Centering group prenatal care brings you and up to nine other women with similar due dates together for comprehensive prenatal care and education.
Classes follow the recommended schedule of 10 prenatal visits, but each visit lasts 90 minutes to two hours giving you 10 times more time with your providers. You’ll get to know your doctor and midwives on a deeper and more personal level.
You’ll have private time with your provider each session for your check up, while also being empowered to play a role in your own care by taking your weight and blood pressure and recording your health data.
Your providers will also facilitate discussions and interactive activities addressing important and timely health topics that you care about most, opening the floor to you and your fellow moms-to-be to gain insight from each other as well. We’ll cover everything from nutrition, common discomforts and stress management, to labor and delivery, breastfeeding, infant care and beyond.
Learn more or join CenteringPregnancy by contacting the Tallahassee Memorial Family Medicine Residency Program at 850-431-5430.
Tanya Evers, MD, OBGYN
Dr. Tanya Evers is a board-certified Obstetrician/Gynecologist who joined the Tallahassee Memorial HealthCare faculty in 2012 after completing residency at Vanderbilt University Medical Center. While there, she was a proponent of mother-infant bonding and lactation and conducted research on completion rates with the HPV vaccination. Returning to Tallahassee is a "coming home" of sorts for her as she earned her undergraduate and medical degrees at Florida State University. Dr. Evers commented that she is thrilled to be working with residents at the Tallahassee Memorial Family Residency Program as she has a passion for academic medicine and teaching, enjoying the role of mentor and sharing her knowledge with others.
Margaret Canter, CNM
Margaret Carter, CNM, 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 spent time in Kentucky, back in St. Petersburg and then in Pennsylvania earning her midwifery certification and directing her own birth center before returning to Tallahassee in 1990. She eventually followed Dr. A.D. Brickler when he joined the Tallahassee Memorial Family Medicine Residency Program
, gaining the opportunity to help with clinical training of Family Practice residents. 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 is fluent in Spanish and has a large Hispanic clientele.
Miriam Gurniak, CNM
Miriam Gurniak, CNM joined Anderson-Brickler Midwifery and the Tallahassee Memorial Family Medicine Residency 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. She loves public health work, regularly staffs obstetrical clinics in the Madison and Jefferson County Health Departments and is a self-proclaimed "hippie midwife."
Karen Honn, CNM
Karen Honn, CNM attended the University of Central Oklahoma, where she graduated with her nursing degree in 1999. After graduation, Karen 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, ultimately making her way the Tallahassee Memorial Family Medicine Residency Program family.
Kathleen "KK" McKeon, CNM
KK McKeon, CNM joined Anderson-Brickler Midwifery Center in 2005 after becoming a Certified Nurse-Midwife while serving in the U.S. Navy in 1992. She received her master’s degree 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 providing support and encouragement to families seeking midwifery care during their pregnancy and childbirth.
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 down to Tallahassee to work with the Tallahassee Memorial Family Medicine Residency Program. Her particular interests are in shared decision-making, caring for marginalized populations and family planning.
How is CenteringPregnancy different from traditional one-on-one prenatal care in the exam room?
- Additional time with your provider: When participating in CenteringPregnancy, you’ll spend 20 hours face-to-face with your provider over the course of your pregnancy. This will not only help you gain valuable insight to prepare for childbirth, it allows for relaxed conversation and an opportunity to truly connect with your doctor and midwives. In comparison, women engaging in one-to-one prenatal care will only spend about two to four cumulative hours with their provider over the course of their entire pregnancy.
- Community building: In CenteringPregnancy, we work to build a sense of community among the women in the group, as this social support has been shown to help prevent unnecessary stress during pregnancies. Women often share that the group feels like a circle of friends sharing common concerns and experiences, and that relationships often last beyond the sessions. Each group usually has both first-time moms-to-be and women who are already mothers, leading to productive and supportive conversations and connections.
- No waiting: Centering is designed to be respectful of your time. Groups start and stop on time and each visit features continuous activity and education.
- Education and learning: CenteringPregnancy is purposely interactive and not structured as a lecture. The providers aren’t seen as the teachers, but rather facilitators of meaningful discussions among the group. In addition to insight shared from doctors and midwives, you’ll gain insight from the other women in the group. Traditional childbirth class content is also woven throughout the 10 Centering sessions, reducing the need for additional classes.
- Mom's notebook: All Centering patients receive a notebook developed for CenteringPregnancy, used to guide discussion. The notebook will become a written record of your pregnancy, take-home educational content and even a keepsake to share with your family and children later.
Why is each appointment two hours long?
While two hours may seem like a big commitment for prenatal appointments, the total time spent in the hospital is similar to that of a traditional prenatal appointment. Keep in mind, you will not need to wait for your appointment to begin – the sessions begin right at the scheduled start times. Additionally, during each appointment, you will have up to two hours of uninterrupted time with your physician and midwives, while you may only have 15 minutes during a traditional visit. When you sign up for CenteringPregnancy, you will receive a schedule of all appointments, so you can plan accordingly.
Will I still get my ultrasounds and lab tests that I expect in prenatal care?
CenteringPregnancy is your prenatal care and will meet all the standards for traditional prenatal care. Labs, prescriptions and ultrasounds will be ordered for you as appropriate by your CenteringPregnancy provider. Results of the lab tests and ultrasounds will be shared privately with you. The importance of these tests and medications will also be discussed throughout CenteringPregnancy with the group, helping you better understand the lab testing and medications prescribed during your pregnancy.
Will my insurance cover this type of prenatal care?
Your charges and/or copays/coinsurance for CenteringPregnancy are exactly the same as they would be for traditional prenatal care, as determined by your insurance coverage. If you have questions about your coverage and estimated out-of-pocket expenses, our financial counselors will be happy to discuss this with you.
Can my partner or another support person attend my prenatal groups with me?
The participation of partner or support persons is entirely optional, but encouraged. Some women prefer that their support person attends visits to receive the same information they are being given, while others prefer attending by themselves and enjoy the support from the group. If you choose to bring a support person, we ask that you bring the same person to each session for continuity and confidentiality of the group.
Is CenteringPregnancy appropriate for everyone?
Most women expecting a normal pregnancy can enjoy and benefit from CenteringPregnancy. If risk conditions emerge during pregnancy, those conditions may be managed in the group or require additional visits to specialists. Ask your midwife or physician if CenteringPregnancy is right for you.
How do I sign up for CenteringPregnancy?
To join CenteringPregnancy, you must be a patient of the Tallahassee Memorial Family Medicine Residency Program. If you aren’t a patient already, you can become one for your prenatal care. Visit our Tallahassee Memorial Family Medicine Residency Program page to learn more or call 850-431-5430 to learn more.