Planned home births and birth center births (also known as community births) are relatively common in Oregon compared to most of the United States. 5% of births in Oregon and 2% of births in the US overall are planned community births. Community births in the US have been increasing since 2004. Families choose community birth for a number of reasons and come from all walks of life, and all races, religions, and class backgrounds.

Planned community births unfold normally at home or birth center most of the time but part of what makes community birth safe is the ability to transfer to a hospital when it does not. Hospital transfer occurs in 15% of planned community births in Oregon, most often occurring when pain management and augmentation is required or as complications arise.

When transfer is needed, Midwives, emergency responders, and receiving hospital providers function as a care team. When we work together, outcomes and experiences are improved for birthing individuals and babies. Working as a team requires clear communication, understanding of each different roles, and coordination of care.