Lerner Center for Public Health Promotion and Population Health
Population Health Research Brief Series
Is Home Birth a Choice? Racial and Geographic Differences in Unintended Home Births in the U.S.
Anna De La Paz
April 2026
In 2023, the U.S. recorded its highest number of home births in 30 years. Home births that happen without planning or medical support (i.e., unintended home births) carry a higher likelihood of adverse outcomes, such as low birth weight and preterm birth.
This data slice shows that these unintended home births are disproportionately concentrated among non-Hispanic Black women, with significant variation by region and metropolitan status.