Anyone who has gone through pregnancy and birth has experienced the very real fear of an unexpected outcome. This fear is born out of both an intellectual and emotional awareness of the possibility of risk in birth. As families who have chosen non-conventional birthing options, we are all aware of the additional questioning and scrutiny that can accompany an unexpected outcome at home. In more than thirty years of combined experience attending home births and more than 3000 combined births, we have experienced adverse outcomes. We have attended the births of babies with downs syndrome, anencephaly, Trisomy 13, 18 and 21, cleft palate, heart defects and others. For each of these families the joy of birth was tempered by the realization that their new baby had serious medical issues, some of which were incompatible with life. We have also experienced death that occurred in the last trimester of pregnancy where there was no indication before birth. It is our desire to have complete transparency regarding our experience with birth at home. We welcome questions and discussion in order to help you decide where and with whom you would like to have your baby.