nurse-Midwives (ACNM) is the professional association representing certified nurse-midwives and certified midwives in the United States. The ACNM works to advance the health of women and newborns by setting the standard for midwifery care.