This chapter defines birth center care as a physiologic approach to pregnancy, labor and birth, and postpartum/newborn care. It describes common care practices and additional therapies/approaches to support physiologic labor and birth in the freestanding birth center care context. Physiologic birth has received a good deal of attention in the past two decades as an ideal approach to maternity care for healthy women. Birth center care offers a model of a physiologic approach throughout pregnancy and birth, which is evident in preconception planning, antenatal care, intrapartum care, and the postpartum/newborn periods. Preconception and antenatal care set the stage for the focus on health promotion throughout pregnancy and planning for a physiologic birth. Interprofessional practice opportunities can be ideally located in a birth center. Family medicine and obstetric/gynecological residents can learn about physiologic birth from midwives and partner in providing this model of care.