You may want to have your baby at home. You may feel that you will be more comfortable in your own environment, be less inhibited during labor and delivery, or be more in control of the birth event if it occurs at home. Like birthing center deliveries, home births are only available to women without pregnancy complications. Also, home births are not always covered by major medical insurance plans. You’ll need to review your coverage.

With a home birth, your prenatal visits will usually take place in the midwifery group’s office or birthing center. The midwife or her assistant will make at least one visit to your home before the birth to make sure the environment is safe and conducive for a home delivery and that you’ve assembled the necessary supplies, most of which are typically in the home already. The midwife provides medical supplies.

When labor begins, your midwife and an assistant will come to your home. They will have already instructed you on how to prepare your bedroom and bed and what supplies to have on hand for the baby. Home midwives use the same nonmedicating, pain-alleviating techniques as midwives in a birthing center. As in birthing centers, they’re prepared to have you transported to the nearest hospital if they feel it’s warranted. After the birth, the nurse midwife and assistant will stay with you for several hours or until they’re sure you and the baby are fine. There must be an adult staying with you for up to 72 hours after the birth, or the midwife will arrange to have you transported to a hospital. The midwife will recommend you take the baby to a pediatrician the next day. They will return to your home about a week later for a postpartum checkup.

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