Because you feel confident in your ability to birth. Because you're healthy, not sick. Because birth is normal. Because you want to know who will attend your birth. Because you feel safe at home. Because you don't want surgery. Because you want more than one or two people present at the birth, and your kids, too. Because maybe you've done it before and you know you can do it. Because you've done it before and know that you deserved better. Because you want trauma-informed care. Because you want to birth in water. Because your partner wants to catch the baby. Because your dog is a great doula.
The 2014 MANA report on planned homebirths supported by a certified professional midwife showed excellent outcomes for babies, including that 97% of babies were carried to full-term (compared to about 90% for the U.S. population as a whole). Parents had low rates of medical intervention (4.5% received pitocin and/or an epidural), and an overall cesarean rate of 5.7%, compared to the national rate of 31%.
I follow the midwifery model of care, which emphasizes birth as a normal physiological event, and sees the midwife's role as supporting and maintaining that normalcy. You receive complete continuity of care, not only meaning that you know who will support you in birth, but we will have the opportunity to develop the kind of relationship that allows for trust and vulnerability during unfolding of birth. You also receive exceptional postpartum care, with close provider contact and frequent visits during the first two weeks postpartum.
Midwives support people who take personal responsibility for their wellness, including eating nourishing foods, moving their bodies, and managing stress. Home birthing parents expect exceptional care, but they don't expect their provider to make all the choices. They want information about the options available to them and seek out care that minimizes technological interventions, recognizing the negative impact of routine intervention on childbirth in America.