The American College of Obstetricians and Gynecologists doesn't like births outside expensive hospitals and recently issued a statement disapproving of the practice.   Regardless,  mothers, Caucasian at least, are not listening and a new analysis shows that home births, common throughout history but declining since 1990, jumped up again after 2004.  An increase of 20 percent.

28,357 home births occurred in 2008 - 0.67 percent of the approximately 4.2 million births in the United States, which may sound negligible but it is the highest reported proportion since 1990. This change was largely driven by a 28 percent increase in home births for white women, for whom more than 1 percent of all births now occur at home.

Rates of home birth for black (0.30%), Hispanic (0.20%), Asian-Pacific Islander (0.27%), and American Indian (0.38%) mothers all remained low with little change since 2004. Approximately 94 percent of the increase in the overall percentage of home births from 2004 to 2008 was due to the increase for white women. At the same time, the risk profile for home births has decreased, with substantial drops in the percentage of infants born at home who are preterm or low birthweight, and born to teen and unmarried mothers.

Twenty-seven states had statistically significant increases in the percentage of home births from 2004 to 2008; only four states experienced declines. Montana had the highest percentage of home births (2.18%), followed by Vermont (1.96%) and Oregon (1.91%), whereas Mississippi, Louisiana, and Delaware (all at 0.2%) had the lowest percentages. Of states with at least 100 home births annually, North Carolina, Virginia, Indiana, and Maryland all experienced an increase of at least 50 percent in home birth rates between 2004 and 2008. Vermont (-23%), Nevada (-18%), and Arkansas (-17%) reported the greatest decreases.

Marian MacDorman, lead author of the report in Birth: Issues in Perinatal Care, notes, "A significantly larger number of women in 2008 have chosen to opt for a home birth experience, a development that will be of interest to practitioners and policymakers."