Your birth team, vetted like it matters
The attending provider at a home birth holds enormous responsibility. Most families have no way to evaluate the person they're hiring. We made that our job.
Who attends
Physicians attend home births in America rarely — a handful in any region — so we tell you the truth about the landscape: in most plans we coordinate, the attending provider is a certified nurse-midwife, the same clinician category that attends home births in the world's best-performing systems. Where a physician who does this work is available and right for you, we'll know them.
Our directory standards
- CNM licensure in the state of your birth
- A substantial, documented volume of attended home births
- Equipment to standard: oxygen, current neonatal resuscitation certification, hemorrhage medications, IV capability
- Transfer rates and outcomes shared with our practice and reviewed annually
- A written agreement to our transfer criteria as a minimum — theirs may be stricter, never looser
- References, and a clean licensure history
Beyond the attending
Doula. Continuous labor support is one of the best-evidenced interventions in all of obstetrics — fewer cesareans, shorter labors, better experiences. We match doulas by temperament as much as training.
Preparation. Childbirth education and a daily mind-body practice — breathing, relaxation, visualization — beginning at 28 weeks, because the skills that serve labor are trained, not summoned.
Lactation and pediatrics. Feeding support in the first days, and a pediatric practice that welcomes home-birth newborns, arranged before the birth rather than scrambled after.
Held together by a physician
What makes this a team rather than a list is coordination: one clinical director who knows your whole picture, one set of criteria everyone has signed, one plan everyone can recite. That is the homeOB difference.